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Dirk De Ridder, Sook Ling Leong, Patrick Manning, Sven Vanneste, Paul Glue
BACKGROUND: Obsessive compulsive disorder (OCD) is a brain disorder with a lifetime prevalence of 2.3%, causing severe functional impairment as a result of anxiety and distress, persistent and repetitive, unwanted, intrusive thoughts (obsessions), and repetitive ritualized behavior (compulsions). Approximately 40-60% of patients with OCD fail to satisfactorily respond to standard treatments. Intractable OCD has been treated by anterior capsulotomy and cingulotomy, but more recently neurostimulation approaches have become more popular due to their reversibility...
October 15, 2016: World Neurosurgery
Guido Wierer, Armin Runer, Peter Gföller, Christian Fink, Christian Hoser
BACKGROUND: Postoperative extension deficits following anterior cruciate ligament (ACL) reconstruction can cause major limitation during daily life. The purpose of this study was to evaluate the efficiency of an all-arthroscopic approach and posterior capsule release for the treatment of persistent knee extension deficits following ACL reconstruction. METHODS: Between 2009 and 2013 a total of 10 patients with knee flexion contractures after ACL reconstruction were assessed following an all-arthroscopic approach and posterior capsulotomy...
October 12, 2016: Knee
Malik Y Kahook, Robert J Cionni, Michael J Taravella, Robert E Ang, Aaron N Waite, Jonathan D Solomon, Harvey S Uy
PURPOSE: To compare size, circularity, and centration outcomes of continuous curvilinear capsulorhexis (CCC) performed with or without assistance from the VERUS ophthalmic caliper (Mile High Ophthalmics, Denver, CO). METHODS: This was a multicenter retrospective consecutive case controlled series review. RESULTS: Data from 40 consecutive cases using the VERUS device for CCC were compared to 40 consecutive cases with standard manual CCC. VERUS-assisted CCC size, circularity, and centration were closer to target compared to that of manual only procedures (P < ...
October 1, 2016: Journal of Refractive Surgery
Alexander E Weber, Benjamin D Kuhns, Gregory L Cvetanovich, Paul B Lewis, Richard C Mather, Michael J Salata, Shane J Nho
PURPOSE: The purpose of this study was to examine the hip capsule in a subset of symptomatic patients who underwent capsular closure during hip arthroscopy. METHODS: All patients undergoing primary hip arthroscopy for femoroacetabular impingement (FAI) with routine capsular closure between January 1, 2012, and December 31, 2015, were eligible. Only patients with unilateral surgery and a postoperative magnetic resonance imaging (MRI; ordered for persistent symptoms) were included...
October 5, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Zachary P Elkin, W Jordan Piluek, Douglas R Fredrick
PURPOSE: To evaluate the development and treatment of visual axis opacification following pediatric cataract extraction with intraocular lens placement (IOL) without primary posterior capsulotomy and anterior vitrectomy (PPC+AV). METHODS: The medical records of children who underwent cataract extraction and IOL at an academic medical center were reviewed retrospectively for development of posterior capsular opacification (PCO) to identify risk factors for development of treatment-requiring posterior capsular opacification...
October 3, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Andrea M Spiker, Christopher L Camp, Brian T Barlow, Shawn G Anthony, Struan H Coleman
This article describes the use of sutures to enhance visualization while protecting the capsule in both the central and peripheral compartments during hip arthroscopy. We describe first a technique to preserve the proximal capsule cuff while working in the central compartment and then an alternative to the T-capsulotomy while maintaining excellent visualization of the peripheral compartment during femoroplasty of cam-type femoroacetabular impingement. By use of suture suspension of the capsule, multiple goals are achieved: The integrity of the proximal capsule cuff is maintained while aiding in visualization of the central compartment; the iliofemoral ligament is spared, which plays a critical role in preventing microinstability; the necessary space is created to obtain adequate visualization of the peripheral compartment for complete femoroplasty; and operative time is reduced because creation and subsequent repair of the T-capsulotomy can be avoided...
August 2016: Arthroscopy Techniques
Tolga Yilmaz, Ahu Yilmaz
PURPOSE: To evaluate changes in central macula thickness (CMT), subfoveal choroid thickness (SCT), and intraocular pressure (IOP) before and after neodymium:yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy. METHODS: 42 eyes of 42 patients who underwent Nd:YAG laser capsulotomy were included in this prospective study. CMT, SCT, and IOP were evaluated preoperatively and at postoperative week 1 and postoperative months 1, 3, 6, and 12. RESULTS: CMT was 238...
October 3, 2016: International Ophthalmology
Yesim Haeussler-Sinangin, Tim Schultz, Eva Holtmann, H Burkhard Dick
PURPOSE: To evaluate whether the size of Berger space is safely predictable in patients having cataract surgery using 3-dimensional spectral-domain optical coherence tomographic (3-D SD-OCT) image analysis. SETTING: Ruhr University Eye Hospital, Bochum, Germany. DESIGN: Prospective interventional case series. METHODS: Eyes having routine femtosecond laser-assisted cataract surgery were included. After wound closure, the anterior eye segment was visualized using the incorporated 3-D SD-OCT...
September 2016: Journal of Cataract and Refractive Surgery
Georg Gerten, Michael Schultz, Uwe Oberheide
: We describe a technique that uses a femtosecond laser (femtosecond laser pseudophakic capsulotomy) to treat capsule contraction syndrome (capsule phimosis) that may occur after cataract surgery and intraocular lens (IOL) implantation. Enlarging the capsulotomy with a femtosecond laser may offer advantages over the existing treatment methods, neodymium:YAG laser capsulotomy and manual extension of the capsulorhexis. FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned...
September 2016: Journal of Cataract and Refractive Surgery
Martin Ellenrieder, Thomas Tischer, Rainer Bader, Peter Cornelius Kreuz, Wolfram Mittelmeier
INTRODUCTION: The application of traction in hip arthroscopy is associated with peri-operative complications. Within a therapeutic case series, patient-related factors correlating with high-traction forces during hip arthroscopy and occurring complications should be identified. MATERIALS AND METHODS: In 30 male and 38 female patients (mean age: 44.5 years), intra-operative traction forces were monitored continuously using a specialised measurement device. A multivariate analysis was employed to identify patient-related factors influencing the traction force...
September 30, 2016: Archives of Orthopaedic and Trauma Surgery
Soon-Phaik Chee, Melissa H Y Wong, Aliza Jap
PURPOSE: To assess the role of femtosecond laser technology in the management of severely subluxated cataracts DESIGN: Retrospective, interventional case series METHODS: All eyes with subluxated cataract seen between July 2012 and June 2015 were assessed for suitability for femtosecond laser assisted cataract surgery, with the use of capsular tension devices. Participants with subluxated cataracts of at least 6 clock hours of zonular weakness were included in the study. Data collected included patient demographics, pre and post-operative best corrected visual acuity (BCVA), nuclear density, extent of zonular weakness, completeness of capsulotomy and complications...
September 23, 2016: American Journal of Ophthalmology
Jorge Chahla, Jacob D Mikula, Jason M Schon, Chase S Dean, Kimi D Dahl, Travis J Menge, Eduardo Soares, Travis Lee Turnbull, Robert F LaPrade, Marc J Philippon
BACKGROUND: Hip capsulotomy is routinely performed during arthroscopic surgery to achieve adequate exposure of the joint. Iatrogenic instability can result after hip arthroscopic surgery because of capsular insufficiency, which can be avoided with effective closure of the hip capsule. There is currently no consensus in the literature regarding the optimal quantity of sutures upon capsular closure to achieve maximal stability postoperatively. PURPOSE/HYPOTHESIS: The purpose of this study was to determine the failure torques of 1-, 2-, and 3-suture constructs for hip capsular closure to resist external rotation and extension after standard anterosuperior interportal capsulotomy (12 to 3 o'clock)...
September 22, 2016: American Journal of Sports Medicine
Rozina Noristani, Tim Schultz, H Burkhard Dick
PURPOSE: To report a patient who developed a white cataract after Nd:YAG laser vitreolysis with a posterior capsule defect. METHODS: Femtosecond laser-assisted capsulotomy was performed for optic capture fixation in a patient with a cataract due to a posterior capsule defect after Nd:YAG laser-vitreolysis. RESULTS: A 55-year-old, highly myopic woman presented with visual impairment 4 days after Nd:YAG laser vitreolysis due to preexisting floaters...
September 9, 2016: European Journal of Ophthalmology
Jeewan S Titiyal, Manpreet Kaur, Archita Singh, Tarun Arora, Namrata Sharma
PURPOSE: To compare femtosecond laser-assisted capsulotomy with conventional manual capsulorhexis in cases of white cataract. PATIENTS AND METHODS: The prospective comparative study enrolled 80 eyes (80 patients) with white cataract that underwent either femtosecond laser-assisted cataract surgery (Group I, n=40) or conventional manual phacoemulsification (Group II, n=40) at a tertiary care ophthalmic institution. The groups were divided based on the patient's choice and affordability of the procedure...
2016: Clinical Ophthalmology
Marko Popovic, Xavier Campos-Möller, Matthew B Schlenker, Iqbal Ike K Ahmed
TOPIC: To investigate the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) relative to manual cataract surgery (MCS). CLINICAL RELEVANCE: It is unclear whether FLACS is more efficacious and safe relative to MCS. METHODS: A literature search of MEDLINE, EMBASE, and Scopus from 2007 to March 2016 was conducted. Studies containing both FLACS and MCS arms that reported on relevant efficacy and/or safety parameters were included...
October 2016: Ophthalmology
Siegfried Mariacher, Martina Ebner, Anna-Maria Seuthe, Kai Januschowski, Ciprian Ivanescu, Natalia Opitz, Peter Szurman, Karl Thomas Boden
PURPOSE: To evaluate clinical data and outcomes after femtosecond laser-assisted cataract surgery with the recently introduced low-energy Femto LDV Z8 laser during a 3-month follow-up. SETTING: Knappschaft Eye Clinic Sulzbach, Knappschaft Hospital Saar GmbH, Sulzbach, Germany. DESIGN: Consecutive case series. METHODS: Femtosecond laser-assisted cataract surgery was performed using the low-energy femtosecond laser. Clinical data including objective refraction, corrected distance visual acuity, central corneal thickness (CCT), endothelial cell count (ECC), and aqueous flare were evaluated 1 day, 1 week, 4 weeks, and 3 months postoperatively...
August 2016: Journal of Cataract and Refractive Surgery
Selim Genç, Emre Güler, Hanefi Çakır, Yusuf Özertürk
PURPOSE: To evaluate intraoperative complications of a modified phaco capsulotomy technique and the ophthalmic viscosurgical device (OVD)-assisted capsulorhexis in eyes with intumescent white cataract. SETTING: Lütfi Kırdar Kartal Eye Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey. DESIGN: Comparative randomized case study. METHODS: Eyes of patients with intumescent white cataract were divided into 2 equal groups...
August 2016: Journal of Cataract and Refractive Surgery
Jaspreet Sukhija, Savleen Kaur, Jagat Ram
PURPOSE: To study the requirement of additional surgery and adverse events in infants having primary intraocular lens (IOL) implantation. SETTING: Tertiary care institute, Chandigarh, India. DESIGN: Prospective observational noncomparative case series. METHODS: Infants who had phacoaspiration, primary posterior capsulotomy, anterior vitrectomy, and primary IOL implantation were evaluated for complications and the need for additional surgery over a 3-year period...
July 2016: Journal of Cataract and Refractive Surgery
Vasudha Kemmanu, Pragnya Rathod, Hemant Anaspure, Naresh K Yadav
Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is a rare autosomal dominant genetic disease. It is clinically characterized by four major features; blepharophimosis, ptosis, epicanthus inversus, and telecanthus. We report a case of a 1-year-old female with BPES with unilateral anterior persistent fetal vasculature (PFV). On examination, she was found to have all the clinical features of BPES, along with calcified and partially absorbed cataract with elongated ciliary processes in her left eye. B-scan of left eye showed attached retina with no evidence of posterior PFV...
June 2016: Indian Journal of Ophthalmology
Alexander C Day, Sandeep K Dhallu, Vincenzo Maurino, Mark R Wilkins
OBJECTIVES: To describe the initial outcomes following installation of a cataract surgery laser system. SETTING: National Health Service cataract surgery day care unit in North London, UK. PARTICIPANTS: 158 eyes of 150 patients undergoing laser-assisted cataract surgery. INTERVENTIONS: Laser cataract surgery using the AMO Catalys femtosecond laser platform. PRIMARY AND SECONDARY OUTCOME MEASURES: HASH(0x4c37380) PRIMARY OUTCOME MEASURE: intraoperative complications including anterior and posterior capsule tears...
2016: BMJ Open
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