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Capsulotomy

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https://www.readbyqxmd.com/read/28106674/open-surgical-release-of-posttraumatic-elbow-contracture-in-children-and-adolescents
#1
Samantha L Piper, Lisa L Lattanza, Tony S Shen, Lindley B Wall, Charles A Goldfarb
BACKGROUND: Posttraumatic elbow contractures in children and adolescents are challenging to manage, and studies investigating surgical treatment are limited by the rarity of this condition. Small case series have shown variable gains in immediate and long-term elbow arc of motion after open surgical release. We reviewed our experience with open surgical release of posttraumatic elbow contracture in patients <21 years old at 2 institutions. METHODS: A retrospective chart review identified patients who underwent posttraumatic open elbow contracture release by 2 surgeons at 2 institutions between 2006 and 2013...
January 18, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28101040/high-rate-of-early-posterior-capsule-opacification-following-femtosecond-laser-assisted-cataract-surgery
#2
Benjamin Rostami, Jack Tian, Nicholas Jackson, Rustum Karanjia, Kenneth Lu
PURPOSE: To compare the rates of rapid posterior capsule opacification (PCO) formation in the first 3 months following femtosecond laser-assisted cataract surgery (FLACS) to manual anterior capsulorhexis. METHODS: Retrospective review of 29 cases of FLACS, comparing the rates of PCO in the first 3 months following surgery to 50 consecutive cases of manual anterior capsulorhexis. RESULTS: Seven of the 29 FLACS cases developed PCO requiring capsulotomy at 3 months, while none of the control cases required a capsulotomy over the same time period (p < 0...
September 2016: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28072743/bilateral-anterior-capsulotomy-and-amygdalotomy-for-mental-retardation-with-psychiatric-symptoms-and-aggression-a-case-report
#3
Shizhen Zhang, Peizhi Zhou, Shu Jiang, Peng Li, Wei Wang
RATIONALE: Mental retardation (MR) is a chronic condition that often has no readily identifiable cause or treatment. Aggression and psychiatric symptoms are prevalent in children with MR. Surgical treatment of aggression and psychiatric symptoms of MR is seldom investigated and studies are limited. PATIENT CONCERNS: We encountered a 19-year-old female who had MR with aggression and psychiatric symptoms. DIAGNOSES: She was diagnosed with mild MR with aggressiveness and psychiatric symptoms...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28068446/change-of-capsulotomy-over-1-year-in-femtosecond-laser-assisted-cataract-surgery-and-its-impact-on-visual-quality
#4
Christophe Panthier, Florent Costantini, Jean Claude Rigal-Sastourné, Antoine Brézin, Chadi Mehanna, Mikael Guedj, Dominique Monnet
PURPOSE: To compare the shape of the capsulotomy, its change, and its impact on visual quality over 1 year using the femtosecond laser system from the manual technique. METHODS: In this two-center cross-sectional study from May 2012 to June 2013, each patient had femtosecond laser-assisted cataract surgery in one eye (FLACS group) and conventional phacoemulsification cataract surgery in the other eye (CPCS group). An evaluation of the capsulotomy was performed using retroillumination slit-lamp photographs at 7 days, 6 months, and 1 year after surgery...
January 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28065436/long-term-posterior-capsule-opacification-reduction-with-square-edge-polymethylmethacrylate-intraocular-lens-randomized-controlled-study
#5
Aravind Haripriya, David F Chang, Balakrishnan Vijayakumar, Agrawal Niraj, Madhu Shekhar, Singh Tanpreet, Srinivasan Aravind
PURPOSE: To objectively assess the long-term posterior capsule opacification (PCO) and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy rate of a square-edge (SE) polymethylmethacrylate (PMMA) intraocular lens (IOL) modification in comparison with a round-edge (RE) PMMA IOL or an SE hydrophobic acrylic IOL (SE-Acrylic). DESIGN: Prospective, randomized, controlled fellow eye clinical study. PARTICIPANTS: Ninety-four patients scheduled for bilateral phacoemulsification had an SE-PMMA IOL implanted in 1 eye...
January 5, 2017: Ophthalmology
https://www.readbyqxmd.com/read/28063099/comparative-study-of-25-versus-20-gauge-pars-plana-capsulotomy-and-vitrectomy-in-pediatric-cataract-surgery
#6
Anju Rastogi, Manisha Mishra, Yashpal Goel, Prolima Thacker, Kamlesh
PURPOSE: To compare 25- and 20-gauge pars plana vitrectomy (PPV) for the management of pediatric cataract. METHODS: 20 eyes of 15 patients were randomly divided into two groups to undergo pars plana capsulotomy and vitrectomy by either 25-gauge (group A) or 20-gauge (group B) PPV after lens aspiration and IOL implantation. The two groups were compared for total surgical time, time taken in doing pars plana capsulotomy and vitrectomy, and the size of posterior capsulotomy...
January 6, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28060395/design-and-validation-of-a-training-simulator-for-laser-capsulotomy-peripheral-iridotomy-and-retinopexy
#7
Sarah M Simpson, Kelly D Schweitzer, Davin E Johnson
BACKGROUND AND OBJECTIVES: Ophthalmology trainees commonly learn laser procedures on live patients. A simulator for learning peripheral iridotomy (PI), posterior capsulotomy, and retinopexy may improve patient outcomes. MATERIALS AND METHODS: A model eye with artificial tissues was designed. The tissues reacted to laser similarly to human tissues. Inexperienced (n = 6; first- to third-year residents) and experienced (n = 7; fourth- to fifth-year residents and staff) ophthalmic personal were compared on performance of the above laser procedures...
January 1, 2017: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/28058161/posterior-capsular-opacification-in-preschool-and-school-age-patients-after-pediatric-cataract-surgery-without-posterior-capsulotomy
#8
Muhammed Batur, Adem Gül, Erbil Seven, Ertuğrul Can, Tekin Yaşar
OBJECTIVES: We aimed to evaluate the development of posterior capsular opacification (PCO) in preschool- and school-age children with cataract who underwent cataract surgery without posterior capsulotomy and anterior vitrectomy. MATERIALS AND METHODS: The records of 30 eyes of 21 patients who underwent pediatric cataract surgery and intraocular lens (IOL) implantation were retrospectively reviewed. Patients' age, PCO status and duration, need for neodymium-doped yttrium aluminium garnet (Nd:YAG) laser treatment based on coverage of visual axis, and follow-up period were recorded...
October 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/28053252/instability-of-the-hip-after-anatomical-re-alignment-in-patients-with-a-slipped-capital-femoral-epiphysis
#9
A Aprato, M Leunig, A Massé, T Slongo, R Ganz
AIMS: Several studies have reported the safety and efficacy of subcapital re-alignment for patients with slipped capital femoral epiphysis (SCFE) using surgical dislocation of the hip and an extended retinacular flap. Instability of the hip and dislocation as a consequence of this surgery has only recently gained attention. We discuss this problem with some illustrative cases. MATERIALS AND METHODS: We explored the literature on the possible pathophysiological causes and surgical steps associated with the risk of post-operative instability and articular damage...
January 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28012635/the-effect-of-capsulotomy-and-capsular-repair-on-hip-distraction-a-cadaveric-investigation
#10
M Michael Khair, Jeffrey S Grzybowski, Benjamin D Kuhns, Thomas H Wuerz, Elizabeth Shewman, Shane J Nho
PURPOSE: To quantify how increasing interportal capsulotomy size affects the force required to distract the hip and to biomechanically compare simple side-to-side suture repair to acetabular-based suture anchors as capsular repair techniques. METHODS: Twelve fresh-frozen cadaveric hip specimens were dissected to the capsuloligamentous complex of the hip joint and fixed in a material testing system, such that a pure axial distraction of the iliofemoral ligament could be achieved...
December 22, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28003789/an-after-after-cataract-a-curious-case-of-visual-axis-re-opacification
#11
Jay Kalliath, Gaurav Prakash, Kavitha Avadhani, Anitha Shakuntala
Posterior capsular opacification (PCO) is common after cataract surgery. Recurrence is very rare after a successful Yttrium aluminium-garnet (YAG) capsulotomy in adults. We report a case of visual axis re-opacification after a successful YAG capsulotomy for PCO in an adult. A 60-year male underwent phacoemulsification with +20.0 D acrylic hydrophobic intraocular lens implantation and silicon oil removal (SOR) five months after a successful retinal detachment repair. He underwent a capsulotomy after two months of surgery; however, the visual axis re-opacified after three more months...
October 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28003067/editorial-commentary-hip-capsule-to-repair-or-not
#12
EDITORIAL
Dean K Matsuda
Arthroscopic hip capsular repair is an area of intense interest. Basic science studies suggest that adverse changes in capsular stability/restraint may occur with capsulotomy and capsulectomy, that repair may ameliorate these changes, and, most recently, that the repaired capsule usually heals. Clinical studies suggest that in some conditions, most notably mild dysplasia, capsular repair or plication may improve short-term outcomes, but in general, the role of capsular closure is less clear. At present, perhaps a selective approach is merited, with capsular closure performed in patients with dysplasia, focal or generalized hyperlaxity, and/or increased femoral anteversion...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28001465/posterior-capsule-opacification-and-nd-yag-rates-with-two-acrylic-intraocular-lenses-after-age-related-cataract-treatment-three-year-results
#13
Miro Kalauz, Sanja Masnec, Rajko Kordić, Tomislav Kuzman, Sania Vidas, Ivan Škegro, Sonja Jandroković, Sanja Perić
OBJECTIVE: To compare the incidence and intensity of posterior capsule opacification (PCO) between two intraocular lenses (IOLs) over three years. METHODS: Eighty-three patients underwent cataract surgery with implantation of Acreos Adapt AO or Acrysof SA60AT. PCO values were assessed using a photographic image analysis system (EPCO 2000) and the amount of PCO at the slit lamp. RESULTS: Mean PCO score was 2.78 ± 1.55 for the Acreos Adapt AO and 2...
December 21, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27976600/clinical-improvements-following-bilateral-anterior-capsulotomy-in-treatment-resistant-depression
#14
L Subramanian, T Bracht, P Jenkins, S Choppin, D E J Linden, G Phillips, B A Simpson
BACKGROUND: The purpose of this study was to evaluate a programme of lesion surgery carried out on patients with treatment-resistant depression (TRD). METHOD: This was a retrospective study looking at clinical and psychometric data from 45 patients with TRD who had undergone bilateral stereotactic anterior capsulotomy surgery over a period of 15 years, with the approval of the Mental Health Act Commission (37 with unipolar depression and eight with bipolar disorder)...
December 15, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27956288/primary-posterior-capsulotomy-in-adults-with-posterior-capsule-opacification
#15
Haitham Younis Al-Nashar, Ahmad Saeed Khalil
PURPOSE: To evaluate the efficacy and safety of primary posterior continuous curvilinear capsulorhexis (PCCC) in adult patients with cataract. SETTING: Zagazig University Hospital, Ash-Sharkya, Egypt. DESIGN: Prospective nonrandomized case series. METHODS: This study comprised patients with senile cataract who had phacoemulsification. All patients had a dense posterior capsule opacification (PCO) discovered intraoperatively...
November 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27941386/ten-year-clinical-outcome-of-the-first-patient-undergoing-descemet-membrane-endothelial-keratoplasty
#16
Lamis Baydoun, Thomas Müller, Itay Lavy, Jack Parker, Marina Rodriguez-Calvo-de-Mora, Vasilios S Liarakos, Isabel Dapena, Gerrit R J Melles
PURPOSE: To describe the 10-year clinical outcome of the first patient worldwide who underwent Descemet membrane endothelial keratoplasty (DMEK). METHODS: In 2006, a 63-year-old man presented at the Melles Cornea Clinic, Rotterdam, with bilateral Fuchs endothelial dystrophy and cataract. After phacoemulsification, in vivo DMEK was performed in the left eye and 10 months later in the right eye. Best spectacle-corrected visual acuity (BSCVA), endothelial cell density, pachymetry, and complications were recorded every 6 months over a 10-year period...
December 8, 2016: Cornea
https://www.readbyqxmd.com/read/27903196/the-impact-of-cobalt-60-source-age-on-biologically-effective-dose-in-high-dose-functional-gamma-knife-radiosurgery
#17
Benjamin H Kann, James B Yu, John M Stahl, James E Bond, Christopher Loiselle, Veronica L Chiang, Ranjit S Bindra, Jason L Gerrard, David J Carlson
OBJECTIVE Functional Gamma Knife radiosurgery (GKRS) procedures have been increasingly used for treating patients with tremor, trigeminal neuralgia (TN), and refractory obsessive-compulsive disorder. Although its rates of toxicity are low, GKRS has been associated with some, if low, risks for serious sequelae, including hemiparesis and even death. Anecdotal reports have suggested that even with a standardized prescription dose, rates of functional GKRS toxicity increase after replacement of an old cobalt-60 source with a new source...
December 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27876489/morphologic-changes-and-outcomes-after-arthroscopic-acetabular-labral-repair-evaluated-using-postoperative-computed-tomography-arthrography
#18
Jun-Il Yoo, Yong-Chan Ha, Young-Kyun Lee, Guen-Young Lee, Moon-Jib Yoo, Kyung-Hoi Koo
PURPOSE: To investigate smaller sized labra after acetabular labral repair comparing preoperative and postoperative computed tomography arthrography (CTA) and to assess the correlation between the anatomic changes and clinical outcomes. METHODS: The design and protocol of this retrospective study were approved by the institutional review board of our hospital. The inclusion criteria included age older than 18 years and hip pain associated with mechanical symptoms...
November 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27868441/-evaluation-of-free-radical-quantity-in-the-anterior-chamber-following-femtosecond-laser-assisted-capsulotomy
#19
Gábor Tóth, Gábor László Sándor, Dénes Kleiner, Nóra Szentmáry, Huba J Kiss, Anna Blázovics, Zoltán Zsolt Nagy
INTRODUCTION: Femtosecond laser is a revolutionary, innovative treatment method used in cataract surgery. AIM: To evaluate free radical quantity in the anterior chamber of the eye, during femtosecond laser assisted capsulotomy, in a porcine eye model. METHOD: Seventy fresh porcine eyes were collected within 2 hours post mortem, were transported at 4 ºC and treated within 7 hours. Thirty-five eyes were used as control and 35 as femtosecond laser assisted capsulotomy group...
November 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27826488/open-capsulotomy-an-effective-but-overlooked-treatment-for-capsular-contracture-after-breast-augmentation
#20
Eric Swanson
BACKGROUND: The prevailing theory for capsular contracture after breast augmentation is a subclinical capsular infection. A capsulectomy, site change, and implant replacement are recommended. An open capsulotomy leaves the capsule in the patient. Theoretically, such a procedure would be ineffective because it does not remove the infected tissue. Recurrences occurred frequently in women treated in the 1970s when leaky silicone gel implants were in use. Open capsulotomy has not been studied in women implanted with third-generation devices...
October 2016: Plastic and Reconstructive Surgery. Global Open
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