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Vitreoretinal surgery

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https://www.readbyqxmd.com/read/28098733/preventing-pupillary-capture-after-vitrectomy-and-transscleral-fixation-of-an-intraocular-lens-iridotomy-using-a-vitrectomy-probe
#1
Dae Yune Kim, Hyung Bin Lim, Tae Seen Kang, Jung Yeul Kim
PURPOSE: To investigate the effects of concurrent iridotomy using a vitreous cutter probe on the prevention of pupillary capture in patients undergoing transscleral fixation of intraocular lens implantation. METHODS: A total of 79 eyes from 79 patients, who underwent transscleral fixation of intraocular lens without preexisting vitreoretinal disorders and who were followed up for 6 months were included. Subjects were divided into a noniridotomy group (51 eyes) and an iridotomy group (28 eyes)...
January 16, 2017: Retina
https://www.readbyqxmd.com/read/28091428/refractive-aim-and-visual-outcome-after-phacoemulsification-a-2-year-review-from-a-tertiary-private-eye-hospital-in-sub-saharan-africa
#2
O Oderinlo, A O Hassan, F O Oluyadi, A O Ogunro, O N Okonkwo, M O Ulaikere, O Ashano
AIM: To review the short-term visual outcome of phacoemulsification in adults with uncomplicated cataracts in Eye Foundation Hospital, Lagos, Nigeria. MATERIALS AND METHODS: A retrospective review of records of patients that had phacoemulsification between January 2012 and December 2013 in Eye Foundation Hospital, Lagos, Nigeria, was done. Preoperative visual acuity, refractive aim, intraoperative complications, postoperative unaided, and best-corrected visual acuity at 1 and 3 months were analyzed...
February 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28086913/correction-of-irregular-and-induced-regular-corneal-astigmatism-with-toric-iol-after-posterior-segment-surgery-a-case-series
#3
Bence L Kolozsvári, Gergely Losonczy, Dorottya Pásztor, Mariann Fodor
BACKGROUND: Toric intraocular lens (IOL) implantation can be an effective method for correcting corneal astigmatism in patients with vitreoretinal diseases and cataract. Our purpose is to report the outcome of toric IOL implantation in two cases - a patient with scleral-buckle-induced regular corneal astigmatism and a patient with keratoconus following pars plana vitrectomy. As far as we are aware, there are no reported cases of toric IOL implantation in a vitrectomized eye with keratoconus nor of toric IOL implantation in patients with scleral-buckle-induced regular corneal astigmatism...
January 13, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28060150/simulation-training-in-vitreoretinal-surgery-a-low-cost-medium-fidelity-model
#4
James C Rice, Jonel Steffen, Linett du Toit
No abstract text is available yet for this article.
January 2, 2017: Retina
https://www.readbyqxmd.com/read/28058162/bedside-diode-laser-photocoagulation-under-remifentanil-analgesia-for-retinopathy-of-prematurity-early-structural-outcomes
#5
Mehmet Ali Şekeroğlu, Emre Hekimoğlu, Beyza Özcan, Ahmet Yağmur Baş, Nihal Demirel, Jale Karakaya
OBJECTIVES: To evaluate one-year structural outcomes of bedside diode laser photocoagulation with remifentanil analgesia for retinopathy of prematurity (ROP) and discuss clinical and demographic characteristics of infants and other possible risk factors that may affect the outcome. MATERIALS AND METHODS: The medical records of premature infants who were treated with bedside transpupillary diode laser photocoagulation under remifentanil analgesia for ROP were evaluated for clinical and demographic characteristics, accompanying systemic risk factors, laser parameters, complications of treatment, retreatment rate and one-year structural outcomes...
October 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/28058149/surgical-indications-and-clinical-results-of-patients-with-exchanged-intraocular-lenses-in-a-tertiary-eye-hospital
#6
Sevim Kavuncu, Aslıhan Esra Omay, Mehmet Hakan Tırhış, Pelin Yılmazbaş
OBJECTIVES: To evaluate the demographics, surgical indications and clinical results of patients with repositioned or explanted intraocular lens (IOL) in a tertiary referral eye hospital. MATERIALS AND METHODS: Forty-eight eyes of 48 patients that underwent surgery to exchange or reposition the IOL at Ulucanlar Eye Training and Research Hospital between 2009 and 2013 were included in the study. Medical records of patients were evaluated for surgical indications, time elapsed since initial operation, preoperative and postoperative best corrected distance visual acuity and the presence of ocular disease...
August 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/28057648/in-vitro-experiment-to-elucidate-the-mechanism-of-the-soft-shell-technique-for-preventing-subretinal-migration-of-perfluoro-octane
#7
Yau Kei Chan, Yongjie Lu, Gabriela Czanner, Jing Wu, Ho Ching Cheng, Rumana Hussain, Taiji Sakamoto, Ho Cheung Shum, David Wong
AIM: Perfluorocarbon liquid (PFCL) can migrate into subretinal space in detached and stiffened retina with open holes during vitreoretinal surgery. An innovative 'soft shell' technique was introduced to reduce the complication using hyaluronate (HA) to 'cover' the retinal hole. This study aims to study the effectiveness of this technique in vitro. METHODS: Ex vivo porcine retina was mounted on a transwell insert. Beneath the retina was an aqueous solution. Two retinal holes were made using needle punctures...
January 5, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28050730/factors-associated-with-corneal-epithelial-defects-after-pars-plana-vitrectomy
#8
Wei-Yu Chiang, Jong-Jer Lee, Hsi-Kung Kuo, Yi-Hao Chen, Chih-Hsin Chen, Yung-Jen Chen, Pei-Chang Wu, Yun-Wen Chen
PURPOSE: To investigate the risk factors associated with corneal epithelial defects (CED) and delayed healing (exceeding 1 week) following pars plana vitrectomy (PPV). METHODS: This retrospective study enrolled patients who underwent PPV at a single center in Taiwan between 2011 and 2012. Medical records were reviewed, including demographic, underlying disease, surgical indication, operation parameters, and existence of CED. These data were statistically analyzed...
January 3, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/27999681/timing-and-outcomes-of-vitreoretinal-surgery-after-traumatic-retinal-detachment
#9
REVIEW
Molly Orban, Yasmin Florence Khodeja Islam, Luis J Haddock
Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27994397/phacoantigenic-reaction-masquerading-as-postoperative-endophthalmitis-in-a-silicone-oil-filled-eye
#10
Bindu Rajesh, Rameez Hussain, Mahesh Gopalakrishnan, Anantharaman Giridhar
A 72-year-old phakic male with immature cataract underwent vitrectomy with silicone oil injection in his left eye for rhegmatogenous retinal detachment. The surgery was uneventful except for lens touch during vitrectomy. Two weeks postoperatively, he presented with circumcorneal congestion, hypopyon, and absent fundal glow suggestive of postoperative endophthalmitis. The patient was managed conservatively as he refused further intervention. Five weeks later, ocular inflammation subsided following posterior dislocation of the cataractous lens, thus revealing the error in our initial diagnosis...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27984550/long-term-anatomical-and-functional-outcomes-following-vitrectomy-for-advanced-coats-disease
#11
Murat Karacorlu, Mumin Hocaoglu, Isil Sayman Muslubas, Serra Arf
PURPOSE: To assess the long-term anatomical and functional results of vitreoretinal surgery in patients with advanced Coats disease. METHODS: Retrospective analysis of 23 patients who underwent 23-gauge pars plana vitrectomy combined with transscleral cryotherapy, laser photocoagulation, and intraocular tamponade between 2005 and 2014 and had a follow-up of at least 1 year. The primary outcomes were mean visual acuity and anatomical success. RESULTS: The average age at the time of surgery was 8...
December 14, 2016: Retina
https://www.readbyqxmd.com/read/27982219/nonarteritic-anterior-ischemic-optic-neuropathy-following-pars-plana-vitrectomy-for-macular-hole-treatment-case-report
#12
Leonardo Provetti Cunha, Luciana Virgínia Ferreira Costa Cunha, Carolina Ferreira Costa, Mário Luiz Ribeiro Monteiro
Herein, we report a case of nonarteritic anterior ischemic optic neuropathy (NAION) following uneventful pars plana vitrectomy for macular hole treatment. A 56-year-old previously healthy woman presented with a full-thickness macular hole in right eye (OD) and small cup-to-disc ratios in both eyes. Five days after surgery, she noticed sudden painless loss of vision in OD and was found to have an afferent pupillary defect and intraocular pressure of 29 mmHg. Fundus examination showed right optic disc edema and the resolution of a macular hole with an inferior altitudinal visual field defect...
September 2016: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/27930456/effects-of-a-modified-vitrectomy-probe-in-small-gauge-vitrectomy-an-experimental-study-on-the-flow-and-on-the-traction-exerted-on-the-retina
#13
Stanislao Rizzo, Gualtiero Fantoni, Giovanni de Santis, Jaw-Chyng Lormen Lue, Jonathan Ciampi, Michele Palla, Federica Genovesi Ebert, Alfonso Savastano, Carmelo De Maria, Giovanni Vozzi, Rodrigo A Brant Fernandes, Francesco Faraldi, Giuseppe Criscenti
PURPOSE: Thorough this experimental study, the physic features of a modified 23-gauge vitrectomy probe were evaluated in vitro. METHODS: A modified vitrectomy probe to increase vitreous outflow rate with a small-diameter probe, that also minimized tractional forces on the retina, was created and tested. The "new" probe was created by drilling an opening into the inner duct of a traditional 23-gauge probe with electrochemical or electrodischarge micromachining. Both vitreous outflow and tractional forces on the retina were examined using experimental models of vitreous surgery...
December 7, 2016: Retina
https://www.readbyqxmd.com/read/27930434/occult-globe-perforation-during-medial-canthopexy
#14
Deepa Manjunath, Peter K Kaiser, Justis P Ehlers
PURPOSE: To report a case of occult globe perforation following craniofacial surgery. METHODS: A 16-year-old girl presented with vision loss and hypotony of her left eye following a craniofacial procedure, including bilateral medial canthopexy. This report describes the evaluation and findings following the craniofacial surgery. RESULTS: After recognition of vision loss and concern for rupture, surgical exploration was performed by an ophthalmologist at an outside institution on suspicion of globe penetration/perforation...
December 7, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27928401/idiopathic-acquired-temporal-wedge-visual-field-defects
#15
Michael J Gilhooley, Clare L Fraser, Sui Wong, Simon J Hickman, Gordon T Plant
Our aim is to report 13 unusual cases of acquired, temporal sectoral scotomas. Such stationary "wedge" field defects have been reported previously in cases of presumed congenital nasal hypoplasia of the optic disc and as a complication of vitreoretinal surgery. To our knowledge, the literature provides no reports of similar defects occurring spontaneously. This is a descriptive clinical case series of 13 patients presenting with sub-acute monocular temporal visual field loss. All were clinically assessed and investigated with Goldmann perimetry, automated Humphrey visual fields, retinal optical coherence tomography, orbital ultrasound, and standard and multi-focal electroretinography...
August 2016: Neuro-ophthalmology
https://www.readbyqxmd.com/read/27911114/changes-of-tangential-traction-after-macular-peeling-correlation-between-en-face-analysis-and-macular-sensitivity
#16
Mario R Romano, Gilda Cennamo, Ida Cesarano, Domenico Cardone, Giuseppe Nicoletti, Rodolfo Mastropasqua, Giovanni Cennamo
PURPOSE: To assess the epi- and intra-retinal morphology changes of the tangential tractions following vitreoretinal surgery for epiretinal membranes and to investigate the correlation between the depth of retinal changes and functional macular sensitivity (MS). METHODS: This is a prospective cross-sectional interventional study, in which 73 eyes of 73 patients with diagnosis of idiopathic epiretinal membrane (iERM) were evaluated. All patients received complete ophthalmic evaluation, including axial and en-face scanning spectral domain-optical coherence tomography (SD-OCT) analysis and microperimetry...
December 2, 2016: Current Eye Research
https://www.readbyqxmd.com/read/27903184/microinvasive-tumor-endoresection-in-combination-with-ocular-stereotactic-radiosurgery
#17
Oleg A Sinyavskiy, Roman L Troyanovsky, Pavel I Ivanov, Alexandr S Golovin, Andrey V Tibilov, Svetlana N Solonina, Anna M Astapenko, Irina S Zubatkina
OBJECTIVE The use of Gamma Knife radiosurgery (GKRS) as monotherapy in the treatment of uveal melanoma (UM) allows clinicians to achieve high local tumor control with low recurrence but does not prevent secondary enucleation due to glaucoma in cases of large tumors. The authors analyzed indications for tumor endoresection (ER), the time interval between irradiation and surgery, and the features and results of performing ER for UM after GKRS. METHODS Thirty-seven patients between 28 and 78 years of age (16 male and 11 female patients) with UM underwent GKRS with a dose of 70 to 80 Gy that was applied to the center of the tumor with complete immobilization of the eye during the procedure...
December 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27902640/minimal-endoillumination-levels-and-display-luminous-emittance-during-three-dimensional-heads-up-vitreoretinal-surgery
#18
Murtaza K Adam, Sarah Thornton, Carl D Regillo, Carl Park, Allen C Ho, Jason Hsu
PURPOSE: To determine minimal endoillumination levels required to perform 3-dimensional heads-up vitreoretinal surgery and to correlate endoillumination levels used for measurements of heads-up display (HUD) luminous emittance. METHODS: Prospective, observational surgical case series of 10 patients undergoing vitreoretinal surgery. Endoillumination levels were set to 40% of maximum output and were decreased at set intervals until the illumination level was 0%. Corresponding luminous emittance (lux) of the HUD was measured 40 cm from the display using a luxmeter (Dr...
November 29, 2016: Retina
https://www.readbyqxmd.com/read/27895460/preoperative-optical-coherence-tomography-visualization-of-epiretinal-membranes-enhances-surgical-strategies
#19
Norihiro Suzuki, Yoshio Hirano, Miyu Ichida, Taneto Tomiyasu, Yuya Esaki, Tsutomu Yasukawa, Yuichiro Ogura
PURPOSE: The aim of this study was to evaluate the usefulness of preoperative optical coherence tomography (OCT) findings in patients with macular epiretinal membrane (ERM) for the planning of surgical strategy. PATIENTS AND METHODS: One hundred twenty-three eyes of 121 patients (49 men, 72 women; mean age, 66 years) with an idiopathic ERM were enrolled. All patients underwent an ophthalmic examination including indirect ophthalmoscopy and OCT (Cirrus HD-OCT 4000 and/or 5000)...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27893625/robotic-vitreoretinal-surgery
#20
Roomasa Channa, Iulian Iordachita, James T Handa
PURPOSE: To review the current literature on robotic assistance for ophthalmic surgery, especially vitreoretinal procedures. METHODS: MEDLINE, Embase, and Web of Science databases were searched from inception to August, 2016, for articles relevant to the review topic. Queries included combinations of the terms: robotic eye surgery, ophthalmology, and vitreoretinal. RESULTS: In ophthalmology, proof-of-concept papers have shown the feasibility of performing many delicate anterior segment and vitreoretinal surgical procedures accurately with robotic assistance...
November 23, 2016: Retina
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