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Postoperative vision loss

Laura B Amsden, Neal H Shorstein, Helene Fevrier, Liyan Liu, James Carolan, Lisa J Herrinton
OBJECTIVE: We surveyed cataract surgeons to gain insight into their perceptions of and attitudes about immediate sequential bilateral cataract surgery (ISBCS). DESIGN: Cross-sectional. PARTICIPANTS: All active cataract surgeons in Kaiser Permanente Northern California in 2016. METHODS: Online survey that asked cataract surgeons why they did or did not perform ISBCS, their interest in offering ISBCS, concerns about the procedure, and desired supports...
August 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Abrar K Alsalamah, Hind M Alkatan, Yasser H Al-Faky
INTRODUCTION: Acute dacryocystitis usually presents as a pre-septal cellulitis since the lacrimal sac lies anterior to the orbital septum. Orbital cellulitis secondary to acute dacryocystitis is very rare due to a variety of anatomic barriers to the orbit but can occur and result in abscess formation with risk of visual compromise. PRESENTATION OF CASE: We describe a case of otherwise healthy adult who presented with complete visual loss following orbital cellulitis and abscess formation secondary to acute dacryocystitis...
August 9, 2018: International Journal of Surgery Case Reports
Parth Shah, Amitabha Bhakta, Elizabeth A Vanner, Krishna S Kishor, David S Greenfield, Arindel S R Maharaj
BACKGROUND/AIMS: To evaluate the safety and efficacy of diode laser transscleral cyclophotocoagulation (TSCPC) in eyes with good visual acuity. METHODS: A retrospective chart review identified patients that underwent TSCPC for uncontrolled intraocular pressure (IOP) from 2014 to 2016. Enrollment criteria included pre-treatment best-corrected Snellen visual acuity (BCVA) of 20/40 or better, and a minimum of 6 months of postoperative follow-up. RESULTS: Thirty-three eyes of 33 patients (mean age 72...
August 14, 2018: Journal of Glaucoma
Shailesh Puntambekar, Yogesh Gauba, Mihir Chitale, Manoj Manchekar, Mangesh Panse, Priyesh Halgaonkar, Mehul Mehta, Advait Jathar, Ravindra Sathe, Aishwarya Puntambekar
Introduction: Minimal Invasive Surgery of oesophageal cancers is gaining popularity. We have published our Thoracoscopic Esophagectomy results. The present study focuses on our expertise of TransHiatal Esophagectomy. Materials and Methods: 287 patients underwent Esophagectomies for Cancer of Esophagus at Galaxy Care Laparoscopy Institute from January 2010 to December 2014 after thorough assesment. Out of these, 81 patients underwent laparoscopic trans hiatal esophagectomies...
August 7, 2018: Journal of Minimal Access Surgery
Fernando Faria-Correia, Sara Ribeiro, Tiago Monteiro, Bernardo T Lopes, Marcella Q Salomão, Renato Ambrósio
PURPOSE: To evaluate the outcomes after topography-guided ablation treatment (T-CAT) for the correction of myopia and myopic astigmatism with photorefractive keratectomy (PRK). METHODS: This was a retrospective, non-comparative case series study of 25 patients (40 eyes) with low to moderate myopia with or without astigmatism who underwent topography-guided custom PRK with the Wave-Light EX500 excimer laser platform (Alcon Laboratories, Inc., Fort Worth, TX). The customized treatment plan was based on Topolyzer Vario topography system (Alcon Laboratories, Inc...
August 1, 2018: Journal of Refractive Surgery
Ziad Hilal, Günther A Rezniczek, Ferizan Alici, Anne Kumpernatz, Askin Dogan, Lale Alieva, Clemens B Tempfer
BACKGROUND: Loop Electrosurgical Excision Procedure (LEEP) is the standard surgical treatment for cervical dysplasia. LEEP is advised to be performed under colposcopic guidance to minimize adverse pregnancy outcomes. To date, there is no evidence from randomized trials for this recommendation. OBJECTIVE: To assess the benefits of performing LEEP under colposcopic guidance in women with cervical dysplasia. STUDY DESIGN: In a prospective, randomized trial, we compared LEEP with LEEP performed under direct colposcopic vision (LEEP-DCV) in a 1:1 ratio...
July 28, 2018: American Journal of Obstetrics and Gynecology
Leonardo Torquetti, Priscila Cunha, Allan Luz, Sérgio Kwitko, Márcio Carrion, Guilherme Rocha, Armando Signorelli, Sandro Coscarelli, Guilherme Ferrara, Frederico Bicalho, Renato Neves, Paulo Ferrara
PURPOSE: To evaluate the clinical outcomes after implantation of a new 320°-arc length Ferrara intrastromal corneal ring segment (320-ICRS) in eyes of patients with keratoconus. METHODS: A multicentric nonrandomized study was conducted in which a new 320-ICRS was placed in 138 eyes of 130 patients with keratoconus. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), keratometry, corneal volume, asphericity, lines of vision gain/loss, and vectorial analysis were assessed preoperatively and at the final follow-up visit after the procedure...
July 26, 2018: Cornea
Antonio Sesar, Ivan Cavar, Anita Pusic Sesar, Irena Sesar
Posterior reversible encephalopathy syndrome (PRES) is a clinical condition that can cause different ophthalmological and neurological symptoms. Preeclampsia toxemia or eclampsia is one of the leading causes of PRES. Herein, we present a study of a 35-year old woman who gave birth to healthy twins at 35 weeks of gestation by cesarean section because of threatened preterm delivery. On the 1st postoperative day, the woman developed a severe headache, arterial hypertension, tachycardia, generalized tonic-clonic seizures, and loss of consciousness that persisted for about 2 min...
April 2018: Taiwan Journal of Ophthalmology
Isabelle Francisca Petronella Maria Kappen, Duy Thuan Nguyen, Albert Vos, Hermanus Wilhelmus Hendricus Joseph van Tits
Blepharoplasty is one of the most commonly performed aesthetic procedures. Surgical complications are rare, but can have severe consequences, such as permanent vision loss. In this report, we describe a patient who developed primary angle-closure glaucoma (ACG) with associated vision loss after a oculoplastic procedure using local anesthesia. So far, six similar cases have been described in the literature. It is believed that acute ACG is triggered by the surgical procedure in patients with predisposing risk factors such as a cataract...
July 2018: Archives of Plastic Surgery
Dilek Yaşa, Ufuk Ürdem, Alper Ağca, Yusuf Yildirim, Burçin Kepez Yildiz, Nilay Kandemir Beşek, Ulviye Yiğit, Ahmet Demirok
Purpose: To report clinical results of a foldable, hydrophilic acrylic, single-piece, injectable, posterior chamber phakic intraocular lens (pIOL). Material and Methods: Medical records of patients who underwent posterior chamber phakic IOL (Eyecryl Phakic IOL, Biotech Vision Care, Ahmedabad, India) implantation for surgical correction of myopia were retrospectively reviewed. Only patients with at least a one-year follow-up were included. Manifest refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), endothelial cell density (ECD), and pIOL vault were analyzed at 1, 3, 6, and 12 months after surgery...
2018: Journal of Ophthalmology
Justin Seltzer, Michelle A Wedemeyer, Phillip A Bonney, John D Carmichael, Martin Weiss, Gabriel Zada
OBJECTIVE Incidental pituitary adenomas (IPAs) are commonly discovered during cranial imaging evaluations obtained for unrelated indications. The optimal management of IPA remains controversial. The authors investigated the outcomes and safety of the surgical treatment of IPAs at their institution. METHODS Clinical outcome data for 1692 patients surgically treated for pituitary adenomas at the Keck Medical Center of USC/USC Pituitary Center over a 17-year period (1999-2016) were reviewed to identify all cases with surgically managed IPAs...
June 1, 2018: Journal of Neurosurgery
Matthew S Agam, Michelle A Wedemeyer, Bozena Wrobel, Martin H Weiss, John D Carmichael, Gabriel Zada
OBJECTIVE Pituitary adenomas (PAs) are benign neoplasms that are frequently encountered during workup for endocrinopathy, headache, or visual loss. Transsphenoidal surgery remains the first-line approach for PA resection. The authors retrospectively assessed complication rates associated with transsphenoidal PA resection from an institutional database. METHODS A retrospective analysis of 1153 consecutive transsphenoidal pituitary adenoma resections performed at the Keck Hospital of USC between November 1992 and March 2017 was conducted...
June 1, 2018: Journal of Neurosurgery
Mehrdad Mohammadpour, Hamid Riazi-Esfahani
Purpose: To report a case of transient visual loss following uncomplicated cataract surgery with unpreserved intracameral lidocaine. Methods: A 61-year-old woman with nuclear sclerosis cataract underwent uncomplicated phacoemulsification and in-the-bag intraocular lens (IOL) implantation. Results: After opening the eye patch on the first postoperative day, the patient complained of complete blindness. Her vision was no light perception (NLP) and the Marcus-Gunn was found to be 4+...
June 2018: Journal of Current Ophthalmology
Nazimul Hussain, Anjli Hussain, Niaz Ahmad Khan
A 39-year-old lady with past history of vitreoretinal surgery for retinal detachment and cataract surgery with Intraocular lens implantation was diagnosed as uncontrolled glaucoma. She had high myopia. She underwent Trabeculectomy and following which she presented with massive suprachoroidal hemorrhage in the first postoperative day with severe loss of vision. This case depicts the risk of suprachoroidal hemorrhage in a high myopic vitrectomised eye following glaucoma filtration surgery. It also demonstrates a favorable outcome following intervention for postoperative Suprachoroidal hemorrhage...
April 2018: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
Audrey Chow, Bruce Burkemper, Rohit Varma, Damien C Rodger, Narsing Rao, Grace M Richter
BACKGROUND: Uveitis is defined as a collection of syndromes involving intraocular inflammation which can lead to pain, tissue damage, and vision loss. Ophthalmic surgery in uveitis patients can be challenging due to inflammation-induced fibrosis and scarring. Trabeculectomy and implantation of glaucoma drainage devices (aqueous shunts) have been used in surgical management of uveitic glaucoma, however there is a paucity of literature examining the comparative results of these entities in this unique setting...
June 18, 2018: Journal of Ophthalmic Inflammation and Infection
Zoe Memel, Kelsi Chesney, Dhiraj J Pangal, Phillip A Bonney, John D Carmichael, Gabriel Zada
BACKGROUND: Transsphenoidal surgery (TSS) for pituitary adenomas (PAs) is performed on elderly patients with increasing frequency. More research is necessary to assess the risk factors that are associated with TSS in an aging population. OBJECTIVE: To perform a retrospective study on postoperative safety outcomes following TSS in the elderly population stratified by decade of life. METHODS: A retrospective chart review of the USC Pituitary Database was conducted to identify patients ≥70 yr, who underwent TSS for PAs between 1995 and 2017...
May 24, 2018: Operative Neurosurgery (Hagerstown, Md.)
Laura E Downie, Ljoudmila Busija, Peter R Keller
BACKGROUND: An intraocular lens (IOL) is a synthetic lens that is surgically implanted within the eye following removal of the crystalline lens, during cataract surgery. While all modern IOLs attenuate the transmission of ultra-violet (UV) light, some IOLs, called blue-blocking or blue-light filtering IOLs, also reduce short-wavelength visible light transmission. The rationale for blue-light filtering IOLs derives primarily from cell culture and animal studies, which suggest that short-wavelength visible light can induce retinal photoxicity...
May 22, 2018: Cochrane Database of Systematic Reviews
Kasturi Bhattacharjee, Samir Serasiya, Deepika Kapoor, Harsha Bhattacharjee
Two cases of traumatic optic neuropathy presented with profound loss of vision. Both cases received a course of intravenous corticosteroids elsewhere but did not improve. They underwent Navigation guided optic canal decompression via external transcaruncular approach, following which both cases showed visual improvement. Postoperative Visual Evoked Potential and optical coherence technology of Retinal nerve fibre layer showed improvement. These case reports emphasize on the role of stereotactic navigation technology for optic canal decompression in cases of traumatic optic neuropathy...
June 2018: Indian Journal of Ophthalmology
Soumya Ramani, Thanuja Gopal Pradeep, Divya D Sundaresh
Purpose: The aim of this study was to study the effect of wet-laboratory training on the surgical outcome of resident performed manual small-incision cataract surgery (MSICS). Methods: We conducted a retrospective, comparative observational study on resident performed MSICS in our institute. We collected data of 464 patients of which Group A had 232 cases performed by residents without prior wet-laboratory training and Group B had 232 resident performed cases after adequate skill training in the wet laboratory...
June 2018: Indian Journal of Ophthalmology
Marco Coassin, Valentina Mastrofilippo, Jay M Stewart, Andrea Fanti, Matteo Belpoliti, Luca Cimino, Alfonso Iovieno, Luigi Fontana
PURPOSE: To determine long-term results of vitrectomy for lamellar macular holes (LMH). To evaluate how the type of lamellar macular hole (tractional vs. degenerative) and the crystalline lens status might influence visual outcomes. METHODS: We collected data from 106 patients with symptomatic lamellar macular hole that underwent pars plana vitrectomy with membranectomy and internal limiting membrane peeling. Best-corrected visual acuity (BCVA) and optical coherence tomography appearance were determined preoperatively and postoperatively...
July 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
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