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Cataract complications

Masih Ahmed, Chang Sup Lee, Brian McMillan, Priyanka Jain, Lee Wiley, J Vernon Odom, Monique Leys
PURPOSE: To report a case of toxic optic neuropathy caused by an ocular bee sting. METHODS: Case report and literature review. RESULTS: A 44-year-old female presented with no light perception vision 2 days after a corneal bee sting in her right eye. She was found to have diffuse cornea edema with overlying epithelial defect and a pinpoint penetrating laceration at 6 o'clock. There was an intense green color to the cornea. The pupil was fixed and dilated with an afferent pupillary defect...
August 13, 2018: International Ophthalmology
Nermien Salah El-Dien Mohammed El-Haddad
AIM: The purpose of this study is to identify the effect of Nd: YAG laser posterior capsulotomy using an anterior chamber morphology. METHODS: This study included 42 eyes of 33 pseudophakic patients with visually significant PCO after uncomplicated cataract surgery. Exclusion criteria were complications related to cataract surgery, corneal pathology, pseudoexfoliation, glaucoma, uveitis, previous ocular surgery or trauma, and posterior segment pathology. All patients underwent routine ophthalmic examinations...
August 13, 2018: Lasers in Medical Science
João M Furtado, Tiago E Arantes, Heloisa Nascimento, Daniel V Vasconcelos-Santos, Natalia Nogueira, Rafael de Pinho Queiroz, Luana P Brandão, Thaís Bastos, Ricardo Martinelli, Rodrigo C Santana, Cristina Muccioli, Rubens Belfort, Justine R Smith
Recent reports from different world regions suggest ocular syphilis is re-emerging, in parallel with an increasing incidence of the systemic infection globally. We conducted a large observational study of 127 persons consecutively treated for ocular syphilis at public medical centers in Brazil over a 2.5-year period ending July 2015. Of 104 individuals serologically tested for human immunodeficiency virus (HIV), 34.6% were positive. Ophthalmological evaluations included measurement of Snellen visual acuity and intraocular pressure, and assessment of inflammation by slit lamp examination and dilated posterior eye examination...
August 13, 2018: Scientific Reports
Braidee C Foote, Tammy M Michau, Anja Welihozkiy, Jessica M Stine
OBJECTIVES: To describe and compare the cumulative incidence and clinical progression of ocular neuropathies in diabetic dogs vs nondiabetic dogs following cataract surgery. METHODS: Medical records of 196 diabetic and 442 nondiabetic dogs who underwent cataract surgery between 2004 and 2015 were reviewed. The percentage of patients affected by neuropathy and potential risk factors were compared between groups. RESULTS: Patients with diabetes mellitus (DM) were 20...
August 10, 2018: Veterinary Ophthalmology
Ali Lashgari, Majid Kabiri, Alireza Ramezani, Morteza Entezari, Saeed Karimi, Sajad Kakaei, Mehdi Yaseri, Homayoun Nikkhah
Purpose: To determine the prognostic factors and visual and anatomic outcomes of pars plana vitrectomy (PPV) in patients with dropped nucleus following complicated phacoemulsification (PE). Methods: The records of patients with complicated PE who underwent PPV to remove posteriorly dislocated nucleus fragments from January 2011 to December 2014 were retrospectively reviewed. Results: Of 43 patients, 36 patients (36 eyes) were included with mean age of 73 ± 9...
July 2018: Journal of Ophthalmic & Vision Research
B Benito-Pascual, C Narvaez-Palazon, M Jódar-Márquez, F Sáenz-Francés, E Santos-Bueso
Intraocular foreign bodies after cataract surgery are relatively frequent, and there are many cases published in the literature on this topic. Different kinds of foreign bodies of various materials can be found, and some of them with the ability to produce side effects. Their extraction is recommended whenever possible, always individualising each case. It also recommended to carry out preventive measures in all surgeries for their prevention. In this work a review is presented on the topic, considered important due to the possible ocular complications that can occur...
August 4, 2018: Archivos de la Sociedad Española de Oftalmología
Megan Cann, Athimalaipet V Ramanan, Andrew Crawford, Andrew D Dick, Sarah L N Clarke, Fatima Rashed, Catherine M Guly
BACKGROUND: There is a paucity of data on the ocular outcomes in paediatric non-infectious uveitis since the introduction of the biologic agents. The purpose of this study was to outline the clinical characteristics of children with non-infectious uveitis and determine the visual outcomes and ocular complication rates in the modern era. METHODS: Children with non-infectious uveitis from January 2011 to December 2015 were identified. Data was collected at baseline, 1, 3, 5, and 10 years post diagnosis...
August 6, 2018: Pediatric Rheumatology Online Journal
Erika M Ellis, Luke Saunders, Jeffrey E Lee, Weldon W Haw, David B Granet, Chris W Heichel
PURPOSE: To determine the effect of the early introduction of cataract surgery training on the complication rates of resident-performed cataract surgery. SETTING: University of California San Diego, San Diego, California, USA. DESIGN: Retrospective case series. METHODS: Two classes of ophthalmology residents were examined, 1 class with a late introduction of cataract surgery and 1 with an early introduction of cataract surgery...
August 2, 2018: Journal of Cataract and Refractive Surgery
Tooba Sohail, Mykolas Pajaujis, Sarah E Crawford, Jian W Chan, Tom Eke
PURPOSE: To present a case series of patients who were unable to lie flat for cataract surgery. SETTING: University teaching hospital, district hospital, and private practice, Norwich, United Kingdom. DESIGN: Prospective case series. METHODS: All patients had phacoemulsification using face-to-face upright seated positioning. The patient sits upright or semi-recumbent, and the surgeon sits or stands, facing the patient...
August 2, 2018: Journal of Cataract and Refractive Surgery
Argyrios Tzamalis, George Chionos, Periklis Brazitikos, Ioannis Tsinopoulos, Stavros Dimitrakos, Michael A Talias
PURPOSE: The purpose of this study is to evaluate the effects of the new system of pricing medical services in the field of ophthalmology in Greece. In addition, it attempts to benchmark the system with respective interventions at an international level. MATERIALS AND METHODS: The study deals with the implementation of the new system, presenting systematic pairing of ophthalmic coding with other coded information regarding registration and management. Statistical data analysis is performed related to the cost and, finally, proposals are formulated to improve the current system...
July 31, 2018: International Journal of Evidence-based Healthcare
Lazha Sharief, Sue Lightman, Julijana Baltinas, Oren Tomkins-Netzer
IMPORTANCE: Cataract is one of the most common complications associated with uveitis, and is the leading cause of vision loss in these patients. BACKGROUND: The study aimed to evaluate the effect of phacoemulsification on the long-term clinical outcome and inflammation control in uveitis patients. DESIGN: Longitudinal study PARTICIPANTS: Of 1907 eyes with uveitis, 309 eyes underwent phacoemulsification were compared to a control group of 300 phakic eyes with uveitis...
August 2, 2018: Clinical & Experimental Ophthalmology
Shyam K Tanguturi, Brian M Alexander
Cranial radiation therapy (CRT) is used to treat a wide range of malignant and benign conditions and is associated with a unique set of risks and complications. Early complications from CRT include fatigue, skin reaction, alopecia, headaches, anorexia, nausea/vomiting, exacerbation of neurologic symptoms, serous otitis media, parotitis, and encephalopathy. Delayed complications include pseudoprogression, radiation necrosis, neurocognitive changes, cerebrovascular effects, migrainelike disorders, cataracts, xerophthalmia, optic neuropathy, hearing loss, tinnitus, chronic otitis, endocrinopathy, and secondary malignancy...
August 2018: Neurologic Clinics
Sonam Yangzes, Savleen Kaur, Parul Chawla Gupta, Manu Sharma, Jitender Jinagal, Jaspreet Singh, Jagat Ram
PURPOSE: To describe the outcome of phacoaspiration with intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life. METHODS: A retrospective chart review of children with visually significant unilateral congenital cataract presenting in the first 4 years of life was done. Children with a minimum postsurgical follow-up of 1 year were included. Outcome measures were mean spherical equivalent, visual axis clarity, visual acuity and complications till the last follow-up...
July 30, 2018: European Journal of Ophthalmology
Samir Nazarali, Stephanie L Cote, Patrick Gooi
Glaucoma following penetrating keratoplasty (PKP) remains the leading cause of blindness following PKP. Patients with post-PKP glaucoma can be managed medically and surgically. Evidence studying glaucoma surgical techniques following PKP is limited, but suggests the possibility for high risk complications, including graft failure. Minimally invasive glaucoma surgeries (MIGS) offer an alternative. We report the first case of post-PKP glaucoma managed with GATT. The patient was a 33-year-old male with a history of keratoconus who underwent PKP in his right eye...
July 27, 2018: Journal of Glaucoma
Emily Li, Curtis E Margo, Paul B Greenberg
The prevalence of very elderly patients (aged 85 years and older) with visually significant cataracts continues to rise in the United States. We conducted a focused review of literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to investigate the impact of very old age on cataract surgery outcomes. The studies suggest that very elderly patients, relative to their younger counterparts, had similar complication rates after adjusting for their higher rates of age-related ocular and systemic comorbidities...
July 25, 2018: Journal of Cataract and Refractive Surgery
Michael Smith, Daniel Byles, Lei-Ai Lim
PURPOSE: To describe the 3-year outcomes of combined cataract surgery and 360-degree endocyclophotocoagulation (ECP) in eyes with uncontrolled glaucoma and no previous glaucoma drainage surgery. SETTING: University Hospital Eye Department, Exeter, United Kingdom. DESIGN: Retrospective case series. METHODS: The study included patients who had combined cataract surgery and 360-degree ECP. The primary outcome measure was intraocular pressure (IOP) reduction at 3 years postoperatively...
July 25, 2018: Journal of Cataract and Refractive Surgery
Osamah J Saeedi, Luke Y Chang, Sharon R Ong, Syed A Karim, Danielle S Abraham, Geoffrey L Rosenthal, Andrew Hammer, Brad V Spagnolo, Arturo E Betancourt
PURPOSE: To compare the amount of phacoemulsification ultrasound energy used between eyes undergoing femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification. METHODS: One eye of consecutive patients undergoing routine non-complicated phacoemulsification from January 2014 to December of 2015 was included in the analysis. FLACS was performed using the Alcon LenSx. Linear regression was used for analysis with type of surgery (FLACS versus conventional phacoemulsification) as the exposure and cumulative dispersed energy (CDE) as the outcome variable...
July 27, 2018: International Ophthalmology
Ofira Zloto, Emmanuel Schwalb
The Uveitis Glaucoma Hyphema (UGH) syndrome is a triad that in the new era of phacoemulsification cataract surgeries is considered uncommon. One of the risk factor for this complication is implant a one piece intra ocular lens in the anterior chamber. We present a case of one piece intraocular lens that was implanted in the anterior chamber and caused to UGH. The lens chafing the iris and created an unusual appearance of iris transillumination defects in the shape of intra ocular lens.
September 2018: American Journal of Ophthalmology Case Reports
Andrzej Grzybowski, Piotr Kanclerz
Laser capsulotomy is accepted as a standard and effective treatment for posterior capsule opacification. It is generally believed that neodymium:YAG (Nd:YAG) capsulotomy is related to an increased risk of retinal detachment (RD). The aim of this study was to evaluate the association between Nd:YAG capsulotomy and risk for developing RD. A PubMed and Medline search was conducted using the terms "retinal detachment" and "Nd:YAG laser capsulotomy." Of the articles retrieved by this method, all publications in English and abstracts of non-English publications were reviewed...
July 24, 2018: Asia-Pacific Journal of Ophthalmology
Mohamed Kamel Soliman, Joshua S Hardin, Fayez Jawed, Sami H Uwaydat, Mohammed F Faramawi, Colin J Chu, Yit C Yang, Ahmed B Sallam
PURPOSE: To analyze the visual outcomes and rate of intraoperative complications of phacoemulsification surgery after prior pars plana vitrectomy (PPV). DESIGN: Retrospective, multicenter database study. PARTICIPANTS: Eyes that underwent phacoemulsification between June 2005 and March 2015 at 8 sites in the United Kingdom. METHODS: Study eyes were classified as vitrectomized (prior PPV group) or nonvitrectomized (reference group) depending on the vitreous state at the time of cataract surgery...
July 21, 2018: Ophthalmology
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