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Scleral lens

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https://www.readbyqxmd.com/read/28178141/a-non-surgical-approach-to-the-management-of-exposure-keratitis-due-to-facial-palsy-by-using-mini-scleral-lenses
#1
Victor Zaki
RATIONALE: This is a retrospective study aimed to determine the efficacy of mini-scleral contact lens in protecting the cornea and improving vision in cases of facial palsy. PATIENT CONCERNS: Patients with facial palsy get exposure keratitis because the cornea is dry. They feel pain, discomfort and excessive watering. If left untreated, it leads to permanent damage to the cornea and loss of good functional vision. Mini-scleral lens keep the cornea covered by saline solution all wearing hours...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28168043/a-possible-regression-equation-for-predicting-visual-outcomes-after-surgical-repair-of-open-globe-injuries
#2
Huseyin Gursoy, Mustafa Deger Bilgec, Afsun Sahin, Ertugrul Colak
Background. To analyze the effects of factors other than the ocular trauma score parameters on visual outcomes in open globe injuries. Methods. Open globe injuries primarily repaired in our hospital were reviewed. The number of surgeries, performance of pars plana vitrectomy (PPV), lens status, affected tissues (corneal, scleral, or corneoscleral), intravitreal hemorrhage, intraocular foreign body, glaucoma, anterior segment inflammation, loss of iris tissue, cutting of any prolapsed vitreous in the primary surgery, penetrating injury, and the time interval between the trauma and repair were the thirteen variables evaluated using linear regression analysis...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28167054/glaucoma-and-intraocular-pressure-in-patients-operated-for-late-in-the-bag-intraocular-lens-dislocation-a-randomized-clinical-trial
#3
Olav Kristianslund, Marianne Råen, Atle Einar Østern, Liv Drolsum
PURPOSE: To compare intraocular pressure (IOP) and IOP-lowering treatment requirements in patients with late in-the-bag intraocular lens (IOL) dislocation operated with 2 different methods, and to assess whether an IOP decrease after surgery can be expected. DESIGN: Prospective, randomized, parallel-group clinical trial. METHODS: In our university clinic, 104 patients (eyes) were randomly assigned to IOL repositioning by scleral suturing (n = 54) or IOL exchange with retropupillar iris-claw lens (n = 50)...
February 3, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28161926/epidemiology-of-open-globe-injuries-in-hong-kong
#4
Emmy Y Li, Tommy C Chan, Andrea T Liu, Hunter K Yuen
PURPOSE: The aim of this study was to review the epidemiology and clinical outcomes of open-globe injuries (OGIs) in Hong Kong over a 10-year period. DESIGN: Retrospective case-review. METHODS: This study included patients with OGI who presented to Hong Kong Eye Hospital and Queen Elizabeth Hospital from 1999 to 2008. Patient demographics, causes and mechanisms of injury, visual acuity (VA) at presentation, clinical features, and final VA were collected...
January 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28149781/high-speed-small-gauge-anterior-vitrectomy-cutter-for-scleral-fixated-intraocular-lens-implantation
#5
Yuan Bo Liang, Yoly Y Y Fong, Lulu L Cheng, Alvin L Young
AIM: To report the outcomes of anterior vitrectomy using high speed cutter for scleral fixated intraocular lens (SFIOL) implantation in patients with posterior capsular rupture. METHODS: Medical records of 51 patients with posterior capsular rupture who received high speed cutter anterior vitrectomy via limbal incision with SFIOL implantation from June 2011 to December 2013 were reviewed retrospectively for visual outcomes and complications. RESULTS: Totally 51 eyes of 51 patients were identified (23 males and 28 females)...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28149776/ex-press-implantation-with-phacoemulsification-in-poag-versus-cpacg
#6
Jie Lan, Da-Peng Sun, Jie Wu, Ya-Ni Wang, Li-Xin Xie
AIM: To compare the long-term outcomes of the Ex-PRESS miniature glaucoma device implanted under a scleral flap in combination of phacoemulsification with intraocular lens implantation in primary open angle glaucoma (POAG) and chronic primary angle-closure glaucoma (CPACG). METHODS: Retrospective, comparative study. A total of 60 eyes (60 patients) receiving the Ex-PRESS miniature glaucoma device implantation combined with phacoemulsification were reviewed. Thirty eyes (30 patients) had the combined procedures for POAG, and the other 30 eyes (30 patients) for CPACG...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28125853/post-lens-tear-turbidity-and-visual-quality-after-scleral-lens-wear
#7
Gonzalo Carracedo, Maria Serramito-Blanco, Alba Martin-Gil, Zicheng Wang, Candela Rodriguez-Pomar, Jesús Pintor
BACKGROUND: The aim was to evaluate the turbidity and thickness of the post-lens tear layer and its effect on visual quality in patients with keratoconus after the beginning of lens wear and before lens removal at the end of eight hours. METHODS: Twenty-six patients with keratoconus (aged 36.95 ± 8.95 years) participated voluntarily in the study. The sample was divided into two groups: patients with intrastromal corneal ring (ICRS group) and patients without ICRS (KC group)...
January 26, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28110637/surgical-reconstruction-of-traumatic-ciliary-body-dialysis-a-case-report
#8
Adam Kluś, Mariusz Kosatka, Milena Kozera, Marek Rękas
BACKGROUND: A cyclodialysis cleft is a gap resulting from disruption of the longitudinal fibers constituting the ciliary body attachment to the scleral spur. The cyclodialysis cleft can be of traumatic or iatrogenic origin, and it may occur during intraocular surgery or as a result of a glaucoma operation. In this report we present a surgical technique to treat cyclodialysis: cyclopexy combined with phacoemulsification subluxation lens, transscleral suturing of Cionni ring, and intraocular lens implantation with iris cerclage suture...
January 23, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28092274/power-profiles-and-in-vitro-optical-quality-of-scleral-contact-lenses-effect-of-the-aperture-and-power
#9
Alberto Domínguez-Vicent, Jose Juan Esteve-Taboada, Alberto Recchioni
OBJECTIVE: To assess the power profile and in vitro optical quality of scleral contact lenses with different powers as a function of the optical aperture. METHODS: The mini and semiscleral contact lenses (Procornea) were measured for five powers per design. The NIMO TR-1504 (Lambda-X) was used to assess the power profile and Zernike coefficients of each contact lens. Ten measurements per lens were taken at 3- and 6-mm apertures. Furthermore, the optical quality of each lens was described in Zernike coefficients, modulation transfer function, and point spread function (PSF)...
January 13, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28088605/comparison-of-the-anterior-chamber-angle-structure-between-children-and-adults
#10
Yukiko Shimizu, Shunsuke Nakakura, Toshihiko Nagasawa, Akiko Okamoto, Hitoshi Tabuchi, Yoshiaki Kiuchi
PURPOSE: To investigate the anterior chamber structure in children and adults with a similar axial length (AL). METHODS: A total of 50 children (mean age, 7.1 ± 3.3 years; range, 3-16) with mainly refractive error and 50 adults (mean age, 73.7 ± 7.8 years; range, 50-85) with short AL were included. The mean AL was 22.21 ± 0.88 mm (range, 20.67-23.97 mm) in children; 22.34 ± 0.53 mm (range, 20.50-22.96 mm), in adults. The corneal curvature, spherical equivalent, AL, central corneal thickness (CCT), inter-scleral spur distance, perpendicular distance, anterior chamber depth (ACD), angle opening distance (AOD), and lens vault were measured...
January 11, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28086913/correction-of-irregular-and-induced-regular-corneal-astigmatism-with-toric-iol-after-posterior-segment-surgery-a-case-series
#11
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/28073689/corneo-scleral-contact-lens-in-a-piggyback-system-for-keratoconus-a-case-report
#12
Esteban Porcar, Juan Carlos Montalt, Enrique España-Gregori, Cristina Peris-Martínez
PURPOSE: We describe a case of fitting a corneo-scleral contact lens with a multi-aspheric geometry design (MAGD CScL) on top of a daily silicone hydrogel lens (piggyback system) for keratoconus management. METHODS: A 48-year-old man using soft toric contact lenses required an improvement in the unsatisfactory quality of his vision. He presented with bilateral asymmetric keratoconus with high myopia in the right eye (RE) and severe myopia in the left eye (LE). In addition, he had low vision in his LE because of a maculopathy...
January 7, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28050328/cataract-surgery-after-retinal-detachment-surgery-with-arruga-s-sutures-case-report
#13
Erkan Ünsal, Kadir Eltutar, Osman Kızılay, Belma Karini
A 56-year old female patient presented to our clinic with a complaint of low vision in her right eye. Twenty-two years earlier she had undergone a scleral buckling operation in her right eye because of retinal detachment. She indicated that vision in her right eye was good after the surgery but had recently been gradually declining. Best-corrected vision acuity was counting fingers at 1 meter in the right eye and 8/10 in the left eye. Anterior segment examination revealed stage 3 nuclear cataract in the right eye...
December 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/28027273/oxygen-tension-beneath-scleral-lenses-of-different-clearances
#14
Claude J Giasson, Jeanne Morency, Marc Melillo, Langis Michaud
PURPOSE: To evaluate the relative partial pressure in oxygen (pO2) at the corneal surface under Boston XO2 scleral lenses (SL) fitted with targeted clearances of 200 and 400 μm (SL200 and SL400). METHODS: During this prospective study, the right eyes of eight normal subjects were fitted with SL200 and SL400. Clearance, validated after 5 minutes of wear with an optical coherence tomograph, was used with lens thicknesses to calculate transmissibility and estimate pO2...
December 23, 2016: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/28002191/sekundo-s-applanator-5-years-of-experience-with-transconjunctival-suturing
#15
Hisham Elbaz, Walter Sekundo, Frank-Michael Schröder, Stephan Schulze
Sekundo's Applanator is a new surgical instrument used mainly in transconjunctival scleral flap suturing in cases of postoperative hypotony after trabeculectomy. In contrast to Hoskins lens, it offers better visualization of the border of the scleral flap with good intraoperative stabilization of the globe; thus, it increases the effectiveness and decreases the time of the surgical procedure. Sekundo's Applanator was also found to be useful in reducing the size of an oversized bleb after trabeculectomy and in the closure of leaking sutureless sclerotomies after vitrectomies...
February 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/27993459/corneal-epithelial-bullae-after-short-term-wear-of-small-diameter-scleral-lenses
#16
Alex D Nixon, Joseph T Barr, Dean A VanNasdale
Complications of scleral lens wear are not well documented or understood. While multiple studies focus on oxygen transmission during scleral lens wear and associated corneal swelling, little is known about the effects of varying scleral lens fitting relationships, especially when there is corneal interaction. Scleral lenses, by convention, are designed to completely clear the corneal surface and rest on the conjunctival and scleral tissue. However, some designs maximize oxygen transmission by reducing the lens diameter, thickness, and recommended corneal clearance...
December 16, 2016: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/27990363/comparison-of-iris-fixated-foldable-lens-and-scleral-fixated-foldable-lens-implantation-in-eyes-with-insufficient-capsular-support
#17
Han Zhang, Jun Zhao, Li-Jun Zhang, Jing Liu, Yuan Liu, Wei Song, Qing-Fen Tian, Qi Wang, David-Rex Hamilton
AIM: To compare the outcomes of vision using two different intraocular lens (IOL) replacement techniques, iris-fixated foldable intraocular lens (IF-IOL) and scleral-fixated foldable intraocular lens (SF-IOL) in patients with insufficient capsular support. METHODS: Total 63 eyes (62 patients) with insufficient posterior capsule support underwent replacement of IF-IOL or SF-IOL between January 2008 and August 2011. Outcome measures included changes in visual acuity, slit lamp examination, refractive indices and corneal curvatures...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27984546/scleral-suture-fixation-technique-for-one-piece-acrylic-intraocular-lens
#18
Ella H Leung, Amir Mohsenin, William E Smiddy
PURPOSE: To apply a previously published scleral fixation technique to secure one-piece acrylic intraocular lenses (IOLs) to the sclera. METHODS: Retrospective, consecutive, noncomparative case series. RESULTS: All patients (16 eyes of 15 patients) who underwent scleral fixation of 1-piece acrylic IOLs using the loop method from 2014 to 2016 were included. The mean follow-up was 8.1 months. Repositioning of dislocated 1-piece acrylic IOLs was performed in 8 eyes, a primary implantation in 5 eyes, and IOL exchange in 3 eyes...
December 14, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27984063/off-axis-astigmatism-in-the-isolated-chicken-crystalline-lens
#19
Felix Maier, Siegfried Wahl, Frank Schaeffel
The chicken eye was previously found to have little off-axis astigmatism which is not explained by its special corneal shape but rather by the optical properties of the crystalline lens. To learn more about lens design, we studied off-axis astigmatism in the chicken lens in situ and compared it to a glass lens of similar power but with homogenous refractive index. After euthanasia, enucleated eye balls were cut in the equatorial plane right behind the scleral ossicles. The anterior segment was placed in a water-filled chamber...
October 28, 2016: Vision Research
https://www.readbyqxmd.com/read/27958214/the-correct-shake-for-handshake-in-glued-intrascleral-fixation-of-intraocular-lens
#20
Priya Narang, Amar Agarwal
We hereby describe the correct method to perform a "handshake technique" and easy transfer of haptics from one hand to another for glued intrascleral fixation of an intraocular lens (glued IOL). The procedure was implemented in 57 cases that necessitated the application of performing a glued IOL procedure and it resulted in an appropriate and easy externalization of haptic in all the cases. The surgeons' positioning with reference to the scleral flap is an essential component and the surgeon should always be positioned perpendicular to the plane of scleral flaps and the plane of haptic maneuver...
November 2016: Indian Journal of Ophthalmology
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