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https://www.readbyqxmd.com/read/29443805/nitinol-flex-loop-assisted-retrieval-and-sutureless-intrascleral-refixation-of-a-dislocated-intraocular-lens-implant
#1
Jason Hsu
BACKGROUND/PURPOSE: To describe a novel use of the flexible nitinol loop membrane scraper (FINESSE Flex loop; Alcon, Fort Worth, TX) for rescue and refixation of a dislocated intraocular lens (IOL). METHODS: A 27-gauge nitinol flex loop was used to lasso each haptic of a dislocated 3-piece IOL. By retracting the loop, the haptic could be effectively locked to the instrument and externalized through a scleral tunnel, thereby fixating it to the sclera in a sutureless fashion...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29427570/long-term-outcome-of-pars-plana-vitrectomy-and-sutured-scleral-fixated-posterior-chamber-intraocular-lens-implantation-or-repositioning
#2
Gregg T Kokame, Ryan T Yanagihara, Jessica G Shantha, Kyle N Kaneko
PURPOSE: To assess the long-term stability of sutured scleral-fixated posterior chamber intraocular lenses (PC IOL) performed in combination with pars plana vitrectomy. DESIGN: Retrospective, consecutive, interventional case series METHODS: Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent sutured scleral fixation of at least one haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy...
February 7, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29426968/clinical-experience-with-urgent-tube-shunt-implantation-through-the-ciliary-sulcus-in-phakic-eyes
#3
Adam J Weiner, Yotam Weiner, Melissa L Severson, Asher Weiner
PURPOSE: To review the clinical course and outcomes of 3 phakic, ischemic, and inflamed eyes in which we performed urgent tube shunt implantation through the ciliary sulcus without lensectomy. METHODS: This is a retrospective interventional case series. Three eyes of 3 diabetic patients with uncontrolled severe neovascular glaucoma, shallow anterior chambers with closed angles and poor view to the posterior segment, where concomitant lensectomy was not recommended due to uncontrolled uveitis and ischemia, underwent tube shunt implantation through the ciliary sulcus...
February 9, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29426444/eyeprintpro-therapeutic-scleral-contact-lens-indications-and-outcomes
#4
Michael T B Nguyen, Vishakha Thakrar, Clara C Chan
OBJECTIVE: To describe indications and outcomes of patients fitted with the EyePrintPRO therapeutic scleral lens. METHODS: A database search of patients fitted with the EyePrintPRO from 2014 to 2016. Fourteen eyes of 10 patients were reviewed retrospectively. Patient demographics, medical and ocular history, indications for fitting, duration of wear, symptoms, and best-corrected visual acuity (BCVA) were analyzed. RESULTS: Mean age at lens fitting was 49 years (range, 21-67 years)...
February 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29426441/surgical-outcomes-and-complications-of-sutured-scleral-fixated-intraocular-lenses-in-pediatric-eyes
#5
Parveen Sen, Vinay Kumar S, Pramod Bhende, Pukhraj Rishi, Ekta Rishi, Chetan Rao, Dhanashree Ratra, Pradeep Susvar, Sreelakshmi Kummamuri, Sufiyan Shaikh, Lingam Gopal
OBJECTIVE: To study the outcome and complications of sutured scleral fixated intraocular lenses (SSFIOL) in children. DESIGN: Retrospective study. SUBJECTS: A total of 279 eyes of 230 children who underwent SSFIOL at ≤18 years of age in a tertiary eye care centre in India. METHODS: Treatment-naive children having traumatic cataract or subluxated lens underwent a single-sitting lensectomy and pars plana vitrectomy (PPV), along with SSFIOL insertion...
February 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29425812/assessment-of-the-prosthetic-replacement-of-ocular-surface-ecosystem-prose-scleral-lens-on-visual-acuity-for-corneal-irregularity-and-ocular-surface-disease
#6
Andres Parra, Bryan M Roth, Taylor M Nguyen, Li Wang, Stephen C Pflugfelder, Zaina Al-Mohtaseb
PURPOSE: To describe changes in visual acuity in patients fit with the Prosthetic Replacement of Ocular Surface Ecosystem (PROSE) with irregular corneas compared to those with ocular surface disease, as well as describe patient demographics and fitting indications for PROSE at an academic medical center. METHODS: A retrospective chart review from 2010 to 2016 on a total of 825 eyes from 493 patients fitted with a PROSE lens, and grouped by etiology, either irregular cornea/dystrophy or ocular surface disease and associated sub-etiologies...
February 6, 2018: Ocular Surface
https://www.readbyqxmd.com/read/29422749/outcomes-of-scleral-fixated-intraocular-lens-in-children-with-idiopathic-ectopia-lentis
#7
Abdulaziz I Al Somali, Faisal N Al-Dossari, Khalid E Emara, Ahmed Al Habash
PURPOSE: The purpose of the study was to review the safety and stability of scleral-fixated intraocular lens (IOL) 2 years after implantation in children with idiopathic ectopia lentis (EL). METHODS: This retrospective case series enrolled children with EL managed between 2011 and 2015 at a tertiary eye hospital in the eastern of Saudi Arabia. Data were collected on age, gender, vision, isolated or syndromic pathology, intraoperative and postoperative complications, spherical equivalent refraction, and final best-corrected visual acuity (BCVA)...
October 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/29398696/clinical-outcomes-of-combined-pars-plana-vitrectomy-and-trans-scleral-4-point-suture-fixation-of-a-foldable-intraocular-lens
#8
Neha Goel
OBJECTIVE: To describe outcomes of combined pars plana vitrectomy (PPV) and trans-scleral 4-point suture fixation of a foldable Akreos AO60 intraocular lens (IOL) in eyes with subluxated or dislocated lens or IOL. METHODS: Retrospective case series of 20 eyes of 18 patients who underwent this procedure with a minimum follow-up of 3 months. Outcome measures included final best-corrected Snellen visual acuity (BCVA), spherical equivalent (SE) and intraoperative and postoperative complications...
February 5, 2018: Eye
https://www.readbyqxmd.com/read/29398334/visual-quality-with-corneo-scleral-contact-lenses-for-keratoconus-management
#9
Juan Carlos Montalt, Esteban Porcar, Enrique España-Gregori, Cristina Peris-Martínez
PURPOSE: To assess the visual quality achieved by fitting corneo-scleral contact lenses (CScL) for keratoconus management. METHODS: Thirty patients with keratoconus presented to have CScL fitted because of the unsatisfactory visual quality they experienced with their contact lenses or spectacles. The eye examination included visual acuity assessment, anterior eye biomicroscopy, ocular fundus examination, corneal topographic analysis, endothelial-cell count, contrast sensitivity and aberrometry...
February 2, 2018: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/29397322/the-rigid-lens-renaissance-a-surge-in-sclerals
#10
EDITORIAL
Stephen J Vincent
No abstract text is available yet for this article.
January 31, 2018: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/29394206/secondary-glaucoma-due-to-iridescent-crystalline-particles-masquerading-as-refractory-hypertensive-uveitis-in-an-eye-with-irradiated-iris-melanoma
#11
Rupinder Chahal, Abhijit Anand Mohite, Heinrich Heimann, Atul Bansal
PURPOSE: We report a previously unrecognised mechanism of secondary glaucoma due to iridescent crystalline particles released from an irradiated iris melanoma. It masqueraded as refractory hypertensive uveitis following uncomplicated phacoemulsification. METHODS: A 58-year-old gentleman had an iris melanoma that underwent successful regression following irradiation with proton beam radiotherapy (PBRT). Three years later an uncomplicated phacoemulsification with intraocular lens implant was performed and subsequently the patient presented with apparently "refractory hypertensive uveitis"...
February 1, 2018: Journal of Glaucoma
https://www.readbyqxmd.com/read/29389077/nitinol-basket-assisted-pars-plana-vitrectomy-for-retained-lens-material-removal
#12
Danilo Iannetta, Leonore Engelbrecht, Marco Mura
PURPOSE: To evaluate the usefulness of different types of nitinol baskets to capture, lift and hold the lens material, dropped during a complicated phacoemulsification, as an adjunctive surgical tool in vitreoretinal surgery and to evaluate the outcomes and complication of this new surgical technique in a small series of patients. METHODS: Patients who underwent pars plana vitrectomy (PPV) for retained lens fragments operated during December 2014 and March 2015 at the Academic Medical Center (AMC), Amsterdam, were included in this study...
February 1, 2018: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29380518/ocular-anatomy-of-the-black-pacu-colossoma-macropomum-gross-histologic-and-diagnostic-imaging
#13
Kate A Gustavsen, Joanne R Paul-Murphy, Ernest Scott Weber, Allison L Zwingenberger, Freeland H Dunker, Richard R Dubielzig, Christopher M Reilly, Christopher J Murphy
OBJECTIVE: To describe the ocular anatomy of the black pacu (Colossoma macropomum), a freshwater teleost fish of the Amazon River basin, including an unusual choroid laden with adipose tissue. PROCEDURES: Three adult black pacu were anesthetized and examined clinically and with ocular ultrasonography, then euthanized. Three fish were euthanized and their heads imaged immediately postmortem using computed tomography. One fish was euthanized and its exenterated eyes imaged by high-resolution magnetic resonance imaging...
January 30, 2018: Veterinary Ophthalmology
https://www.readbyqxmd.com/read/29379266/surgically-induced-astigmatism-after-phacoemulsification-by-temporal-clear-corneal-and-superior-clear-corneal-approach-a-comparison
#14
Archana Sunil Nikose, Dhrubojyoti Saha, Pradnya Mukesh Laddha, Mayuri Patil
Introduction: Cataract surgery has undergone various advances since it was evolved from ancient couching to the modern phacoemulsification cataract surgery. Surgically induced astigmatism (SIA) remains one of the most common complications. The introduction of sutureless clear corneal incision has gained increasing popularity worldwide because it offers several advantages over the traditional sutured limbal incision and scleral tunnel. A clear corneal incision has the benefit of being bloodless and having an easy approach, but SIA is still a concern...
2018: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29376226/temporary-haptic-externalization-and-four-point-fixation-of-intraocular-lens-in-scleral-fixationto-enhance-stability
#15
Joo Young Shin, Se Rang Choi, Ji Hoon Jeon, Joon Won Kang, Jangwon Heo
PURPOSE: To report the results of a new technique for intraocular lens scleral fixation of temporary haptic externalization and four-point fixation for enhanced stability. METHODS: Two 10-0 polypropylene strands were fixed at two points 2 mm apart on each haptic of a conventional three-piece intraocular lens, using our previously reported method of temporary haptic externalization after injector implantation. Postoperative refractive outcome and stability were evaluated...
January 25, 2018: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/29369227/silicone-hydrogel-and-rigid-gas-permeable-scleral-lens-tear-exchange
#16
Jerry R Paugh, Elaine Chen, Colton Heinrich, Heidi Miller, Tiffany Gates, Andrew Loc Nguyen, Timothy Edrington, Barry A Weissman
OBJECTIVES: To quantify tear elimination rate (ER) underneath silicone hydrogel (Si-Hy) and scleral gas permeable (GP) contact lenses (CLs). METHODS: Subjects successfully using either well-fitting soft Si-Hy CLs or scleral GP CLs were recruited. Most scleral GP CL wearers had irregular corneas (e.g., keratoconus). An objective fluorometer measured decay of fluorescein isothiocyanate dextran dye signal (70 kD MW) from which the tear ER in %/min was calculated. For GP scleral lenses, the ER was determined for both the initial settling period and the 30- to 60-min period, and without lenses...
January 22, 2018: Eye & Contact Lens
https://www.readbyqxmd.com/read/29346243/pars-plana-vitrectomy-with-anterior-chamber-versus-gore-tex-sutured-posterior-chamber-intraocular-lens-placement-long-term-outcomes
#17
M Ali Khan, Omesh P Gupta, Kasim Pendi, Allen Chiang, James Vander, Carl D Regillo, Jason Hsu
PURPOSE: To compare clinical outcomes of combined pars plana vitrectomy (PPV) with anterior chamber intraocular lens (ACIOL) placement versus scleral fixation of a posterior chamber intraocular lens (PCIOL) using Gore-Tex suture. METHODS: Retrospective, interventional case series of eyes undergoing combined PPV and IOL placement for retained lens material, aphakia, or dislocated IOL. Eyes with history of amblyopia, corneal opacity, retinal, or optic nerve disease were excluded...
January 16, 2018: Retina
https://www.readbyqxmd.com/read/29331294/-study-of-the-results-scleral-fixated-intraocular-lenses-in-the-absence-of-capsular-support
#18
A Benarous, A Drimbea, S Milazzo
INTRODUCTION: In the absence of sufficient capsular support, scleral fixation of the intraocular lens is an interesting alternative. The goal is to evaluate this implantation technique when traditional implantation is impossible. PATIENTS AND METHODS: This is an observational, retrospective, monocentric study at the Amiens university medical center between August 2013 and March 2016. Patients all underwent scleral fixation of a three-piece implant without suturing of the haptics, after posterior vitrectomy...
January 10, 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29329136/glaucoma-implant-tube-lumen-obstruction-visualized-using-anterior-segment-optical-coherence-tomography
#19
Shunsuke Nakakura, Asuka Noguchi, Santaro Noguchi, Yuka Hirose, Koji Niimi, Hitoshi Tabuchi, Yoshiaki Kiuchi
We report a case of glaucoma implant tube lumen obstruction visualized with anterior segment optical coherence tomography (ASOCT) and present its surgical management. The patient was a 66-year-old man with refractory glaucoma associated with traumatic aphakia in the right eye after trabeculectomy, several bleb needling procedures, and scleral fixation of the intraocular lens with pars plana vitrectomy. Finally, we performed Baerveldt implantation at the pars plana of the temporal inferior quadrant with a several Sherwood slit...
January 11, 2018: Journal of Glaucoma
https://www.readbyqxmd.com/read/29327291/pars-plana-vitrectomy-with-transscleral-fixation-of-posterior-chamber-lens-in-the-treatment-of-post-traumatic-lens-dislocation
#20
Paweł Bieliński, Monika Jasielska, Anna Wyszyńska, Mateusz Winiarczyk, Jerzy Mackiewicz
PURPOSE: To present our experience with post-traumatic lens dislocation management by vitrectomy followed with sutureless artificial lens fixation. METHODS: The retrospective study involved 15 patients (12 men and 3 women) aged from 36 to 78 (on average, 63 years old), from the Vitreoretinal Surgery Teaching Hospital, operated in the years 2013-2015. All cases concerned ocular traumas with dislocation of the natural or artificial lens to the anterior chamber, vitreous body chamber, or post-traumatic aphakia...
January 11, 2018: International Ophthalmology
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