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S Fili, S Seddig, E Papadopoulou, M Kohlhaas
BACKGROUND: The Cypass Microstent (Transcend Medical, Menlo Park, CA, USA) is a biocompatible polyamide implant that is implanted in the suprachoroidal space and improves the flow of the aqueous humour via the uveoscleral pathway. MATERIAL AND METHODS: In a retrospective clinical study 162 patients (220 eyes) with an average age of 71.8 (±14.2) years with a mild to moderate glaucoma were treated with a Cypass implant. In the study three groups of patients (group 1, group 2 and group 3) were formed...
June 19, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
Francisco Bandeira, Merce Morral, Daniel Elies, Sergio Eguiza, Spyridoula Souki, Felicidad Manero, Jose L Güell
Synopsis: Transitional toric intraocular lens (IOL) was developed to improve refractive outcomes in cataract surgery. We report refractive, vectorial outcomes, and stability of spherical equivalent over 12 months after implantation of this IOL. Purpose: To evaluate visual and refractive outcomes of a transitional conic toric intraocular lens (IOL) (Precizon® ) for the correction of corneal astigmatism in patients undergoing cataract surgery. Setting: The Ocular Microsurgery Institute (IMO), a private practice in Barcelona, Spain...
2018: Clinical Ophthalmology
Olga E Makri, Iasonas K Tsekouras, Panagiotis Plotas, Foteini Tsapardoni, Athina Pallikari, Constantine D Georgakopoulos
We present an interesting case of accidental overdose of latanoprost eye drops. A 71-year-old patient underwent an uncomplicated cataract surgery in his right eye. During the first postsurgical week he mistakenly used latanoprost eye drops six times daily instead of the prescribed tobramycin/dexamethasone eye drops. The patient experienced gradually decreasing visual acuity and was diagnosed with cystoid macular edema seven weeks after surgery. The cystoid macular edema resolved 4 weeks later after treatment with nepafenac 0...
June 19, 2018: Current Drug Safety
Gernot Steinwender, Luisa Schwarz, Myriam Böhm, Anna Slavík-Lenčová, Eva Hemkeppler, Mehdi Shajari, Thomas Kohnen
PURPOSE: To report visual and refractive outcomes after implantation of a trifocal intraocular lens (IOL) in highly myopic patients. SETTING: Department of Ophthalmology, Goethe University, Frankfurt, Germany. DESIGN: Retrospective case series. METHODS: This study included eyes with previous phacoemulsification and implantation of a trifocal IOL (AT LISA tri 839MP or 939MP) with an IOL power between 0.0 diopter (D) and 10...
June 14, 2018: Journal of Cataract and Refractive Surgery
John C Norton, Sunali Goyal
PURPOSE: To determine patient characteristics and outcomes for developing retained nuclear fragments in the anterior chamber after phacoemulsification in at-risk populations. SETTING: University of Arkansas for Medical Sciences, Jones Eye Institute, Little Rock, Arkansas, USA. DESIGN: Retrospective case series. METHODS: Using Current Procedural Terminology codes 2006 to 2018, patients with a diagnosis of retained nuclear fragment in the anterior chamber after uncomplicated phacoemulsification cataract extraction were identified...
June 13, 2018: Journal of Cataract and Refractive Surgery
Tao Guo, Peng Gao, Li Fang, Li Guo, Yuchen Fan, Changgen Liu
The present prospective clinical observational study aimed to evaluate the efficacy of Toric intraocular lenses (IOL) to achieve rotational stability and astigmatism correction in eyes with high myopia. A total of 27 consecutive cataract patients (39 eyes) with pre-existing corneal astigmatism (1.5-3.5 D) were divided into two groups according to their refractive status: One group of 18 eyes with high myopia -(12.5-6.0 D) and another group consisting of 21 eyes with emmetropia or low myopia (-3.0-0.0 D). All eyes underwent cataract phacoemulsification surgeries by the same surgeon, with the implantation of an AcrySof® Toric IOL at the pre-designed degree...
June 2018: Experimental and Therapeutic Medicine
H Y Cai, X Y Chen, J Hong
Objective: To explore the clinical significance of ocular surface bacteria inhibition by cleaning eyelid margins before surgery in cataract patients. Methods: Case-control study. Thirty-five patients (45 eyes) with age-related cataracts who were proposed to receive treatment of Phacoemulsification combined with cataract extraction and intraocular lens implantation at Peking University 3(rd) hospital were included. The experimental group consisted of 9 males and 15 females with the average age of (69.8±11.5)...
June 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Manjool Shah, Xavier Campos-Möller, Liliana Werner, Nick Mamalis, Iqbal Ike K Ahmed
A propagation of microinvasive glaucoma surgery (MIGS) techniques and devices has resulted in the availability of multiple new modalities for surgical intervention for open-angle glaucoma. As MIGS devices and methods approach a new phase in maturity, midterm failures will inevitably be reported. Although MIGS techniques prioritize safety, an understanding of the potential mechanisms of failure is paramount. In this case of a midterm failure of a trabecular microbypass, clinical findings and pathological correlates allow for a comprehensive understanding of the means by which MIGS devices might fail and offer the opportunity for intervention and potential prevention...
May 2018: Journal of Cataract and Refractive Surgery
Sasan Moghimi, Nikoo Hamzeh, Massood Mohammadi, Nassim Khatibi, Christopher Bowd, Robert N Weinreb
PURPOSE: To compare outcomes of phacoemulsification combined with viscocanalostomy, endocyclophotocoagulation (ECP), or ab interno trabulectomy for intraocular pressure (IOP) control and safety in eyes with open-angle glaucoma and visually significant cataract. SETTING: Farabi Eye Hospital, Tehran, Iran. DESIGN: Retrospective case series. METHODS: Medical records of patients who had combined surgery and were followed for at least 1 year were reviewed...
May 2018: Journal of Cataract and Refractive Surgery
Sepehr Feizi, Siamak Delfazayebaher, Mohammad Ali Javadi
PURPOSE: To directly measure internal astigmatism and evaluate its agreement with posterior corneal astigmatism in pseudophakic eyes. METHODS: This prospective study enrolled 32 eyes of 32 patients (18 women, 56.3%) who underwent phacoemulsification with implantation of a non-toric monofocal intraocular lens (IOL). Two months postoperatively, posterior corneal astigmatism was measured using a Pentacam Scheimpflug analyzer (Oculus Optikgeräte GmbH, Wetzlar, Germany)...
June 1, 2018: Journal of Refractive Surgery
Furong Luo, Xuan Bao, Yingyan Qin, Min Hou, Mingxing Wu
PURPOSE: To evaluate the long-term effect of glistenings and surface light scattering of intraocular lenses (IOLs) on visual and optical performance after cataract surgery. METHODS: Pseudophakic eyes that underwent standard phacoemulsification and two types of hydrophobic acrylic spherical IOL implantation without complications for at least 5 years were included in this retrospective study. Participants were divided into the glistenings, surface light scattering, and control groups according to the current condition of the IOLs...
June 1, 2018: Journal of Refractive Surgery
Andreas F Borkenstein, Eva-Maria Borkenstein
Purpose: The purpose of this prospective analysis was to evaluate the patient and surgeon satisfaction levels after using a fully preloaded acrylic, hydrophobic, monofocal "premium" IOL in pseudoexfoliation syndrome. Materials and Methods: 42 eyes of twenty-eight patients with progressed cataract formation and pseudoexfoliation syndrome (PXF) or pseudoexfoliation glaucoma and best corrected distance visual acuity (BCDVA) between 0.30-1.00 logMAR were enrolled...
2018: Journal of Ophthalmology
A El Ameen, S Majzoub, G Vandermeer, P-J Pisella
PURPOSE: To evaluate the influence of cataract surgery on meibomian gland dysfunction, in particular on postoperative functional symptoms. PATIENTS AND METHODS: Thirty patients who underwent cataract surgery were included in the study. A clinical examination (OSDI questionnaire, measurement of tear break up time [TBUT], corneal staining, meibomian gland expressibility test) and a paraclinical evaluation (loss of Meibomius glands [LMG] measured using ImageJ on meibography, conjunctival redness and non-invasive tear break up time [NIK-BUT]) were performed preoperatively and at 1 month and 3 months after phacoemulsification...
June 7, 2018: Journal Français D'ophtalmologie
Islam Elbieh, Covadonga Bascaran, Karl Blanchet, Allen Foster
PURPOSE: To describe cataract services in Egypt and explore resources and practices in public and private sectors. METHODS: The study was conducted between June and August 2015. All facilities in the country providing cataract services were contacted to obtain information on surgeries performed in 2014. Hospitals performing eye surgery in Quena, Sharkia, and Fayoum regions were visited and a questionnaire on resources for cataract surgery was completed. RESULTS: Cataract surgery was offered in the public sector by 64 government and 16 university teaching hospitals and in the private sector by 101 hospitals...
June 8, 2018: Ophthalmic Epidemiology
Shahram Bamdad, Alireza Bolkheir, Mohammad Reza Sedaghat, Mahsa Motamed
Background: Age-related cataract is a leading cause of visual impairment, considered a global health burden, it is responsible for over 47% of blindness worldwide. Surgical intervention is usually the treatment of choice and phacoemulsification cataract surgery with implantation of an intraocular lens is the most common procedure, which may have several complications. Objectives: To determine the effects of phacoemulsification surgery on corneal endothelial cell density and corneal thickness in patients undergoing cataract surgery...
April 2018: Electronic Physician
Manpreet Kaur, Jeewan S Titiyal, Abhidnya Surve, Ruchita Falera, Meena Verma
PURPOSE: To evaluate intraoperative and postoperative outcomes with 'chop' or 'matrix' lens fragmentation patterns in femtosecond laser-assisted cataract surgery. METHODS: Prospective comparative study of 66 eyes with grade III-IV nuclear sclerosis was conducted at an apex tertiary care ophthalmic centre. Cases were randomly allocated to undergo femtosecond laser pre-treatment using matrix pattern (group I; n = 33) or chop pattern (group II; n = 33) of lens fragmentation (LenSx laser platform), followed by phacoemulsification...
June 6, 2018: Current Eye Research
Amanda Rey, Ignasi Jürgens, Xavier Maseras, Agnieszka Dyrda, Patricia Pera, Antonio Morilla
Purpose: To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes. Patients and methods: A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 2013 and 2016. Results: The mean interval from pars plana vitrectomy (PPV) to cataract surgery (CS) was 18.8 months. Mean age at CS was 61.5 years...
2018: Clinical Ophthalmology
Serdar Ozates, Kadriye Ufuk Elgin, Niyazi Samet Yilmaz, Ozlem Ozbas Demirel, Emine Sen, Pelin Yilmazbas
PURPOSE: To evaluate the levels of oxidative stress markers such as superoxide dismutase and malondialdehyde in eyes with pseudo-exfoliative glaucoma treated with and without topical coenzyme Q10 (CQ10) and vitamin E (Coqun drop). METHODS: This prospective, randomized clinical study was conducted on 64 eyes of 64 patients. All patients underwent phacoemulsification and intraocular lens implantation surgery. Aqueous humor samples were aspirated from the anterior chamber at the beginning of cataract surgery...
June 1, 2018: European Journal of Ophthalmology
Qingjian Li, Yiwen Qian, Yu Zhang, Gaoyuan Sun, Xian Zhou, Zhiliang Wang
Purpose: To assess whether to continue aspirin therapy while having uncomplicated phacoemulsification cataract surgery with different incisions. Methods: Consecutive patients having cataract surgery under topical anesthesia with different incisions between May 2016 and August 2017 were followed. 236 eyes of 166 patients on routine aspirin therapy were randomized into 2 groups: continuation group, 112 eyes; discontinuation group, 124 eyes. 121 eyes of 94 patients on no routine anticoagulant therapy were used as the control group...
2018: Journal of Ophthalmology
Pouya Alaghband, Ian As Rodrigues, Saurabh Goyal
Primary angle closure glaucoma (PACG) is more blinding (1 in 4 cases) than primary open angle glaucoma (1 in 10 cases). Cataract surgery is an effective initial treatment for majority of cases of PACG. However, cataract surgery alone may not be enough to control intraocular pressure (IOP) in cases with extensive synechial angle closure glaucoma. It is reported that glaucoma drainage surgery is needed in 12% of PACG cases after cataract surgery. Some experts combine cataract surgery with either goniosynechialysis (GSL) or endocyclophotocoagulation (ECP) to enhance IOP control...
January 2018: Journal of Current Glaucoma Practice
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