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https://www.readbyqxmd.com/read/28924444/implantation-of-a-multifocal-toric-intraocular-lens-after-radial-keratotomy-and-cross-linking-with-hyperopia-and-astigmatism-residues-a-case-report
#1
Raffaele Nuzzi, Francesca Monteu, Federico Tridico
Radial keratotomy is a refractive surgical technique, widely used in the 80s and early 90s to correct myopia and astigmatism, but now overcome by more recent laser techniques. Important consequences, often in patients with more than 45 years of age, are progressive hyperopic shift and/or an increase in corneal astigmatism, whose main cause seems to be an increase in the curvature radius of the central portion of the cornea. This seems to be due to radial keratotomy incisions - with the consequent need for cross-linking - intraocular pressure, and corneal biomechanical parameters...
May 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28924422/femtosecond-laser-assisted-cataract-surgery-in-vitrectomized-eye-with-posterior-chamber-phakic-intraocular-lens
#2
Natalia Anisimova, Boris Malyugin, Lisa B Arbisser, Nikolay Sobolev
We describe a case of femtosecond laser-assisted cataract surgery (FLACS) in an eye with multiple comorbidities, including retinal detachment surgery, high myopia, posterior chamber phakic intraocular lens (PC pIOL) and residual, emulsified, silicone oil located in the anterior chamber. FLACS was affected by the optical blockage, but the incomplete capsular tear was recoverable. The case suggests that silicone oil bubbles concentrated at the dome of the posterior corneal surface, along with the PC pIOL optic edges and scars after corneal astigmatic relaxing incisions can lead to incomplete anterior capsulotomy...
2017: Digital Journal of Ophthalmology: DJO
https://www.readbyqxmd.com/read/28923587/visual-performance-of-a-quadrifocal-trifocal-intraocular-lens-following-removal-of-the-crystalline-lens
#3
Thomas Kohnen, Michael Herzog, Eva Hemkeppler, Sabrina Schönbrunn, Nina De Lorenzo, Kerstin Petermann, Myriam Böhm
PURPOSE: To evaluate visual performance after implantation of a quadrifocal intraocular lens (IOL). DESIGN: Prospective, non-comparative case series METHODS: Setting: Department of Ophthalmology, Goethe University, Frankfurt, Germany. Patient or Study Population: Twenty-seven patients (54 eyes) received bilateral implantation of the PanOptix IOL (AcrySof® IQ PanOptixTM, Alcon Research, Fort Worth, TX, USA) pre-enrollment. Exclusion criteria were previous ocular surgeries, corneal astigmatism of >1...
September 15, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28923499/descemet-membrane-endothelial-keratoplasty-safety-and-outcomes-a-report-by-the-american-academy-of-ophthalmology
#4
Sophie X Deng, W Barry Lee, Kristin M Hammersmith, Anthony N Kuo, Jennifer Y Li, Joanne F Shen, Mitchell P Weikert, Roni M Shtein
PURPOSE: To review the published literature on the safety and outcomes of Descemet membrane endothelial keratoplasty (DMEK) for the surgical treatment of corneal endothelial dysfunction. METHODS: Literature searches were last conducted in the PubMed and the Cochrane Library databases most recently in May 2017. The searches, which were limited to English-language abstracts, yielded 1085 articles. The panel reviewed the abstracts, and 47 were determined to be relevant to this assessment...
September 15, 2017: Ophthalmology
https://www.readbyqxmd.com/read/28920158/comparison-of-outcomes-of-scleral-fixation-with-and-without-pars-plana-vitrectomy-for-the-treatment-of-dislocated-intraocular-lens
#5
Seung Yong Choi, You Sook Hwang, Mirinae Kim, Soon Il Choi, Young-Hoon Park
PURPOSE: To investigate the surgical outcomes of scleral fixation with either pars plana vitrectomy (ppV) or anterior vitrectomy (AV) for the treatment of dislocated intraocular lens (IOL). METHODS: By retrospective review of electronic medical records, patients with in-the-bag spontaneous IOL dislocation who underwent IOL exchange with scleral fixation were included and grouped according to the vitrectomy method: ppV (group 1) and AV (group 2). Post-operative surgical outcomes including visual acuity (log MAR), spherical equivalent, and surgically induced astigmatism (SIA) and complications were investigated and analyzed...
September 17, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28920066/investigation-of-a-real-time-location-system-of-corneal-astigmatic-axis
#6
Jian-Guo Zhao, An-Peng Pan, Ke Zheng, A-Yong Yu
BACKGROUND: To construct a real-time computerized location system (RCLS) to analyze and display the axis of corneal astigmatism and to compare its accuracy with the Scheimpflug method. METHODS: Fifty-seven eyes of 39 volunteers with corneal astigmatism more than 1.00 diopter (D) were recruited. The RCLS was composed of a circular light-emitting diode (LED) light source, surgical microscope, surgical video system, computer and self-programming image analysis software...
2017: Eye and Vision (London, England)
https://www.readbyqxmd.com/read/28919909/photorefractive-keratectomy-in-the-management-of-postradial-keratotomy-hyperopia-and-astigmatism
#7
Mohammad Ghoreishi, Mohammad-Ali Abtahi, Iman Seyedzadeh, Hamid Fesharaki, Mohadeseh Mohammadnia, Hamidreza Jahanbani-Ardakani, Seyed-Hossein Abtahi
BACKGROUND: The aim of this study is to evaluate the results of photorefractive keratectomy (PRK) in the management of postoperative hyperopia and astigmatism in patients with history of radial keratotomy (RK). MATERIALS AND METHODS: This prospective nonrandomized noncomparative interventional case series enrolled consecutive eyes treated with PRK after RK. In cases, in which (1) wavefront (WF) scan was undetectable during primary examinations; and/or, (2) WF data were not transferable to the excimer laser device, patients were treated with the tissue-saving (TS) mode...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28917407/corneal-topography-and-keratometry-changes-after-glued-intraocular-lens-implantation
#8
Dhivya Ashok Kumar, Harspreet Kaur, Amar Agarwal, Sajitha Selvaraj, Sathish Kumar Pandian, Vamsi Chintalpati
PURPOSE: To analyze the alterations in corneal topography and keratometry (K) after glued transscleral-fixated intraocular lens (IOL) implantation. SETTING: Dr. Agarwal's Eye Hospital, Chennai, India. DESIGN: Prospective case series. METHODS: Eyes having glued IOL implantation for aphakia or subluxated lens (>180 degrees) were included. Preoperative autorefractometer and corneal topography was performed. Intraoperative parameters, namely the type, position, and incision size, flap position, and number of sutures were noted...
August 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28917405/comparison-of-refractive-and-keratometric-astigmatism-after-microincision-cataract%C3%A2-surgery
#9
Atsushi Kawahara, Yoshinori Takayanagi
PURPOSE: To measure the correlation between refractive and keratometric astigmatism after microincision cataract surgery (MICS). SETTING: Takayanagi Clinic, Kushiro, Hokkaido, Japan. DESIGN: Retrospective case series. METHODS: This study evaluated patients having phacoemulsification and intraocular lens implantation through a 2.0 mm temporal clear corneal incision. Refractive astigmatism and keratometric astigmatism were described by Jackson cross-cylinder with-the-rule (J0) and oblique (J45) components and compared using linear regression analysis...
August 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28917397/evaluation-of-postoperative-toric-intraocular-lens-alignment-with-anterior-segment-optical-coherence-tomography
#10
Andrea Lucisano, Marco Ferrise, Marco Balestrieri, Massimo Busin, Vincenzo Scorcia
We describe the use of a simple tool to evaluate the postoperative alignment of toric intraocular lenses (IOLs). The entire anterior segment is scanned using anterior segment optical coherence tomography and analyzed with an internal dedicated tool. A topographic map is displayed along with an anterior segment image, including a linear axis marker centered on the corneal apex. The marker can be rotated until it is aligned with the line connecting the IOL marking dots, precisely reproducing the IOL astigmatic axis, which is measured in angle degrees...
August 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28916725/characterization-of-enhancers-and-the-role-of-the-transcription-factor-klf7-in-regulating-corneal-epithelial-differentiation
#11
Rachel Herndon Klein, William Hu, Ghaidaa Kashgari, Ziguang Lin, Tuyen Nguyen, Michael Doan, Bogi Andersen
During tissue development, transcription factors bind regulatory DNA regions called enhancers, often located at great distances from the genes they regulate, to control gene expression. The enhancer landscape during embryonic stem cell differentiation has been well characterized. By contrast, little is known about the shared and unique enhancer regulatory mechanisms in different ectodermally derived epithelial cells. Here, we use ChIP-seq to identify domains enriched for histone marks H3K4me3, H3K4me1, and H3K27ac, and define for the first time the super enhancers and typical enhancers active in primary human corneal epithelial cells...
September 15, 2017: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/28914632/stepwise-guided-photorefractive-keratectomy-in-treatment-of-irregular-astigmatism-after-penetrating-keratoplasty-and-deep-anterior-lamellar-keratoplasty
#12
Nir Sorkin, Adi Einan-Lifshitz, Sagi Abelson, Tanguy Boutin, Mahmood Showail, Armand Borovik, Zach Ashkenazy, Clara C Chan, David S Rootman
PURPOSE: To report the outcome of stepwise ablation using topography-guided photorefractive keratectomy to treat irregular astigmatism after either penetrating keratoplasty (PKP) or deep anterior lamellar keratoplasty (DALK). METHODS: This is a retrospective, interventional analysis including patients with irregular astigmatism after either PKP or DALK, who underwent topography-guided photorefractive keratectomy. The entire cohort was analyzed, as well as the PKP and DALK groups separately...
September 12, 2017: Cornea
https://www.readbyqxmd.com/read/28905827/refractive-and-ocular-biometric-profile-of-children-with-a-history-of-laser-treatment-for-retinopathy-of-prematurity
#13
Savleen Kaur, Jaspreet Sukhija, Deeksha Katoch, Mansi Sharma, Ramanuj Samanta, Mangat R Dogra
PURPOSE: Indian children belong to a diverse socioeconomic strata with retinopathy of prematurity (ROP) developing in mature, higher birth weight babies as well. The purpose of our study is to analyze the long-term status of refractive errors and its relationship with ocular biometry in children with ROP who were laser treated at a tertiary center in North India. METHODS: Cross sectional study. Children (<16 years) enrolled from January 2014 to December 2014 with a history of laser treatment for ROP and examined for refractive and biometric status...
September 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28902771/attention-and-visual-motor-integration-in-young-children-with-uncorrected-hyperopia
#14
Marjean Taylor Kulp, Elise Ciner, Maureen Maguire, Maxwell Pistilli, T Rowan Candy, Gui-Shuang Ying, Graham Quinn, Lynn Cyert, Bruce Moore
SIGNIFICANCE: Among 4- and 5-year-old children, deficits in measures of attention, visual-motor integration (VMI) and visual perception (VP) are associated with moderate, uncorrected hyperopia (3 to 6 diopters [D]) accompanied by reduced near visual function (near visual acuity worse than 20/40 or stereoacuity worse than 240 seconds of arc). PURPOSE: To compare attention, visual motor, and visual perceptual skills in uncorrected hyperopes and emmetropes attending preschool or kindergarten and evaluate their associations with visual function...
September 11, 2017: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/28902719/wound-closure-and-tissue-adhesives-in-clear-corneal-incision-cataract-surgery
#15
Amy Y Tong, Preeya K Gupta, Terry Kim
PURPOSE OF REVIEW: Achieving secure wound closure in clear corneal incision cataract surgery remains highly desired for its role in reducing infection risk and leak-related complications, including hypotony, corneal edema, and lens dislocation. Although classic techniques of stromal hydration or wound suturing represent traditional approaches, the introduction of newer and more effective ocular surface adhesives has increased the options that are available. This review aims to provide an update on the peer-reviewed literature regarding wound closure and the currently available and investigational tissue adhesives used to seal clear corneal incisions in cataract surgery...
September 11, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/28900712/-starflo-a-suprachoroidal-drainage-implant-in-glaucoma-surgery
#16
S König, C W Hirneiß
BACKGROUND: The STARflo Glaucoma Device (iSTAR Medical, Wavre, Belgium) offers a new approach to bleb-free filtering surgery in which the intraocular pressure (IOP) is lowered by supporting outflow of the aqueous humor into the suprachoroidal space. MATERIALS AND METHODS: On the basis of a case series of 9 patients with open-angle glaucoma (OAG) unmanageable by drug-based treatment, intra- and postoperative experiences with the implant are presented. The implant, the implantation procedure, and the first results 6 months postoperatively are described...
September 12, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28900109/region-specific-differential-corneal-and-scleral-mrna-expressions-of-mmp2-timp2-and-tgfb2-in-highly-myopic-astigmatic-chicks
#17
Lisa Yan-Yan Xi, Shea Ping Yip, Sze Wan Shan, Jody Summers-Rada, Chea-Su Kee
Myopia and astigmatism, two common refractive errors frequently co-exist, are affecting vision at all working distances in the affected populations worldwide. Eyeballs having these refractive errors are known to exhibit abnormal eye shape at the anterior and posterior eye segments, but whether the outer coats of these abnormal eyeballs, cornea anteriorly and sclera posteriorly, are regulated by region-specific molecular mechanism remains unclear. Here we presented the changes in mRNA expression levels of three genes (MMP2, TIMP2, and TGFB2), all known to participate in extracellular matrix organization, at five regions of the cornea and sclera in chickens developing high myopia and astigmatism induced by form deprivation...
September 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28887859/association-between-mode-of-delivery-and-astigmatism-in-preschool-children
#18
Fengyang Liu, Xubo Yang, Angcang Tang, Longqian Liu
PURPOSE: To determine whether mode of delivery has any impact on astigmatism. METHODS: This case-control study was performed in the Department of Ophthalmology in 2015. Exposure was mode of delivery [vaginal delivery (VD) or caesarean section (CS), which here included both elective and emergency CS]. Outcome was astigmatism (≥2.5 D), which was determined by cycloplegic refraction. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were computed to assess the associations between mode of delivery and astigmatism from logistic regression models...
September 9, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28885667/variations-in-retinal-nerve-fiber-layer-measurements-on-optical-coherence-tomography-after-implantation-of-trifocal-intraocular-lens
#19
Javier García-Bella, José M Martínez de la Casa, Paula Talavero González, José I Fernández-Vigo Escribano, Laura Valcarce Rial, Julián García-Feijóo
PURPOSE: To establish the changes produced after implantation of a trifocal intraocular lens (IOL) on retinal nerve fiber layer measurements performed with Fourier-domain optical coherence tomography (OCT). METHODS: This prospective study included 100 eyes of 50 patients with bilateral cataract in surgical range, no other associated ocular involvement, refractive errors between +5 and -5 spherical diopters, and less than 1.5 D of corneal astigmatism. The eyes were operated by phacoemulsification with implantation of 2 different trifocal IOLs (FineVision and AT LISA tri 839MP) in randomized equal groups...
September 5, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28880340/topography-guided-photorefractive-keratectomy-in-the-treatment-of-corneal-scarring
#20
Nir Sorkin, Adi Einan-Lifshitz, Tanguy Boutin, Mahmood Showail, Armand Borovik, Clara C Chan, David S Rootman
PURPOSE: To report the outcome of topography-guided photorefractive keratectomy (TG-PRK) in the treatment of patients with corneal scarring. METHODS: A retrospective, interventional case series including 6 eyes of 6 patients with corneal scarring and irregular astigmatism who underwent TG-PRK. The etiologies for scarring were: infectious corneal ulcers, foreign body trauma, LASIK flap buttonhole, and lamellar keratoplasties performed to correct corneal perforation secondary to corneal melting...
September 1, 2017: Journal of Refractive Surgery
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