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https://www.readbyqxmd.com/read/28614223/trabectome-success-factors
#1
Constance O Okeke, Eydie Miller-Ellis, Mario Rojas
Our objective is to investigate which factors and patient characteristics are associated with success in Trabectome surgery.A total of 658 phakic cases with at least of 12 months follow-up were included in the analysis. Baseline demographics and medical data were collected. The main outcome measure was intraocular pressure (IOP), glaucoma medication (Rx), and secondary glaucoma surgery if any. Success was defined as IOP reduction of 20% or more from preoperative IOP and IOP < 21 mm Hg with no secondary surgery throughout the follow-up period...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28599330/-improvement-of-phaco-tip-geometry-during-torsional-phacoemulsification
#2
Jan Markus Vetter, Christopher Wirbelauer
Background Advanced cataract with hard lens nuclei frequently challenge the ophthalmologic surgeon when doing phacoemulsification. In the present study, we examined the effect of a new phaco tip design during cataract surgery. Patients and Methods 100 patients were assigned to two groups. In group 1 (50 patients), the Kelman(®) tip design (Alcon) was used during phacoemulsification, while in group 2 (50 patients), the Intrepid(®) Balanced Tip was applied. Trypan blue was used in both groups, if necessary, to stain the anterior lens capsule prior to capsulorhexis...
June 9, 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28576455/efficacy-of-the-sensimed-triggerfish-%C3%A2-in-the-postoperative-follow-up-of-phaco-express-combined-surgery
#3
V Osorio-Alayo, V T Pérez-Torregrosa, R Clemente-Tomás, Á Olate-Pérez, M Cerdà-Ibáñez, A Gargallo-Benedicto, A Barreiro-Rego, A Duch-Samper
OBJECTIVE: To determine the usefulness of the SENSIMED Triggerfish(®) system in the postoperative control of combined phacoemulsification and ExPRESS implant (PHACO-ExPRESS) surgery in patients with cataract and chronic open angle glaucoma (COAG) during a 2 months follow-up. METHODS: A prospective study conducted on 15 eyes that were subjected to PHACO-ExPRESS combined surgery. Using the SENSIMED Triggerfish(®) system, two records of the circadian patterns of intraocular pressure (IOP) were performed, one before and one after surgery...
May 30, 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/28576403/-phacoemulsification-versus-manual-small-incision-cataract-surgery-anatomic-and-functional-results
#4
I Ammous, E Bouayed, S Mabrouk, M Boukari, K Erraies, R Zhioua
PURPOSE: Prospective randomised study to compare the impact of phacoemusification (PHACO) and small incision cataract surgery (SICS) on endothelial structure (cell density and morphology) and refractive results (visual acuity, induced astigmatism). METHODS: Prospective study of 57 patients (63 eyes) over 20 months (May 2012-January 2014) undergoing surgery by 2 experienced surgeons. We included patients with senile or presenile cataracts, LOCS III class 2, 3 and 4...
May 30, 2017: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/28563995/can-we-improve-the-efficacy-of-modern-cataract-surgery-by-using-different-tip-designs-a-comparison-of-balanced-and-tapered-tip-in-flacs-and-manual-phacoemulsification
#5
Milena Pahlitzsch, Marie-Luise Pahlitzsch, Uly Sumarni, Thomas Pahlitzsch
IMPORTANCE: Different tip designs in modern cataract surgery have not been studied between the reported systems. BACKGROUND: Aim of this study is to assess the efficacy of two tip designs, Intrepid® balanced tip (BT) and Kelman tapered tip (TT), in femtosecond laser assisted cataract surgery (FLACS) and the microcoaxial torsional phacoemulsification. DESIGN: Prospective randomized unmasked cohort outcome study (hospital setting). PARTICIPANTS: 343 eyes of 343 patients underwent cataract surgery...
May 31, 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28560848/advanced-silicon-chemistry-in-australia-forming-strong-links-with-asia
#6
Stephen Clarke, Kim-Anh Thi Nguyen, Elda Markovic, Neil Trout, Milena Ginic-Markovic, Janis Matisons, Michael Owen, Daniel Graiver, Agus Hadi Santosa Wargadipura, Sudirman Habibie, Dwi Gustiono, Bok Ryul Yoo, Joe Mifsud
This paper details Australian commercial and academic silicon research. Areas of interest include silicon metal, polysiloxane polymers, copolymers, cyclics, emulsions, microemulsions, silanes, silane coupling agents, sol-gel chemistry and water-treatments, porous silicon, polysiloxane degradation, silicon hydrogel contact lenses, silanolate synthesis, siloxane interfacial polymerisation, hydrosilylation, polysiloxane electrolytes for lithium ion batteries, silanes for PBX materials, octafunctionalized polyhedral oligomeric silsesquioxanes (POSS), POSS hybrids, sol-gel hydrogenation catalysts, silane modification of silica, sol-gel energy storage, silicate grout stabilisation, GeoPolymer concretes, aerogel insulating foams, "Phaco-Ersatz" Accommodating Gel-Intraocular Lens technologies...
June 1, 2017: Chemistry, An Asian Journal
https://www.readbyqxmd.com/read/28540021/minimally-invasive-surgery-for-the-removal-of-posterior-intraocular-foreign-bodies
#7
Jesus Hernan Gonzalez-Cortes, Yunuen Bages-Rousselon, Jesus Emiliano Gonzalez-Cantu, Jesus Mohamed-Hamsho
This is a prospective clinical assay that included six patients who were diagnosed with penetrating corneal injury, traumatic cataract, and posterior segment intraocular foreign body (IOFB). Following anterior segment repair and extraction of traumatic cataract by clear cornea phacoemulsification, a standard 25-gauge transconjunctival pars plana vitrectomy was performed to find and release the IOFB. With active suction using a 25-gauge silicone tipped cannula, the foreign body was retrieved and safely placed in the anterior chamber...
April 2017: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/28532942/robot-assisted-simulated-cataract-surgery
#8
Tristan Bourcier, Jimmy Chammas, Pierre-Henri Becmeur, Arnaud Sauer, David Gaucher, Philippe Liverneaux, Jacques Marescaux, Didier Mutter
PURPOSE: To evaluate the feasibility of robot-assisted simulated cataract surgery. SETTING: Institut de Recherche Contre les Cancers de l'Appareil Digestif, European Institute of Telesurgery, and Strasbourg University Hospital, Strasbourg, France. DESIGN: Experimental study. METHODS: Cataract surgeries were performed on a Kitaro cataract wet-lab training system simultaneously using the Da Vinci Xi robotic surgical system and the Whitestar Signature phacoemulsification system...
April 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28532933/clinical-outcomes-of-femtosecond-laser-assisted-cataract-surgery-versus-conventional-phacoemulsification-surgery-for-hard-nuclear-cataracts
#9
Xinyi Chen, Yinhui Yu, Xiaohui Song, Yanan Zhu, Wei Wang, Ke Yao
PURPOSE: To compare the outcomes between femtosecond laser-assisted cataract surgery (femtosecond group) and conventional phacoemulsification cataract surgery (conventional group) in patients with hard nuclear cataract. SETTING: Eye Center, Second Affiliated Hospital of School of Medicine, Zhejiang University, Hangzhou, China. DESIGN: Prospective consecutive nonrandomized comparative cohort study. METHODS: According to the Emery-Little classification, cataract patients with a grade 4 or 5 hard nuclei were assigned to 1 of the 2 groups...
April 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28454898/prospective-study-of-filtering-blebs-after-xen45-surgery
#10
Á Olate-Pérez, V T Pérez-Torregrosa, A Gargallo-Benedicto, P Neira-Ibáñez, M Cerdà-Ibáñez, V Osorio-Alayo, A Barreiro-Rego, A Duch-Samper
OBJECTIVE: To qualitatively analyse the evolution of filtering blebs after XEN surgery, by using anterior segment optical coherence tomography (AS-OCT). METHODS: A prospective study was performed on filtering blebs of 30 eyes with cataracts and glaucoma, surgically operated on using phacoemulsification and XEN45 implantation (PHACO-XEN). AS-OCT was used to analyse bleb morphology and reflectivity at 3, 6, and 12 months after surgery. Functionality was studied considering an intraocular pressure (IOP)≤18mmHg without antihypertensive medication...
April 25, 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/28430320/remnant-extraction-by-using-an-intraocular-lens-injector-with-essential-flow
#11
Momoko Yamakawa, Mami Kusaka, Shogo Yamada, Masayuki Akimoto
PURPOSE: To describe a new technique for remnant removal in cases of posterior capsular rupture during cataract surgery and Soemmering ring extraction during intraocular lens (IOL) removal. METHODS: An IOL injector, inserted into the anterior chamber, provides a new exit for residual lens fragments. Passive fluid flow, supplied by an anterior chamber maintainer or some ocular viscoelastic device (OVD) injection, delivers the residual fragments into a lumen of the injector in assistance with a second device such as a phaco-chopper and vitreous cutter...
April 5, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28416493/phacoemulsification-compared-with-phacotrabeculectomy-surgery-a-within-person-observational-cohort-study
#12
Kazim Dhalla, Simon Cousens, Ian E Murdoch
AIM: To compare reduction in intraocular pressure (IOP) and gain in visual acuity (VA) following phacotrabeculectomy (PT) and phacoemulsification(phaco) in Tanzanian patients with primary open angle glaucoma(POAG). SETTING: CCBRT Hospital, Dar es Salaam, Tanzania. DESIGN: Within-person observational cohort study. METHODS: Within each patient, one eye had PT and the other phaco. Patients were followed for up to 5-1/2 years, and IOP and VA in each eye were assessed...
April 17, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28400374/aqueous-outflow-facility-after-phacoemulsification-with-or-without-goniosynechialysis-in-primary-angle-closure-a-randomised-controlled-study
#13
Ian A Rodrigues, Pouya Alaghband, Laura Beltran Agullo, Elizabeth Galvis, Stephanie Jones, Rahat Husain, K Sheng Lim
BACKGROUND: Goniosynechialysis (GSL) to remove peripheral anterior synechiae (PAS) alongside standard cataract surgery has potential theoretical advantages, Published randomised trials, however, have not shown conclusive functional benefits and aqueous outflow changes following GSL are unknown. This study aimed to compare electronic Shiøtz tonographic aqueous outflow facility (TOF) following phacoemulsification with or without GSL in patients with primary angle closure (PAC) and PAC glaucoma...
October 17, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28357601/a-review-of-microinvasive-combined-phaco-vitrectomy-recent-technical-advances
#14
REVIEW
Andrea Mercanti, Antonio Renna
Combined cataract and vitreoretinal surgery results in better compliance in patients with posterior segment pathology and should be the preferred approach to reduce the high rate of cataract development after vitreoretinal surgery and to improve earlier visual acuity. Technological advances in both anterior and posterior segment surgery are leading to the development of instruments with a smaller diameter and more efficient tools, resulting in a minimizing of the tissue trauma related to the surgery, acceleration of functional recovery and increasing patient comfort...
June 2017: Ophthalmology and Therapy
https://www.readbyqxmd.com/read/28327135/stratification-of-phaco-trabectome-surgery-results-using-a-glaucoma-severity-index-in-a-retrospective-analysis
#15
Pritha Roy, Ralitsa T Loewen, Yalong Dang, Hardik A Parikh, Igor I Bussel, Nils A Loewen
BACKGROUND: To stratify the outcomes of phacoemulsification combined with trabectome surgery using a new glaucoma severity index. METHODS: This is a retrospective, observational cohort study that included open angle glaucoma patients with visually significant cataract that had phacoemulsification combined with trabectome surgery. Exclusion criteria were follow-up less than 12 months, any other surgeries or diagnosis of neovascular or active uveitic glaucoma. Patients were stratified into four groups according to the Glaucoma Index (GI) that incorporated preoperative intraocular pressure (IOP), number of medications and visual field status...
March 21, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28273987/visual-outcome-of-phacoemulsification-versus-small-incision-cataract-surgery-in-pseudoexfoliation-syndrome-a-pilot-study
#16
Anmol Ulhas Naik, Shveta Bhimashankar Gadewar
INTRODUCTION: Available data has highlighted the efficacy of both Phacoemulsification (PHACO) and Small Incision Cataract Surgery (SICS) in the presence of Pseudoexfoliation (PEX) syndrome. In developing countries, both are commonly performed procedures for cataract extraction. But, no direct comparison between these two procedures is available in the setting of PEX syndrome. With this lacuna in mind, this pilot study decided to compare the visual outcomes of both these techniques in the setting of PEX syndrome...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28264221/long-term-efficacy-of-combined-phacoemulsification-plus-trabeculectomy-versus-phacoemulsification-plus-excimer-laser-trabeculotomy
#17
M Töteberg-Harms, J Wachtl, C Schweier, J Funk, C Kniestedt
Background Combined cataract and glaucoma procedures, and minimally-invasive glaucoma surgery in particular, have gained increasing interest over the past few years. The aim of this study was to compare the long-term efficacy of combined phaco-trabeculectomy (Phaco-Trab) and combined phacoemulsification plus excimer laser trabeculotomy (Phaco-ELT). Patients and Methods Retrospective, non-randomised, comparative, interventional case series of consecutive patients after Phaco-Trab and Phaco-ELT at the University Hospital of Zurich and the Talacker Eye Center Zurich in Switzerland...
April 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28243054/irrigation-dynamic-pressure-assisted-hydrodissection-during-cataract-surgery
#18
Yoichiro Masuda, Hisaharu Iwaki, Noriko Kato, Genichiro Takahashi, Kotaro Oki, Hiroshi Tsuneoka
The irrigation dynamic pressure-assisted hydrodissection technique (irrigation-hydro [iH]) does not require performing manual hydrodissection using a syringe and cannula to achieve cortical-capsular cleavage during cataract surgery. Since the iH technique uses the phaco tip to intentionally vacuum the intraocular fluid in order to induce the irrigation dynamic pressure for cortical-capsular cleavage, there is a reduction in the intraocular pressure (IOP) from the bottle-height-dependent hydrostatic pressure...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28237158/phaco-trabectome-versus-phaco-istent-in-patients-with-open-angle-glaucoma
#19
Khaliq Kurji, Christopher J Rudnisky, Jaspreet S Rayat, Sourabh Arora, Simrenjeet Sandhu, Karim F Damji, Michael W Dorey
OBJECTIVE: To investigate efficacy and safety of phaco-trabectome (PT) versus phaco-iStent (Pi) for intraocular pressure (IOP) control in open-angle glaucoma (OAG). DESIGN: Retrospective comparative case series. PARTICIPANTS: A total of 70 eyes of 55 patients with OAG underwent either PT surgery by a single surgeon or Pi (insertion of 2 stents) by another surgeon in Canada between January 2010 and December 2012. METHODS: The medical records of consecutive adult patients who underwent either PT or Pi surgery were reviewed...
February 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28184151/wound-and-surface-temperatures-in-vivo-in-torsional-and-longitudinal-modalities-of-ultrasound-in-coaxial-microincisional-cataract-surgery
#20
Swapna Nair, Ramachandran Unnikrishnan Nair
BACKGROUND: To study phacoemulsification probe shaft/wound and corneal surface/tip temperatures in vivo during longitudinal, torsional and combined phacoemulsification modes and their relationship to machine parameters. DESIGN: This was a prospective study at Chaithanya Eye Hospital and Research Institute, Trivandrum, India (tertiary). PARTICIPANTS: Twenty-two eyes of 22 patients were randomized into six groups depending on the grade of nuclear sclerosis (NS) and the type of ultrasound used: Group 1, torsional in NS2; Group 2, torsional in NS3; Group 3, torsional with intermittent longitudinal in NS2; Group 4, torsional with intermittent longitudinal in NS3; Group 5, longitudinal in NS2; Group 6, longitudinal in NS3...
2017: Clinical Ophthalmology
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