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Majid Moshirfar

Majid Moshirfar, Naz Jehangir, Carlton R Fenzl, Michael McCaughey
PURPOSE: To review refractive regression and current therapeutic options for patients who have residual refractive error after LASIK. METHODS: An extensive literature search using PubMed was performed for terms such as "LASIK," "PRK," "enhancement," "overcorrection," "undercorrection," "re-lift," "mini-flap," and related terms. RESULTS: The presence of residual refractive error following LASIK is a challenging situation. After excluding anatomical causes (eg, ocular surface disease, cataract, and macular pathology) and intraoperative flap complications, evaluation of the residual stromal bed must be performed...
February 1, 2017: Journal of Refractive Surgery
Steven H Linn, David F Skanchy, Tyler S Quist, Jordan D Desautels, Majid Moshirfar
PURPOSE: The aim of this study was to compare stereoacuity before and after KAMRA corneal inlay implantation for the correction of presbyopia. PATIENTS AND METHODS: This is a prospective study of 60 patients who underwent KAMRA inlay implantation. Patients were examined before and 6 months after surgery for stereoacuity, uncorrected distance visual acuity (UDVA), and uncorrected near visual acuity (UNVA). RESULTS: The mean stereoacuity before surgery was 29...
2017: Clinical Ophthalmology
Majid Moshirfar, Tirth J Shah, David Franklin Skanchy, Steven H Linn, Paul Kang, Daniel S Durrie
PURPOSE: To compare and analyze the differences in visual outcomes between Visx iDesign Advanced WaveScan Studio™ System, Alcon Wavelight Allegro Topolyzer and Nidek EC-5000 using Final Fit™ Custom Ablation Treatment Software from the submitted summary of safety and effectiveness of the US Food and Drug Administration (FDA) data. METHODS: In this retrospective comparative study, 334 eyes from Visx iDesign, 212 eyes from Alcon Contour, and 135 eyes from Nidek CATz platforms were analyzed for primary and secondary visual outcomes...
2017: Clinical Ophthalmology
Majid Moshirfar, Ryan T Wallace, David F Skanchy, Jordan D Desautels, Steven H Linn, Phillip C Hoopes, Daniel S Durrie
PURPOSE: To report the short-term results of simultaneous photorefractive keratectomy (PRK) and small-aperture cornea inlay implantation (KAMRA) surgery in treating presbyopia. METHODS: Simultaneous PRK and KAMRA inlay surgery was performed on 21 patients from July 2015 to March 2016. Follow-up exams were conducted at 1, 3, and 6 months postoperatively. Our patients were also divided preoperatively into three categories: myopic, hyperopic, and emmetropic. Over the 6-month period, the main outcome measures were uncorrected near visual acuity (UNVA), changes in best-corrected distance visual acuity, and mean spherical equivalent refraction...
2016: Clinical Ophthalmology
Majid Moshirfar, Jordan D Desautels, Tyler S Quist, David F Skanchy, Mark T Williams, Ryan T Wallace
This article reviews the current literature pertaining to rainbow glare (RG), including incidence rate, clinical presentation, etiology, prognosis, and management. RG is a rare optical complication of femtosecond laser-assisted in situ keratomileusis that results in patients seeing an array of spectral bands surrounding point sources of light under mesopic and scotopic conditions. The mechanism is thought to be a consequence of the formation of a transmissive diffraction grating on the posterior surface of the corneal flap created by the FS laser...
2016: Clinical Ophthalmology
Majid Moshirfar, Tyler S Quist, David F Skanchy, Ryan T Wallace, Steven H Linn, Phillip C Hoopes
OBJECTIVE: The objective of this study was to describe 6-month postoperative efficacy and safety outcomes after monocular KAMRA corneal inlay implantation in emmetropic presbyopic patients. STUDY DESIGN: This study followed a retrospective chart analysis. SETTING: This study was performed at Hoopes Vision in Draper, UT, USA. SUBJECTS AND METHODS: Fifty-seven patients met the inclusion criteria of this study and underwent KAMRA corneal inlay implantation following the approval of the United States Food and Drug Association between May 2015 and April 2016 at a single site...
2016: Clinical Ophthalmology
Arun Kumar Jain, Chintan Malhotra, Anand Pasari, Pawan Kumar, Majid Moshirfar
PURPOSE: To compare the outcomes of topography-guided and wavefront-optimized treatment in patients having laser in situ keratomileusis (LASIK) for myopia. SETTING: Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. DESIGN: Prospective contralateral-eye case study. METHODS: Patients had topography-guided LASIK in 1 eye and wavefront-optimized LASIK in the contralateral eye using the Customized Refractive Surgery Master software and Mel 80 excimer laser...
September 2016: Journal of Cataract and Refractive Surgery
Majid Moshirfar
No abstract text is available yet for this article.
April 2016: Journal of Cataract and Refractive Surgery
Naz Jehangir, Greg Bever, S M Jafar Mahmood, Majid Moshirfar
Numerous designs of punctal and canalicular plugs are available on the market. This variety presents challenges to ophthalmologists when choosing punctal plugs for the management of various ocular conditions. The aim of this literature review is to provide a classification system for lacrimal occlusive devices based on their location and duration of action as well as to identify different characteristics of each one of them. We want to give a comprehensive overview on punctal and canalicular plugs including their manufacturing companies, indications, and complications that have been reported in various articles...
2016: Journal of Ophthalmology
Naz Jehangir, S M Jafar Mahmood, Tova Mannis, Majid Moshirfar
PURPOSE OF REVIEW: The purpose of this article is to highlight some common issues when planning cataract surgery in patients with preexisting ocular pathologies and to assess the role of ocular dominance in cataract surgery. RECENT FINDINGS: In addition to routine ocular examination, determination of ocular dominance and orthoptic evaluation for tropias, phorias, amblyopia, and diplopia can be helpful in planning for cataract surgery as these factors can affect postoperative outcomes...
January 2016: Current Opinion in Ophthalmology
Carlton R Fenzl, Kyla Teramoto, Majid Moshirfar
The mucopolysaccharidoses (MPS) are a group of lysosomal storage disorders caused by inborn errors of glycosaminoglycan (GAG) metabolism. These diseases are classified by enzyme deficiency into seven groups: type I, II, III, IV, VI, VII, and IX. GAG accumulation leads to characteristic clinical features. Some ophthalmic findings that are characteristic of MPS diseases include corneal clouding, retinal degeneration, decreased electroretinogram wave amplitude, optic atrophy, papilledema, and glaucoma. Current treatments such as hematopoietic stem cell transplantation and enzyme replacement therapy have increased the life span of many MPS patients and created the need to improve management of ocular symptoms...
2015: Clinical Ophthalmology
Majid Moshirfar
No abstract text is available yet for this article.
April 2015: Journal of Cataract and Refractive Surgery
Majid Moshirfar, Michael V McCaughey, Dan Z Reinstein, Rupal Shah, Luis Santiago-Caban, Carlton R Fenzl
UNLABELLED: This review looks at the benefits, limitations, complications, and future applications of the small-incision lenticule extraction procedure. Using the search terms small incision lenticule extraction and femtosecond lenticule extraction, we obtained data from 56 articles (omitting German and Chinese articles) from the PubMed database. Small-incision lenticule extraction has shown efficacy, predictability, and safety that are proportionate to those of laser in situ keratomileusis (LASIK), with the additional benefit that it eliminates flap creation and the attendant risks...
March 2015: Journal of Cataract and Refractive Surgery
Majid Moshirfar, Michael V McCaughey, Carlton R Fenzl, Luis Santiago-Caban, Gregory D Kramer, Nick Mamalis
PURPOSE: To report a case of delayed-onset bilateral scleral thinning and calcium deposition following a cosmetic ocular-whitening procedure (I-BRITE(®)). METHODS: A 33-year-old male patient with a history of right-sided ptosis repair and left-sided anterior uveitis had previously undergone bilateral I-BRITE treatment for chronic conjunctival hyperemia. Four years after the procedure, the patient was referred to our institution with bilateral scleral thinning and overlying calcific depositions...
2015: Clinical Ophthalmology
Hamid Khakshoor, Michael V McCaughey, Amir Hossein Vejdani, Ramin Daneshvar, Majid Moshirfar
PURPOSE: To explore utilization of the coaxially sighted corneal light reflex (CSCLR) for centration during myopic photorefractive keratectomy (PRK) for patients with relatively high angle kappa (κ) values. METHODS: Patients were stratified into two groups preoperatively, on the basis of angle κ values. Group A was composed of 166 eyes with an angle κ value <5°. Group B consisted of 182 eyes with an angle κ value >5°. Intraoperative centering of ablation was performed within group A by utilizing the pupillary center, and within group B by using the CSCLR...
2015: Clinical Ophthalmology
Majid Moshirfar, Michael V McCaughey, Luis Santiago-Caban
Postoperative residual refractive error following cataract surgery is not an uncommon occurrence for a large proportion of modern-day patients. Residual refractive errors can be broadly classified into 3 main categories: myopic, hyperopic, and astigmatic. The degree to which a residual refractive error adversely affects a patient is dependent on the magnitude of the error, as well as the specific type of intraocular lens the patient possesses. There are a variety of strategies for resolving residual refractive errors that must be individualized for each specific patient scenario...
December 2014: Expert Review of Ophthalmology
Majid Moshirfar, Yichieh Shiuey, Carlton Robert Fenzl
No abstract text is available yet for this article.
2015: Clinical Ophthalmology
Michael V McCaughey, Thomas Mifflin, Carlton R Fenzl, Jason Goldsmith, Majid Moshirfar
PURPOSE: To report a case of bilateral glaucoma related to pseudophacomorphic mechanism in one eye and pupillary block in the other eye after Visian Implantable Collamer Lens (ICL, STAAR Surgical) insertion. METHODS: A 44 year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus diameter measurements were performed by Pentacam. RESULTS: Pseudophacomorphic glaucoma-related angle closure occurred due to lens oversizing in the right eye...
November 2014: Open Journal of Ophthalmology
Carlton R Fenzl, Adam J Gess, Majid Moshirfar
BACKGROUND: The Moria single-use adjustable depth trephine is a device that allows a goal trephination depth to be set prior to the surgical procedure. METHODS: Eleven fresh human cadaveric eyes were trephined using 8.0 mm Moria single-use adjustable vacuum trephines. Prior to trephination, the average corneal pachymetry in the peripheral 7-10 mm range was obtained using anterior segment optical coherence tomography. The trephination depth was set to 80% of that value...
2014: Clinical Ophthalmology
Majid Moshirfar, Carlton R Fenzl, Zhan Li
Ebola hemorrhagic fever is a deadly disease caused by several species of ebolavirus. The current outbreak of 2014 is unique in that it has affected a greater number of people than ever before. It also has an unusual geographic distribution. Nonspecific findings such as fever and generalized weakness have traditionally been very common early in the acute phase. Ophthalmic manifestations have also been reported in significant numbers. Conjunctival injection has been identified in both the acute and late phases...
2014: Clinical Ophthalmology
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