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Majid Moshirfar

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
Majid Moshirfar, Carlton R Fenzl
No abstract text is available yet for this article.
December 2014: Journal of Cataract and Refractive Surgery
Majid Moshirfar
No abstract text is available yet for this article.
October 2014: Middle East African Journal of Ophthalmology
Majid Moshirfar
No abstract text is available yet for this article.
October 2014: Journal of Cataract and Refractive Surgery
Amir Hossein Vejdani, Hamid Khakshoor, Michael V McCaughey, Majid Moshirfar
A 16-year-old female with juvenile idiopathic arthritis presented with a one-month history of decreasing vision and increasing corneal edema in her left eye. Slit-lamp examination, keratometric measurements, and OCT evaluation led to a diagnosis of Terrien's marginal degeneration in both eyes along with a complete detachment of Descemet's membrane in the left eye and partial detachment in the right eye. She was treated with an intracameral injection of air and then topical betamethasone and chloramphenicol which lead to the resolution of symptoms...
2014: Case Reports in Ophthalmological Medicine
Majid Moshirfar, Kasey Pierson, Kamalani Hanamaikai, Luis Santiago-Caban, Valliammai Muthappan, Samuel F Passi
Numerous brands and types of artificial tears are available on the market for the treatment of dysfunctional tear syndrome. Past literature has focused on comparing the components of these products on patient's clinical improvement. The wide array of products on the market presents challenges to both clinicians and patients when trying to choose between available tear replacement therapies. Different formulations affect patients based on etiology and severity of disease. In order to provide an unbiased comparison between available tear replacement therapies, we conducted a literature review of existing studies and National Institutes of Health clinical trials on commercially available, brand name artificial tears...
2014: Clinical Ophthalmology
Majid Moshirfar, Mark D Mifflin, Michael V McCaughey, Adam J Gess
BACKGROUND: Tetracaine and proparacaine are two of the most commonly used medications for providing topical anesthesia in laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). These agents have not been previously compared in a prospective manner to determine their efficacy in these settings. METHODS: This prospective, single-masked, randomized study comprised 256 eyes from 128 consecutive patients being treated with LASIK or PRK who were randomized to receive tetracaine in one eye and proparacaine in the other...
2014: Clinical Ophthalmology
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