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Surgical technique cataract

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https://www.readbyqxmd.com/read/28814824/cataract-surgery-in-patients-with-pseudoex-foliation-syndrome-current-updates
#1
REVIEW
Luigi Fontana, Marco Coassin, Alfonso Iovieno, Antonio Moramarco, Luca Cimino
Pseudoexfoliation is a ubiquitous syndrome of multifactorial origin affecting elderly people by increasing the risk of cataract and secondary glaucoma development. Despite modern techniques and technologies for cataract surgery, pseudoexfoliation syndrome represents a challenge for surgeons because of the increased weakness of the zonular apparatus and limited pupil dilation. Due to the inherent difficulties during surgery, the risk of vitreous loss in these patients is several times higher than in cataract patients without pseudoexfoliation...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28801700/evaluation-of-the-learning-curve-of-non-penetrating-glaucoma-surgery
#2
Fatih Aslan, Berna Yuce, Zafer Oztas, Halil Ates
PURPOSE: To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS). METHODS: The study included 32 eyes of 27 patients' (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between 2005 and 2007 at our tertiary referral hospital were evaluated. Residents were separated into two groups. Humanistic training model applied to the one in the first group, he studied with experimental models before performing NPGS...
August 11, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28780781/multifocal-intraocular-lenses-and-extended-depth-of-focus-intraocular-lenses
#3
Detlev R H Breyer, Hakan Kaymak, Timon Ax, Florian T A Kretz, Gerd U Auffarth, Philipp R Hagen
Presbyopia and cataract patients' desire for increased spectacle independence after surgery is one of the main drivers for the development of multifocal intraocular lenses (MIOLs) and extended depth of focus (EDOF) intraocular lenses (IOLs). As education, biometry, diagnostics, surgical techniques, and MIOL/EDOF IOL designs have improved over the past decade, an increasing number of cataract surgeons have become cataract-refractive surgeons to help address this need. There is not 1 single MIOL/EDOF IOL, however, that suits all patients' needs...
July 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28778114/comparison-of-hill-rbf-barrett-universal-and-current-third-generation-formulas-for-the-calculation-of-intraocular-lens-power-during-cataract-surgery
#4
Timothy V Roberts, Chris Hodge, Gerard Sutton, Michael Lawless
IMPORTANCE: This study represents a novel comparison of recently introduced intraocular lens (IOL) power calculation formulas. BACKGROUND: To compare current new generation formulas for calculating the IOL power for a standard cohort of patients undergoing cataract and lens replacement surgery in a private group practice in Australia. DESIGN: Retrospective case series comparison. PARTICIPANTS: Postoperative results from 400 consecutive patients undergoing implantation of an SN60WF IOL post cataract removal by 12 surgeons were used...
August 4, 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28743413/corneal-melting-after-cataract-surgery-in-a-patient-with-autoimmune-disease
#5
G García de Oteyza, A Gómez, M de la Paz
CASE REPORT: A 78-year-old woman with rheumatoid arthritis and secondary Sjögren's syndrome presented with corneal melting three days after cataract extraction that required penetrating keratoplasty. By the fourth month, a second corneal transplant was needed due to a new descemetocele associated with her systemic disease. DISCUSSION: The underlying disease, together with the surgical history, was responsible for the complication presented. The correct anamnesis prior to cataract surgery, a refined technique, and a close post-operative follow-up can avoid such a serious complication...
July 22, 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/28736341/tfos-dews-ii-iatrogenic-report
#6
REVIEW
José Alvaro P Gomes, Dimitri T Azar, Christophe Baudouin, Nathan Efron, Masatoshi Hirayama, Jutta Horwath-Winter, Terry Kim, Jodhbir S Mehta, Elisabeth M Messmer, Jay S Pepose, Virender S Sangwan, Alan L Weiner, Steven E Wilson, James S Wolffsohn
Dry eye can be caused by a variety of iatrogenic interventions. The increasing number of patients looking for eye care or cosmetic procedures involving the eyes, together with a better understanding of the pathophysiological mechanisms of dry eye disease (DED), have led to the need of a specific report about iatrogenic dry eye within the TFOS DEWS II. Topical medications can cause DED due to their allergic, toxic and immuno-inflammatory effects on the ocular surface. Preservatives, such as benzalkonium chloride, may further aggravate DED...
May 5, 2017: Ocular Surface
https://www.readbyqxmd.com/read/28726355/combined-cataract-dsek-dmek-changing-expectations
#7
Francis W Price, Marianne O Price
Endothelial keratoplasty (EK) has revolutionized corneal transplant surgery by providing rapid visual recovery and improved visual outcomes. In parts of the world with Fuchs endothelial dystrophy, many patients may present with both cataracts and corneal degeneration requiring surgery. Other forms of endothelial decompensation may also present with cataracts. The staging or combination of transplant surgery and cataract surgery depend on both the abilities of the surgeon and the surgical techniques being considered...
July 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28723783/novel-surgical-management-of-cyclodialysis-cleft-via-anterior-chamber-perfusion-case-report
#8
Jinfei Tang, Ergang Du, Jie Wang
RATIONALE: Cyclodialysis cleft is a relatively rare but severe condition with persistent ocular hypotony, which can cause morphologic changes and visual loss. Here we report a case of a traumatic cyclodialysis cleft that was successfully managed with direct cyclopexy via anterior chamber perfusion. During the operation, if there is aqueous humor flowing out of the deep scleral incision, the cleft is not closed, and surgery should continue until there is no aqueous outflow. PATIENT CONCERNS: A 66-year-old man was treated for severe blunt ocular trauma of the left eye and a resultant cyclodialysis cleft, lens subluxation, choroidal detachment and a cataract...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28681904/bean-shaped-ring-segments-as-a-capsule-enhancement-tool-in-complex-bag-in-the-lens-intraocular-lens-implantation
#9
Ate Altenburg, Sorcha S Ní Dhubhghaill, Marie-José Tassignon
PURPOSE: To describe the outcome of a novel capsular or sulcular device to support the bag-in-the-lens (BIL) implant in cases of capsular or zonular instability. Bean-shaped ring segments or 'beans' (Morcher GmbH, Stuttgart, Germany) are designed to fit the groove of the BIL and may be placed in either the capsule or the ciliary sulcus in cataract cases with loose zonules or unstable capsule. METHODS: This was a retrospective single center observational study of all consecutive cases of bean implantation between May 2011 and April 2015...
July 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28665780/viscoless-manual-small-incision-cataract-surgery-with-trabeculectomy
#10
Aparna Rao, Debananda Padhy, Gopinath Das, Sarada Sarangi
PURPOSE: To compare the efficacy of combined manual small incision cataract and glaucoma surgery with anterior chamber maintainer (ACM) alone versus that with intraoperative viscoelastics. METHODS: Hospital electronic medical records of patients who underwent small incision cataract and trabeculectomy and intraocular lens implantation without Mitomycin-C from 2014 to 2016 were identified from the hospital operation theater database for this retrospective, hospital-based comparative study...
June 30, 2017: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/28665478/phacoemulsification-outcomes-with-different-illumination-techniques
#11
Juan B Yepez, Felipe A Murati, Félix García, Vivian Calderon, Jazmin Cedeño de Yepez, J Fernando Arévalo
PURPOSE: To compare surgeon experience and the outcomes of phacoemulsification using 2 different illumination techniques for cataract extraction. METHODS: A prospective interventional case series was performed on 20 consecutive patients (20 eyes) with senile cataract who underwent phacoemulsification enhanced with a 23-G endoillumination probe. The main outcome measures were the surgeon's perception of depth of field and quality of visibility of intraocular structures, ease of performance of the surgical procedure, effectiveness, and complications related to the procedure...
June 26, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28662635/an-alternative-technique-for-descemet-s-membrane-detachment-following-phacoemulsification-case-report-and-review-of-literature
#12
Yan Weng, Yu-Ping Ren, Li Zhang, Xiao-Dan Huang, Xing-Chao Shen-Tu
BACKGROUND: Descemet's membrane detachment (DMD) is one of the most serious complications of modern cataract surgery. We present an alternative technique for management of DMD with a review of the literature on current strategies for the treatment of DMD. CASE PRESENTATION: A 74-year-old woman developed DMD after phacoemulsification and failed the first descemetopexy with air tamponade. An alternative method was used to drain the pre-descematic fluid and reposition the detached Descemet's membrane in this rare case...
June 29, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28631430/internal-cyclopexy-for-complicated-traumatic-cyclodialysis-cleft
#13
Cong Wang, Xiao-Yan Peng, Qi-Sheng You, Yi Liu, Xiu-Qin Pang, Peng-Fei Zheng, Jost B Jonas
PURPOSE: To assess the surgical and functional outcome of internal direct cyclopexy as therapy of complicated traumatic cyclodialysis. METHODS: The single-centre interventional case-series study included eyes with traumatic cyclodialysis who had consecutively been treated. Internal cyclopexy was performed using double-armed sutures introduced into the eye through the pars plana opposite to the cyclodialysis cleft and which were laid parallel to limbus. Additional procedures included cataract surgery, and pars plana vitrectomy...
June 20, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28604979/femtosecond-laser-assisted-cataract-in-vitreoretinal-surgery
#14
Stanislao Rizzo, Daniela Bacherini, Francesco Faraldi, Marco Pellegrini, Cesare Mariotti
PURPOSE: To assess the safety and surgical results of femtosecond laser-assisted phacovitrectomy. METHODS: Fifteen patients over 50 years of age with coexisting vitreoretinal pathologies and cataract underwent combined femtosecond laser-assisted cataract extraction and sutureless 25-G and 27-G vitreoretinal surgery. RESULTS: The indication for surgery was macular hole in 6 patients, epiretinal membrane in 6, vitreous hemorrhage in 2, and retinal detachment in 1...
June 2, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28602317/new-capsular-tension-segment-with-2-point-fixation-for-zonular-weakness
#15
Malkit K Singh, Balamurali K Ambati, Alan S Crandall
We describe clinical applications and surgical techniques for a new type of capsular tension segment (CTS) for use during cataract surgery. The Ambati CTS is distinguished from other CTS devices by having 2 eyelets close to each other, which allows it to distribute tension to 2 points, avoiding too much stress at a single point on the anterior capsulotomy, which prevents peaking of the capsulorhexis, and potentially reducing the risk for anterior capsule tear. Two of these CTS devices could possibly be used to provide 4-point fixation of a capsular bag in eyes with near-complete zonular instability...
May 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28598962/ab-interno-trabeculectomy-with-a-dual-blade-surgical-technique-for-childhood-glaucoma
#16
Albert S Khouri, Sze H Wong
PURPOSE: To introduce a technique using the Kahook Dual Blade for treatment of childhood glaucoma. PATIENT AND METHOD: An infant developed glaucoma after cataract extraction and anterior vitrectomy. Ab interno trabeculectomy was performed in both eyes using a dual-blade device. RESULTS: Description of technique to treat childhood glaucoma. Intraocular pressure reduced from 35 to 17 mm Hg in the right eye and from 52 to 18 mm Hg in the left eye after 7 to 10 weeks...
August 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28575917/-surgical-options-in-glaucoma-management
#17
Thomas S Dietlein, André Rosentreter
During the last few years, there has been a considerable capacity of innovations in glaucoma surgery owing to new micro-stents increasing the aqueous outflow via transscleral routes, via the trabecular meshwork or the suprachoroidal space. These interventions can be easily performed in combination with small-incision cataract surgery. Even the well-known filtering procedures, trabeculectomy and drainage device surgery, formerly perceived as being outdated, re-achieve better reputation owing to refinements in surgical technique and improved surgical experience...
June 2, 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28571835/-cataract-surgery-among-50-alzheimer-s-patient-55-eyes
#18
B Girard, B Chouard, F Hardy
OBJECTIVE: Cataract surgery for 50 Alzheimer patients (55 eyes). METHODS: Cinquante Alzheimer's patients with 0≤MMS≤25, with bilateral disabling cataracts were included for surgery. The surgical technique is analyzed. RESULTS AND CONCLUSION: The preoperative examination of Alzheimer's patients is time consuming and requires experience in this area, which is important to integrate into the practice of ophthalmology. The type of cataract is unusual, with a predilection for pseudoexfoliation syndrome and zonular fragility that has to be managed during surgery...
May 29, 2017: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/28546691/toxic-anterior-segment-syndrome-outbreak-after-cataract-surgery-triggered-by-viscoelastic-substance
#19
AyşeGül Koçak Altıntaş, Meryem Yaşar Ciritoğlu, Özlem BeyazyıldıZ, Çiğdem Ülkü Can, Sibel Polat
PURPOSE: The purpose of this study is to present toxic anterior segment syndrome (TASS) outbreak at our clinic and discuss possible causes of TASS. MATERIALS AND METHODS: Thirty-four eyes of 34 patients developed TASS in a consecutive 2 weeks period were included in this study. Both anterior segment and fundus examinations were performed before and after uncomplicated cataract surgery. During the follow-up period, clinical features and all possible causes were evaluated including perioperative products and processing such as sterilization technique of surgical instruments, irrigating solutions, drugs, viscoelastic substance (VES), and intraocular lens...
January 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/28540021/minimally-invasive-surgery-for-the-removal-of-posterior-intraocular-foreign-bodies
#20
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
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