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Soosan Jacob

Soosan Jacob, Smita Narasimhan, Amar Agarwal, Cosimo Mazzotta, Miguel Rechichi, Athiya Agarwal
We describe a technique to prevent late intraocular lens (IOL) subluxation and dislocation that can be associated with progressive zonulopathy. Supracapsular glued IOL fixation is done to retain an intact anterior hyaloid face and avoid vitreous disturbance while providing stable long-term IOL fixation. Phacoemulsification is followed by glued IOL implantation above intact anterior and posterior capsules. Sclerotomies are created ab interno in a supracapsular plane under diametrically opposite lamellar scleral flaps without entering the vitreous cavity...
March 2017: Journal of Cataract and Refractive Surgery
Soosan Jacob, Dhivya Ashok Kumar, Amar Agarwal, Athiya Agarwal, Ramalingam Aravind, A I Saijimol
PURPOSE: To describe a new technique (PrEsbyopic Allogenic Refractive Lenticule [PEARL] inlay) using an allogenic corneal inlay prepared from a small incision lenticule extraction (SMILE) lenticule. METHODS: A SMILE lenticule of specified thickness (mean: 61.5 ± 3.32 µm) was trephined at the center to 1-mm diameter and implanted in the cornea on the coaxially sighted light reflex under a femtosecond laser-created cap of 120 µm in the nondominant eye of presbyopic patients...
April 1, 2017: Journal of Refractive Surgery
Andrzej Grzybowski, Stephen G Schwartz, Kazuki Matsuura, Stephan O Tone, Steve Arshinoff, Jonathon Q Ng, Jay J Meyer, Wu Liu, Soosan Jacob, Mark Packer, Rifna Lutfiamida, Sjakon Tahija, Paul Roux, Boris Malyugin, Julio A Urrets-Zavalia, Nicolas Crim, Evangelina Esposito, Pablo Daponte, Fernando Pellegrino, Enrique O Graue-Hernandez, Aida Jimenez-Corona, Jorge E Valdez-Garcia, Julio C Hernandez-Camarena, Nidhi Relhan, Harry W Flynn, Ravilla D Ravindran, Anders Behnding
BACKGROUND: Acute-onset postoperative endophthalmitis after cataract surgery remains a rare but important cause of visual loss. There is no global consensus regarding the optimal strategies for prophylaxis of endophthalmitis and practices vary substantially around the world, especially with respect to the use of intracameral antibiotics. The European Society of Cataract & Refractive Surgeons in a randomized clinical trial (2007) reported an approximately 5-fold reduction in endophthalmitis rates associated with the use of intracameral cefuroxime...
2017: Current Pharmaceutical Design
Ashvin Agarwal, Soosan Jacob
PURPOSE OF REVIEW: The purpose is to review the current and effective advantages of femtosecond laser-assisted cataract surgery (FLACS). RECENT FINDINGS: FLACS has advantages over manual phacoemulsification in its precision, and predictability and may be especially advantageous in difficult situations such as shallow anterior chamber, subluxated cataracts, white cataracts, and so on. However, the femtosecond capsulorhexis may not be as strong as a manual rhexis...
January 2017: Current Opinion in Ophthalmology
Soosan Jacob, Ashiyana Nariani, Michele Figus, Amar Agarwal, Athiya Agarwal
We describe the white ring sign, which differentiates the posterior and anterior lenticular planes in small-incision lenticule extraction. The sign identifies the plane of dissection by the anteroposterior relationship between the dissecting instrument and the circular white light reflected from the lenticular side cut. Differentiating the planes enables the surgeon to dissect the anterior plane before the posterior plane, which facilitates smooth lenticule extraction and prevents complications such as cap tears, partial lenticule dissection, and a torn lenticule...
September 2016: Journal of Cataract and Refractive Surgery
Cosimo Mazzotta, Soosan Jacob, Amar Agarwal, Dhivya Ashok Kumar
PURPOSE: To study in vivo confocal microscopy (IVCM) after contact lens-assisted corneal collagen cross-linking (CACXL) in keratoconic eyes with thin corneas. METHODS: This prospective interventional case series included patients with progressive keratoconus with minimum corneal thickness less than 400 µm after removing epithelium. CACXL was done once functional corneal thickness was confirmed to be 400 µm or greater after applying a riboflavin-soaked, ultraviolet barrier-free contact lens...
May 1, 2016: Journal of Refractive Surgery
Soosan Jacob, Michele Figus, Dhivya Ashok Kumar, Ashvin Agarwal, Amar Agarwal, Saijimol Areeckal Incy
Purpose. To describe a modified guarded filtration surgery, stab incision glaucoma surgery (SIGS), for primary open angle glaucoma (POAG). Methods. This prospective, interventional case series included patients with POAG (IOP ≥21 mmHg with glaucomatous visual field defects). After sliding superior conjunctiva down over limbus, 2.8 mm bevel-up keratome was used to create conjunctival entry and superficial corneoscleral tunnel in a single step starting 1.5 mm behind limbus. Lamellar corneoscleral tunnel was carefully dissected 0...
2016: Journal of Ophthalmology
Soosan Jacob, Amar Agarwal
No abstract text is available yet for this article.
December 2015: Journal of Cataract and Refractive Surgery
Sabine Kling, Olivier Richoz, Arthur Hammer, David Tabibian, Soosan Jacob, Amar Agarwal, Farhad Hafezi
PURPOSE: To compare the currently available ultraviolet-A (UV-A) corneal cross-linking (CXL) treatment protocols for thin corneas with respect to oxygen, UV fluence, and osmotic pressure. METHODS: Freshly enucleated murine (n = 16) and porcine (n = 16) eyes were used. The dependency on oxygen and the amount of UV absorption were evaluated using different CXL protocols, including standard CXL, contact lens-assisted CXL (caCXL), and CXL after corneal swelling. The CXL protocol was adapted from the treatment parameters of the human cornea to fit the thickness of murine and porcine corneas...
December 2015: Journal of Refractive Surgery
Soosan Jacob, Amar Agarwal, Dhivya Ashok Kumar
No abstract text is available yet for this article.
2015: Clinical Ophthalmology
Priya Narang, Amar Agarwal, Harminder S Dua, Dhivya A Kumar, Soosan Jacob, Ashvin Agarwal
PURPOSE: To describe a surgical approach of glue-assisted intrascleral fixation of an intraocular lens (IOL) with pupilloplasty and pre-Descemet endothelial keratoplasty as a single-stage procedure. METHODS: Glue-assisted intrascleral fixation of an IOL is performed initially because it helps to secure the IOL fixation, followed by pupilloplasty that imparts stability to the anterior chamber and prevents air diversion into the vitreous cavity, thereby facilitating the pre-Descemet endothelial keratoplasty procedure that is performed to complete the surgical repair...
December 2015: Cornea
Cosimo Mazzotta, Farhad Hafezi, George Kymionis, Stefano Caragiuli, Soosan Jacob, Claudio Traversi, Stefano Barabino, J Bradley Randleman
In vivo confocal microscopy (IVCM) findings of 84 patients who had undergone conventional epithelium-off corneal collagen crosslinking (CXL) and accelerated CXL (ACXL) were retrospectively reviewed. Analysis confirmed that despite a significant decrease in the mean density of anterior keratocytes in the first 6 postoperative months, cell density after CXL and ACXL returned to baseline values at 12 months. The demarcation lines observed after treatments represent an expression of light-scattering (reflectivity changes) through different tissue densities...
October 2015: Ocular Surface
Soosan Jacob, Amar Agarwal, Vidya Nair, Dhivya Ashok Kumar, Saraswati Karnati, Gaurav Prakash
No abstract text is available yet for this article.
September 2012: Asia-Pacific Journal of Ophthalmology
Soosan Jacob, Amar Agarwal, Vidya Nair, Saraswathy Karnati, Dhivya Ashok Kumar, Gaurav Prakash
No abstract text is available yet for this article.
May 2012: Asia-Pacific Journal of Ophthalmology
Soosan Jacob, Amar Agarwal, Vidya Nair, Saraswathy Karnati, Dhivya Ashok Kumar, Gaurav Prakash
PURPOSE: This study aimed to compare functional and cosmetic outcomes of suprabrow single-stab (SBSS) versus conventional 3-stab incision frontalis sling surgery. DESIGN: Comparative case series. METHODS: Twenty-one eyes of 17 patients for the study group and 21 eyes of 16 patients for the control group were included. All patients underwent thorough ptosis evaluation before surgery. Using Seiff silicone suspension set, the study group underwent SBSS, whereas the control group underwent suprabrow 3-stab surgery...
March 2012: Asia-Pacific Journal of Ophthalmology
Ashvin Agarwal, Amar Agarwal, Priya Narang, Dhivya A Kumar, Soosan Jacob
PURPOSE: To evaluate the outcomes and feasibility of the use of infant donor tissue (<1 year) in pre-Descemet endothelial keratoplasty (PDEK). METHODS: Three eyes of 3 patients with pseudophakic bullous keratopathy underwent the procedure in this single-center, prospective interventional series. Diseased Descemet membrane of the recipient cornea was replaced with the pre-Descemet layer-Descemet membrane-endothelium complex stripped from the infant donor cornea (9-12 months old) with the creation of a type 1 bubble...
August 2015: Cornea
Deborah Wittig-Wells, Ifeya Johnson, Jacqueline Samms-McPherson, Soosan Thankachan, Bobina Titus, Ani Jacob, Melinda Higgins
BACKGROUND: Prior studies have evaluated only the prolonged use of cryotherapy as a nonpharmacologic pain intervention. PURPOSE OF THE STUDY: The purpose of this study was to determine whether a 30-minute application of cryotherapy at the time pain medication was given after a total knee arthroplasty (TKA) provided better pain relief than analgesic drugs alone. METHODS: A pretest, posttest, randomized controlled trial study design with crossover was used to evaluate the effects of cryotherapy on postoperative pain and satisfaction with pain management...
May 2015: Orthopaedic Nursing
Soosan Jacob, Amar Agarwal, Prashaant Chaudhry, Smita Narasimhan, Vidya Nair Chaudhry
OBJECTIVE: To propose a new clinico-tomographic classification of Descemet's detachment (DD). METHODS: Interventional case series of 35 eyes with DD were clinico-tomographically classified as: (1)Rhegmatogenous DD (RDD)-lax, free floating DM secondary to DM tear/hole/dialysis; ASOCT showing undulating linear signal with total length equalling overlying stromal arc length. (2) Tractional DD (TDD)-foreshortened, taut DM with tractional/fibrotic component; ASOCT showing detached DM chord length less than overlying stromal arc length...
October 2015: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
Soosan Jacob, Amar Agarwal, Athiya Agarwal, Smita Narasimhan
UNLABELLED: The glued posterior chamber intraocular lens (PC IOL) requires externalization of a sufficient length of both haptics to obtain an adequate intrascleral tuck, which is vital for stable IOL fixation. One cause of a decreased length of externalized haptic may be a sclerotomy that is inadvertently placed posteriorly. We describe a technique to handle this situation by creating a fresh sclerotomy anterior to the first one, followed by internalizing the haptic and reexternalizing it through the new sclerotomy...
February 2015: Journal of Cataract and Refractive Surgery
Soosan Jacob, Amar Agarwal, Athiya Agarwal, Ashvin Agarwal, Smita Narasimhan, Dhivya Ashok Kumar
We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked into a scleral tunnel for postoperative fixation. The scleral flap is closed with fibrin glue. The glued capsular hook is used for subluxated cataracts and IOLs...
December 2014: Journal of Cataract and Refractive Surgery
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