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Phacoemulsification diabetic retinopathy

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https://www.readbyqxmd.com/read/28219426/pseudophakic-cystoid-macular-edema-prevention-and-risk-factors-prospective-study-with-adjunctive-once-daily-topical-nepafenac-0-3-versus-placebo
#1
Sean McCafferty, April Harris, Corin Kew, Tala Kassm, Lisa Lane, Jason Levine, Meisha Raven
BACKGROUND: Define the effectiveness of a topical non-steroidal anti-inflammatory drug (NSAID) added to topical steroid use after uncomplicated phacoemulsification for the prevention of pseudophakic cystoid macular edema (PCME) using a prospective, randomized, double-masked, placebo-controlled clinical study. METHODS: Eyes (1000) were randomized to placebo (497) or nepafenac 0.3% (503) used once daily, post-operatively for 5 weeks at two ophthalmology clinics. Diagnosis of PCME was made by clinical, ocular coherence tomography (OCT), and with fluorescein angiography confirmation...
February 20, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28196056/effect-of-an-intravitreal-dexamethasone-implant-on-diabetic-macular-edema-after-cataract-surgery
#2
Pilar Calvo, Antonio Ferreras, Fadwa Al Adel, Wantanee Dangboon, Michael H Brent
PURPOSE: To analyze the effects of a dexamethasone intravitreal implant (DEX; Ozurdex 700 μg; Allergan) administered immediately after cataract surgery in diabetic patients. METHODS: This prospective, single-arm, open label study (NCT01748487 at ClinicalTrials.gov) involved Type 2 diabetic patients with at least mild diabetic retinopathy (DR) who underwent cataract surgery and DEX insertion after phacoemulsification, and intraocular lens implantation were enrolled...
February 10, 2017: Retina
https://www.readbyqxmd.com/read/28168827/auckland-cataract-study-2-clinical-outcomes-of-phacoemulsification-cataract-surgery-in-a-public-teaching-hospital
#3
Bia Z Kim, Dipika V Patel, Charles Nj McGhee
IMPORTANCE: A contemporary benchmark for the most common ophthalmic surgery. BACKGROUND: To assess patient characteristics and outcomes of contemporary phacoemulsification cataract surgery in a New Zealand public teaching hospital setting. DESIGN: Prospective observational study. PARTICIPANTS: Consecutive cases (N = 500) of phacoemulsification surgery between April and June 2015. METHODS: An independent observer assessed all clinical and surgical data pre-operatively and 4-6 weeks post-operatively...
February 7, 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28091428/refractive-aim-and-visual-outcome-after-phacoemulsification-a-2-year-review-from-a-tertiary-private-eye-hospital-in-sub-saharan-africa
#4
O Oderinlo, A O Hassan, F O Oluyadi, A O Ogunro, O N Okonkwo, M O Ulaikere, O Ashano
AIM: To review the short-term visual outcome of phacoemulsification in adults with uncomplicated cataracts in Eye Foundation Hospital, Lagos, Nigeria. MATERIALS AND METHODS: A retrospective review of records of patients that had phacoemulsification between January 2012 and December 2013 in Eye Foundation Hospital, Lagos, Nigeria, was done. Preoperative visual acuity, refractive aim, intraoperative complications, postoperative unaided, and best-corrected visual acuity at 1 and 3 months were analyzed...
February 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28009415/dexamethasone-intravitreal-implant-at-the-time-of-cataract-surgery-in-eyes-with-diabetic-macular-edema
#5
Giacomo A Panozzo, Elena Gusson, Giorgio Panozzo, Giulia Dalla Mura
PURPOSE: To determine the potential role of intraoperative dexamethasone intravitreal implant (DEX-I) in reducing diabetic macular edema (DME) worsening after phacoemulsification. METHODS: This was a prospective study on 19 eyes of 19 patients with type 2 diabetes mellitus with DME and cataract. Mean preoperative Early Treatment Diabetic Retinopathy Study visual acuity (VA) was 16.7 letters. Mean foveal thickness (FT) was 451 μm. The DME was naive in 11 eyes and refractory in 8 eyes...
December 16, 2016: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/27853014/phaco-emulsification-in-completely-vitrectomized-eyes-intraoperative-analysis-of-modified-phaco-sleeve
#6
Rajesh S Joshi
PURPOSE: The purpose was to evaluate the results of modified sleeve in phacoemulsification of cataract in completely vitrectomised eyes, Materials and Methods: Twenty-five previously completely vitrectomized eyes of 23 patients having visually significant cataract were included. After through evaluation they underwent phaco-emulsification by phaco chop with a modified sleeve via temporal clear corneal incision. The modified sleeve was made by creating a small round port of approximate 1 × 1 mm size at the proximate end of the sleeve in line with the already existing ports...
September 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27791246/corneal-higher-order-aberrations-after-phacoemulsification-a-comparison-of-3-different-incision-sizes
#7
Christoph von Sonnleithner, Daniel Pilger, David Homburg, Tobias Brockmann, Necip Torun, Eckart Bertelmann
PURPOSE: To analyze the impact of different incision sizes for phacoemulsification on corneal higher-order aberrations (HOA). METHODS: Patients seeking cataract surgery were randomly assigned to one of the following groups: 1.4 mm with biaxial microincision phacoemulsification (25 eyes), 1.8 mm with coaxial phacoemulsification (27 eyes), and 2.2 mm with coaxial phacoemulsification (62 eyes). Inclusion criteria were a minimum age of 18 years and uncomplicated cataract...
October 27, 2016: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/27686470/risk-factors-for-return-to-the-operating-room-after-resident-performed-cataract-surgery
#8
Shivali A Menda, Todd H Driver, Alexandra E Neiman, Seth Blumberg, Ayman Naseri, Jay M Stewart
OBJECTIVE: Investigate risk factors for unplanned return to the operating room after resident-performed cataract surgery. DESIGN: Retrospective case-control study. SETTING: Institutional. METHODS: Study population: All patients with reoperation within 90 days of resident-performed phacoemulsification were matched to four control eyes which had surgery within 30 days of the reoperation at the same institution. OBSERVATION PROCEDURE: Billing codes were used to identify all patients who underwent resident-performed intended phacoemulsification with intraocular lens placement from January 2005 to December 2010...
September 29, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27277708/akreos-adapt-ao-intraocular-lens-opacification-after-vitrectomy-in-a-diabetic-patient-a-case-report-and-review-of-the-literature
#9
REVIEW
Dan Cao, Hongyang Zhang, Cheng Yang, Liang Zhang
BACKGROUND: Postoperative optic opacification of hydrophilic acrylic intraocular lenses (IOLs) is an uncommon complication leading to IOL explantation. In the past decade, several studies reported that the granular deposits responsible for the opacification were probably calcium and phosphate salts; however, the exact mechanism causing calcification of IOLs is unknown. The aim of this study is to describe clinical and laboratory findings of a case of late postoperative opacification of an aspheric hydrophilic acrylic IOL (Akreos Adapt AO) after vitrectomy...
June 8, 2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27274192/segmentation-and-removal-of-fibrovascular-membranes-with-high-speed-23-g-transconjunctival-sutureless-vitrectomy-in-severe-proliferative-diabetic-retinopathy
#10
Erkan Celik, Ozkan Sever, Fatih Horozoglu, Ates Yanyalı
AIM: To evaluate the effectiveness and safety of high-speed (5,000 cuts per minute) 23 G transconjunctival sutureless vitrectomy (TSV) in severe diabetic fibrovascular proliferation (DFVP). PATIENTS AND METHODS: In this retrospective consecutive case series, patients who underwent 23 G TSV for severe DFVP between October 2011 and March 2014 at our institution were evaluated. 23 G TSV was performed with a high-speed (5,000 cuts per minute) cutter without a chandelier light...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27130371/calcification-of-hydrophilic-acrylic-intraocular-lenses-with-a-hydrophobic-surface-laboratory-analysis-of-6-cases
#11
Sotirios P Gartaganis, Philipp Prahs, Eftichia D Lazari, Panos S Gartaganis, Horst Helbig, Petros G Koutsoukos
PURPOSE: To investigate the nature and characteristic features of deposits causing opacification of intraocular lenses (IOLs) based on the examination of clinical findings using scanning electron microscopy (SEM) and energy-dispersive x-ray spectroscopy (EDX) analysis. DESIGN: Retrospective, observational case series. METHODS: This is a multicenter study of 6 hydrophilic acrylic IOLs (Lentis LS-502-1; Oculentis GmbH, Berlin, Germany) with a hydrophobic surface that were explanted from 5 patients because of opacification...
August 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27105327/surgical-and-functional-results-of-27-gauge-vitrectomy-combined-with-coaxial-1-8-mm-microincision-cataract-surgery-a-consecutive-case-series
#12
Mitrofanis Pavlidis, Norbert Körber, Fabian Höhn
PURPOSE: To investigate outcomes after coaxial 1.8 mm microincision cataract surgery combined with 27-gauge vitrectomy (MICVIT) in eyes with vitreoretinal disease and age-related cataract. METHODS: A single-center, retrospective case series study of 62 subjects (62 eyes) with a mean age of 70 years who underwent combined microincision phacoemulsification, intraocular lens implantation, and 27-gauge vitrectomy during the 12-month period to January 2015. Intraoperative and postoperative complications, and visual results were the main outcome measures...
November 2016: Retina
https://www.readbyqxmd.com/read/27093390/vitrectomy-to-remove-posteriorly-retained-iris-expansion-ring
#13
Jeffrey L Olson, Anna G Mackin, Michael S Erlanger
PURPOSE: To describe management of posteriorly retained iris expansion ring-a newly reported complication of phacoemulsification surgery in a patient with intact posterior capsule. METHODS: Case report. PATIENTS: A 64-year-old monocular patient with history of regressed proliferative diabetic retinopathy after pars plana vitrectomy, long-standing glaucoma, and cataract, undergoing phacoemulsification for cataract removal, complicated by posterior migration of the Malyugin ring through area of zonular dehiscence despite intact posterior capsule, which resulted in significant visual disturbance...
2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27081892/phacoemulsification-and-intraoperative-complications-in-452-patients-with-diabetic-retinopathy
#14
B L Heesterman, B F Hogewind
No abstract text is available yet for this article.
April 15, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/26681390/risk-factors-and-incidence-of-macular-edema-after-cataract-surgery-a-database-study-of-81984-eyes
#15
MULTICENTER STUDY
Colin J Chu, Robert L Johnston, Charlotte Buscombe, Ahmed B Sallam, Queresh Mohamed, Yit C Yang
PURPOSE: To define the incidence of pseudophakic macular edema (PME) after cataract surgery and to identify contributory risk factors. DESIGN: Retrospective database study of electronic medical records (EMRs). PARTICIPANTS: A total of 81984 eyes undergoing cataract surgery between December 2010 and December 2014 from 8 independent United Kingdom clinical sites. METHODS: Structured clinical data mandated by the EMR were anonymized and extracted for each eye undergoing cataract surgery including: perioperative visual acuity, copathologic features, simultaneous surgical procedures, and the presence or absence of a specified list of intraoperative complications...
February 2016: Ophthalmology
https://www.readbyqxmd.com/read/26632917/ocular-dominance-coexistent-retinal-disease-and-refractive-errors-in-patients-with-cataract-surgery
#16
REVIEW
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
https://www.readbyqxmd.com/read/26587281/clear-corneal-phacovitrectomy-with-posterior-capsulorhexis-and-iol-implantation-in-management-of-selective-vitreoretinal-cases
#17
Ernest V Boiko, Sergey V Churashov, Alexei N Kulikov, Dmitrii S Maltsev
Purpose. To describe our technique, clear corneal phacovitrectomy with posterior capsulorhexis (CCPV), for the management of selected posterior segment intraocular foreign body (IOFB), posteriorly dislocated lens fragments (PDLF), and proliferative diabetic retinopathy (PDR) cases. Methods. This was a single-center retrospective interventional case series. In 21 patients (21 eyes) we performed phacovitrectomy through three clear corneal tunnel incisions (CCTI) and posterior capsulorhexis to remove IOFB (n = 8), PDLF from the vitreous cavity after complicated phacoemulsification (n = 6), and vitreous hemorrhage and epiretinal membranes in PDR (n = 7)...
2015: Journal of Ophthalmology
https://www.readbyqxmd.com/read/26509151/twelve-month-results-of-a-single-or-multiple-dexamethasone-intravitreal-implant-for-macular-edema-following-uncomplicated-phacoemulsification
#18
Solmaz Abdolrahimzadeh, Vito Fenicia, Maurizio Maurizi Enrici, Pasquale Plateroti, Dora Cianfrone, Santi Maria Recupero
The clinical efficacy of one or two intravitreal injections of a continued deliverance dexamethasone 700 μg implant in ten patients with persistent macular edema following uncomplicated phacoemulsification was evaluated. Complete ophthalmological examination and spectral domain optical coherence tomography were carried out. Follow-up was at day 7 and months 1, 2, 4, 6, 8, and 12. At baseline mean best corrected visual acuity was 62 Early Treatment Diabetic Retinopathy Study Chart letters, which showed statistically significant improvement at each follow-up, except at month 6, to reach 79 letters at month 12 (P = 0...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26464020/effect-of-diabetic-retinopathy-and-diabetes-on-the-intraocular-straylight-in-pseudophakic-eyes
#19
COMPARATIVE STUDY
Hyung Bin Hwang, Hye Bin Yim, Sung Kun Chung
BACKGROUND: The aim of this study was to prove the relationship between the intraocular straylight level and diabetic retinopathy (DR) according to disease severity. Also, we aimed to evaluate whether diabetes mellitus (DM) per se could be a risk factor of increased intraocular straylight although we did not rely on a definite sign of DR in this study. METHODS: In this prospective comparative study, ninety three eyes were enrolled and divided into four groups as follows: Group 1 (26 eyes), without DR or DM; Group 2 (25 eyes), with DM but without DR; Group 3 (21 eyes), mild to moderate non-proliferative DR; and Group 4 (21 eyes), severe non-proliferative DR...
2015: BMC Ophthalmology
https://www.readbyqxmd.com/read/26409728/comparative-effectiveness-of-three-prophylactic-strategies-to-prevent-clinical-macular-edema-after-phacoemulsification-surgery
#20
COMPARATIVE STUDY
Neal H Shorstein, Liyan Liu, Michael D Waxman, Lisa J Herrinton
PURPOSE: To study the relationship of chemoprophylaxis and other factors with the occurrence of acute, clinical, postoperative macular edema. DESIGN: Retrospective cohort study. The drug regimens consisted of postoperative topical prednisolone acetate (PA) alone or with a nonsteroidal anti-inflammatory drug (NSAID) or intraoperative subconjunctival injection of 2 mg triamcinolone acetonide (TA) alone. PARTICIPANTS: Patients undergoing phacoemulsification at Kaiser Permanente, Diablo Service Area, Northern California, from 2007 through 2013...
December 2015: Ophthalmology
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