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https://www.readbyqxmd.com/read/29219957/anterior-chamber-lens-implantation-in-vitrectomised-eyes
#1
G S Negretti, M Lai, P Petrou, R Walker, D Charteris
PurposeTo investigate long-term visual acuity (VA) outcomes and complication rates in vitrectomised eyes undergoing anterior chamber intraocular lens (ACIOL) insertion.Patients and methodsA single-centre, retrospective case series including all patients who had undergone ACIOL placement at the time of vitrectomy surgery or having had previous vitrectomy, between January 2007 and January 2013. Patients were identified using an electronic database and paper casefile notes were analysed for all patients. Patients were excluded if they had <3 months follow-up...
December 8, 2017: Eye
https://www.readbyqxmd.com/read/29218212/heads-up-descemet-membrane-endothelial-keratoplasty-performed-using-a-3d-visualization-system
#2
Virgilio Galvis, Ruben D Berrospi, Juan D Arias, Alejandro Tello, Julio C Bernal
A 68-year-old female underwent Descemet membrane endothelial keratoplasty (DMEK) in her right eye using a 3D visualization system with the surgeon looking directly to a digital screen instead of through the eyepieces of the surgical microscope. The procedure was uneventful. Five weeks after the surgery the DMEK graft was in good position and totally adhered, the cornea clear and uncorrected distance visual acuity 20/50. This is the first reported case of DMEK using 3D augmented reality visualization system...
November 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29217149/mucous-membrane-pemphigoid-with-ocular-involvement-the-clinical-phenotype-and-its-relationship-to-direct-immunofluorescence-findings
#3
Hon Shing Ong, Jane F Setterfield, Darwin C Minassian, John K Dart
PURPOSE: This study explored the validity of the First International Consensus on Mucous Membrane Pemphigoid (MMP) guidance, which recommends that clinically indistinguishable patients, who have direct immunofluorescence (DIF)-negative biopsies, be excluded from a diagnosis of MMP. Misdiagnosis, or delayed diagnosis, of MMP with ocular involvement leads to the inappropriate use of topical therapy, the standard of care for causes of cicatrising conjunctivitis other than MMP, rather than systemic immunomodulatory therapy, resulting in irreversible clinical deterioration in patients with MMP...
December 4, 2017: Ophthalmology
https://www.readbyqxmd.com/read/29215440/the-aesthetic-analyzing-of-midface-ratio-after-folding-aponeurosis-of-levator-palpebrae-superioris-muscle-in-the-ptosis-correction
#4
Chenyang Ji, Ruiting Li, Wei He, Jinming Zhang
BACKGROUND: Some fordless-eyelid patients with moderate upper lid ptosis characterize in a higher eyebrow position which leads to an increased midfacial ratio. Apart from performing blepharoplasty to create dynamic folds, additional procedures such as folding aponeurosis of levator palpebrae superioris muscle were effective to revise the enlarged ratio of midface through lowering eyebrow, which gains good aesthetic results. However, the specific changes in the proportion of facial aesthetics and the importance of these change were serious lack in the literature as far as the authors know...
December 6, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29215396/outcomes-of-corneal-cross-linking-correlate-with-cone-specific-lysyl-oxidase-expression-in-patients-with-keratoconus
#5
Rohit Shetty, Nimisha Rajiv Kumar, Natasha Pahuja, Rashmi Deshmukh, KrishnaPoojita Vunnava, Valsala Gopalakrishnan Abilash, Abhijit Sinha Roy, Arkasubhra Ghosh
PURPOSE: To evaluate the correlation of visual and keratometry outcomes after corneal cross-linking (CXL) in patients with keratoconus with cone epithelium-specific gene expression levels. METHODS: Corneal epithelium was obtained from 35 eyes that underwent accelerated CXL (KXLII, 9 mW/cm for 10 min). Using corneal topography, epithelium over the cone and periphery was obtained separately from each subject. The ratio of gene expression for lysyl oxidase (LOX), matrix metalloproteinase 9 (MMP9), bone morphogenic protein 7, tissue inhibitor of metalloproteinase 1, collagen, type I, alpha 1, and collagen, type IV, alpha 1 (COL IVA1) from the cone and peripheral cornea was correlated with the outcome of cross-linking surgery...
December 5, 2017: Cornea
https://www.readbyqxmd.com/read/29215393/therapeutic-effects-of-lamellar-keratoplasty-on-terrien-marginal-degeneration
#6
Lin Li, Hualei Zhai, Lixin Xie, Jun Cheng, Weiwei Liu
PURPOSE: To evaluate the therapeutic effects of lamellar keratoplasty (LK) on Terrien marginal degeneration (TMD). METHODS: Retrospective interventional case series. Medical records of 63 patients (71 eyes) who received LK for TMD at Qingdao Eye Hospital, Shandong Eye Institute from December 1995 to March 2014 were reviewed. A total of 56 eyes were treated with partial LK and 15 eyes with total LK. Complications, visual acuity recovery, and graft status were evaluated...
December 5, 2017: Cornea
https://www.readbyqxmd.com/read/29214740/a-prospective-multicentre-randomized-placebo-controlled-superiority-trial-in-patients-with-suspected-bacterial-endophthalmitis-after-cataract-surgery-on-the-adjuvant-use-of-intravitreal-dexamethasone-to-intravitreal-antibiotics
#7
Sonia Manning, Luana C Ugahary, Eric W Lindstedt, René J Wubbels, Jaap T van Dissel, Jan T G Jansen, Ivan Gan, Arnoud T van Goor, Carlien A Bennebroek, Dymph J van der Werf, Annette Ossewaarde-van Norel, Chris C Mayland Nielsen, Mauk Tilanus, Pieter R van den Biesen, Peter A Schellekens, Ellen La Heij, Koorosh Faridpooya, Koen van Overdam, Marc Veckeneer, Jan C van Meurs
PURPOSE: We aimed to determine whether intravitreal dexamethasone as an adjuvant to intravitreal antibiotics is beneficial in the treatment of suspected bacterial endophthalmitis after cataract surgery. METHODS: Randomized, placebo-controlled superiority trial in three tertiary referral centres in the Netherlands. Patients with suspected bacterial endophthalmitis within 6 weeks after cataract surgery were eligible. A diagnostic vitreous biopsy was taken for culture, and patients received intravitreal injections of 400 μg dexamethasone (without preservatives) or placebo, in addition to 0...
December 7, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29212821/trabeculectomy-bleb-needling-and-antimetabolite-administration-practices-in-the-uk-a-glaucoma-specialist-national-survey
#8
Karl Mercieca, Brett Drury, Archana Bhargava, Cecilia Fenerty
AIMS: To evaluate, describe and quantify the diversity in postoperative antimetabolite administration and bleb needling practices among glaucoma specialists performing trabeculectomy surgery within the UK and Ireland. METHODS: A cross-sectional online survey was distributed to all consultant glaucoma specialists who are on the United Kingdom and Eire Glaucoma Society (UKEGS) contact list. Participants were asked specific questions about their current practices for post-trabeculectomy antimetabolite administration followed by questions directly related to bleb needling procedures...
December 6, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29211701/new-grading-system-for-limbal-dermoid-a-retrospective-analysis-of-261-cases-over-a-10-year-period
#9
Jing Zhong, Yuqing Deng, Ping Zhang, Saiqun Li, Haixiang Huang, Bowen Wang, Henan Zhang, Lulu Peng, Ruhui Yang, Jiangang Xu, Jin Yuan
PURPOSE: To establish a new scoring system for limbal dermoid, in order to unify the diagnostic criteria and assess the prognosis. METHODS: A retrospective study was conducted on 261 patients with limbal dermoid. The basic information, clinical features, and pathology of dermoids were recorded, and the prognosis at 1 year after keratoplasty was assessed at follow-up. A new visual scoring system was created for the area of corneal involvement, the area of conjunctival involvement, and the surface shape...
January 2018: Cornea
https://www.readbyqxmd.com/read/29210839/cataract-surgery-in-ocular-surface-diseases-clinical-challenges-and-outcomes
#10
Virender S Sangwan, Swati Gupta, Shilpa Das
PURPOSE OF REVIEW: Cataracts are a significant cause of blindness and visual impairment worldwide. With the recent advances in cataract surgery techniques, outcomes have improved significantly in uncomplicated cases. This article discusses the challenges and outcomes of cataract surgery in complex cases targeting eyes with ocular surface diseases like Stevens-Johnson syndrome, ocular cicatricial pemphigoid, Mooren's ulcer, vernal keratoconjunctivitis and limbal stem cell deficiency. RECENT FINDINGS: Ocular surface diseases are commonly associated with corneal scarring and vascularization, conjunctival inflammation, symblepharon and forniceal shortening...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29210827/demarcation-line-in-the-human-cornea-after-surface-ablation-observed-by-optical-coherence-tomography-and-confocal-microscopy
#11
Meiyan Li, Yu Zhao, Qirui Xiao, Peijun Yao, Mingzi Piao, Ling Sun, Xingtao Zhou
PURPOSE: To investigate the long-term changes in anterior corneal structure after surface ablation. METHODS: In this retrospective study, patients who received surface ablation including laser-assisted subepithelial keratomileusis (LASEK) and epipolis laser in situ keratomileusis at the Department of Ophthalmology of Fudan University Eye and Ear, Nose and Throat (EENT) Hospital (Shanghai, People's Republic of China) were telephoned. Patients were asked to follow-up at the refractive center...
November 28, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/29208839/safety-efficacy-and-cost-effectiveness-of-consecutive-bilateral-cataract-surgery-on-two-successive-days-in-tribes-at-base-hospital-through-community-outreach-program-a-prospective-study-of-aravali-mountain-north-west-india
#12
Amit Mohan, Navjot Kaur, Vishal C Bhatanagar
PURPOSE: The aim of the study was to evaluate the safety and efficacy of consecutive bilateral cataract surgery (CBCS) on two successive days in a single hospital visit. METHODS: Prospective study was conducted on 565 patients of various tribes of hilly area of West Rajasthan who had come to our hospital through community outreach programmed (CORP) between January 2015 and March 2016. Patients with significant bilateral cataract without any other ocular morbidity were advised bilateral manual small incision cataract surgery on two consecutive days...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208834/sutureless-glueless-intrascleral-fixation-of-posterior-chamber-intraocular-lens-boon-for-aphakic
#13
Nagendra Shekhawat, Karishma Goyal
PURPOSE: To report results of intrascleral fixation of 3-piece IOL without the help of suture and glue. METHODS: Study included intrascleral fixation of haptic in 50 eyes by T-fixation technique. Preoperative and postoperative visual acuity, slit lamp and fundus examination, applanation tonometry, keratometry, biometry, optical coherence tomography, Scheimpflug imaging were done for extensive evaluation. Qualitative and quantitative data were summarized in the form of proportion and mean and standard deviation, respectively...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208833/sutureless-27-gauge-needle-assisted-transconjunctival-intrascleral-intraocular-lens-fixation-initial-experience
#14
Aditya Shrikant Kelkar, Rajesh Fogla, Jai Kelkar, Akshay Anil Kothari, Hetal Mehta, Winfried Amoaku
PURPOSE: The purpose of the study was to report our initial experience with the transconjunctival Intrascleral Intraocular Lens (SFIOL) fixation with modified Yamane's double-needle technique and flanged haptics. METHODS: This was a prospective interventional study that enrolled 31 consecutive patients undergoing SFIOL with the modified Yamane's technique. All patients underwent comprehensive evaluation including uncorrected and best-corrected vision, intraocular pressure, ultrasound biomicroscopy, endothelial cell density, and macular thickness using optical coherence tomography (OCT)...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208828/a-simple-technique-of-intraocular-lenses-explantation-for-single-piece-foldable-lenses
#15
Arup Bhaumik, Santanu Mitra
Foldable intraocular lenses (IOLs) are most commonly used in modern-day cataract surgery. Explantation of these IOLs is not frequently encountered, but sometimes extreme situations may demand the same. Commonly explantation is achieved by bisecting the IOL inside the anterior chamber with a cutter and delivering the pieces out one by one. This may require corneal wound extension with associated damage and endothelial loss leading to visual deterioration. We devised a simple, innovative IOL explantation technique utilizing a modified Alcon A cartridge and snare...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208820/prevention-and-management-of-postoperative-endophthalmitis-a-case-based-approach
#16
REVIEW
Lalit Verma, Arindam Chakravarti
Endophthalmitis following intraocular surgery is a disastrous complication and can lead to poor visual outcomes and loss of globe integrity. It should be differentiated from toxic anterior segment syndrome (TASS) where management differs drastically. This article presents basic knowledge about postoperative endophthalmitis and describes nine different real-world scenarios ranging from TASS to milder forms of endophthalmitis responding to intravitreal antibiotics alone and more complicated forms associated with corneal involvement, fungal endophthalmitis and cases requiring intraocular lens removal, radical vitrectomy with hyaloid peeling, base dissection, and silicone oil...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208818/corneal-edema-after-phacoemulsification
#17
REVIEW
Namrata Sharma, Deepali Singhal, Sreelakshmi P Nair, Pranita Sahay, S S Sreeshankar, Prafulla Kumar Maharana
Phacoemulsification is the most commonly performed cataract surgery in this era. With all the recent advances in investigations and management of cataract through phacoemulsification, most of the patients are able to achieve excellent visual outcome. Corneal edema after phacoemulsification in the immediate postoperative period often leads to patient dissatisfaction and worsening of outcome. Delayed onset corneal edema often warrants endothelial keratoplasty. This review highlights the etiopathogenesis, risk factors, and management of corneal edema in the acute phase including descemet's membrane detachment (DMD) and toxic anterior segment syndrome...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208810/optimizing-outcomes-with-toric-intraocular-lenses
#18
REVIEW
Manpreet Kaur, Farin Shaikh, Ruchita Falera, Jeewan S Titiyal
Toric intraocular lenses (IOLs) are the procedure of choice to correct corneal astigmatism of 1 D or more in cases undergoing cataract surgery. Comprehensive literature search was performed in MEDLINE using "toric intraocular lenses," "astigmatism," and "cataract surgery" as keywords. The outcomes after toric IOL implantation are influenced by numerous factors, right from the preoperative case selection and investigations to accurate intraoperative alignment and postoperative care. Enhanced accuracy of keratometry estimation may be achieved by taking multiple measurements and employing at least two separate devices based on different principles...
December 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29208347/usefulness-of-bandage-contact-lenses-in-the-immediate-postoperative-period-after-uneventful-myopic-lasik
#19
Mar Seguí-Crespo, Javier Parra Picó, Pedro Ruíz Fortes, Alberto Artola Reig, Francisco J Blanes-Mompó, Rafael J Pérez-Cambrodí
PURPOSE: To determine the usefulness of a silicone-hydrogel bandage contact lens (BCL) in the immediate postoperative period after uneventful myopic laser in-situ keratomileusis (LASIK). METHODS: The study design was randomized but not masked and data collection was prospective. This study comprised 51 consecutive myopic eyes intervened by means of the LASIK technique to compensate their refractive error. Patients were randomly assigned to two different groups. The experimental group included 24 eyes of 12 patients that were fitted with a BCL immediately after the flap replacement...
December 2, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/29206652/suprachoroidal-shunts
#20
Kateki Vinod
PURPOSE OF REVIEW: This article reviews recent studies evaluating the efficacy and safety of ab externo and ab interno suprachoroidal shunts designed to augment uveoscleral outflow in patients with open angle glaucoma. RECENT FINDINGS: The Gold Shunt and STARflo are placed into the suprachoroidal space via an ab externo approach, while the CyPass Micro-Stent and iStent Supra are inserted ab interno through a clear corneal incision. A small randomized clinical trial suggested similar efficacy among two different models of the Gold Shunt and the Ahmed glaucoma valve...
December 4, 2017: Current Opinion in Ophthalmology
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