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https://www.readbyqxmd.com/read/29681843/wheel-spokes-technique-for-endothelial-keratoplasty-for-extremely-mydriatic-bullous-keratopathy-eyes-without-capsular-support
#1
Hidenori Tanaka, Koji Hirano, Masayuki Horiguchi
We describe a new technique to prevent an endothelial donor graft from dropping into the vitreous cavity during non-Descemet stripping automated endothelial keratoplasty (nDSAEK) for extremely mydriatic bullous keratopathy (BK) eyes without capsular support. The patient was a 79-year-old woman who underwent nDSAEK for an extremely mydriatic BK eye with an incomplete barrier between the anterior and posterior chambers. She had undergone argon laser iridotomy for acute glaucoma at the age of 59 years and cataract surgery 3 years later...
January 2018: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29681841/triamcinolone-acetonide-assisted-descemetectomy-for-retained-descemet-membrane
#2
Ariel Tyring, Oliver Chang, Hoon Jung
We present a case of decreased vision due to the presence of retained Descemet membrane (DM) following Descemet stripping automated endothelial keratoplasty (DSAEK) and penetrating keratoplasty (PKP). A 78-year-old male presented postoperatively from PKP after previous failed DSAEK with retained DM. We present a unique technique for combined surgical resection using bimanual vitrectomy and forceps excision assisted by triamcinolone acetonide for membrane visualization. Histopathological evaluation confirmed incomplete DM removal during the PKP...
January 2018: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29678701/seeing-floaters-a-case-report-and-literature-review-of-intraventricular-migration-of-silicone-oil-tamponade-material-for-retinal-detachment
#3
Matthew B Potts, Alex C Wu, David J Rusinak, Kartik Kesavabhotla, Babak S Jahromi
BACKGROUND: Intraocular injection of silicone oil is commonly performed during vitrectomy to tamponade the retina in place for treatment of retinal detachment. Although rare, this intravitreal silicone can migrate through the optic nerve and chiasm and enter the cerebral ventricles. CASE DESCRIPTION: Here we present a case report of a patient presenting with headache and intraventricular hyperdensities on computed tomography imaging raising concern for intraventricular hemorrhage...
April 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29676326/macular-hole-associated-retinal-detachment-in-best-vitelliform-dystrophy-series-of-two-cases-and-literature-review
#4
Ruchir Tewari, Vinod Kumar, Raghav Ravani, Devashish Dubey, Parijat Chandra, Atul Kumar
Two eyes of 2 patients with macular hole-associated retinal detachment in clinically diagnosed vitelliruptive stage of Best vitelliform dystrophy were surgically managed by 25-gauge sutureless pars plana vitrectomy, internal limiting membrane (ILM) peeling with inverted ILM flap, and short-acting (SF6 ) gas tamponade. The patients were assessed with respect to best-corrected visual acuity, color fundus photographs, shortwave fundus autofluorescence, and swept source optical coherence tomography. Surgical intervention led to Type 1 closure of macular hole, resolution of retinal detachment, and improvement in vision in both patients...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29676323/extended-focal-length-intraocular-lens-implantation-in-posttraumatic-posterior-capsular-rupture
#5
Preethi Srinivasaraghavan, Dhivya Ashok Kumar, Amar Agarwal, Akshya Parthasarathy
We present a case of posterior capsular defect with traumatic cataract after blunt trauma in which an extended focal length intraocular lens (IOL) was implanted in the bag after conventional phacoemulsification and anterior vitrectomy. Anterior segment optical coherence tomography performed preoperatively aided in the confirmation and documentation of the capsular integrity. Intraoperative trocar anterior chamber (AC) maintainer allowed AC maintenance without further complications. IOL was well centered postoperatively at 6 months, and the unaided visual acuity was 20/20 for distance and N8 for near...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29676316/midline-sclerotomy-approach-for-intraocular-foreign-body-removal-in-phakic-eyes-using-endoilluminator-a-novel-technique
#6
Raghav Ravani, Rohan Chawla, Shorya Vardhan Azad, Yogita Gupta, Vinod Kumar, Atul Kumar
Purpose: The objective of this study is to describe the removal of retained intraocular foreign body (RIOFB) by bimanual pars plana vitrectomy through midline sclerotomy in phakic patients. Technique: Four eyes with RIOFB and clear lens underwent microincision vitrectomy surgery. A chandelier illumination was placed through one of the existing ports. The foreign body (FB) was localized by direct visualization (intravitreal) or indentation (pars plana), stabilized using an intraocular magnet/FB forceps introduced through a midline sclerotomy and freed of vitreous from all sides using a vitrectomy cutter through the other port bimanually, reoriented along their long axis and extracted through the midline sclerotomy...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29675378/complications-and-outcomes-of-descemet-stripping-automated-endothelial-keratoplasty-with-artisan-aphakia-intraocular-lens-implantation
#7
Rong-Mei Peng, Yu-Xin Guo, Yuan Qiu, Yan-Sheng Hao, Jing Hong
AIM: To evaluate the complications and outcomes of descemet stripping automated endothelial keratoplasty (DSAEK) combined with artisan aphakia intraocular lens (IOL) implantation in severely damaged eyes without capsular support. METHODS: DSAEK combined with artisan iris claw IOL implantation was performed on 29 eyes. All eyes were of abnormal structure due to complications from prior intraocular surgeries and ocular trauma. Ocular complications observed included graft dislocations, high intraocular pressure (IOP), IOL dislocations, macular edema and hyphema...
2018: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29675350/postoperative-intraocular-lens-opacification
#8
Shang-Te Ma, Chung-May Yang, Yu-Chih Hou
Intraocular lens (IOL) opacification is rare but may occur after non-Descemet stripping automated endothelial keratoplasty (n-DSAEK) or intravitreal air injection after pars plana vitrectomy (PPV). We reported two cases of IOL opacification within the pupillary region. Chart was retrospectively reviewed. The predisposing factors and the visual acuity were analyzed. The opacification was evaluated by anterior segment optical coherence tomography (AS-OCT). A 68-year-old healthy woman with pseudophakic bullous keratopathy underwent uneventful n-DSAEK in the right eye...
January 2018: Taiwan Journal of Ophthalmology
https://www.readbyqxmd.com/read/29673275/predicting-surgical-success-in-patients-with-idiopathic-epiretinal-membrane-using-the-spectral-domain-optical-coherence-tomography-segmentation-module-for-single-retinal-layer-analysis
#9
Robert Kromer, Clara Vogt, Lars Wagenfeld, Martin Stephan Spitzer, Birthe Stemplewitz
Introduction Idiopathic epiretinal membrane (ERM) is a proliferation of cells formed on the internal surface of the retina and may cause a slow decrease in visual acuity (VA). The aim of this study was to evaluate the individual layers of the retina by optical coherence tomography (OCT) before and after vitrectomy with ERM peeling in order to refine surgical decision-making. Methods Forty-seven eyes of 45 patients (aged 55-87 years) with ERM were enrolled retrospectively from a tertiary referral centre. OCT examination was performed preoperatively and at a mean of 3...
April 19, 2018: Current Eye Research
https://www.readbyqxmd.com/read/29672247/management-of-chronic-hypotony-following-bilateral-uveitis-in-a-patient-treated-with-pembrolizumab-for-cutaneous-metastatic-melanoma
#10
Gerard Reid, Paul Lorigan, Heinrich Heimann, Marta Hovan
PURPOSE: To describe the presentation and management of severe ocular adverse events following treatment with pembrolizumab for cutaneous metastatic melanoma. METHODS: Interventional case report. RESULTS: A 73-year-old Caucasian man receiving pembrolizumab treatment for metastatic melanoma presented with panuveitis and subsequent profound hypotony, choroidal effusions, and optic disk swelling bilaterally. Oral prednisolone controlled intraocular inflammation...
April 19, 2018: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/29672246/stromal-keratitis-with-endophthalmitis-caused-by-vittaforma-corneae-in-an-immunocompetent-patient-a-case-report
#11
Lalida Pariyakanok, Vannarut Satitpitakul, Prasart Laksanaphuk, Kitiya Ratanawongphaibul, Chaturong Putaporntip, Somchai Jongwutiwes
PURPOSE: To describe a case of microsporidial stromal keratitis with endophthalmitis in an immunocompetent patient. METHODS: Case reportResults: A 58-year-old HIV-negative man presented with stromal keratitis in his right eye. The patient demonstrated subsequent vitritis, multifocal retinitis and arteritis, and macular edema with recurrent vitreous hemorrhage after therapeutic keratoplasty. Numerous microsporidial spores were detected in corneal tissues by modified trichrome stain...
April 19, 2018: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/29671948/best-surgical-technique-and-outcomes-for-large-macular-holes-retrospective-multicentre-study-in-japan
#12
REVIEW
Toshifumi Yamashita, Taiji Sakamoto, Hiroto Terasaki, Masanori Iwasaki, Yoko Ogushi, Fumiki Okamoto, Masaru Takeuchi, Tsutomu Yasukawa, Yoshihiro Takamura, Nahoko Ogata, Yumiko Nakamura
The purpose of this study was to compare the surgical outcomes of vitrectomy with conventional internal limiting membrane (C-ILM) peeling to that with the inverted ILM (I-ILM) flap technique for large macular holes (MHs). This was a retrospective chart review of consecutive cases with a large MH at nine hospitals in Japan. Among the 1342 eyes, 165 eyes of 165 cases met the inclusion criteria. The results for medium-large MHs with a diameter 400-550 μm were compared to that of eyes with an extra-large MH with a diameter >550 μm...
April 19, 2018: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29670325/retinal-detachment-in-albinism
#13
Ahmad M Mansour, Jay Chhablani, J Fernando Arevalo, Lihteh Wu, Ravi Sharma, Suthasinee Sinawat, Tharikarn Sujirakul, Alexandre Assi, Wandsy M Vélez-Vázquez, Mohamad A Mansour, Ozcan Kayikcioglu, Cem Kucukerdonmez, Ali Kal
Purpose: To report the visual and anatomic outcomes of albino retinal detachment (ARD) repair. Methods: Collaborative retrospective analysis of ARD. Outcome measures were number of surgical interventions, final retinal reattachment, and best corrected visual acuity (BCVA) at last follow-up. Results: Seventeen eyes of 16 patients (12 males; mean age =37.8 years) had the following complications at presentation: macula off (14), total (7) or inferior detachment (5), proliferative vitreoretinopathy (5), detectable break (16), lattice (5), horseshoe tears (9), and giant tear or dialysis (4)...
2018: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29668525/primary-core-vitrectomy-technique-before-cataract-surgery-in-combined-phacovitrectomy-for-eyes-with-dense-vitreous-hemorrhages
#14
Kyung Sup Shin, Hyung Bin Lim, Yong Il Shin, Seong Eun Lee, Young Joon Jo, Jung Yeul Kim
PURPOSE: To investigate the efficacy and safety of a primary core vitrectomy technique for combined phacovitrectomy in eyes showing a poor red reflex because of dense vitreous hemorrhage before cataract surgery. METHODS: A total of 156 eyes from 156 patients, who underwent combined phacovitrectomy because of cataract and dense vitreous hemorrhage, and who were followed up for at least 6 months were included. The patients were divided into a primary phacoemulsification group (Group A, 80 eyes) who underwent phacoemulsification first followed by total vitrectomy and a primary vitrectomy group (Group B, 76 eyes) who underwent core vitrectomy first followed by cataract surgery and followed by total vitrectomy...
April 17, 2018: Retina
https://www.readbyqxmd.com/read/29664985/photodynamic-therapy-induced-macular-hole
#15
Margaret A Greven, Loh-Shan B Leung
A 72-year-old female with neovascular macular degeneration refractory to anti-vascular endothelial growth factor injections underwent photodynamic therapy and subsequently developed a macular hole (MH) associated with vitreomacular traction. After a period of observation, the MH enlarged. Pars plana vitrectomy was performed, and the MH was closed successfully. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:270-272.].
April 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/29664984/pilot-evaluation-of-a-new-surgical-technique-for-persistent-or-recurrent-large-macular-holes
#16
Vito Primavera, Teresa Centoducati, Luciana Agea, Ilaria Zucchiatti, Lea Querques, Giuseppe Querques
BACKGROUND AND OBJECTIVE: To describe a new surgical technique for persistent or recurrent large macular holes (MHs). PATIENTS AND METHODS: Patients with recurrent or persistent large MHs following vitrectomy with internal limiting membrane (ILM) peeling were recruited between October and September 2017 in this pilot study. All patients underwent preoperative and postoperative best-corrected visual acuity (BCVA), slit-lamp ophthalmoscopy, and spectral-domain optical coherence tomography (SD-OCT)...
April 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/29664241/surgical-management-of-coats-disease
#17
Shunji Kusaka
Coats disease is a sporadic, chronic retinal vascular disorder with telangiectatic and aneurysmal retinal vessels, with retinal exudation and retinal detachment in severe cases. Various treatment modalities have been used, including laser therapy, cryotherapy, anti‒vascular endothelial growth factor (VEGF) therapy, and surgery. Anti-VEGF therapy seems to be effective in reducing exudative changes and is often combined with other treatment modalities. For severe cases with exudative retinal detachment, external drainage of subretinal fluid with or without vitrectomy is commonly performed, combined with laser therapy and/or cryotherapy...
March 27, 2018: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/29658389/comparison-of-endoscopic-assisted-and-temporary-keratoprosthesis-assisted-vitrectomy-in-combat-ocular-trauma-experience-at-a-tertiary-eye-center-in-turkey
#18
Onder Ayyildiz, Ali Hakan Durukan
Objective This study was performed to compare the functional and anatomical results of endoscopic-assisted and temporary keratoprosthesis (TKP)-assisted vitrectomy in patients with combat ocular trauma (COT). Methods The medical records of 14 severely injured eyes of 12 patients who underwent endoscopy or TKP implantation in combination with vitreoretinal surgery from 2007 to 2015 were retrospectively evaluated. The patients' ocular history and functional and anatomic anterior and posterior segment results were analyzed...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29652690/endophthalmitis-after-pars-plana-vitrectomy-efficacy-of-intraoperative-subconjunctival-antibiotics
#19
Stephanie J Weiss, Murtaza K Adam, Xinxiao Gao, Anthony Obeid, Arunan Sivalingam, Mitchell S Fineman, Joseph I Maguire, Sunir J Garg, Julia Haller, David H Fischer, Jason Hsu
PURPOSE: To examine rates of acute infectious endophthalmitis after pars plana vitrectomy (PPV) in eyes that received intraoperative subconjunctival antibiotics versus eyes that did not. METHODS: A retrospective, nonrandomized, comparative case series of 18,886 consecutive cases of transconjunctival 23-, 25-, and 27-gauge PPV over a 5-year period was performed. The impact of prophylactic intraoperative subconjunctival antibiotics on the development of acute infectious postoperative endophthalmitis was examined...
April 12, 2018: Retina
https://www.readbyqxmd.com/read/29652440/long-term-visual-outcomes-for-treatment-of-submacular-hemorrhage-secondary-to-polypoidal-choroidal-vasculopathy
#20
Hyun Goo Kang, Hyunseung Kang, Suk Ho Byeon, Sung Soo Kim, Hyoung Jun Koh, Sung Chul Lee, Min Kim
IMPORTANCE: There is no consensus on the optimal management of submacular hemorrhage (SMH) secondary to polypoidal choroidal vasculopathy (PCV). BACKGROUND: To compare the long-term outcome of 3 treatment strategies for PCV with SMH. DESIGN: Retrospective case series at 2 tertiary hospitals. SAMPLES: A total of 48 consecutive eyes treated between July 2006 and March 2016. METHODS: Patients were grouped according to the treatment received: 22 eyes with intravitreal bevacizumab (IVB), 14 with a combination of IVB and pneumatic displacement (PD), and 12 with IVB and vitrectomy (TPPV)...
April 13, 2018: Clinical & Experimental Ophthalmology
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