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Cataract complications

Mukhtar Bizrah, Melanie C Corbett
Intraoperative intraocular bleeding can present a major challenge during anterior segment operations, such as cataract and glaucoma surgery. In the presence of significant intraocular bleeding, the surgeon may be unable to proceed if the bleeding cannot be controlled. Uncontrolled bleeding may also result in intraoperative or postoperative complications. Intracameral injection of phenylephrine was used in three consecutive cases of intraoperative anterior chamber bleeding during cataract surgery, one of which was combined with CyPass® Micro-Stent insertion...
February 15, 2019: Ophthalmology and Therapy
Bárbara Martín-Escuer, José F Alfonso, Luis Fernández-Vega-Cueto, Alberto Domíngez-Vicent, Robert Montés-Micó
PURPOSE: To assess visual and refractive results of multifocal intraocular lens (IOLs) implantation for refractive correction after radial keratotomy (RK). METHODS: In a retrospective non-comparative interventional case series, we analyzed the outcomes of multifocal IOL implantation performed in the context of cataract or refractive lens exchange surgery following RK. A total of 17 eyes from nine patients were included in the study. IOL power calculation was done using the Double-K formula...
February 15, 2019: Eye
Jesús Pareja, Alba Coronado, Inés Contreras
Purpose: To report the results of the epiretinal membrane (ERM) management guidelines followed in our center. Methods: Patients with ERM seen between 2014 and 2015, with ≥2 years follow-up or who had undergone ERM surgery, were included. Corrected visual acuity (VA), lens status, and ERM configuration were recorded at each visit. Our guidelines for ERM are if VA is ≥20/30, observation is recommended unless there is moderate/intense metamorphopsia. Vitrectomy is recommended during follow-up if there is a drop >one line in VA with changes in ERM configuration...
2019: Journal of Ophthalmology
Vidya Chelerkar, Puja Parekh, V K S Kalyani, Madan Deshpande, Rajiv Khandekar
PURPOSE: Comparative clinical study of medically controlled non-severe chronic Primary Angle Closure Glaucoma (PACG) with co-existing cataract surgically managed by phacoemulsification as against combined phacotrabeculectomy. METHODS: This randomized clinical trial was conducted between December 2011 and December 2013. Patients were randomly assigned to Phacoemulsification (PE) and Phacotrabeculectomy (PT) groups for surgery. Intraocular pressure, anti-glaucoma medications, Best Corrected Visual Acuity, anterior chamber angle widening and post-operative complications in both groups were compared after 12 months...
July 2018: Middle East African Journal of Ophthalmology
Kevin Gillmann, André Mermoud
PURPOSE: To assess the visual performance, clinical and quality of life outcomes, and subjective patient satisfaction after implantation of a new refractive/extended depth of focus (EDOF) hybrid intraocular lens (IOL). METHODS: This is a monocentric, retrospective study of 29 patients (45 eyes), carried out in a tertiary care glaucoma research centre. All patients underwent implantation of a Lucidis (Swiss Advanced Vision, SAV-IOL SA, Neuchâtel, Switzerland) IOL during cataract surgery...
February 14, 2019: Klinische Monatsblätter Für Augenheilkunde
Eun Young Choi, Jae Yong Han, Hyukmin Lee, Sung Chul Lee, Hyoung Jun Koh, Sung Soo Kim, Min Kim
PURPOSE: Infectious endophthalmitis (IE) is a severe complication that can lead to blindness even with treatment. However, the impact of antibiotic resistance and early vitrectomy on its prognosis has scarcely been documented. This study investigated the impact of antibiotic resistance of pathogen and early vitrectomy on the prognosis of IE. METHODS: The medical records of 171 patients treated for IE at a tertiary referral center between 2007 and 2016 were retrospectively reviewed and analyzed for etiology, pathogen, drug resistance to vancomycin or third-generation cephalosporins, treatment types and timing, and visual outcomes...
February 13, 2019: Graefe's Archive for Clinical and Experimental Ophthalmology
Yu Jeong Kim, Su Jin Park, Jong Yeon Lee, Dae Yeong Lee, Dong Heun Nam
Purpose: To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design: A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes of 184 patients older than 75 years who underwent cataract surgery using microscope and intracameral illuminations. Methods: A chart review was performed on an advanced cataract surgery group of 141 consecutive cases in which the intracameral illumination was used and on a standard cataract surgery group of 145 consecutive cases in which the intracameral illumination was not used...
2019: Journal of Ophthalmology
A Z Nghiem, C Canning, J Eason, J M Sparrow, T H Flynn
OBJECTIVES: To report outcome data on the first 5000 consecutive cataract cases at a new paperless eye unit and benchmark against the Royal College of Ophthalmologists' National Ophthalmology Database (RCOphth NOD). METHODS: Using the in-built audit tool of the electronic medical records system, data from all cataract operations performed between 1 April 2014 and 13 January 2017 were compiled. RESULTS: Five thousand and eight cases were recorded of which the overall intra-operative complication rate was 2...
February 11, 2019: Eye
Thaís Shiota Tanaka, Christopher Thomas Hood, Matthias Frank Kriegel, Leslie Niziol, H Kaz Soong
BACKGROUND/AIM: To review the long-term outcomes of penetrating keratoplasty (PKP) for corneal complications of herpes zoster ophthalmicus (HZO). METHODS: We reviewed the medical records of 53 eyes of 53 patients who underwent PKP due to corneal complications of HZO at the Kellogg Eye Center. RESULTS: The mean age of patients at the time of PKP was 68.0±16.4 years, with a follow-up of 4.0±3.8 years and quiescent period of 6.5±5.3 years from active HZO to PKP...
February 7, 2019: British Journal of Ophthalmology
Abhinav Dhami, Abhijit Singh Dhami, Hardeep Singh, Gobinder Singh Dhami
PURPOSE: Role of anterior segment optical coherence tomography (AS-OCT) for safer management of mature white cataracts. SETTING: Patients with mature white cataracts attending the outpatient department of a tertiary eye care hospital, aspiring to have cataract surgery performed, were scheduled for elective phacoemulsification and intraocular lens implantation by two surgeons during the period of October 2017 to March 2018. DESIGN: A prospective interventional study of 30 patients...
February 4, 2019: Journal of Cataract and Refractive Surgery
Alex B Sigmund, Michael P Jones, Daniel A Ward, Diane V H Hendrix
OBJECTIVE: To determine long-term outcome of phacoemulsification in raptors at the University of Tennessee Veterinary Medical Center. ANIMALS STUDIED: Seven nonreleasable diurnal raptors including, four bald eagles (Haliaeetus leucocephalus), two red-tailed hawks (Buteo jamaicensis), and one peregrine falcon (Falco peregrinus) that had undergone phacoemulsification. All birds showed behavioral changes attributable to visual deficits prior to surgery. PROCEDURES: All birds underwent phacoemulsification for cataracts...
February 6, 2019: Veterinary Ophthalmology
Ricardo Augusto Paletta Guedes, Daniela Marcelo Gravina, Jonathan Clive Lake, Vanessa Maria Paletta Guedes, Alfredo Chaoubah
INTRODUCTION: In this real-world, retrospective, comparative study we evaluated 6-month performance and safety in consecutive eyes following implantation of the iStent® or iStent inject® trabecular micro-bypass device with concomitant cataract surgery. METHODS: Performance outcomes included intraocular pressure (IOP) reduction; glaucoma medication reduction; proportions of eyes achieving an IOP of < 18, < 16, < 14, or < 12 mmHg; and proportions of eyes on 0, 1, 2, or ≥ 3 medications...
February 5, 2019: Ophthalmology and Therapy
Malik Aydin, Ingo Franke, Lisa Kurylowicz, Rainer Ganschow, Michael Lentze, Mark Born, Rebekka Hagemann
BACKGROUND: Long-term outcomes of children with nephrotic syndrome have not been well described in the literature. METHODS: Cross-sectional study data analysis of n = 43 patients with steroid-sensitive (SSNS) and n = 7 patients with steroid-resistant (SRNS) nephrotic syndrome were retrospectively collected; patients were clinically examined at a follow-up visit (FUV), on average 30 years after onset, there was the longest follow-up period to date. RESULTS: The mean age at FUV was 33...
February 5, 2019: Clinical and Experimental Nephrology
Marcos Muñoz, Alfonso Anton, Marta Castany, Alfonso Gil, Alberto Martinez, Francisco J Muñoz-Negrete, Jose Urcelay, Javier Moreno-Montañes
PURPOSE: To report 1-year treatment outcomes of P50 EX-PRESS implant versus nonpenetrating deep sclerectomy (NPDS) with Esnoper V2000 combined with phacoemulsification. DESIGN: Randomized, prospective and multicentre clinical trial. METHODS: Settings: Six clinical centres. POPULATION: Patients 54-89 years of age without previous filtering surgery with cataract and glaucoma who required lower levels of intraocular pressure (IOP)...
February 3, 2019: Acta Ophthalmologica
S N Onwubiko, N N Udeh, O Nkwegu, D O Ukwu, N Z Nwachukwu
PURPOSE: To investigate the current practice on glaucoma care with the aim of highlighting its poise to tackle this emerging sight-threatening disease in Nigeria. METHODS: This was a cross-sectional, descriptive, population-based survey involving 88 ophthalmologists. Information on their demographic characteristics, practice profile, challenges and prospects on glaucoma care was collected using a semi-structured, self-administered questionnaire in August 2016. Data were analysed using SPSS 20...
February 1, 2019: International Ophthalmology
Yanan Zhu, Xinyi Chen, Peiqing Chen, Wen Xu, Xingchao Shentu, Yibo Yu, Ke Yao
PURPOSE: Comparison of lens capsule-related complications resulting from femtosecond laser-assisted capsulotomy and manual capsulorhexis in patients with white cataracts. SETTING: Eye Center, Second Affiliated Hospital, Zhejiang Medical School, Hangzhou, China. DESIGN: Prospective consecutive nonrandomized comparative cohort study. METHODS: Selected patients were divided into a femtosecond laser-assisted cataract surgery group (FLACS group) and a conventional phacoemulsification cataract surgery group (CPCS group)...
January 29, 2019: Journal of Cataract and Refractive Surgery
Fariba Ghalamkarpour, Alireza Baradaran-Rafii, Mohammad Mehdi Sadoughi, Fahimeh Abdollahimajd, Shima Younespour, Omid Zargari, Robert I Rudolph
OBJECTIVES: To assess ocular abnormalities in psoriatic patients (new-cases vs. patients under treatment) in comparison with healthy controls. METHODS: A total of 200 psoriatic patients and 100 healthy controls were enrolled in this prospective, observational study. The demographic data of the individuals were recorded. Dermatological and ophthalmological examinations were conducted; ocular surface disease index (OSDI), Schirmer and tear break-up time (TBUT) values were also measured...
February 1, 2019: Journal of Dermatological Treatment
Jianming Chen, Dengting Wang, Jiqi Zheng, Chen Gao
OBJECTIVE: To investigate effect of femtosecond laser-assisted phacoemulsification in treating cataract patients, and to analyse its influence on serum inflammatory factors IL-6, IL-1β, TNF-α . STUDY DESIGN: An analytical, descriptive study. PLACE AND DURATION OF STUDY: The Ophthalmologic Center, Rehabilitation Center Hospital of Gansu, China, from January 2016 to September 2017. METHODOLOGY: A total of 94 eyes were randomly divided into control group (47 cases) and observation group (47 cases)...
February 2019: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Eva Mönestam
PURPOSE: To examine the incidence and trends of late intraocular lens (IOL) dislocation/decentration and the frequency of pseudophakodonesis. DESIGN: Prospective, population-based cohort study. METHODS: A total of 800 patients were examined before cataract surgery in 1997-1998. Twenty years later, 100 of 133 survivors (75%) participated in the follow-up. An eye examination was performed including assessment for pseudophakodonesis and dislocation of the IOL...
February 2019: American Journal of Ophthalmology
M Teresa Magone, Laura Kueny, Gemini A Singh, Katrina Chin Loy, Caroline H Kim, Will Grover, Soo Y Shin
Introduction: In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular comorbidities, we investigated the long-term visual outcomes and complications associated with small incision cataract surgery performed on veterans without any pre-existing eye disease...
January 24, 2019: Military Medicine
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