1,514 results match your criteria Corneal Edema Postoperative


Aqueous shunts with mitomycin C versus aqueous shunts alone for glaucoma.

Cochrane Database Syst Rev 2019 Apr 19;4:CD011875. Epub 2019 Apr 19.

Ophthalmology, Singapore National Eye Centre, Singapore, Singapore.

Background: Glaucoma affects more than 70 million people worldwide, with about 10% being bilaterally blind, making it the leading cause of irreversible blindness globally. In patients with advanced glaucoma or those who have failed medical treatment without achieving adequate intraocular pressure (IOP) control, trabeculectomy (glaucoma filtration surgery where an ostium is created into the anterior chamber from underneath a partial thickness scleral flap to allow for aqueous flow out of the anterior chamber intointo the subconjunctival space forming a filtering bleb) and aqueous shunt surgery for more complex and refractory cases remain the mainstay therapies. Proliferation of fibrous tissue around an implanted aqueous shunt may block the diffusion of aqueous humour. Read More

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http://doi.wiley.com/10.1002/14651858.CD011875.pub2
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http://dx.doi.org/10.1002/14651858.CD011875.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472957PMC
April 2019
1 Read

Outcome of Descemet membrane endothelial keratoplasty for graft failure after Descemet stripping automated endothelial keratoplasty.

Clin Ophthalmol 2019 25;13:553-559. Epub 2019 Mar 25.

Department of Ophthalmology, Goethe-University, Frankfurt am Main, Germany,

Purpose: To investigate the efficacy and safety of Descemet membrane endothelial keratoplasty (DMEK) for corneal decompensation following primary Descemet stripping automated endothelial keratoplasty (DSAEK).

Methods: This was a retrospective case series of 15 patients that underwent DMEK surgery for corneal decompensation after failed DSAEK. Main outcome parameter was corrected distance visual acuity (CDVA) after DMEK and DSAEK. Read More

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http://dx.doi.org/10.2147/OPTH.S194185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438261PMC

Risk factors for Cystoid Macular Edema After Descemet Membrane Endothelial Keratoplasty.

Cornea 2019 Apr 9. Epub 2019 Apr 9.

Department of Ophthalmology, Jichi Medical University, Tochigi, Japan.

Purpose: To investigate factors associated with cystoid macular edema (CME) after Descemet membrane endothelial keratoplasty (DMEK) in Asian eyes.

Methods: In this retrospective, interventional, consecutive case series, 77 eyes of 65 patients who underwent DMEK were evaluated; in 53 eyes, cataract surgery was performed 1 month before DMEK (staged DMEK), and 24 eyes underwent DMEK alone (simple DMEK). Central retinal thickness, incidence of CME, postoperative best-corrected visual acuity, central corneal thickness, and corneal endothelial cell density were assessed at 1, 3, and 6 months after surgery. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001950DOI Listing
April 2019
2 Reads

Endothelial keratoplasty for corneal endothelial dystrophy in a dog.

Vet Ophthalmol 2019 Apr 10. Epub 2019 Apr 10.

Johns Hopkins Wilmer Eye Institute, Baltimore, Maryland.

Objective: To assess the efficacy of an endothelial keratoplasty procedure at defined intervals to 1 year postoperatively for the treatment of corneal endothelial dystrophy (CED) in a canine patient.

Procedure: A dog diagnosed with CED with progressive corneal edema underwent an endothelial keratoplasty. The patient was examined pre- and postoperatively with slit lamp biomicroscopy and ultrasonic pachymetry. Read More

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http://dx.doi.org/10.1111/vop.12670DOI Listing

High rate of recurrence of herpes zoster-related ocular disease after phacoemulsification cataract surgery.

J Cataract Refract Surg 2019 Apr 4. Epub 2019 Apr 4.

Greenlane Clinical Centre, Auckland District Health Board, New Zealand. Electronic address:

Purpose: To examine the outcomes of phacoemulsification cataract surgery in eyes with herpes zoster-related keratitis and/or uveitis and evaluate the risks for recurrent disease.

Setting: Public ophthalmology service, Auckland, New Zealand.

Design: Retrospective case series. Read More

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http://dx.doi.org/10.1016/j.jcrs.2019.01.003DOI Listing
April 2019
1 Read

Interface Fluid Syndrome (IFS) following Toxic Anterior Segment Syndrome (TASS): not related to high intraocular pressure but to endothelial failure.

Saudi J Ophthalmol 2019 Jan-Mar;33(1):88-93. Epub 2018 Jul 7.

Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia.

We describe the case of a 52-year-old female with past history of LASIK, 21 years earlier, without Fuchs' endothelial dystrophy, who underwent phacoemulsification and intraocular lens (IOL) implantation. During the early postoperative period severe corneal edema, anterior chamber cellularity and iris inflammation presented, accompanied by a clear space along the LASIK interface. Those findings were interpreted as part of a Toxic Anterior Segment Syndrome (TASS) and secondary interface fluid syndrome (IFS). Read More

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http://dx.doi.org/10.1016/j.sjopt.2018.06.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424685PMC

Early postoperative results of Descemet's stripping endothelial keratoplasty in six dogs with corneal endothelial dystrophy.

Vet Ophthalmol 2019 Mar 21. Epub 2019 Mar 21.

Eye Clinic for Animals, Crows Nest, New South Wales, Australia.

Objective: To describe and assess the clinical outcome and intraoperative and postoperative complications of Descemet's stripping endothelial keratoplasty (DSEK) in the treatment of canine corneal endothelial dystrophy.

Animals Studied: Six dogs (six eyes) diagnosed with progressive corneal edema resulting from abnormal dystrophic endothelial cells underwent Descemet's stripping endothelial keratoplasty.

Procedures: Six patients underwent Descemet's stripping endothelial keratoplasty (DSEK). Read More

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http://dx.doi.org/10.1111/vop.12666DOI Listing
March 2019
5 Reads

Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy.

BMC Ophthalmol 2019 Mar 12;19(1):74. Epub 2019 Mar 12.

Department of Ophthalmology, Seoul National University Bundang Hospital, 300, Gumi-dong, Bundang-gu, Seongnam, Gyeonggi-do, 13620, South Korea.

Background: Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Read More

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http://dx.doi.org/10.1186/s12886-019-1077-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417165PMC

Perioperative topical ascorbic acid for the prevention of phacoemulsification-related corneal endothelial damage: Two case reports and review of literature.

World J Clin Cases 2019 Mar;7(5):642-649

Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou 20012, Taiwan.

Background: The current case report describes successful phacoemulsification with the aid of perioperative topical ascorbic acid (AA) in two patients with corneal endothelial disorders to prevent postoperative corneal endothelial decompensation.

Case Summary: Two eyes of two patients underwent phacoemulsification with pre-existing corneal endothelial disorders including Fuchs corneal endothelial dystrophy (Patient 1) and endotheliitis (Patient 2). Topical AA was applied to both patients at least one month before and after with a frequency of four times per day. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i5.642DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406191PMC

Postoperative Corneal Complications in Small Incision Lenticule Extraction: Long-Term Study.

J Refract Surg 2019 Mar;35(3):146-152

Purpose: To investigate the incidence and clinical results of corneal complications after small incision lenticule extraction (SMILE).

Methods: A retrospective cohort study including 3,223 patients (6,373 eyes) who were treated for myopia or myopic astigmatism was conducted. Postoperative corneal complications were recorded. Read More

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http://dx.doi.org/10.3928/1081597X-20190118-02DOI Listing
March 2019
1 Read

Comparative analysis of intravitreal triamcinolone acetonide-moxifloxacin versus standard perioperative eyedrops in cataract surgery.

J Cataract Refract Surg 2019 Mar 5. Epub 2019 Mar 5.

Loma Linda University Eye Institute, Loma Linda, California, USA. Electronic address:

Purpose: To compare the effectiveness of intravitreal injection of triamcinolone acetonide-moxifloxacin (Tri-Moxi) to a standard eyedrop regimen in controlling postoperative inflammation, corneal edema, and the rate of high intraocular pressure (IOP) among cataract patients.

Setting: Loma Linda University Eye Institute, California, USA.

Design: Retrospective longitudinal comparative study. Read More

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http://dx.doi.org/10.1016/j.jcrs.2018.12.019DOI Listing
March 2019
8 Reads

Effect of Graft Attachment Status and Intraocular Pressure on DSAEK Outcomes in the Cornea Preservation Time Study.

Am J Ophthalmol 2019 Mar 6. Epub 2019 Mar 6.

Case Western Reserve University Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, and the Cornea Image Analysis Reading Center, Cleveland, OH.

Purpose: To examine the association of donor, recipient, and operative factors on graft dislocation after Descemet stripping automated endothelial keratoplasty (DSAEK) in the Cornea Preservation Time Study (CPTS) as well as the effects of graft dislocation and elevated IOP on graft success and endothelial cell density (ECD) 3 years postoperatively.

Design: Cohort study within a multi-center, double-masked, randomized clinical trial.

Methods: 1,090 individuals (1,330 study eyes), median age 70 years, undergoing DSAEK for Fuchs endothelial corneal dystrophy (94% of eyes) or pseudophakic or aphakic corneal edema (6% of eyes). Read More

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http://dx.doi.org/10.1016/j.ajo.2019.02.029DOI Listing
March 2019
4 Reads

Conjunctival Flaps: A Case Series and Review of the Literature.

Eye Contact Lens 2019 Feb 27. Epub 2019 Feb 27.

Department of Ophthalmology (T.D.O.), Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, OH; and Department of Ophthalmology (T.F.M.), West Virginia University Eye Institute, West Virginia University, Morgantown, WV.

Purpose: The purpose of this study was to examine the outcomes of conjunctival flaps performed at our institution.

Methods: The medical records of all patients who underwent a total or partial conjunctival flap surgery over the course of a 6-year period from 2010 to 2015 were reviewed to identify the ocular diagnoses and perform a retrospective review of the preoperative and postoperative course.

Results: Thirty-five patients received a conjunctival flap during the 6-year period, 20 partial flaps and 15 total flaps. Read More

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http://dx.doi.org/10.1097/ICL.0000000000000590DOI Listing
February 2019
2 Reads

Therapeutic Challenges and Prognosis of Descemet's Membrane Endothelial Keratoplasty in Herpes Simplex Eye Disease.

Cornea 2019 May;38(5):553-558

Cornea, External Disorders and Refractive Surgery Department, Fondation A. de Rothschild, Paris, France.

Purpose: To describe the functional outcome, postoperative complications, and complication management of Descemet's membrane endothelial keratoplasty (DMEK) in corneal decompensation secondary to Herpes simplex eye disease (HED).

Methods: This retrospective interventional case series included 17 eyes that received DMEK for endothelial decompensation secondary to HED. Complete ophthalmological examination, including corrected-distance visual acuity (CDVA), anterior segment slit-lamp, and optical coherence tomography assessment, were performed preoperatively and postoperatively at regular follow-up intervals. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001891DOI Listing
May 2019
5 Reads

Postoperative Endothelial Cell Density Is Associated with Late Endothelial Graft Failure after Descemet Stripping Automated Endothelial Keratoplasty.

Ophthalmology 2019 Feb 18. Epub 2019 Feb 18.

Verdier Eye Center, Grand Rapids, Michigan.

Purpose: To determine whether preoperative endothelial cell density (ECD) and postoperative ECD after Descemet stripping automated endothelial keratoplasty (DSAEK) are associated with late endothelial graft failure (LEGF) in the Cornea Preservation Time Study (CPTS).

Design: Cohort study within a multicenter, randomized clinical trial.

Participants: A total of 1007 individuals (1223 study eyes), mean age 70 years, undergoing DSAEK for Fuchs' dystrophy (94% of eyes) or pseudophakic or aphakic corneal edema (PACE) (6% of eyes) and followed for up to 5 years. Read More

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http://dx.doi.org/10.1016/j.ophtha.2019.02.011DOI Listing
February 2019
4 Reads

Ascorbic acid versus placebo in postoperative lid edema postphotorefractive keratectomy: A double-masked, randomized, prospective study.

Oman J Ophthalmol 2019 Jan-Apr;12(1):4-9

Bina Eye Hospital Research Center, Tehran, Iran.

Introduction: Photorefractive keratectomy (PRK) is a proper type of refractive surgery used to remodel corneal stroma to compensate refractive errors. Corneal haze was reported as one of the side effects in several studies. This study was conducted for investigation of the effect of preventive effect of Vitamin C on eyelid edema, corneal haze, corneal epithelial healing, mitigation of pain, and epiphora. Read More

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http://dx.doi.org/10.4103/ojo.OJO_187_2017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380147PMC
February 2019

Effect of immediate postoperative intracameral tissue plasminogen activator (tPA) on anterior chamber fibrin formation in dogs undergoing phacoemulsification.

Vet Ophthalmol 2019 Feb 18. Epub 2019 Feb 18.

Animal Eye Institute, Norwood, Ohio.

Objective: To evaluate the postoperative effect of intracameral tPA (alteplase; Activase®, Genentech, San Francisco, CA), administered at immediate conclusion of phacoemulsification, on anterior chamber fibrin formation in dogs.

Procedures: Forty-one dogs (82 eyes) undergoing bilateral phacoemulsification received 25 μg/0.1 mL intracameral tPA in one eye and 0. Read More

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http://dx.doi.org/10.1111/vop.12616DOI Listing
February 2019
2 Reads

Histopathology of a retrocorneal membrane after Descemet membrane endothelial keratoplasty: a case report.

J Med Case Rep 2019 Feb 6;13(1):31. Epub 2019 Feb 6.

Department of Ophthalmology, University Hospital of Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Germany.

Background: We report the first histopathologically proven occurrence of a retrocorneal membrane after Descemet's membrane endothelial keratoplasty.

Case Presentation: A white Caucasian 76-year-old woman received penetrating keratoplasty on her right eye 2 years after Descemet's membrane endothelial keratoplasty surgery with combined cataract extraction and intraocular lens implantation for Fuchs' endothelial corneal dystrophy due to an allograft rejection with ensuing graft failure. Her preoperative vision was counting fingers (20/2000) caused by immunological debris, corneal edema, and secondary membrane formation. Read More

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http://dx.doi.org/10.1186/s13256-018-1960-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364459PMC
February 2019
6 Reads

Keratometric, Pachymetric, and Surface Elevation Characterization of Corneas With Fuchs Endothelial Corneal Dystrophy Treated With DMEK.

Cornea 2019 May;38(5):535-541

Cornea Unit, Department of Ophthalmology, Ramón y Cajal University Hospital. Madrid, Spain.

Purpose: To characterize pachymetric, keratometric, and surface elevation parameters in pseudophakic eyes with Fuchs dystrophy that underwent Descemet membrane endothelial keratoplasty (DMEK) and to compare these characteristics with those in normal pseudophakic eyes.

Methods: Postoperative corneal tomography with a median follow-up of 20 months was evaluated using the Pentacam tomographer on 46 DMEK eyes. Results were compared with data from an age-matched cohort of 46 normal eyes. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001875DOI Listing
May 2019
4 Reads

Ciliary sulcus implantation of intraocular lens in manual small incision cataract surgery complicated by large posterior capsule rupture.

Exp Ther Med 2019 Feb 7;17(2):1470-1475. Epub 2018 Dec 7.

Department of Ophthalmology, Sino-Congo Friendship Hospital, Brazzaville B.P. 869, Republic of the Congo.

The present study aimed to evaluate the safety and efficiency of ciliary sulcus implantation of intraocular lens (IOL) in patients that had undergone manual small incision cataract surgery (MSICS) complicated by large posterior capsule rupture (LPCR). A total of 11 eyes taken from 11 patients in Brazzaville, Republic of the Congo, that had experienced LPCR following MSICS were included in the current study. A rigid single-piece IOL (5. Read More

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http://dx.doi.org/10.3892/etm.2018.7074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327667PMC
February 2019
1 Read

Corneal incision architecture: VICTUS femtosecond laser vs manual keratome.

Clin Ophthalmol 2019 10;13:147-152. Epub 2019 Jan 10.

Department of Ophthalmology, Federal University of Sao Paulo, Sao Paulo, Brazil,

Purpose: To evaluate anatomical differences between laser (VICTUS) and manual constructed phacoemulsification incisions.

Setting: Study was conducted at the Hospital de Olhos Paulista, Sao Paulo, Brazil.

Design: This is a prospective, observational, consecutive nonrandomized cohort. Read More

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https://www.dovepress.com/corneal-incision-architecture-vict
Publisher Site
http://dx.doi.org/10.2147/OPTH.S181144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330980PMC
January 2019
9 Reads

Managing dislocated hard lens nuclei: 23-gauge vitrectomy and lens extraction via a corneoscleral limbal incision versus 23-gauge vitrectomy and phacofragmentation.

J Cataract Refract Surg 2019 Apr 17;45(4):451-456. Epub 2019 Jan 17.

Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China; Lixiang Eye Hospital of Soochow University, Suzhou, Jiangsu, China. Electronic address:

Purpose: To compare 23-gauge vitrectomy and lens extraction via a corneoscleral limbal incision (CSLI) with 23-gauge vitrectomy and phacofragmentation to treat dislocation of hard lens nuclei.

Setting: Ningbo Eye Hospital, Zhejiang, China.

Design: Retrospective case series. Read More

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http://dx.doi.org/10.1016/j.jcrs.2018.10.042DOI Listing
April 2019
2 Reads

Spontaneous anterior dislocation of lens in a case of ectopia lentis et pupillae: a rare entity treated by a novel technique of microscope integrated optical coherence tomography (MIOCT) guided intralenticular lens aspiration.

BMJ Case Rep 2019 Jan 18;12(1). Epub 2019 Jan 18.

Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, New Delhi, India.

A 7-year-old girl presented with watering and redness in the left eye for 2 months. Her parents reported poor vision in both eyes for 4 years. Visual acuity was finger counting at 1 m and finger counting close to face in the right and left eyes, respectively. Read More

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http://dx.doi.org/10.1136/bcr-2018-227047DOI Listing
January 2019
1 Read

Corneal Cross-Linking Window Absorption (CXL-WA) as an Adjuvant Therapy in the Management of Keratitis.

Case Rep Ophthalmol Med 2018 10;2018:4856019. Epub 2018 Dec 10.

Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy.

Purpose: To evaluate the effectiveness of corneal cross-linking window absorption (CXL-WA) as an adjuvant therapy for keratitis.

Methods: A 90-year-old male came to our clinic complaining of hyperemic conjunctivitis and progressive visual loss in the right eye. Slit-lamp examination showed keratic precipitates, severe corneal opacity, and stromal edema. Read More

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https://www.hindawi.com/journals/criopm/2018/4856019/
Publisher Site
http://dx.doi.org/10.1155/2018/4856019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311300PMC
December 2018
9 Reads

Ex-PRESS mini-shunt implanted in a pregnant patient with iridocorneal endothelial syndrome.

Eur J Ophthalmol 2019 Jan 8:1120672118820508. Epub 2019 Jan 8.

Ophthalmology Department, Tajo Hospital, Aranjuez, Spain.

Introduction:: The failure rate of both filtration surgery and of aqueous shunt implantation is higher for iridocorneal endothelial syndrome than in other scenarios, due to the continuous proliferation of abnormal endothelial cells over the trabecular meshwork and the filtration area and also due to the more pronounced cicatrizing response shown by these young patients. We present the first case ever described in the literature of a pregnant patient with iridocorneal endothelial syndrome and uncontrolled ocular hypertension who was implanted an Ex-PRESS mini-shunt.

Clinical Case:: A 35-year-old female presented with diminution of vision in the left eye for 2 months. Read More

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http://dx.doi.org/10.1177/1120672118820508DOI Listing
January 2019
5 Reads

Management of Anterior Chamber Dislocation of a Dexamethasone Implant.

Klin Monbl Augenheilkd 2019 Apr 7;236(4):412-414. Epub 2019 Jan 7.

Department of Ophthalmology - University of Lausanne, Hôpital Ophtalmique Jules-Gonin, Lausanne, Switzerland.

Purpose: To characterise the surgical removal technique of a dislocated dexamethasone implant in the anterior chamber and to gauge its success by analysing corneal transparency and subsequent visual acuity recovery in the postoperative phase.

Methods: Description of a patient who presented with an anterior chamber dexamethasone implant migration through an inferior iridotomy performed previously for a silicone oil fill in aphakia. Visual acuity had dropped to counting fingers due to marked corneal oedema. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0808-1847
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http://dx.doi.org/10.1055/a-0808-1847DOI Listing
April 2019
5 Reads

Do we need day-1 postoperative follow-up after cataract surgery?

Graefes Arch Clin Exp Ophthalmol 2019 May 19;257(5):855-861. Epub 2018 Dec 19.

Hygeia Clinic, Gdańsk, Poland.

Purpose: The aim of our study was to evaluate the current nature and frequency of complications present on the first postoperative day (POD1) and to verify whether the completion of a follow-up visit at this time is justified after standard phacoemulsification cataract surgery (PCS).

Methods: We used the PubMed literature database to identify relevant studies using the following keywords: postoperative, follow-up visit, complications, outcome, intraocular pressure, IOP, intraocular pressure spikes, IOP spikes, wound leakage, wound dehiscence, intraocular lens, IOL, dislocation, exchange, phacoemulsification, cataract surgery, and cataract extraction.

Results: We collected and analyzed 45 articles published between 1994 and 2017. Read More

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http://dx.doi.org/10.1007/s00417-018-04210-0DOI Listing
May 2019
2 Reads

Toxic anterior segment syndrome following phakic posterior chamber IOL: a rarity.

BMJ Case Rep 2018 Dec 3;11(1). Epub 2018 Dec 3.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Implantable collamer lenses (ICL) have gained popularity for correction of myopia where kerato-refractive procedures are not indicated as in cases of high myopic refractive errors. Toxic anterior segment syndrome (TASS) is a very uncommonly reported postoperative complication following ICL implantation. A young patient developed severe corneal oedema and anterior segment inflammation on the first day after ICL implantation. Read More

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http://dx.doi.org/10.1136/bcr-2018-225806DOI Listing
December 2018
1 Read

Phacoemulsification in the anterior chamber: An alternative surgical technique in post-vitrectomy cataract.

Pak J Med Sci 2018 Nov-Dec;34(6):1512-1516

Yu-Guang Zhang, Jinan Second People's Hospital, Jinan Eye Hospital, Jinan Eye Institute, Jinan 250012, Shandong, China.

Objective: To evaluate the characteristics, safety and effectiveness of a modified technique of phacoemulsification in post-vitrectomy cataracts.

Methods: This retrospective clinical trial comprised 31 patients (31 eyes) with post-vitrectomy cataract, who had undergone phacoemulsification combined with intraocular lens implantation. An alternative surgical technique known as phacoemulsification in the anterior chamber was used for nucleus management in those cases. Read More

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http://dx.doi.org/10.12669/pjms.346.15962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290232PMC
December 2018
1 Read

Using intracameral vital dye as a guide for venting incision in acute corneal hydrops.

Eur J Ophthalmol 2018 Dec 12:1120672118818012. Epub 2018 Dec 12.

Ocular Trauma and Emergency Department and Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Purpose:: To introduce a new surgical technique for the localization of corneal bulla to drain a massive corneal hydrops.

Methods:: Four consecutive cases with acute large protruded hydrops were selected. A limbal paracentesis was made via 15° blade. Read More

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http://journals.sagepub.com/doi/10.1177/1120672118818012
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http://dx.doi.org/10.1177/1120672118818012DOI Listing
December 2018
17 Reads

Iris hooks versus a pupil expansion ring: Operating times, complications, and visual acuity outcomes in small pupil cases.

J Cataract Refract Surg 2019 Feb 7;45(2):167-173. Epub 2018 Dec 7.

Epsom and St. Helier University National Health Service Trust, London, United Kingdom.

Purpose: To compare iris hooks and a pupil expansion ring (Malyugin ring) in eyes with a small pupil.

Setting: Epsom and St. Helier University National Health Service Trust, London, United Kingdom. Read More

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http://dx.doi.org/10.1016/j.jcrs.2018.08.038DOI Listing
February 2019

"PI-less DMEK": results of Descemet's membrane endothelial keratoplasty (DMEK) without a peripheral iridotomy.

Eye (Lond) 2019 Apr 5;33(4):653-658. Epub 2018 Dec 5.

Department of Ophthalmology, Rabin Medical Center, Petach Tikva, Israel.

Purpose: To assess Descemet's membrane endothelial keratoplasty (DMEK) without performing a peripheral iridotomy (PI) prior to or during surgery ("PI-less DMEK").

Materials And Methods: This retrospective study included consecutive patients that underwent PI-less DMEK by a single surgeon (E.L) between February 2016 and February 2017 at the Rabin Medical Center, a Tertiary Hospital. Read More

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http://dx.doi.org/10.1038/s41433-018-0294-xDOI Listing
April 2019
28 Reads

Comparison of clinical outcomes between cystotome-assisted prechop phacoemulsification surgery and conventional phacoemulsification surgery for hard nucleus cataracts: A CONSORT-compliant article.

Medicine (Baltimore) 2018 Nov;97(46):e13124

Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha.

Background: This study aimed to investigate the safety and efficacy of the cystotome-assisted prechop phacoemulsification surgery (CAPPS) and conventional phacoemulsification surgery (CPS) in patients with IV degree nucleus cataract.

Methods: The prospective, randomized, consecutive, comparative cohort study consecutively recruited Chinese age-related cataract patients, CAPPS and CPS were performed by a seasoned surgeon. Postoperative follow-up was at 1 day, 1 week, 1 month, 3 months, 6 months, and 1 year, and the outcome measures comprised ultrasound power, effective phacoemulsification time (EPT), corrected distance visual acuity (CDVA), endothelial cell density (ECD), corneal endothelium loss rate (ECL), central corneal thickness (CCT), and intraoperative and postoperative complications. Read More

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http://Insights.ovid.com/crossref?an=00005792-201811160-0002
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000013124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257572PMC
November 2018
16 Reads

Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture.

Clin Ophthalmol 2018 23;12:2145-2148. Epub 2018 Oct 23.

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL 33136, USA,

Purpose: To report the visual outcomes and complications of scleral fixated intraocular lenses (IOLs) using Gore-Tex suture.

Methods: The current study is a retrospective noncomparative case series including patients who underwent scleral fixation of IOL (Akreos AO60) using Gore-Tex suture from August 2015 to March 2017 at a university teaching center. Primary outcome measures were visual acuity and complications at last follow-up. Read More

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https://www.dovepress.com/clinical-outcomes-of-4-point-scler
Publisher Site
http://dx.doi.org/10.2147/OPTH.S174211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205144PMC
October 2018
16 Reads

Donor, Recipient, and Operative Factors Associated With Increased Endothelial Cell Loss in the Cornea Preservation Time Study.

JAMA Ophthalmol 2018 Oct 26. Epub 2018 Oct 26.

Verdier Eye Center, Grand Rapids, Michigan.

Importance: Determining factors associated with endothelial cell loss after Descemet stripping automated endothelial keratoplasty (DSAEK) could improve long-term graft survival.

Objective: To evaluate the associations of donor, recipient, and operative factors with endothelial cell density (ECD) 3 years after DSAEK in the Cornea Preservation Time Study.

Design, Setting, And Participants: This cohort study was a secondary analysis of data collected in a multicenter, double-masked, randomized clinical trial. Read More

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http://dx.doi.org/10.1001/jamaophthalmol.2018.5669DOI Listing
October 2018
4 Reads

Guided intracameral air injection based on 3D reconstructed anterior optical coherence tomography images in iatrogenic Descemet's membrane detachment: Case report.

Medicine (Baltimore) 2018 Oct;97(43):e13003

Department of Ophthalmology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea.

Rationale: We emphasize the importance of using anterior optical coherence tomography (OCT) to understand the details of iatrogenic Descemet's membrane detachment (DMD) in 3 dimensions; this allows appropriate air injection into the anterior chamber in terms of both direction and method.

Patients Concerns: A 74-year-old Korean female presented with progressive visual impairment. On slit-lamp examination, an iridocorneal adhesion was observed, associated with a full-thickness corneal opacity 3. Read More

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http://dx.doi.org/10.1097/MD.0000000000013003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221607PMC
October 2018
6 Reads

Postoperative Repositioning of Inverted Descemet Membrane Endothelial Keratoplasty Grafts.

Cornea 2019 Feb;38(2):162-165

Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands.

Purpose: To present 4 cases of postoperative repositioning of inverted grafts after Descemet membrane endothelial keratoplasty (DMEK).

Methods: Retrospective case reports of 4 patients presenting with subtotal to total graft detachment after DMEK, most probably owing to upside-down graft positioning. Graft repositioning was performed 1 to 14 days after initial DMEK surgery. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001796DOI Listing
February 2019

Challenges and Complication Management in Novel Artificial Iris Implantation.

J Ophthalmol 2018 23;2018:3262068. Epub 2018 Sep 23.

Department of Ophthalmology, Technical University of Munich, Munich, Germany.

Purpose: Evaluation of postoperative artificial iris prosthesis-related complications.

Design: Retrospective cohort study.

Methods: Fifty-one consecutive patients underwent pupillary reconstruction using an artificial iris implant made from silicone between 2011 and 2015. Read More

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http://dx.doi.org/10.1155/2018/3262068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174745PMC
September 2018

Topical non-steroidal anti-inflammatory drugs for the treatment of cystoid macular edema post Descemet's stripping automated endothelial keratoplasty.

Jpn J Ophthalmol 2018 Nov 25;62(6):615-620. Epub 2018 Sep 25.

Department of Frontier Medical Science and Technology for Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto, 602-0841, Japan.

Purpose: To investigate the effectiveness of topical non-steroidal anti-inflammatory drugs (NSAIDs) in the treatment of cystoid macular edema (CME) post Descemet's stripping automated endothelial keratoplasty (DSAEK).

Study Design: Retrospective observational study METHODS: In this study of 334 patients who underwent DSAEK at the Baptist Eye Institute, Kyoto, Japan between July 2011 and December 2015, 18 patients with postoperative CME (determined by optical coherence tomography) treated with topical NSAIDs after the onset of CME were included.

Results: At CME onset, 17 of the 18 patients were treated with bromfenac eye drops and 1 was treated with nepafenac eye drops. Read More

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http://dx.doi.org/10.1007/s10384-018-0621-6DOI Listing
November 2018
9 Reads

Descemet Membrane Endothelial Keratoplasty - Complication and management of a single case for tissue preparation and graft size linked to post-op descemetorhexis disparity.

Am J Ophthalmol Case Rep 2018 Dec 6;12:65-67. Epub 2018 Sep 6.

Department of Ophthalmology, St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom.

Purpose: To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium.

Observations: A single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. Read More

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http://dx.doi.org/10.1016/j.ajoc.2018.09.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146567PMC
December 2018
3 Reads

Descemetorhexis Without Endothelial Keratoplasty Versus DMEK for Treatment of Fuchs Endothelial Corneal Dystrophy.

Cornea 2018 Dec;37(12):1479-1483

Department of Ophthalmology, University of Pittsburgh School of Medicine UPMC Eye Center, Pittsburgh, PA.

Purpose: To compare the visual outcomes and associated morbidity of patients with Fuchs endothelial corneal dystrophy who were treated with either Descemet membrane endothelial keratoplasty (DMEK) or descemetorhexis without endothelial keratoplasty (DWEK).

Methods: This is a retrospective comparative cohort study of 27 eyes with mild to moderate Fuchs dystrophy (with corneal guttae/edema limited to the central cornea with relatively clear periphery) that were treated at the University of Pittsburgh Medical Center from 2015 to 2017 with either DMEK (n = 15) or DWEK (n = 12). Descemetorhexis was performed by removing the central 4 mm of diseased Descemet membrane at the end of phacoemulsification for cataract surgery. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001742DOI Listing
December 2018
4 Reads

Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma.

BMC Ophthalmol 2018 Sep 5;18(1):240. Epub 2018 Sep 5.

Centre Hospitalier Universitaire de l'Hôpital Nord, chemin des Bourrely, 13015, Marseille, France.

Background: To describe a unique case of decompression retinopathy manifesting as pre-macular subhyaloid hemorrhage that occurs in a nine-day old child after undergoing a non-penetrating deep sclerectomy for primary congenital glaucoma.

Case Presentation: We report a single case of a 9-day-old boy who was referred to our department of ophthalmology for bilateral buphtalmia and corneal edema. He presented marked elevation of the intraocular pressure in both eyes (22 mmHg and 26 mmHg, in the right eye and left eye respectively) associated with significant optic nerve cupping. Read More

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https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12
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http://dx.doi.org/10.1186/s12886-018-0906-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126034PMC
September 2018
17 Reads

Baerveldt surgery outcomes: anterior chamber insertion versus vitreous cavity insertion.

Graefes Arch Clin Exp Ophthalmol 2018 Nov 31;256(11):2191-2200. Epub 2018 Aug 31.

Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.

Purpose: We compared the outcomes of Baerveldt glaucoma implant (BGI) surgery between vitreous cavity and anterior chamber insertion.

Methods: We retrospectively analyzed a total of 105 consecutive eyes that underwent BGI surgery and were followed up for ≥ 12 months. BGI surgery was performed via the anterior chamber (AC group 48 eyes) or the pars plana into the vitreous cavity (VC group 57 eyes). Read More

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http://dx.doi.org/10.1007/s00417-018-4116-4DOI Listing
November 2018
2 Reads

Late-Onset Microsporidial Keratitis in Femtosecond Astigmatic Keratotomy After Laser-Assisted Phacoemulsification.

Cornea 2018 Nov;37(11):1471-1473

Nassau University Medical Center, Ophthalmology department, East Meadow, NY.

Purpose: To present a case of microsporidial keratitis in a femtosecond laser-created astigmatic keratotomy (AK) incision.

Methods: Case report.

Results: A 65-year-old Middle Eastern man presented 2 months after uncomplicated femtosecond laser-assisted cataract surgery (FLACS) and AK with mildly decreased vision and corneal edema in the operative eye. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001743DOI Listing
November 2018
2 Reads

Clinical Outcomes of Descemet Membrane Endothelial Keratoplasty in Eyes With Previous Radial Keratotomy.

Cornea 2018 Nov;37(11):1351-1354

NIIOS-USA, San Diego, CA.

Purpose: To evaluate the clinical outcome of Descemet membrane endothelial keratoplasty (DMEK) performed in eyes with corneal endothelial decompensation and previous radial keratotomy (RK).

Methods: Five consecutive eyes of 3 patients with previous RK underwent DMEK for endothelial decompensation; best spectacle-corrected visual acuity, maximum keratometry (Kmax), central corneal thickness, and intraoperative and postoperative complications were assessed.

Results: By 6 months postoperative, all eyes had achieved a best spectacle-corrected visual acuity of ≥20/40 (≥0. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001719DOI Listing
November 2018
10 Reads

Correlation Between Trabeculodysgenesis Assessed by Ultrasound Biomicroscopy and Surgical Outcomes in Primary Congenital Glaucoma.

Am J Ophthalmol 2018 Dec 22;196:57-64. Epub 2018 Aug 22.

Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Institute of Ophthalmology, Capital Medical University, Beijing, China. Electronic address:

Purpose: To evaluate ultrasound biomicroscopy (UBM) characteristics of trabeculodysgenesis and explore its correlation with the outcomes of microcatheter-assisted trabeculotomy (MAT) in eyes with primary congenital glaucoma (PCG).

Design: A prospective, interventional case series.

Methods: Patients with newly diagnosed PCG were consecutively recruited, and subsequently MAT was tried as their first glaucoma surgery. Read More

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http://dx.doi.org/10.1016/j.ajo.2018.08.022DOI Listing
December 2018
8 Reads
3.871 Impact Factor

Non-Descemet stripping automated endothelial keratoplasty for post radial keratotomy corneal edema.

Indian J Ophthalmol 2018 09;66(9):1333-1335

Cornea, Anterior Segment and Refractive Surgery Services, Eye Life Eye Hospital, Mumbai, Maharashtra, India.

An elderly male with monocular status presented with complaints of gradual loss of vision in his left eye. Slit-lamp evaluation revealed postradial keratotomy (RK) corneal decompensation. He underwent non-Descemet stripping automated endothelial keratoplasty (nDSAEK) in his left eye. Read More

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http://dx.doi.org/10.4103/ijo.IJO_1281_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113808PMC
September 2018

Donor, Recipient, and Operative Factors Associated with Graft Success in the Cornea Preservation Time Study.

Ophthalmology 2018 Nov 9;125(11):1700-1709. Epub 2018 Aug 9.

Department of Ophthalmology and Visual Sciences, Case Western Reserve University and University Hospitals Eye Institute, Cleveland, Ohio. Electronic address:

Purpose: To associate donor, recipient, and operative factors with graft success 3 years after Descemet stripping automated endothelial keratoplasty (DSAEK) in the Cornea Preservation Time Study (CPTS).

Design: Cohort study within a multicenter, double-masked, randomized clinical trial.

Participants: One thousand ninety individuals (1330 study eyes) with a median age of 70 years undergoing DSAEK for Fuchs endothelial corneal dystrophy (94% of eyes) or pseudophakic or aphakic corneal edema (PACE; 6% of eyes). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01616420183167
Publisher Site
http://dx.doi.org/10.1016/j.ophtha.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196643PMC
November 2018
8 Reads

Tomographic changes in eyes with hyperopic shift after triple Descemet membrane endothelial keratoplasty.

J Cataract Refract Surg 2018 Jun 4;44(6):738-744. Epub 2018 Jul 4.

From the Cincinnati Eye Institute (Cheung, Chachare, Eslani, Nordlund) and the University of Cincinnati (Cheung, Eslani, Schneider, Nordlund), Cincinnati, Ohio; Virginia Eye Consultants (Cheung), Norfolk, Virginia, USA. Electronic address:

Purpose: To describe the tomographic changes in eyes with a hyperopic shift after triple Descemet membrane endothelial keratoplasty (DMEK).

Setting: Private cornea practice, Blue Ash, Ohio, USA.

Design: Retrospective case series. Read More

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http://dx.doi.org/10.1016/j.jcrs.2018.04.040DOI Listing
June 2018
2 Reads

Updated cataract surgery complexity stratification score for trainee ophthalmic surgeons.

J Cataract Refract Surg 2018 Jun 4;44(6):709-717. Epub 2018 Jul 4.

From Epsom and St. Helier University National Health Service Trust, Sutton, London, United Kingdom.

Purpose: To devise a comprehensive cataract surgery complexity score system for the selection of appropriate cases for trainees using evidence-based, validated risk factors for posterior capsule rupture, patient-specific factors, and complexity stratification recommendations to minimize complications, optimize outcomes, and maximize patient safety.

Setting: Epsom and St. Helier University National Health Service Trust, London, United Kingdom. Read More

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http://dx.doi.org/10.1016/j.jcrs.2018.04.036DOI Listing
June 2018
3 Reads