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Int Ophthalmol 2020 Jun 15. Epub 2020 Jun 15.

Department of Ophthalmology, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India.

Purpose: To evaluate the factors influencing final visual outcome after surgical repair of open globe injuries (OGIs) and to correlate the Ocular Trauma Score (OTS) system.

Methods: Prospective cross-sectional study of patients with OGIs from International Globe and Adnexal Trauma Epidemiology Study (IGATES) database at a tertiary referral eye centre in Central India over 2 years. Pre-operative factors affecting final visual outcome and correlation with OTS were evaluated. Read More

BMC Ophthalmol 2020 Jun 18;20(1):238. Epub 2020 Jun 18.

Department of Cornea and Refractive Surgery, Kim's Eye Hospital, 136, Yeongshin-ro, Yeongdeungpo-gu, Seoul, South Korea.

Background: To report a case of enucleation caused by Streptococcus dysgalactiae endophthalmitis after traumatic corneal laceration.

Case Presentation: A 69-year-old man with history of retinal detachment treated with vitrectomy and subsequent cataract surgery presented with traumatic corneal laceration while cutting grass. Appropriate repair of corneal laceration and intravitreal antibiotics (vancomycin, ceftazidime) injection was performed. Read More

Korean J Ophthalmol 2020 Jun;34(3):187-191

Pediatric Unit, Magrabi Eye Hospital, Sana'a, Yemen.

Purpose: We sought to elucidate causes of ocular trauma in children younger than 17 years of age during the Eid festivities in Sana'a, Yemen.

Methods: A prospective observational case series study was conducted in two tertiary emergency hospitals (Al-Thawra and Magrabi Hospital). The Eid Al-Fitr festive holidays in 2016 lasted 10 days from July 3 to 12. Read More

Curr Eye Res 2020 May 27:1-6. Epub 2020 May 27.

Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, The University of Sydney , Sydney, New South Wales, Australia.

Aim: To review the use of clinical corneal sealants for the closure of full thickness corneal wounds.

Methods: A systematic review was conducted across CENTRAL, Medline, PubMed, Embase, Scopus, mRCT and ICTRP for the keywords of 'cornea', 'full-thickness wound', 'sealant' and their synonyms. Only evidence level 2 of higher as graded by Oxford Centre of Evidence-based Medicine were included for this review. Read More

J Emerg Trauma Shock 2020 Jan-Mar;13(1):39-44. Epub 2020 Mar 19.

Department of Ophthalmology, Christian Medical College, Vellore, Tamil Nadu, India.

Background: Ocular injury due to fireworks requires urgent ophthalmic assessment and management to preserve vision.

Methods: Spectrum of injury, type of intervention, visual outcome, and reasons for visual loss were assessed in consecutive patients presenting over 2 years with firework-related eye injury. The final visual outcome was recorded as best-corrected visual acuity. Read More

BMC Ophthalmol 2020 May 1;20(1):173. Epub 2020 May 1.

Department of Cornea and Refractive Surgery, Kim's Eye Hospital, Myunggok Eye Research Institute, Konyang University College of Medicine, 136, Yeongshin-ro, Yeongdeungpo-gu, Seoul, South Korea.

Background: To report a case of lenticular infection caused by Aspergillus, which was diagnosed 13 weeks after traumatic corneal laceration.

Case Presentation: A 60-year-old woman presented with traumatic corneal laceration including anterior lens capsule rupture and traumatic cataract after being hit with a chestnut in the right eye. There were multiple injuries due to tiny thorns of the chestnut, including the conjunctiva, sclera, cornea, and anterior lens capsule. Read More

Am J Ophthalmol Case Rep 2020 Jun 20;18:100670. Epub 2020 Apr 20.

Davidorf Eye Group, 7320 Woodlake Avenue, Suite 190, West Hills, CA, 91307, USA.

Purpose: Bee sting injuries to the eye and surrounding tissue are an infrequent occurrence. Here we present an interesting Case of a 64 year old bee keeper who was stung in the left upper eyelid.

Observations: After the injury, she developed pain and inflammation of the eyelid though a few days after the injury noted increased eye pain. Read More

Ophthalmic Plast Reconstr Surg 2020 Apr 16. Epub 2020 Apr 16.

Ophthalmic Plastic Surgery Service, Department of Ophthalmology, Massachusetts Eye and Ear/Harvard Medical School, Boston, Massachusetts, U.S.A.

Purpose: To document a unique case of a corneal/conjunctival epithelial inclusion cyst located in the orbicularis oculi muscle with a comprehensive review of variant conjunctival cysts and simulating conditions.

Methods: Clinicopathologic case report with detailed histopathologic and immunohistochemical evaluation for cytokeratins combined with a tabulation of mimicking lesions and relevant literature citations.

Results: A 59-year-old man experienced severe blunt left periorbital trauma that resulted in a limbal partial-thickness corneal wound with an associated epithelial abrasion and a full-thickness eyelid laceration extending from the superior fornix to the margin. Read More

Clin Ophthalmol 2020 21;14:179-186. Epub 2020 Jan 21.

Department of Ophthalmology, Fukuoka University School of Medicine, Fukuoka, Japan.

Purpose: Due to the mechanical vulnerability of eyes that have undergone penetrating keratoplasty (PKP), it is clinically important to evaluate the possibility of corneal wound dehiscence by blunt impact. We have previously developed a simulation model resembling a human eye based on information obtained from cadaver eyes and applied three-dimensional finite element analysis (FEA) to determine the physical and mechanical response to an air gun impact at various velocities on the post-PKP eye.

Methods: Simulations in a human eye model were performed with a computer using a FEA program created by Nihon, ESI Group. Read More

Pediatrics 2019 12;144(6)

Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio;

Objectives: To investigate nonpowder firearm injuries treated in US emergency departments among children <18 years old.

Methods: National Electronic Injury Surveillance System data from 1990 through 2016 were analyzed.

Results: An estimated 364 133 (95% confidence interval 314 540-413 727) children <18 years old were treated in US emergency departments for injuries related to nonpowder firearms from 1990 to 2016, averaging 13 486 children annually. Read More

Ophthalmic Plast Reconstr Surg 2020 Jan/Feb;36(1):e21-e23

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, Florida, U.S.A.

A 64-year-old woman underwent bilateral upper eyelid blepharoplasty and subsequently presented with decreased vision at her first postoperative visit 1 week later. She was found to have an 8-mm partial-thickness corneal laceration of her left eye and underwent immediate surgical laceration repair. The laceration etiology was thought to be related to damage from the initial blepharoplasty incision or Bovie cautery tip-induced laceration. Read More

Med Sci Monit 2019 Nov 16;25:8628-8636. Epub 2019 Nov 16.

The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China (mainland).

BACKGROUND Endophthalmitis, or inflammation of the internal tissues of the eye, may follow trauma and results in loss of vision if not treated promptly. Vitrectomy is used to debride the inflamed vitreous. This retrospective study aimed to compare the outcome from conventional vitrectomy (CV) and endoscope-assisted vitrectomy (EAV) performed for endophthalmitis within five days and 10 days after open ocular trauma. Read More

PLoS One 2019 16;14(9):e0222652. Epub 2019 Sep 16.

Department of Ophthalmology, Veterans Health Service (VHS) Medical Center, Seoul, Korea.

Purpose: To investigate intraocular pressure (IOP) readings by non-contact tonometry (NCT) and Goldmann applanation tonometry (GAT) for patients with different degrees of bilateral tearing.

Methods: In this study, we reviewed the medical charts of patients complaining of different degrees of bilateral tearing. The tear meniscus height (TMH) and IOP with NCT and GAT were measured. Read More

Graefes Arch Clin Exp Ophthalmol 2019 Nov 5;257(11):2541-2545. Epub 2019 Sep 5.

Department of Ophthalmology, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX, 78234, USA.

Background: Orbital roof fractures are a significant cause of morbidity in trauma and are associated with a spectrum of orbital and ocular injuries. This study aims to characterize orbital roof fracture patterns and quantify the rate of acute intervention as compared with non-roof involving orbital wall fractures.

Methods: This study is a retrospective analysis of 340 orbital wall fractures diagnosed by CT imaging from August 2015 to October 2016. Read More

Graefes Arch Clin Exp Ophthalmol 2019 Nov 30;257(11):2547-2558. Epub 2019 Jul 30.

Instituto de Microcirugía Ocular (IMO), C/ Josep María Lladó 3, 08035, Barcelona, Spain.

Purpose: To evaluate the effectiveness of temporary keratoprosthesis combined with vitreoretinal surgery and penetrating keratoplasty in patients with or without trauma.

Methods: This retrospective study included 49 eyes in 49 non-trauma patients and 51 eyes in 48 ocular trauma patients who underwent penetrating keratoplasty and vitreoretinal surgery with Eckardt temporary keratoprosthesis between 2009 and 2016, with a follow-up of at least 12 months. Study variables included previous corneal, glaucoma, or retinal surgeries; various intraoperative surgical maneuvers; lens status; vitreoretinal and corneal pathology; functional outcomes; anatomical retinal reattachment; graft clarity; and need for glaucoma surgery or treatment. Read More

GMS Ophthalmol Cases 2019 31;9:Doc20. Epub 2019 May 31.

Drashti Netralaya, Dahod, Gujarat, India.

To explore a new technique to find out the proximal end of lacerated canaliculi and a new material for the stent. Surgery was performed on 9 eyes of 9 patients using a 5/0 prolene suture needle as a modified probe. Prolene suture was inserted as a stent and left in place for two months. Read More

Klin Monbl Augenheilkd 2019 Jul 2. Epub 2019 Jul 2.

Augenabteilung, Universitätskrankenhaus Maribor, Slowenien.

Background: In recent years, there has been an increase in the number of very old patients requiring a cataract operation. However, there is little information on the intraoperative complications and safety in these patients. For various reasons, operations on patients from age 85 may be demanding: dense nuclear cataract, narrow pupils, low count of endothelial cells, loose zonula, and other ocular or systemic diseases. Read More

Oral Maxillofac Surg 2019 Sep 18;23(3):325-329. Epub 2019 May 18.

Faesa, Vitória, Espírito Santo, Brazil.

Introduction And Objective: The objective of this study was to determine whether there is a need for ophthalmologists to perform a specialized assessment after the occurrence of orbital fractures.

Materials And Methods: Sixty-three patients (64 orbits) diagnosed with orbital fractures were evaluated preoperatively (up to 24 h after the trauma) and in 90-day postoperative period.

Results: Eight injuries required either specialized clinical or surgical ophthalmologic intervention. Read More

Case Rep Ophthalmol 2019 Jan-Apr;10(1):111-115. Epub 2019 Apr 1.

Department of Ophthalmology, Hillel-Yaffe Medical Center, Hadera, Israel.

Background: Nd: YAG capsulotomy is the treatment of choice for posterior capsular opacification after cataract surgery. We report a case of corneal perforation following Nd:YAG capsulotomy in a patient with systemic scleroderma.

Case Presentation: A 69-year-old woman presented with acute onset of blurred vision 2 weeks following Nd:YAG laser capsulotomy for posterior subcapsular opacification. Read More

Am J Ophthalmol Case Rep 2019 Jun 1;14:95-97. Epub 2019 Apr 1.

Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, 555 University Avenue, University of Toronto, Toronto, Ontario, Canada.

Purpose: To report a case of self-induced eye injury resulting in lens subluxation combined with avulsion of ciliary processes in a patient with Tourette Syndrome.

Observation: A 14-year-old male had repeated involuntary trauma to the left side of his face. On exam, left eye lens subluxation combined with ciliary process avulsion were noted. Read More

Niger J Surg 2019 Jan-Jun;25(1):42-44

Department of Ophthalmology, Enugu State University of Science and Technology, Enugu, Nigeria.

Aim: The aim of this study is to determine the incidence and types of ocular injuries caused by fireworks in patients seen at Guinness Eye Centre Onitsha and their effects on vision.

Methods: This was a 3-year retrospective study evaluating case files of patients with ocular fireworks injuries seen at Guinness Eye Centre Onitsha during the Christmas and New Year festivities (2010-2012). Information was extracted into a pro forma and analyzed using Excel, AutoSum, and calculators. Read More

Iran J Med Sci 2019 Mar;44(2):176-179

Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Penetrating ocular trauma is one of the most important causes of vision loss, especially in men, and can be associated with intraocular foreign bodies. The incidence of intraocular cilia after trauma is very low. Here we report the case of a 24-year-old man who visited Poostchi Ophthalmology Clinic (Shiraz, Iran) due to a gradual vision loss in his left eye over the past 2 months. Read More

J Fr Ophtalmol 2019 Apr 21;42(4):e155-e156. Epub 2019 Mar 21.

Service d'ophtalmologie, CHU d'Hôtel-Dieu, place Alexis-Ricordeau, 44000 Nantes, France. Electronic address:

Cornea 2019 Jun;38(6):668-673

Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA.

Purpose: To report the outcomes of cyanoacrylate tissue adhesive (CTA) application in corneal thinning and perforation.

Methods: A retrospective interventional case series of 137 patients receiving CTA for corneal thinning and perforation in 140 eyes between 2001 and 2018 at a single center was reviewed. Success rate and factors associated with glue failure were analyzed. Read More

Pediatr Emerg Care 2019 Jan 29. Epub 2019 Jan 29.

From the Departments of Ophthalmology, and.

Objectives: The aim of this study was to compare the role of computed tomography (CT) in the diagnosis of open-globe trauma and intraocular foreign body (IOFB) in pediatric and adult age groups.

Methods: Medical records of cases with open-globe trauma at Inonu University Hospital's Ophthalmology Emergency Service were retrospectively evaluated. Preoperative orbital CT images of the cases obtained at emergency services and their clinical and/or surgical findings were compared in pediatric and adult groups. Read More

J West Afr Coll Surg 2017 Oct-Dec;7(4):72-84

Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Background: Corneal laceration is a partial or full thickness corneal injury resulting from direct or indirect ocular trauma. Cornea laceration generally leads to the development of corneal opacity which is a significant cause of blindness worldwide, particularly in developing countries where facility for corneal transplant is not readily available. Clinical outcomes depend on causes, the part of cornea involved, and availability of skilled human resource and presence of corneal transplant services. Read More

Optom Vis Sci 2018 11;95(11):1083-1086

University of Minnesota, Minneapolis, Minnesota

Significance: As the prevalence of post-laser-assisted in situ keratomileusis (LASIK) patients rises, recognition of possible traumatic complications and their management in this population becomes increasingly relevant. Penetrating injuries and intraocular foreign bodies are possible in post-LASIK corneas despite an intact anterior corneal surface. However, with prompt recognition and treatment, excellent visual recovery can be achieved. Read More

J Cataract Refract Surg 2018 Dec 5;44(12):1446-1453. Epub 2018 Oct 5.

From the Children Eye Care Center (P. Sen), Pediatric Ophthalmology and Strabismus (Shah, Jain, Mohan), and the Department of Retina and Uvea (A. Sen), Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.

Purpose: To compare the visual and refractive outcomes and complications of primary and secondary intraocular lens (IOL) implantation after open-globe injury in pediatric patients.

Setting: Sadguru Netra Chikitsalaya, Madhya Pradesh, India.

Design: Retrospective case series. Read More

Cornea 2018 Nov;37 Suppl 1:S78-S85

Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.

Purpose: To restore vision in complex eyes with coexisting anterior and posterior segment problems, combined corneal transplantation (penetrating keratoplasty [PK] or Descemet-stripping automated endothelial keratoplasty [DSAEK]), pars plana vitrectomy (PPV), and/or flanged intrascleral intraocular lens (IOL) fixation, designated vitreocorneal surgery are performed. In this study, we evaluated the usefulness of vitreocorneal surgery for eyes with complex comorbidities.

Methods: Thirteen consecutive eyes in 13 patients with coexisting corneal pathology (ie, corneal scarring, bullous keratoplasty, corneal laceration) and posterior segment pathology (ie, aphakia without capsular support, retinal detachment, intravitreal foreign body) underwent vitreocorneal surgery. Read More

Ophthalmologe 2018 Nov;115(11):961-966

Klinik für Augenheilkunde, Goethe-Universität, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.

Objective Of Surgery: The aim of strabismus surgery to correct esotropia is orthotropic alignment or microstrabismus to achieve best possible binocularity, a larger visual field, better appearance, and a frequently connected improved self-esteem. A widely used technique to correct esotropia is combined unilateral strabismus surgery with recession of the medial rectus muscle and plication of the lateral rectus muscle.

Indications: Indications are esotropia of various origins or decompensating esophoria over 15 prism diopters. Read More

Am J Ophthalmol Case Rep 2018 Sep 6;11:35-36. Epub 2018 May 6.

Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, 6565 Fannin Street, Houston, TX, USA.

Purpose: To report a case of sequential open globe rupture in a young patient with osteogenesis imperfecta type I following minor accidental blunt injury. This represented the patient's sole clinical manifestation of connective tissue disease, leading to a diagnosis of osteogenesis imperfecta type I at the age of 12 years old.

Observations: A 12-year-old male presented with right eye pain following accidental blunt trauma at school while wearing protective lenses. Read More

Int Ophthalmol 2019 Jul 13;39(7):1621-1626. Epub 2018 Aug 13.

West Virginia University Eye Institute, 1 Medical Center Dr, Morgantown, WV, 26506, USA.

Purpose: To report a case of toxic optic neuropathy caused by an ocular bee sting.

Methods: Case report and literature review.

Results: A 44-year-old female presented with no light perception vision 2 days after a corneal bee sting in her right eye. Read More

Clin Pract Cases Emerg Med 2018 Aug 12;2(3):266-267. Epub 2018 Jun 12.

Kimbrough Ambulatory Care Center, Department of Ophthalmology, Fort Meade, Maryland.

Sci Rep 2018 05 4;8(1):7081. Epub 2018 May 4.

Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

We investigated the temporal changes in major eye injuries in Taiwan by reviewing the medical records of all patients with ocular trauma hospitalized at the National Cheng Kung University Hospital during 2002-2004 and 2012-2014. A total of 169 eyes (161 patients) during 2002-2004 and 121 eyes (120 patients) during 2012-2014 were enrolled (mean ± SD age: 41.9 ± 20. Read More

J Ophthalmic Vis Res 2018 Apr-Jun;13(2):149-152

Department of Ophthalmology, Jundishapur University of Medical Sciences, Ahvaz, Iran.

Purpose: To evaluate the change in macular thickness after open globe injury (OGI) in patients with clear media and without retinal damage using optical coherence tomography (OCT).

Methods: In this longitudinal observational pilot study, 17 patients with clear media and without retinal damage who underwent repair of OGI for corneal, corneoscleral, or scleral laceration were studied. In addition to routine follow-up, all patients were examined at the first and third postoperative months and best corrected visual acuity (BCVA), slit-lamp examination, applanation tonometry, dilated fundus examinations, and macular OCT scans were documented. Read More

Retin Cases Brief Rep 2018 Mar 23. Epub 2018 Mar 23.

Department of Ophthalmology & Visual Sciences, University of Massachusetts Medical School, Worcester, Massachusetts.

Purpose: To present a case of open globe injury and retained intraocular foreign body secondary to drywall.

Methods: Interventional case report.

Results: A 21-year-old man presented with corneal laceration, iris defect, and vitreous hemorrhage after hammering drywall. Read More

J Craniofac Surg 2018 Jul;29(5):1208-1211

Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine.

Purpose: To assess the ophthalmologic complications after oculofacial plastic and esthetic surgeries, including their incidence and management.

Methods: A retrospective study was performed on 110 patients who presented with ocular complications followed by oculofacial plastic and esthetic surgeries from January 2014 to December 2015. The incidence and management of complications after each surgery or procedure were analyzed. Read More

Retina 2019 Jun;39(6):1076-1082

Qingdao Eye Hospital, Shandong Eye Institute, Shandong Academy of Medical Sciences, Qingdao, China.

Purpose: To investigate risk factors, treatment strategies, and outcomes of endophthalmitis associated with severe fungal keratitis.

Methods: Data from 392 patients diagnosed with fungal keratitis were retrospectively examined. Patients had severe disease that was refractory to topical or systemic antifungal therapy, and the infection involved the endothelium or perforated the cornea. Read More

BMC Ophthalmol 2018 Jan 18;18(1):10. Epub 2018 Jan 18.

Ophthalmology department, Centre Hospitalier Universitaire de Limoges, 2, avenue Martin Luther King, Limoges, France.

Background: Pediatric trauma can lead to serious visual impairment as a result of the trauma itself or secondary to amblyopia. Precise data on epidemiological characteristics and visual outcomes of pediatric ocular injuries are valuable for the prevention of monocular blindness.

Methods: A total of 268 cases of pediatric ocular trauma admitted to the Department of Ophthalmology of the Lithuanian University of Health Sciences Hospital from January 2008 to December 2013 were retrospectively reviewed. Read More

J Pediatr Ophthalmol Strabismus 2018 May 19;55(3):178-181. Epub 2017 Dec 19.

Purpose: To evaluate the clinical value of rigid gas permeable contact lenses in children after traumatic corneal scarring.

Methods: This comparative study included 15 children (age range: 5.7 to 14 years; mean ± standard deviation = 9. Read More

Injury 2018 Feb 2;49(2):230-235. Epub 2017 Dec 2.

Google[X], 100 Mayfield Ave., Mountain View, CA 94043, USA.

Penetrating eye injuries are surgical emergencies with guarded visual prognosis. The purpose of the current study was to determine the force required to rupture the cornea with a penetrating object, and to study how this force is affected by the object geometry. Thirty-six human cadaveric eyes from donors of various ages were characterized for diameter, axial length, and pre-test intraocular pressure. Read More

Cornea 2018 Feb;37(2):211-217

San Antonio Uniformed Services Health Education Consortium, San Antonio, TX.

Purpose: Watertight closure of perforating corneoscleral lacerations is necessary to prevent epithelial ingrowth, infection, and potential loss of the eye. Complex lacerations can be difficult to treat, and repair with sutures alone is often inadequate. In this study, we evaluated a potentially sutureless technology for sealing complex corneal and scleral lacerations that bonds the amniotic membrane (AM) to the wound using only green light and rose bengal dye. Read More

J Fr Ophtalmol 2017 Dec 11;40(10):844-852. Epub 2017 Nov 11.

Département d'ophtalmologie, hôpital de Mercy, CHR de Metz-Thionville, 1, allée du Château, CS45001, 57085 Metz cedex 03, France.

Purpose: To report our anatomical and functional results as well as possible complications of the first six Descemet's stripping endothelial keratoplasties (DSAEK) performed in our department for endothelial decompensation after penetrating keratoplasty (PK) METHODS: This was a retrospective and observational monocentric study of six patients with DSAEK after prior PK between January 2015 and July 2016. The data collected were: demographic characteristics (age, sex), ophthalmological comorbidities, initial indication for PK, delay between PK and DSAEK. Best corrected visual acuity (BCVA) preoperatively and at 1, 3 and 6 months postoperatively were collected in Monoyer's and Parinaud scale and converted to log MAR for statistical analysis. Read More

J Pediatr Ophthalmol Strabismus 2018 Mar 14;55(2):122-127. Epub 2017 Nov 14.

Purpose: To evaluate the visual and refractive outcomes in children 8 years of age or younger with corneal laceration and cataract following penetrating ocular injuries who underwent primary corneal tear repair followed within 1 to 8 weeks by early secondary cataract extraction.

Methods: This retrospective, non-comparative case series reviewed the admission and operative charts of children 8 years of age or younger (range: 3 to 8 years) who underwent corneal wound repair as the primary surgical procedure followed within 1 to 8 weeks by cataract extraction with intraocular lens implantation, with a minimum follow-up period of 6 months. The main outcome measures were best corrected visual acuity (BCVA) and refractive error as the spherical equivalent at the final follow-up visit. Read More

J Cataract Refract Surg 2017 10;43(10):1297-1306

From the Department of Ophthalmology (C.C.Trindade, Santhiago), University of São Paulo, São Paulo, Ciencias Medicas Medical School (B.C. Trindade) and Cançado-Trindade Eye Institute (F.C.Trindade), Belo Horizonte, Brazil; the Moran Eye Center (Werner), Salt Lake City, Utah, and the University of Cincinnati (Osher), Cincinnati, Ohio, USA.

Purpose: To evaluate the effect on visual acuity of the implantation of a new intraocular pinhole device (Xtrafocus) in cases of irregular corneal astigmatism with significant visual impairment.

Setting: University of São Paulo, São Paulo, Brazil.

Design: Prospective case series. Read More

Can J Ophthalmol 2017 Oct 18;52(5):508-512. Epub 2017 Mar 18.

Department of Ophthalmology, Queen's University, Kingston, Ont. Electronic address:

Objective: To determine the efficacy of collagen cross-linking (CXL) as an adjunct to suturing in the repair of corneal lacerations.

Methods: A cadaveric study was undertaken in which a linear 5 mm corneal laceration was created in the central cornea of 20 eyes. The eyes were then randomized to receive 1 (n = 8), 2 (n = 8), or 3 (n = 4) standard corneal sutures. Read More

J AAPOS 2017 Oct 1;21(5):425-426. Epub 2017 Sep 1.

Department of Ophthalmology, Queen's University, Kingston, Ontario, Canada. Electronic address:

Birth-associated ocular trauma is common and often minor, including subconjunctival and retinal haemorrhage and eyelid edema. Significant ocular trauma during birth, usually associated with forceps-assisted delivery, is rarer and can include Descemet's membrane rupture, lid lacerations, hyphema, Purtcher retinopathy, facial nerve palsy, corneal edema, and corneal laceration. We report the first case of ocular birth trauma from forceps presenting as isolated iris heterochromia and a pseudo rubeosis iridis, which completely resolved by 1 month of age with no known adverse ocular sequelae. Read More

Can J Ophthalmol 2017 Jun 18;52(3):e88-e91. Epub 2017 Jan 18.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ont; Department of Ophthalmology, Sunnybrook Health Sciences Centre, Toronto, Ont. Electronic address:

Middle East Afr J Ophthalmol 2017 Jan-Mar;24(1):54-56

Department of Ophthalmology, The James Cook University Hospital, Middlesbrough TS4 3BW, UK.

Although rare, inadvertently dislodged cannula can occur during cataract surgery. We report two cases of cannula-associated ocular injury during stromal hydration of the main corneal incision despite the use of Luer-lock syringes. Case 1 suffered from an initially occult intraocular injury which led to a delayed presentation of vitreous prolapsing into the anterior chamber, presumed posterior capsular rupture, vitreous hemorrhage, and multiple retinal tears, which required a three-port pars plana vitrectomy and cryotherapy. Read More