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Indian J Ophthalmol 2019 Mar;67(3):406

Guru Nanak Eye Centre, Maulana Azad, Medical College, New Delhi, India.

IDCases 2019 29;15:e00499. Epub 2019 Jan 29.

Department of General Internal Medicine, Iizuka Hospital, Fukuoka, Japan.

Here, we present a 76-year-old diabetic man who was diagnosed as having endogenous endophthalmitis caused by that finally developed globe rupture, which is a rare endogenous endophthalmitis complication. This case highlight that endogenous endophthalmitis is an ophthalmological emergency with poor prognosis, thereby requiring prompt diagnosis and aggressive intervention. Read More

JAMA Ophthalmol 2019 Feb 14;137(2):e183971. Epub 2019 Feb 14.

Department of Ophthalmology, Ben Taub General Hospital, Houston, Texas.

Eye (Lond) 2019 Feb 11. Epub 2019 Feb 11.

Moorfields Eye Centre at Croydon University Hospital, 530 London Road, Thornton Heath, Surrey, CR7 7YE, UK.

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. Read More

Am Med Stud Res J 2018 ;5(1):110-113

Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, Maryland.

Introduction: Hippotherapy has recently emerged as a horse-based rehabilitative therapy to improve balance, coordination, and strength in patients with a wide range of medical conditions. Although several studies have demonstrated its effectiveness in restoring balance and gait in patients who have suffered cerebrovascular accidents (CVA), few studies have reported on adverse events associated with the treatment.

Case Presentation: This case report describes a female post-stroke patient who fell from a horse during a hippotherapy session. Read More

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

Dhami Eye Care Hospital, Ludhiana, Punjab, India.

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. Read More

Case Rep Ophthalmol Med 2019 6;2019:5241573. Epub 2019 Jan 6.

Department of Ophthalmology, Ente Ecclesiastico "F. Miulli" Hospital, Acquaviva delle Fonti, Bari, Italy.

Purpose: To describe a case of a 25-year-old man with choroidal neovascularization (CNV) secondary to traumatic choroidal rupture treated with intravitreal bevacizumab and to evaluate the vascular structure of the area near the traumatic choroidal rupture.

Methods: The patient underwent complete ophthalmologic evaluation, including best-corrected visual acuity (BCVA), intraocular pressure, anterior segment and funds examination, and optical coherence tomography angiography (OCTA) at baseline and on each follow-up visit. Fluorescein angiography (FA) was performed at baseline. Read More

Vet Ophthalmol 2019 Feb 4. Epub 2019 Feb 4.

Department of Pathological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin.

Purpose: To describe the clinical and histopathologic features secondary to ocular and periocular snakebites in dogs requiring enucleation.

Methods: Retrospective review of patients with recorded snakebite envenomation from the archives of the Comparative Ocular Pathology Laboratory of Wisconsin (COPLOW) and Texas A&M Veterinary Medical Teaching Hospital (1997-2017). The cases included in this study required witnessed snakebites to the dog by the owner, clinical signs supportive of periocular or ocular envenomation, and/or histopathologic lesions compatible with snakebites. Read More

Ir J Med Sci 2019 Jan 31. Epub 2019 Jan 31.

Department of Microbiology, National Maternity Hospital, Holles Street, Dublin 2, Ireland.

Background: Early-onset group B Streptococcus (EOGBS/GBS) infection remains a significant cause of neonatal morbidity and mortality.

Aims: Aiming to improve antimicrobial stewardship and reduce unnecessary maternal and infant exposure to intrapartum antibiotic prophylaxis (IAP), this study assessed the clinical use of a commercially available GBS polymerase chain reaction (PCR) assay for term women with pre-labour rupture of membranes.

Methods: This was a retrospective study in a tertiary level maternity unit of term women with pre-labour rupture of membranes (ROM), without any clinical suspicion of infection performed between November and December 2017. Read More

Med Hypotheses 2019 Feb 16;123:115-117. Epub 2019 Jan 16.

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

The assessment of nature and the extent of extraocular muscle injuries during initial visit in ocular emergencies is of paramount importance to avoid/minimize the subsequent need for strabismus surgery. Based on our experience in managing acute globe and orbital injuries and cases of strabismus, we propose the probable mechanism involved in the occurrence of extraocular muscle flap tear and a complete rupture of the muscle. During high-velocity injuries when the forces are equally transmitted along the orbital bony framework and the globe, then due to differential shearing forces created between the global and the orbital fibres leads to a flap tear. Read More

Ophthalmic Plast Reconstr Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, U.S.A.

Purpose: CT is the standard of care for assessment of ocular and orbital trauma; however, artifacts from metallic foreign bodies can limit the utility of CT. The authors hypothesize that implementation of metal artifact reduction techniques can improve image quality and diagnostic confidence for a diverse group of interpreters.

Methods: A case series of ten subjects with retained periocular metallic foreign bodies imaged with CT were identified retrospectively from a large urban trauma center. Read More

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

J Craniofac Surg 2019 Jan 19. Epub 2019 Jan 19.

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to assess compositional changes in a forged-unsintered hydroxyapatite and poly-L-lactide (uHA/PLLA) mesh at 651 days after insertion into human body.A 35-year-old female patient had left tripod fracture, orbital medial wall and floor fracture, and superficial lateral palpebral ligament rupture. On the 9th posttrauma day, the tripod fracture was reduced and fixed with plates, and the orbital wall and floor were reconstructed with a resorbable mesh. Read More

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

Otolaryngology, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.

A 75-year-old woman presented with an 18-month history of severe, slowly worsening dysphonia. She was a smoker and known to have multiple benign cystic thyroid lesions. She reported no associated symptoms and other medical and social history was unremarkable. Read More

BMC Ophthalmol 2019 Jan 16;19(1):20. Epub 2019 Jan 16.

Eye Hospital, Wenzhou Medical University, 270 Xueyuan Road, Wenzhou, 325027, Zhejiang, China.

Background: The complete disassembly of nuclear is the most challenging step in hard cataract surgery through microincision. The classic phaco chop technique often does not succeed, resulting in incomplete nuclear segmentation. The authors describe a technique to improve the efficacy and safety of the initial chopping. Read More

Retina 2019 Jan 14. Epub 2019 Jan 14.

Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama City, Okayama, Japan.

Purpose: To investigate the clinical course of submacular hemorrhage associated with ruptured retinal arterial macroaneurysm using swept-source optical coherence tomography.

Methods: This study included 23 eyes of 23 consecutive patients diagnosed with submacular hemorrhage associated with ruptured retinal arterial macroaneurysm. Cases underwent displacement of submacular hemorrhage (vitrectomy + subretinal injection of tissue plasminogen activator + air tamponade) and were followed up for 6 months after surgery. Read More

Ophthalmology 2019 Jan 12. Epub 2019 Jan 12.

Department of Ophthalmology, Queen's University, Kingston, Canada; Department of Ophthalmology, Kingston Health Sciences Centre, Hotel Dieu Hospital Site, Kingston, Canada.

Purpose: Tamsulosin is associated with intraoperative floppy iris syndrome (IFIS), an important risk factor for complications during cataract surgery. Significant efforts have been made to increase awareness of the risks associated with tamsulosin, and educational initiatives have fostered the uptake of technical adjustments to decrease adverse event rates among tamsulosin-exposed patients. However, the effectiveness of these efforts at the population level has not been studied. Read More

Int J Mol Sci 2019 Jan 14;20(2). Epub 2019 Jan 14.

Department of Molecular Biology, Institute of Genetics and Animal Breeding of the Polish Academy of Sciences, 05-552 Jastrzębiec, Poland.

Vascular smooth muscle cell (VSMC) proliferation plays a critical role in atherosclerosis. At the beginning of the pathologic process of atherosclerosis, irregular VSMC proliferation promotes plaque formation, but in advanced plaques VSMCs are beneficial, promoting the stability and preventing rupture of the fibrous cap. Recent studies have demonstrated that microRNAs (miRNAs) expressed in the vascular system are involved in the control of VSMC proliferation. Read More

Exp Eye Res 2019 Jan 11;181:112-119. Epub 2019 Jan 11.

Research Laboratory of Ophthalmology and Vision Sciences, Torsten-Wiesel Research Institute of World Eye Organization, State Key Laboratory of Biotherapy, West China Hospital, SiChuan University, Chengdu, China; Department of Ophthalmology, West China Hospital, Sichuan University, Cheng Du, Sichuan, China. Electronic address:

The purpose of this study was to investigate indoleamine 2,3-dioxygenase 1 (IDO1) expression and its implications in uveal melanoma (UM). Bioinformatics analysis was performed on microarray data (GSE22138 and GSE27831) from the Gene Expression Omnibus (GEO) database to evaluate IDO1 expression in mRNA level. Ninety-two cases in the database were divided into the IDO1-high group (46 cases) and IDO1-low group (46 cases). Read More

J Clin Med 2019 01 5;8(1). Epub 2019 Jan 5.

Department of General Ophthalmology, Medical University of Lublin, ul. Chmielna 1, 20-079 Lublin, Poland.

Introduction: To assess long-term outcomes of implantation of black diaphragm intraocular lens (BD IOL) in post-traumatic aniridia and aphakia due to eye rupture.

Methods: This is a retrospective consecutive case series of 14 eyes with post-traumatic complete aniridia and aphakia treated with scleral fixation BD IOL. Measurements included ophthalmological comorbidities, best corrected visual acuity (BCVA), complications, and postoperative interventions. Read More

Cornea 2018 Dec 28. Epub 2018 Dec 28.

Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL.

Purpose: To report a case of partial scleral rupture after laser in situ keratomileusis (LASIK) surgery.

Methods: This is a retrospective case report describing a late complication of LASIK surgery.

Results: A 32-year-old white woman with a history of LASIK surgery performed with a mechanical microkeratome 4 years previously presented for evaluation of partial bilateral scleral ruptures. Read More

Med Hypotheses 2019 Jan 22;122:147-149. Epub 2018 Nov 22.

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Room No 212, Second Floor, RPC-1 Hostel, AIIMS, New Delhi 110029, India.

Traumatic iris sphincter tear has been thought to occur secondary to anteroposterior compression of the globe with defined forces lead to equatorial expansion and active pull along the corneoscleral junction and sphincter tear. However, here in this report, we elaborate the additional forces involved in the traumatic rupture of the sphincter pupillae muscle. During the anteroposterior compressive forces along the globe, the corneal deformation beyond certain limits leads to the development of sudden displacement forces within the anterior chamber. Read More

Niger Postgrad Med J 2018 Oct-Dec;25(4):264-266

Department of Ophthalmology, College of Medical Sciences, University of Benin, Benin City, Edo State, Nigeria.

This paper aims to report cases of spontaneous globe rupture in the blind eyes of three elderly patients with end-stage glaucoma some of which were possibly structurally compromised with topical traditional eye medications and steroids. These patients presented to the ophthalmology department of the University of Benin Teaching Hospital with a history of bleeding from one of their eyes and no antecedent history of trauma. They were known glaucoma patients who were blind with previously recorded high intraocular pressures. Read More

Indian J Ophthalmol 2019 Jan;67(1):123-124

Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.

Eur J Trauma Emerg Surg 2018 Dec 6. Epub 2018 Dec 6.

Department of Ophthalmology, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Halaskargazi Cad. Etfal Sk, Sisli, 34371, Istanbul, Turkey.

Purpose: To evaluate the demographic characteristics and visual outcomes of patients with open globe injury (OGI) in a tertiary hospital in Istanbul, Turkey.

Methods: The data of patients admitted with OGI to Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey from January 2012 to December 2017 were reviewed retrospectively, and 100 of the 154 patients were included in the study.

Results: There were 79 (79%) male and 21 (21%) female patients with the average age of 33. Read More

Eur J Ophthalmol 2018 Dec 12:1120672118818013. Epub 2018 Dec 12.

1 Department of Ophthalmology, King Abdulaziz University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Background:: To investigate epidemiology, etiology, and outcomes after repair of pediatric open-globe injury.

Methods:: We retrospectively reviewed medical records of patients ⩽18 years who underwent primary open-globe repair.

Results:: A total of 213 patients were identified. Read More

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):563-568

Department of Ophthalmology, Ankara Training and Research Hospital, Ankara-Turkey.

Background: The purpose of this study was to investigate factors affecting wound dehiscence due to blunt trauma following penetrating keratoplasty (PK) and the clinical outcomes.

Methods: The medical records of patients who experienced blunt traumatic wound dehiscence after PK between 1995 and 2015 were analyzed retrospectively. The incidence and etiology of the trauma, the time interval between PK and globe rupture, final graft clarity, best-corrected visual acuity, complications, secondary surgeries, and factors potentially affecting wound dehiscence size were recorded. Read More

PLoS One 2018 4;13(12):e0208470. Epub 2018 Dec 4.

Departments of Human Nutrition, Debremarkos University, Debremarkos, Ethiopia.

Background: Maternal morbidity and mortality have been one of the most challenging health problems that concern the globe over the years. Uterine rupture is one of the peripartum complications, which cause nearly about one out of thirteen maternal deaths. This study aimed to assess the prevalence and associated factors of uterine rupture among obstetric case in referral hospitals of Amhara Regional State, Northern Ethiopia. Read More

Vestn Oftalmol 2018 ;134(5. Vyp. 2):289-293

Research Institute of Eye Diseases, 11, A, B Rossolimo St., Moscow, Russian Federation, 119021.

Age-related macular degeneration (AMD) is a retinal disease associated with older age; it affects macula and leads to deterioration of central vision. Geographic atrophy (GA) is described as advanced stage AMD. Essentially, GA is the loss of some areas of retinal pigment epithelium (RPE), which is necessary for normal functioning of the retina as it transports nutrients and ions, helps with production of growth factors and protects from photo-oxidation. Read More

J Curr Glaucoma Pract 2018 May-Aug;12(2):85-89. Epub 2018 Aug 1.

Anterior Segment Specialist, Al-Adan Hospital, Kuwait, Kuwait.

Aim: To assess the role of porous collagen in deep sclerectomy (DS), with and without trabeculo-Descemet membrane (TDM) rupture.

Patients And Methods: Forty-six eyes with different types of open-angle glaucoma and medically uncontrolled intraocular pressure (IOP) were selected. DS was performed in all cases. Read More

Ophthalmic Surg Lasers Imaging Retina 2018 Nov;49(11):e214-e217

Nd:YAG laser vitreolysis has been used as a noninvasive approach to treat visually significant vitreous strands and floaters. However, severe vision-threatening complications may occur. The authors describe a rare case of a 60-year-old woman who had suffered rupture of the posterior lens capsule with subsequent cataract formation 1 week post-Nd:YAG laser vitreolysis in the right eye. Read More

J Foot Ankle Surg 2019 Jan 15;58(1):93-96. Epub 2018 Nov 15.

Clinical Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA. Electronic address:

The primary objective of this investigation was to determine the level of agreement and reliability of the stress examination of the Lisfranc tarsometatarsal joint complex. Secondary objectives were to determine surgeon preferences with respect to this testing and to use gaze recognition software to perform an eye-tracking assessment during the performance of the test. Twelve foot and ankle surgeons, 12 residents, and 12 students were shown 2 intraoperative fluoroscopic still images and 1 video of the stress examination of the tarsometatarsal joint complex using stress abduction of the forefoot on the rearfoot. Read More

Emerg Radiol 2018 Nov 16. Epub 2018 Nov 16.

Department of Radio-diagnosis, University College of Medical Sciences and GTB Hospital (University Of Delhi), Delhi, India.

Ocular emergencies contribute to a large proportion of ocular pathologies. These may even be organ-threatening diseases such as central retinal artery and vein occlusion or globe rupture. Conventional physical examination may not always be feasible in emergency situations but decision-making in time is critical in the interest of patient in few of these conditions. Read More

Int J Epidemiol 2018 Nov 13. Epub 2018 Nov 13.

INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France.

Background: To investigate the relative contributions of prenatal complications, perinatal characteristics, neonatal morbidities and socio-economic conditions on the occurrence of motor, sensory, cognitive, language and psychological disorders in a large longitudinal preterm infant population during the first 7 years after birth.

Methods: The study population comprised 4122 infants born at <35 weeks of gestation who were followed for an average of 74.0 months after birth. Read More

J Cataract Refract Surg 2019 Jan 7;45(1):11-20. Epub 2018 Nov 7.

Department of Ophthalmology, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom; King's College London, London, United Kingdom. Electronic address:

Purpose: To compare the clinical results of conventional phacoemulsification surgery (CPS) with femtosecond laser-assisted cataract surgery.

Setting: Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom.

Design: Single-center prospective randomized interventional case-controlled trial. Read More

Jpn J Ophthalmol 2019 Jan 8;63(1):109-118. Epub 2018 Nov 8.

Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan.

Purpose: To describe the epidemiology and clinical outcomes of open globe injuries (OGIs) in Japan over 10 years, and examine preoperative factors influencing the visual prognosis after surgery.

Study Design: Retrospective, observational, multicenter case-series study.

Methods: Patients' data were entered into a computerized database for review and statistical analyses. Read More

Ophthalmic Surg Lasers Imaging Retina 2018 Oct;49(10):e171-e172

Occult globe rupture is a rare but potentially devastating result of eye trauma. The authors present a case of a woman who sustained blunt trauma to the right eye resulting in a peripapillary circumferential posterior globe rupture. Clinically, the eye maintained good vision and normal intraocular pressure with a clear media, though subretinal fluid and retinal hemorrhage were present overlying the scleral defect. Read More

Int J Ophthalmol 2018 18;11(10):1685-1690. Epub 2018 Oct 18.

Clinical Research Centre, Hospital Kuala Lumpur, Kuala Lumpur 53000, Malaysia.

Aim: To report the incidence, risk factors and visual outcomes for postoperative endophthalmitis (POE) based on 7-year data from the Malaysian Ministry of Health Cataract Surgery Registry (MOH CSR).

Methods: Data was collected from the web-based MOH CSR. All consecutive cataract surgery patients from 1 June 2008 to 31 December 2014 were identified. Read More

Indian J Ophthalmol 2018 Nov;66(11):1616-1617

ICARE Eye Hospital and Postgraduate Institute, E3A, Sector-26, Noida, Uttar Pradesh, India.

Indian J Ophthalmol 2018 Nov;66(11):1574-1579

Department of Cornea, Cataract and Refractive Services, The Eye Foundation Hospital, Coimbatore, Tamil Nadu, India.

Purpose: To evaluate functional and anatomical outcome in patients undergoing deep anterior lamellar keratoplasty (DALK) with intraoperative Descemet's membrane (DM) perforation (macro and micro).

Methods: A retrospective cross sectional study (January 2009 to December 2015) of sixteen eyes of sixteen patients which included nine patients of advanced keratoconus (KC), two patients with paracentral DM scarring post hydrops, KC with Bowman's membrane scarring, macular corneal dystrophy and one patient of advanced Pellucid Marginal Degeneration (PMD). All underwent DALK with intraoperative DM perforation. Read More

Eur J Ophthalmol 2018 Oct 24:1120672118806457. Epub 2018 Oct 24.

Ospedale San Raffaele, Milano, Italy.

Introduction:: Disorders of vitreoretinal interface represent a rare complication of intravitreal dexamethasone implant injection. Our report describes a new mechanism resulting in cystic roof collapse and emphasizes the importance of a strict optical coherence tomography evaluation during therapy with dexamethasone injection in order to prevent this rare complication.

Purpose:: To describe the rupture of the cystic roof following treatment with sustained-release dexamethasone implant intravitreal injection (Ozurdex; Allergan, Irvine) for macular edema. Read More

JAMA Ophthalmol 2018 Oct 11. Epub 2018 Oct 11.

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

Importance: Evidence suggests that the quality of some aspects of care provided by physicians may decrease during their late career stage. However, to our knowledge, data regarding the association of advancing surgeon career phase with cataract surgical outcomes have been lacking.

Objective: To investigate whether an increase in cataract surgical adverse events occurs during later surgeon career stages. Read More

Int Med Case Rep J 2018 2;11:251-257. Epub 2018 Oct 2.

Department of Ophthalmology, Yokohama City University School of Medicine, Yokohama, Kanagawa, Japan,

At present, only one design is available for trifocal intraocular lens (IOL); unfortunately, this particular design is not suitable for implantation in the sulcus with optic capture when posterior capsule rupture (PCR) occurs. Although three-piece bifocal IOLs can be implanted in the sulcus, this form of IOL can be vulnerable to tilt and decentration, thus causing aberration and photopic phenomena, such as halos and glares. However, visual axis centered optic capture using femtosecond laser-assisted cataract surgery (FLACS) is able to manage such complex operations. Read More

Case Rep Emerg Med 2018 18;2018:1808509. Epub 2018 Sep 18.

Lincoln Medical & Mental Health Center, 234 East 149 Street, Bronx, New York, USA.

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Read More

Clin Exp Rheumatol 2018 Sep 20. Epub 2018 Sep 20.

Division of Rheumatic Diseases, UT Southwestern Medical Center, Dallas, TX, USA.

Large vessel inflammation, although rare, has been increasingly recognised as a complication of granulomatosis with polyangiitis (GPA) in recent years. The presentation is highly variable, ranging from an incidental finding to aortic dissection and rupture. Treatment has predominately consisted of a combination of cyclophosphamide and high dose corticosteroids with surgical intervention when indicated. Read More

J Ophthalmol 2018 12;2018:3271017. Epub 2018 Sep 12.

Chair and Clinical Department of Ophthalmology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Panewnicka 65 St., 40-760 Katowice, Poland.

Aim: To conduct a retrospective analysis of secondary IOL implantation in patients who underwent PK with no simultaneous IOL implantation.

Materials And Methods: The retrospective study of the secondary implantation of IOLs was conducted in 46 eyes that underwent a primary operation with PK and cataract/lens extraction with no IOL implantation due to capsule rupture or combining corneal or intraocular complications. The minimum period from PK was 12 months. Read More

World Neurosurg 2018 Oct 2;118:e335-e345. Epub 2018 Jul 2.

Neurorestoration Center, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, USA. Electronic address:

Background: Minimally invasive skull base approaches, including the cosmetically optimal transblepharo-preseptal modified orbitozygomatic (TBMOZ) technique, have been described to treat proximal anterior circulation aneurysms. The use of minimally invasive techniques for previously ruptured aneurysms is rare because of perceived technical challenges in controlling intraoperative ruptures. Herein, we determine the utility of the minimally invasive TBMOZ approach for the treatment of ruptured proximal anterior circulation aneurysms. Read More

JAMA Ophthalmol 2018 Dec;136(12):1368-1374

John Moran Eye Center, Department of Ophthalmology and Visual Science, University of Utah School of Medicine, Salt Lake City.

Importance: Exfoliation syndrome (XFS) is a systemic connective tissue disease, and abnormal connective tissue metabolism is implicated in inguinal hernias (IH). Associating XFS with comorbid conditions may illuminate their underlying pathophysiology and affect clinical screening and treatment. Exfoliation syndrome involves altered systemic extracellular matrix (ECM) homeostasis involving elastin metabolism. Read More

J Cataract Refract Surg 2018 Dec 18;44(12):1441-1445. Epub 2018 Sep 18.

From the Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.

Purpose: To determine whether preoperative assessment of posterior capsule integrity using anterior segment optical coherence tomography (AS-OCT) can predict posterior capsule dehiscence in patients with posterior polar cataract having phacoemulsification.

Setting: Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.

Design: Prospective observational study. Read More