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Graefes Arch Clin Exp Ophthalmol 2022 Jun 22. Epub 2022 Jun 22.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Purpose: To construct a new pediatric ocular trauma score for predicting visual outcome after open globe injuries (OGI) and to compare it to the ocular trauma score (OTS) and pediatric ocular trauma score (POTS).

Methods: This is a retrospective chart review study. For each case, the following data were collected: demographics, mechanism of the injury, initial ophthalmologic findings, presented and last follow-up visual acuity (VA), ocular treatments, and final ocular findings. Read More

Clin Ophthalmol 2022 9;16:1883-1891. Epub 2022 Jun 9.

Cathedral Eye Clinic, Belfast, Northern Ireland, UK.

Purpose: To assess the visual and refractive outcomes following exchange of an opacified multifocal intraocular lens (IOL).

Patients And Methods: A consecutive series of 37 eyes (31 patients) that underwent IOL exchange between November 2015 and May 2021 were included in this study. The indication for surgery in all cases was opacification of a multifocal IOL. Read More

Sr Care Pharm 2022 Jun;37(6):227-231

St. John's University, College of Pharmacy and Health Sciences, Queens, New York.

To evaluate the literature related to the use of alpha1-blockers and the risk of intraoperative floppy iris syndrome (IFIS), particularly in cataract surgery. IFIS is characterized by floppiness or billowing of the iris, iris prolapse, and progressive miosis, possibly leading to severe complications. It is thought to be associated with adrenergic alpha-1 receptor antagonists commonly used to treat lower urinary tract symptoms in patients with benign prostatic hyperplasia. Read More

J Ophthalmol 2022 25;2022:4721904. Epub 2022 Apr 25.

Department of Ophthalmology, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Purpose: To report a long-term trend of surgical results of phacoemulsification performed by residents in a teaching hospital.

Methods: This study analyzed 1,409 consecutive cases of phacoemulsification performed by residents under a single supervisor from July 2005 to March 2021. The 15. Read More

BMC Ophthalmol 2022 Mar 9;22(1):111. Epub 2022 Mar 9.

Hospital de Base do Distrito Federal, SMHS - Área Especial, quadra 101, Asa Sul, Brasília, Distrito Federal, Brasília, CEP 70330-150, Brazil.

Objective: To identify the epidemiological profile and prognostic factors of open globe injuries that require emergency surgical treatment.

Design: Retrospective cohort study.

Subjects: Patients with OGI who underwent publicly funded emergency surgical treatment in the Federal District from 2014 to 2018. Read More

Ophthalmic Res 2022 1;65(3):328-334. Epub 2022 Mar 1.

Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China.

Introduction: The aim of the study was to describe the characteristics of open globe injury (OGI) and the relationship between the complications and visual outcomes in children with this type of injury.

Methods: This was a retrospective chart review of 1,664 children, under the age of 16 years, who were hospitalized for OGI between January 1, 2007, and December 31, 2015. Each patient's age, sex, cause and agent of injury, complications, visual acuity, and classification of ocular trauma were collected for review and analysis. Read More

Klin Monbl Augenheilkd 2022 Feb 18. Epub 2022 Feb 18.

AugenZentrum Siegburg, MVZ Augenärztliches Diagnostik- und Therapiecentrum Siegburg GmbH, Siegburg, Deutschland.

Purpose: The aim of this study was to compare the complication rates between surgery performed using digital heads-up 3D system (3D group) and a conventional binocular microscope-based system (BM group) in a large series of cataract operations performed by the same surgeon.

Methods: This retrospective analysis included a consecutive series of 2,000 cataract operations. The 3D group included n = 1,000 operations performed immediately following the introduction of a 3D system (Alcon Ngenuity). Read More

Arq Bras Oftalmol 2022 Feb 14. Epub 2022 Feb 14.

Setor de Oculoplástica, Hospital Banco de Olhos de Porto Alegre, Porto Alegre, RS, Brazil.

This case report describes the clinical characteristics and ophthalmic management of a patient who developed corneal perforation due to severe enophthalmos consistent with "silent brain syndrome." A 27-year-old man with a history of congenital hydrocephalus and ventriculoperitoneal shunt was referred with complaints of "sinking of the eyeballs" and progressively decreasing vision in the left eye. Examination revealed severe bilateral enophthalmos in addition to superonasal corneal perforation with iris prolapse in the left eye. Read More

Am J Ophthalmol Case Rep 2022 Mar 26;25:101356. Epub 2022 Jan 26.

Hawaii Macula and Retina Institute, Aiea, HI, USA.

Introduction: Optic capture of sutured scleral fixated posterior chamber intraocular lenses (PC IOLs) is an occasional complication resulting in blurred vision and discomfort.

Methods: A retrospective study of the management of 18 eyes (3.6%) with optic capture out of 495 eyes with scleral fixated IOLs during the study period. Read More

Cureus 2021 Dec 25;13(12):e20687. Epub 2021 Dec 25.

Department of Ophthalmology, Jawaharlal Nehru Medical College, Belagavi, IND.

Introduction Cataract being one of the leading causes of avertible blindness has been found to be quite prevalent in developing countries like India. The National Programme for Control of Blindness (NPCB) aims at reducing blindness due to cataract via cataract control programs. The most commonly performed surgery is the manual small incision cataract surgery (MSICS). Read More

J Cataract Refract Surg 2022 Feb;48(2):254

Los Angeles, California.

A 73-year-old man with an ocular history of inactive age-related macular degeneration and chronic angle-closure glaucoma (CACG) in both eyes recently underwent femtosecond laser-assisted cataract surgery/phacoemulsification and intraocular lens (IOL) implantation with simultaneous Hydrus microstent (Ivantis, Inc.) implantation in the left eye. Although there was some reported subincisional iris prolapse due to intraoperative floppy iris, the case was otherwise uneventful according to the referring surgeon. Read More

Clin Ophthalmol 2021 27;15:4543-4551. Epub 2021 Nov 27.

Save Sight Institute, University of Sydney, Sydney, NSW, Australia.

Background: To report the visual outcomes, complications and refractive results of phacoemulsification surgery and intraocular lens implantation in a large series of adult patients with short and nanophthalmic eyes.

Methods: The records of all patients with axial length <21.0 mm undergoing phacoemulsification with intraocular lens implantation at an adult teaching hospital were retrospectively reviewed. Read More

Medicina (Kaunas) 2021 Nov 3;57(11). Epub 2021 Nov 3.

Department of Ophthalmology, Lithuanian University of Health Sciences, A. Mickevičiaus Str. 9, 44307 Kaunas, Lithuania.

: Open globe injuries (OGI) remain an important cause of visual impairment and loss, impacting all ages. A better understanding of the factors influencing visual outcomes is important in an attempt to improve the results of the treatment of OGI patients. The author aimed to contribute to this knowledge with the analysis of clinical characteristics, prognostic factors, and visual outcomes of their cohort of OGI patients. Read More

Georgian Med News 2021 Sep(318):35-38

David Tvildiani Medical University; Javrishvili Eye Clinic Oftalmij, Tbilisi, Georgia.

Goal - measurement of Diacarb (Acetazolamide) and Timolol effectiveness for prevention of cataract phacoemulsification complications. Study includes 500 patients, 300 of which comprise the control group and 200 patients were administered one dose of Diacarb orally, one day before the surgery and one topical dose of oftan Timolol one hour before the surgery. The patients were observed in the course of surgery, as well as in the post-surgery period. Read More

Georgian Med News 2021 Jul-Aug(316-317):61-63

David Tvildiani Medical University; Javrishvili Eye Clinic «Oftalmij», Tbilisi, Georgia.

Goal - assessment of Diacarb (Acetazolamide) role in prevention of cataract phacoemulsification complications. Study includes 400 patients, 300 of which comprise the control group while 100 patients were administered one dose of Diacarb orally, one day before the surgery. The patients were observed in the course of surgery, as well as in the post-surgery period. Read More

J Cataract Refract Surg 2022 Mar;48(3):304-309

From the Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, Auckland, New Zealand (Al-Ani, Lu, Meyer, Niederer); Department of Ophthalmology, University of Auckland, Auckland, New Zealand (Al-Ani, Meyer, Niederer).

Purpose: To investigate the outcomes and complications associated with cataract surgery in eyes with herpes simplex virus (HSV)-related anterior segment ocular disease.

Setting: Public tertiary center in Auckland, New Zealand.

Design: Retrospective observational cohort study. Read More

J Craniofac Surg 2022 Mar-Apr 01;33(2):e105-e107

Faculty of Medicine, Department of Biostatistics, Mersin University, Mersin, Turkey.

Purpose: The aim of this study is to determine the demographic characteristics of pediatric open globe injuries, evaluate the ocular trauma scores (OTS), and predict the visual outcomes.

Methods: All patients with pediatric open globe injuries who applied to Department of Ophthalmology, Faculty of Medicine, Mersin University between January 2018 and December 2019 were included in this study. Age, gender, type of injury, time of admission, time to surgery, OTS, and pediatric ocular trauma score (POTS) were calculated for each patient. Read More

Ocul Immunol Inflamm 2021 Jul 9:1-6. Epub 2021 Jul 9.

Department of Vitre-retina and Uvea, Sadguru Netra Chikitsalaya, Chitrakoot, India.

: To identify risk-factors for developing endophthalmitis following open globe injury (OGI) in children.: Retrospective, single-center, case-control study of children aged <18 years who sustained OGI.: Our cohort of 93 eyes consisted of 30 cases (Group A- endophthalmitis) and 63 controls (Group B- no endophthalmitis). Read More

Vet Ophthalmol 2021 Nov 4;24(6):599-609. Epub 2021 Jun 4.

Department of Veterinary Science, University of Pisa, Pisa, Italy.

Objectives: To report the surgical technique and postoperative outcome of corneal repair with autologous buccal mucous membrane grafts in dogs and cats with descemetoceles, deep corneal ulcers, and perforated corneal ulcers with or without iris prolapse.

Animal Studied: Twelve cats (13 eyes) and fourteen dogs (14 eyes) were treated.

Procedures: Grafts were harvested from the unpigmented superior labial mucosa using a biopsy punch. Read More

Acta Ophthalmol 2022 Feb 5;100(1):e135-e141. Epub 2021 May 5.

Department of Ophthalmology, Haukeland University Hospital, Bergen, Norway.

Purpose: To report intra- and postoperative surgical outcome using the bag-in-the-lens (BIL) technique in paediatric cataract surgery.

Methods: In a retrospective case series, we studied the outcomes of children aged <12 years operated for cataract with the bag-in-the-lens intraocular lens (IOL), with a minimum of 6 months of follow-up.

Results: Since 2013, 50 eyes in 30 patients <12 years (20 bilateral and 10 unilateral) have been operated at our department with the BIL technique, with a median follow-up time of 33. Read More

Clin Ophthalmol 2021 21;15:1667-1676. Epub 2021 Apr 21.

Cataract Department, Ruby Eye Hospital, Berhampur, Ganjam, Odisha, India.

Purpose: To show the surgical and visual outcomes of a resident-performed manual small incision cataract surgery.

Study Type: Retrospective observational case series.

Study Setting: Ruby Eye Hospital. Read More

J Cataract Refract Surg 2021 03;47(3):425-426

From the Duke-NUS Graduate Medical School, Singapore.

J Cataract Refract Surg 2021 03;47(3):425

Bedford, United Kingdom.

Eur J Ophthalmol 2021 Sep 8;31(5):2769-2775. Epub 2021 Mar 8.

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

Purpose: To describe a novel technique of tectonic patch grafts for elliptical-shaped peripheral sterile keratolysis with iris prolapse.

Methods: We performed a full thickness corneo-scleral patch graft in five eyes of five patients with elliptical-shaped peripheral sterile keratolysis with perforation and iris tissue prolapse. In this technique, four disposable trephines with predetermined diameter were employed to fashion both the host and the donor without any free-hand dissection. Read More

Vet Ophthalmol 2021 Jul 22;24(4):419-424. Epub 2021 Feb 22.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, IN, USA.

Objective: To describe the use of a double drape tectonic patch with cyanoacrylate glue technique for the treatment of deep or penetrating corneal defects in cats and dogs.

Animals Studied: Eight client-owned animals of which five were cats and three were dogs.

Procedure: Eight cases: Four with descemetoceles, three with corneal perforations, and one with a deep stromal ulcer were treated with a double layer of plastic drape material adhered to the cornea with a cyanoacrylate (2-octyl or 2-octyl, N-butyl)-based tissue adhesive. Read More

J Fr Ophtalmol 2021 Apr 30;44(4):618-619. Epub 2020 Dec 30.

Service d'ophtalmologie, hôpital Vall d'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelone, Espagne.

Beyoglu Eye J 2020 28;5(3):238-241. Epub 2020 Dec 28.

Department of Ophthalmology, Selcuk University Faculty of Medicine, Konya, Turkey.

This report describes a case of spontaneous corneal perforation in a patient with rheumatoid arthritis (RA) and highlights the efficacy of treatment with amniotic membrane transplantation (AMT). A 58-year-old African-American woman with RA presented with complaints of redness and blurred vision in the right eye. Spontaneous corneal perforation and iris prolapse were determined in the paracentral corneal region of the right eye. Read More

Ann Transl Med 2020 Nov;8(22):1546

Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Lab, Beijing, China.

Intraoperative floppy iris syndrome (IFIS) is characterized by intraoperative floppiness or billowing of the iris, progressive miosis, and iris prolapse through the surgical wounds. It was originally reported about fifteen years ago, which was later identified to be closely associated with tamsulosin, the most commonly used α1 adrenoceptor antagonist for benign prostatic hyperplasia (BPH). A variety of risk factors, including age, gender, hypertension, axial length of the eye, 5α-reductase inhibitors, other α adrenoceptor antagonist and neuromodulators, have been connected with IFIS. Read More

Med Hypotheses 2021 Jan 21;146:110402. Epub 2020 Nov 21.

Consultant Cataract, Glaucoma and Refractive Services, ASG Eye Hospital, Kolkata, India; Consultant Glaucoma Services, Aravind Eye Hospital, Pondicherry, India; Consultant Retina and Uvea Services, ASG Eye Hospital, Kolkata, India; Consultant Glaucoma and Cataract Services, Navkiran Netralaya, Bengaluru, India; Consultant General Ophthalmology, Aravind Eye Hospital, Pondicherry, India.

Pseudoexfoliation Syndrome (PXFS) is considered a systemic disorder with significant ocular manifestations ranging from corneal decompensation, non-dilating pupil, zonular weakness, subluxated lens, and glaucoma. PXFS may lead to increased complications during routine cataract surgery. Zonular dialysis is a common complication during or after cataract surgery in such patients. Read More

Retina 2020 Oct 23. Epub 2020 Oct 23.

Department of Ophthalmology, HanGil Eye Hospital, Incheon, Korea.

Purpose: To introduce a surgical technique, "pound-shape silicone oil retention suture in aphakic eye with intact iris."

Methods: A retrospective analysis of medical records was performed. Each patient had an aphakic eye with intact iris and received the pound-shape silicone oil retention suture during vitrectomy combined with silicone oil injection. Read More