95 results match your criteria Myopia Clear Lens Extraction

Bilateral Isolated Spherophakia in Two Young East European Siblings: A Case Report.

Case Rep Ophthalmol 2021 Sep-Dec;12(3):927-933. Epub 2021 Nov 25.

Department of Ophthalmology, Azienda Ospedaliero-Universitaria of Padova, San Antonio Hospital, Padova, Italy.

A 19-year-old Caucasian woman was referred to the emergency room and thereafter to the department of ophthalmology complaining for bilateral decrease of visual acuity and severe pain. A complete ophthalmological evaluation was performed. Best-corrected visual acuity (BCVA) was LogMAR 0. Read More

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November 2021

New treatment algorithm for keratoconus and cataract: small-aperture IOL insertion with sequential topography-guided photorefractive keratectomy and simultaneous accelerated corneal crosslinking.

J Cataract Refract Surg 2021 11;47(11):1411-1416

From the Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Sydney, Australia (Northey, Moloney); Sydney Eye Hospital, Sydney, Australia (Northey, Moloney); Pacific Laser Eye Centre, Vancouver, British Columbia, Canada (Holland, Lin).

Purpose: To describe a new treatment algorithm aimed at optimizing refractive outcomes for patients with keratoconus and cataract.

Setting: Private practice in Sydney, Australia.

Design: Retrospective case series. Read More

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November 2021

Chronic Endophthalmitis Caused by .

Case Rep Ophthalmol 2020 Sep-Dec;11(3):595-599. Epub 2020 Nov 9.

Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

A patient presented with complaints of a sudden decrease in vision, ocular redness, and pain in the right eye. The patient had a history of clear lens extraction with intraocular lens (IOL) implantation for myopia 2 years previously. He had been prescribed topical steroids for episodes of inflammation that occurred repeatedly every 1-2 months. Read More

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November 2020

Clear lens extraction for patients who are unfit for laser-assisted keratomileusis and implantable contact lenses in central Indian population.

Indian J Ophthalmol 2020 Dec;68(12):3002-3005

Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra, India.

Purpose: The purpose of this study is to establish the safety of clear lens extraction (CLE) for the correction of high myopia in patients unfit for implantable contact lenses (ICLs) and laser in situ keratomileusis in the central Indian population.

Methods: In this retrospective observational study performed at a tertiary care centre, medical records of the patients who had undergone CLE with implantation of intraocular lens (IOL) to treat high myopia were retrieved. Details of the demographic profile, surgical procedure, complications, power, and type of IOLs implanted were recorded. Read More

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December 2020

Review of current status of refractive lens exchange and role of dysfunctional lens index as its new indication.

Indian J Ophthalmol 2020 Dec;68(12):2797-2803

Department of Cataract and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India.

Advances in phacodynamics and intraocular lenses (IOLs) has given second life to clear lens extraction (CLE) or refractive lens exchange (RLE) in recent years for the treatment of patients with high degrees of myopia, hyperopia, and astigmatism who are unsuitable for laser surgery. Furthermore, presbyopia treatment with RLE supplemented with multifocal or accommodating IOLs gives the dual benefit of correcting refractive errors with eliminating the need for cataract surgery. RLE should be consistent and effective for a good refractive outcome along with safety during the surgical procedure and in the postoperative period. Read More

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December 2020

Visual quality observation of clear lens extraction by ultrasonic phacoemulsification and intraocular lens implantation in a child with microspherophakia: A case report.

Medicine (Baltimore) 2020 Aug;99(34):e21937

Cataract Department, Shanxi Eye Hospital, Taiyuan, Shanxi Province, China.

Rationale: Microspherophakia is characterized by a small, spherical crystalline lens with increased sagittal diameter. Because of the uncertainty about the outcome, as well as the complexity of the operation and development of complications, the management and timing of surgical intervention for microspherophakia are still debated. Lens extraction is effective for avoiding the risk of pupillary blockage, but the outcome after operation is controversial. Read More

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Diffractive trifocal lens implantation with or without excimer laser enhancement: is a touch-up procedure a negative predictor for refractive and subjective outcome?

Graefes Arch Clin Exp Ophthalmol 2020 May 19;258(5):1115-1121. Epub 2020 Feb 19.

Department of Ophthalmology, Heinrich-Heine-University, Moorenstr. 5, 40225, Düsseldorf, Germany.

Purpose: To investigate the refractive results of a LASIK enhancement and its impact on treatment safety, efficacy, predictability and patient reported outcome in eyes after clear lens extraction and diffractive trifocal lens implantation.

Methods: A retrospective cohort multicentre study of Care Vision Refractive Centres in Germany compared two groups of patients. Group 1 consisted of eyes that had non-toric MIOL surgery only, whereas group 2 had a consecutive laser enhancement after 3 months follow-up. Read More

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Bilateral clear lens extraction and intraocular lens implantation in a child with microspherophakia and Marfan syndrome.

Arq Bras Oftalmol 2019 Jan-Feb;82(1):62-64

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Julio de Mesquita Filho", Botucatu, SP, Brazil.

We report the case of a 4-year-old boy with Marfan syndrome whose parents reported he had had low visual acuity since birth. On examination, there was microspherophakia and a small subluxation of the lens. The objective refraction was -23. Read More

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An Experimental Study of Femto-Laser in Assisting Xenograft Acellular Cornea Matrix Lens Transplantation.

Med Sci Monit 2018 Jul 27;24:5208-5215. Epub 2018 Jul 27.

Department of Ophthalmology, Liaocheng City People's Hospital, Liaocheng, Shandong, China (mainland).

BACKGROUND The aim of this study was to evaluate the feasibility of using a femto-laser in assisting xenograft cornea matrix lens transplantation in correcting ametropia, along with evaluating the effectiveness and predictability of this procedure. MATERIAL AND METHODS A corneal matrix pouch was prepared on the right eyes on 8 healthy New Zealand rabbits by a femto-laser that was also employed to perform small incision lenticule extraction (SMILE) on 8 bovine cornea matrix lenses (+6D). A lens was treated acellular and implanted into a right rabbit cornea matrix pouch. Read More

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Treatment of Corneal Ectasia by Implantation of an Allogenic Corneal Lenticule.

J Refract Surg 2018 May;34(5):347-350

Purpose: To describe a case in which post-LASIK corneal ectasia was treated using an allogeneic lenticule implanted into the recipient eye.

Methods: A 29-year-old man presented with bilateral ectasia 10 years after LASIK. Manifest refraction was -1. Read More

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Ultrastructural effects of silicone oil on the clear crystalline lens of the human eye.

Eur J Ophthalmol 2018 Sep 23;28(5):566-572. Epub 2018 Mar 23.

3 Department of Pathology, Faculty of Veterinary Medicine, Assiut University, Assiut, Egypt.

Purpose: To evaluate light and electron microscopic changes of the anterior capsule and its epithelium after clear lens extraction of vitrectomized myopic eyes with silicone oil tamponade.

Methods: This prospective, controlled, non-randomized, interventional study included 20 anterior lens capsular specimens that were excised during combined clear lens extraction and silicone oil removal from previously vitrectomized highly myopic patients with silicone oil tamponade for previous retinal detachment surgeries. The specimens were examined via light microscopy and electron microscopy and compared with 20 anterior capsule specimens removed during clear lens extraction of non-vitrectomized highly myopic eyes. Read More

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September 2018

[Rhegmatogenous retinal detachment : Epidemiology and risk factors].

Ophthalmologe 2018 02;115(2):163-178

Univ.-Klinik für Augenheilkunde und Optometrie, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich.

The incidence of rhegmatogenous retinal detachment in the European population is approximately 10 cases per 100,000 inhabitants per year and reaches a peak in the 6th and 7th decades of life, mostly in atemporal association with posterior vitreous body detachment. Known risk factors include myopia and higher axial length of the eye, male gender, previous trauma and vitreoretinal degeneration or dystrophy. In recent years, an increase in the risk of rhegmatogenous retinal detachment following cataract surgery was also found, especially after capsule rupture and vitreous body loss. Read More

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February 2018

Mini-review: Far peripheral vision.

Vision Res 2017 11 11;140:96-105. Epub 2017 Sep 11.

Simpson Optics LLC, 3004 Waterway Court, Arlington, TX 76012, United States. Electronic address:

The region of far peripheral vision, beyond 60 degrees of visual angle, is important to the evaluation of peripheral dark shadows (negative dysphotopsia) seen by some intraocular lens (IOL) patients. Theoretical calculations show that the limited diameter of an IOL affects ray paths at large angles, leading to a dimming of the main image for small pupils, and to peripheral illumination by light bypassing the IOL for larger pupils. These effects are rarely bothersome, and cataract surgery is highly successful, but there is a need to improve the characterization of far peripheral vision, for both pseudophakic and phakic eyes. Read More

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November 2017

[Intraocular lens power calculation for high myopic eyes with cataract: comparison of three formulas].

Zhonghua Yan Ke Za Zhi 2017 Apr;53(4):260-265

Department of Ophthalmology, Eye and Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China.

To compare the accuracy of three different formulas for intraocular lens power calculation in high myopic eyes with cataract and analyze their influencial factors. One hundred and three high myopic patients of cataract (103 eyes), with average age of 60.2±8. Read More

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Correlations Between MMPs and TIMPs Levels in Aqueous Humor from High Myopia and Cataract Patients.

Curr Eye Res 2017 04 19;42(4):600-603. Epub 2016 Oct 19.

a Department of Ophthalmology , Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine , Shanghai , P. R. China.

Purpose: To study the relationships between matrix metalloproteinases (MMP)-2, MMP-3, and tissue inhibitors of matrix metalloproteinases (TIMP)-1, TIMP-2, and TIMP-3 aqueous humor levels in patients with high myopia or cataract.

Materials And Methods: MMPs and TIMPs protein levels in 65 aqueous humor samples collected from patients with high myopia or cataract during cataract or clear lens extraction surgery were measured with the Luminex xMAP Technology. The relationship between MMPs and TIMPs levels was analyzed with Spearman's correlation test. Read More

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Comparison of Visian toric collamer lens and toric acrylic intraocular lens implantation for the treatment of myopia with astigmatism.

Clin Ophthalmol 2017 29;11:105-114. Epub 2016 Dec 29.

Department of Ophthalmology, Faculty of Medicine, Sohag University, Sohag, Egypt.

Purpose: To compare the efficacy and outcome of phakic toric implantable collamer lens (TICL) and refractive clear lens extraction with AcrySof Toric intraocular lens (TIOL) implantation for the treatment of myopic astigmatism.

Patients And Methods: This study assessed eyes with myopic astigmatism >-1 D and ≤-4 D with a spherical equivalent >10 D or <10 D if the patients were unsuitable for corneal refractive surgery. These eyes were divided into group A, in which Visian Toric ICL™ Phakic TICL was implanted, and group B, which involved clear lens extraction with implantation of an AcrySof IQ toric SN60T3-9™ IOL. Read More

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December 2016

Toric multifocal intraocular lens implantation in a case of bilateral anterior and posterior lenticonus in Alport syndrome.

Indian J Ophthalmol 2016 Nov;64(11):847-849

Department of Cataract and Refractive Surgery, Dada Laser Eye Institute, Pune, Maharashtra, India.

We report the first case of toric multifocal intraocular lens (IOL) implantation in both the eyes of a young patient of Alport syndrome with anterior and posterior lenticonus with a successful outcome. An 18-year-old female patient presented with progressively blurred vision in both eyes since 4-5 years not improving with glasses. Refraction showed high myopia with astigmatism; however, the vision did not improve beyond 6/60 with glasses correction. Read More

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November 2016

Small Incision Lenticule Extraction After Deep Anterior Lamellar Keratoplasty.

J Refract Surg 2015 Sep;31(9):634-7

Purpose: Femtosecond laser-assisted small incision lenticule extraction (SMILE) was performed to correct myopic astigmatism in a 39-year-old patient who had previously undergone deep anterior lamellar keratoplasty (DALK) for keratoconus, with clinically significant anisometropia and contact lens intolerance.

Methods: Case report.

Results: SMILE was planned in the right eye to reduce the refractive error and to allow spectacle correction. Read More

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September 2015

Refractive lens exchange.

Surv Ophthalmol 2014 Nov-Dec;59(6):579-98. Epub 2014 May 9.

Clinical Department of Ophthalmology, Silesian University of Medicine, SPSK nr 5, Katowice, Poland; Technical University of Czestochowa, Institute of Physics, Faculty of Materials Processing Technology and Applied Physics, Czestochowa, Poland.

Advances in small incision surgery have enabled cataract surgery to evolve from being concerned primarily with the safe removal of the opaque crystalline lens to a procedure refined to yield the best possible postoperative refractive result. As the outcomes of cataract surgery have improved, the use of lens surgery as a refractive modality in patients without cataracts (clear lens extraction) has increased in popularity. The removal of the crystalline lens for refractive purposes, or so-called refractive lens exchange (RLE), offers distinct advantages over corneal refractive surgery in selected cases. Read More

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Human aqueous humor levels of TGF- β2: relationship with axial length.

Biomed Res Int 2014 20;2014:258591. Epub 2014 May 20.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine, 639 Zhizaoju Road, Shanghai 200011, China.

Purpose: To analyze the relationship between transforming growth factor-beta 2 (TGF- β 2) levels in the anterior chamber aqueous humor and axial length of patients with myopia.

Methods: TGF- β 2 was measured with the Luminex xMAP Technology by using commercially available Milliplex xMAP Kits. Sixty-five aqueous humor samples were collected during cataract or clear lens extraction surgery and TGF- β 2 levels in these specimens were analyzed. Read More

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February 2015

MMP-2, MMP-3, TIMP-1, TIMP-2, and TIMP-3 protein levels in human aqueous humor: relationship with axial length.

Invest Ophthalmol Vis Sci 2014 May 29;55(6):3922-8. Epub 2014 May 29.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, People's Republic of China.

Purpose: We measured the aqueous humor levels of matrix metalloproteinases (MMP) MMP-1, MMP-2, MMP-3, and tissue inhibitors of matrix metalloproteinases (TIMP) TIMP-1, TIMP-2, and TIMP-3 in patients with myopia or cataract, and investigated the relationship between their levels and axial length (AL).

Methods: We measured MMP/TIMPs levels with the Luminex xMAP Technology by using commercially available Milliplex xMAP Kits. A total of 65 aqueous humor samples was collected from patients with myopia or cataract during cataract or clear lens extraction surgery. Read More

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Clear lens phacoemulsification in Alport syndrome: refractive results and electron microscopic analysis of the anterior lens capsule.

Eur J Ophthalmol 2014 May-Jun;24(3):345-51. Epub 2013 Oct 16.

1 Department of Ophthalmology, Ankara - Turkey.

Purpose: To report the ocular findings of patients with Alport syndrome and the results of clear lens extraction in this patient group.

Methods: Twenty-three eyes of 15 patients with a diagnosis of Alport syndrome were included in this study. Clear corneal phacoemulsification and intraocular foldable lens implantation was performed in eyes with indeterminate refractive errors and/or poor visual acuity and anterior capsule samples were analyzed with electron microscopy. Read More

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October 2014

Vincenz Fukala (1847-1911) and the early history of clear-lens operations in high myopia.

Saudi J Ophthalmol 2013 Jan 6;27(1):41-6. Epub 2012 Dec 6.

University of Freiburg, Freiburg, Germany.

Vincenz (Wincenty) Fukala, was born in 1847 in Zolkiew at Galicia in Poland, studied medicine and ophthalmology in Vienna in 1871. He was a pioneer in systematically extracting the clear crystalline lens in young patients with high myopia. He demonstrated the benefit to this group of increased visual acuity which enabled them to work and ophthalmologists gradually began to carry out surgery in high myopes worldwide. Read More

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January 2013

Prevalence of myopic shifts among patients seeking cataract surgery.

Medicina (B Aires) 2013 ;73(3):207-12

Departamento de Oftalmología, Centro Médico San Luis, Buenos Aires, Argentina.

Modern cataract surgery by phacoemulsification is a widely accepted procedure with a rapid recovery time. The prescription of specific intraocular lens, implanted during surgery, makes it possible to anticipate whether the patient will need reading glasses after the procedure. The present study analyses a sample of cataract surgery patients to show the frequency of myopic shifts related to nuclear opacity, which can result in clear near vision before surgery. Read More

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Clear lens extraction in Alport syndrome with combined anterior and posterior lenticonus or ruptured anterior lens capsule.

J Cataract Refract Surg 2011 Nov;37(11):2075-8

Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

Unlabelled: We describe the results of clear lens extraction in 7 eyes of 4 Alport-syndrome patients. Three patients (6 eyes) had both anterior and posterior lenticonus; the fourth patient had spontaneous rupture of the anterior lens capsule, resulting in an acute drop in vision. Clear lens extraction was an effective method for visual rehabilitation in Alport syndrome patients. Read More

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November 2011

Cataract surgery in camp patients: a study on visual outcomes.

Nepal J Ophthalmol 2011 Jul-Dec;3(2):159-64

Department of Ophthalmology, Kasturba Medical College, Mangalore, Karnataka, India.

Aim: To assess the complications and visual outcomes associated with cataract surgery in camp patients operated at a tertiary centre.

Materials And Methods: In a retrospective study, 206 outreach camp patients had undergone cataract surgeries with posterior chamber intraocular lens implantation under peribulbar anesthesia over a period of 6 months. Post-operative complications on Day 1 were graded as per Oxford Cataract Treatment and Evaluation Team (OCTET) definitions. Read More

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February 2013

Comparison of clear lens extraction and collamer lens implantation in high myopia.

Clin Ophthalmol 2010 May 14;4:447-54. Epub 2010 May 14.

Cairo University, Cairo, Egypt.

Aim: To compare the outcomes of clear lens extraction and collamer lens implantation in high myopia.

Patients And Methods: Myopic patients younger than 40 years old with more than 12 diopters of myopia or who were not fit for laser-assisted in situ keratomileusis were included. Group 1 comprised patients undergoing clear lens extraction and Group 2 patients received the Visian implantable collamer lens. Read More

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Assessment of phacoaspiration techniques in clear lens extraction for correction of high myopia.

Clin Ophthalmol 2010 Mar 24;4:155-8. Epub 2010 Mar 24.

Department of Ophthalmology, Cairo University, Egypt.

Purpose: To evaluate various phacoaspiration techniques in clear lens extraction for the incidence of intraoperative difficulties and complications.

Patients And Methods: This was a prospective study in which bilateral clear lens extraction was performed on 40 eyes of 20 patients, to correct high myopia. The patients were divided into 2 groups: group A underwent supracapsular phacoaspiration; group B were the contralateral eyes of the same patient. Read More

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