{"title":"Symposium on Cost-Effective Small Incision Cataract Surgery","authors":"","doi":"10.1016/S0955-3681(13)80030-5","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80030-5","url":null,"abstract":"","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 49-59"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80030-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91991119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David P.S. O'Brart , David C. Saunders , Melanie C. Corbett , Emanuel S. Rosent
{"title":"The Corneal Topography of Keratoconus","authors":"David P.S. O'Brart , David C. Saunders , Melanie C. Corbett , Emanuel S. Rosent","doi":"10.1016/S0955-3681(13)80027-5","DOIUrl":"10.1016/S0955-3681(13)80027-5","url":null,"abstract":"<div><p>This article is the sixth in a series which describes the role of corneal topography and highlights its value in different clinical settings. It illustrates and describes the variety of topographical patterns seen in keratoconus. The importance of screening for sub-clinical cases prior to refractive keratoplasty and the development of software and statistical indices designed to detect, diagnose and monitor the progression of the disease are discussed. The article illustrates the limitations of placido-disc based systems in obtaining accurate information in severely affected eyes with surface irregularities. The possible clinical applications of videokeratoscopy in the management of keratoconus are reviewed.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 20-30"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80027-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86589723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Complete Dislocation of the Lens in Pseudoexfoliation Syndrome","authors":"J.D. Fischel, M.S. Wishart","doi":"10.1016/S0955-3681(13)80028-7","DOIUrl":"10.1016/S0955-3681(13)80028-7","url":null,"abstract":"<div><p>Spontaneous dislocation of the lens results from intraocular disease giving rise to mechanical stretching, inflammatory destruction or degeneration of the zonule. Degeneration of the zonule occurs particularly with hypermature cataract, high myopia or retinal detachment, but it is also a well-recognized condition associated with pseudoexfoliation syndrome (PES).</p><p>Lens dislocation during cataract surgery in PES and spontaneous subluxation of the lens associated with PES have been previously reported.</p><p>We describe a case of spontaneous complete dislocation of the lens in PES.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 31-33"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80028-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87916765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changing Indications for Intraocular Lens Removal","authors":"Massimo Busin, Daniel Meller, Manfred Spitznas","doi":"10.1016/S0955-3681(13)80212-2","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80212-2","url":null,"abstract":"<div><p>OBJECTIVE: To evaluate the effect of progress made in cataract surgery techniques on indications and results of intraocular lens (IOL) removal. PATIENTS AND METHODS: The charts of all patients who underwent IOL explantation at our institution between January 1990 and December 1992 were reviewed. Data recorded included patients' age and sex, time interval from implantation to removal, indication for IOL explantation, type of IOL removed, bestcorrected visual acuity before and after explantation, and length of follow-up after removal. Indications were divided into six groups: (a) chronic, low-grade endophthalmitis; (b) pseudophakic bullous keratopathy; (c) luxation; (d) traumatic expulsion; (e) high-degree anisometropia; (f) acute endophthalmitis. Visual acuities were grouped according to good (20/20 to 20/40), acceptable (20/50 to 20/400), or poor (less than 20/400) outcome. RESULTS: Fifty-two IOLs were removed from 52 eyes of 52 patients over the period of time considered in this study. Sixteen were anterior chamber IOLs, five were iris-fixated IOLs, and 31 were posterior chamber IOLs. Sixteen (30.8%) IOLs were removed for chronic, low-grade endophthalmitis, 15 (28.8%) for bullous keratopathy, 15 (28.8%) for luxation, three (5.8%) for traumatic expulsion, two (3.8%) for high-degree aniseikonia, and one (1.9%) for acute endophthalmitis. After explantation, vision equal to or better than 20/400 could be achieved by the vast majority of patients of all groups excepted for those with bullous keratopathy. CONCLUSION: The progress made in cataract surgery techniques over the last decade has greatly influenced the relative frequency of the different reasons for IOL removal. Continuous monitoring of explanted IOLs is mandatory to evaluate further changes in surgical techniques and lens design.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"6 6","pages":"Pages 354-360"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80212-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91650142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New developments from Katena","authors":"","doi":"10.1016/S0955-3681(13)80215-8","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80215-8","url":null,"abstract":"","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"6 6","pages":"Page 372"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80215-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91650148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term Survival of Corneal Sutures: Mersilene vs Nylon","authors":"Lindsey F.F. Smith, Charles E. Hugkulstone","doi":"10.1016/S0955-3681(13)80210-9","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80210-9","url":null,"abstract":"<div><p>OBJECTIVE: To investigate the long-term survival of mersilene corneal sutures and compare it with nylon. STUDY DESIGN: Recall of patients from a randomized study of cataract extraction, after a minimum interval of 2 years following surgery. SETTING: Teaching hospital. PATIENTS: Patients who underwent uncomplicated extra-capsular cataract extraction with lens implantation by a single surgeon through a corneal incision closed with mersilene or nylon. MAIN OUTCOME MEASURES: Symptoms attributable to the corneal suture, presence of giant papillary conjunctivitis (GPC) and condition of the suture. RESULTS: All 16 eligible patients in the mersilene group and 16 (80%) of the nylon group were reviewed. The two groups were similar in age, sex distribution and time from surgery. In the nylon group, three patients were symptomatic and one had GPC, compared to none in the mersilene group. All of the mersilene sutures were intact, compared to only four (25%) of the nylon group (<em>P</em> = 0.00002). All four of the intact nylon sutures showed visible evidence of degradation whilst none of the mersilene sutures did (<em>P</em> = 0.0004). CONCLUSIONS: Mersilene corneal sutures have a significantly better long-term survival than nylon. Mersilene should be the preferred material for wound closure following cataract surgery.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"6 6","pages":"Pages 348-350"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80210-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91650141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kohlhaas, M. Klemm, A. Böhm, J. Drager, M. Lombardi, M. Abbondanza
{"title":"Corneal Sensitivity after Refractive Surgery","authors":"M. Kohlhaas, M. Klemm, A. Böhm, J. Drager, M. Lombardi, M. Abbondanza","doi":"10.1016/S0955-3681(13)80204-3","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80204-3","url":null,"abstract":"","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"1 1","pages":"319-323"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82333709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikael Dam-Johansen, Thomas Olsen, Frank Theodorsen
{"title":"The Long-term Course of the Surgically-induced Astigmatism after a Scleral Tunnel Incision","authors":"Mikael Dam-Johansen, Thomas Olsen, Frank Theodorsen","doi":"10.1016/S0955-3681(13)80208-0","DOIUrl":"10.1016/S0955-3681(13)80208-0","url":null,"abstract":"<div><p>OBJECTIVE: To study the 1-year course of the surgically-induced astigmatism after phacoemulsification through a 6 to 6.5 mm scleral tunnel incision by using six different analytic techniques. STUDY DESIGN: Prospective study with follow-up at 1 day, 1 week, 1 month, 4 months and 1 year after surgery. SETTING: Department of Ophthalmology, Aarhus University Hospital. PATIENTS: A consecutive series of 110 patients between 22-81 years of age (mean age 60) scheduled for phacoemulsification between October 1991 and May 1992. MAIN OUTCOME MEASURES: The surgically induced astigmatism was evaluated using 6 different methods: by (1) the subtraction method, (2) vector analysis, (3) vector decomposition, (4) Cravy's vertical vector, (5) Naeser's polar values, and (6) the algebraic method, respectively. RESULTS: By subtraction, without regard to axis, the induced astigmatism was found to reach baseline level 1 month after surgery. By vector analysis, the mean induced astigmatism was 1.33 D,1.31 D, 0.75 D, 0.72 D and 0.75 D 1 day, 1 week, 1 month, 4 months and 1 year after surgery, respectively. By vector decomposition, 27%, 25%, 55%, 85% and 86% of the surgically-induced astigmatism was found to be against-the-rule at the same postoperative visits, respectively. By Cravy's method, the mean induced cylinder was +0.75, +0.89, +0.08, -0.44D and -0.50D, respectively. Similar values were found with Naeser's method and with the algebraic method. CONCLUSIONS: We conclude the surgically induced astigmatism to be stable 4 months after phacoemulsification with a 6 to 6.5 mm scleral tunnel incision. Regarding the six analytic techniques we recommend the vector analysis, which is capable of reporting both the magnitude and the axis of the induced astigmatism within the theory of Gaussian optics. To illustrate the with-the-rule and against-the-rule component in a simple manner, we suggest the vector decomposition to be used as an adjunct to the vector analysis.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"6 6","pages":"Pages 337-343"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80208-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81360306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}