{"title":"VOLK Illuminated slit-lamp lens set case","authors":"","doi":"10.1016/S0955-3681(13)80017-2","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80017-2","url":null,"abstract":"","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 2","pages":"Page 124"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0955-3681(13)80017-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136712197","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":"193 nm Excimer Laser Phototherapeutic Keratectomy for Recurrent Corneal Erosions","authors":"Kais Algawi, Michael Goggin, Michael O'Keefe","doi":"10.1016/S0955-3681(13)80024-X","DOIUrl":"10.1016/S0955-3681(13)80024-X","url":null,"abstract":"<div><p>Objective: To evaluate the efficacy of excimer laser phototherapeutic keratectomy (PTK) in treating recurrent corneal epithelial erosions. Study Design: Eyes treated with excimer laser PTK were followed up for a mean period of 8.5 months (range: 2–16 months). Setting: The Laser Unit of the Mater Private Hospital, Dublin, Republic of Ireland. Patients: Fifteen eyes of 14 patients with recurrent corneal erosion, resistant to conventional therapy, were treated by excimer laser PTK. All had been treated unsuccessfully with topical lubricants, 2 eyes had epithelial depridement and 2 had anterior stromal punctures. Main Outcome Measures: Recurrence of signs or symptoms, sub-epithelial haze, visual acuity and change in spectacle correction. Results: While 2 patients complained of transient, recurrent, mild foreign body sensation, the remaining 12 were asymptomatic. Microscopic examination showed no signs of recurrence in all the eyes treated. Trace of haze (grade 0.5) was noticed in the 1st 4 weeks and disappeared completely in all the cases. No change in visual acuity or spectacle correction was noted. Conclusions: Excimer laser phototherapeutic keratectomy is a valuable tool in treating resistant recurrent erosions.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 11-13"},"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)80024-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77454871","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":"Cataract Extraction after Glaucoma Surgery","authors":"Deepak K. Chitkara, David L. Smerdon","doi":"10.1016/S0955-3681(13)80025-1","DOIUrl":"10.1016/S0955-3681(13)80025-1","url":null,"abstract":"<div><p>Objective: To assess the safety and efficacy of extracapsular cataract extraction with intraocular lens (IOL) implantation in eyes with previous glaucoma surgery (PGS). Study Design: Retrospective analysis of results of all patients with PGS undergoing cataract extraction with a minimum follow-up of 7 months. Setting: Ophthalmic Department, North Riding Infirmary, Middlesbrough. Patients: Eighty-three eyes with PGS undergoing extracapsular cataract extraction. Main Outcome Measures: Best corrected visual acuity, postoperative intraocular pressure (IOP) and glaucoma control, incidence of operative and post-operative complications. Results: Seventy-two percent of eyes achieved a visual acuity of 6/12 or better. Seven percent of eyes required additional glaucoma medical treatment from the first 3 months and 4% required further glaucoma surgery within the first 12 months. Significant postoperative complications occurred in 5 eyes. Conclusions: In patients with PGS, clear corneal extracapsular cataract extraction with IOL implantation with iridoplastic surgery if required provides a safe and effective procedure for visual rehabilitation although the visual results are not as good as in a general cataract series. Such patients should be kept under close review over the first 12 months after cataract surgery because of a small incidence of loss of glaucoma control.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 14-16"},"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)80025-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75082084","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}
Mehmet Orhan, Şeyda Karadeniz, Uğur Erdener, Murat Irkeç
{"title":"Complications of Extracapsular Cataract Extraction in Patients with Pseudoexfoliation Syndrome","authors":"Mehmet Orhan, Şeyda Karadeniz, Uğur Erdener, Murat Irkeç","doi":"10.1016/S0955-3681(13)80022-6","DOIUrl":"10.1016/S0955-3681(13)80022-6","url":null,"abstract":"<div><p>Objective: To evaluate the complications of extracapsular cataract extraction in patients with pseudoexfoliation (PE) syndrome. Study Design: A retrospective study of patients operated on between 1990 and 1992. Setting: Hacettepe University School of Medicine, Department of Ophthalmology. Patients: Seventy-three patients with PE syndrome. The mean age of the patients was 71.3 ± 8.0 years with ages ranging between 54 and 89. There were 42 male patients with a mean age of 71.8 and 31 female patients with a mean age of 70.6. Results: Pupillary irregularity was the most frequent complication (23.3%) in the study. The other complications were as follows: posterior capsule rupture in 6.8%, posterior capsule rupture with vitreous loss 4.1%, fibrinoid reaction in 4.1%, posterior synechia in 4.1%, intraocular lens (IOL) decentralization in 2.7% and UGH syndrome in 1.4%. Conclusions: Cataract surgery in PE syndrome may be linked to several problems. Eyes with PE may show spontaneous subluxation of the lens. The zonular fibres are known to be weak in PE syndrome and the central posterior lens capsule very thin. However the low rates of complications of ECCE with and without IOL implantation has convinced us that this procedure is relatively safe in patients with PE syndrome.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 2-5"},"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)80022-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84160143","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 Products from VISITEC","authors":"","doi":"10.1016/S0955-3681(13)80031-7","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80031-7","url":null,"abstract":"","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Page 60"},"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)80031-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91991120","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":"A Prospective Evaluation of Anxiety and Pain with Topical Analgesia or Retrobulbar Anaesthesia for Small Incision Cataract Surgery","authors":"Per Julius Nielsen","doi":"10.1016/S0955-3681(13)80023-8","DOIUrl":"10.1016/S0955-3681(13)80023-8","url":null,"abstract":"<div><p>Objective: Comparing pre/per/postoperative pain and anxiety in cataract patients operated in either retrobulbar (RBA) or topical anaesthesia (TA). Study Design: Patients with uncomplicated bilateral small incision cataract surgery at short intervals were allocated to either TA or RBA and followed prospectively. Setting: Eye Department, Hjørring Hospital, Denmark. Patients: Sixteen patients or 32 eyes were operated, with 6 having TA first and 10 RBA first. Main Outcome Measures: Pre/per and postoperative pain and anxiety were evaluated using verbal descriptive as well as visual analogue scoring, and the patient's reason for preferring one anaesthetic method to the other were registrated. RESULTS: Ten patients preferred TA, 1 RBA and 5 had no preference. TA was rated 4 times less painful for the whole procedure than RBA with comparative scoring made after both eyes had been operated. The reasons for preferring TA were immediate vision (9), no patch (6), no periocular injection (5) and less pain (3). Most pain was estimated in the preoperative and postoperative periods with 4 times more pain estimated in the RBA than in the TA group, whereas no difference was estimated during surgery. The TA/RBA ratios of ‘no pain’ were preop: 16/7; perop: 13/14; postop: 14/11. Anxiety was most pronounced in the preoperative period with RBA (4 times), peroperatively with TA (twice), and with no difference between the 2 anaesthetic groups postoperatively. The TA/RBA ratios of ‘no anxiety’ were preop: 13/9; perop: 11/11; postop: 13/15. The TA/RBA ratios of sedation were preop (perorally): 11/8 and perop (intraveneously): 1/0. Analgesics were not needed in any of the anaesthetic groups during the first 24 h. Conclusions: TA is made possible by the use of modern small incision cataract surgical technique and was introduced to reduce the risks of periocular injections with current local anaesthetic techniques. TA is, as shown in this study, also preferred by the patients as it results in less pain and anxiety, especially by eliminating the need for a periocular injection, and due to the immediate visual recovery.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 6-10"},"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)80023-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83580983","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":"Symposium on Quality and Demand for Cataract Surgery","authors":"","doi":"10.1016/S0955-3681(13)80029-9","DOIUrl":"https://doi.org/10.1016/S0955-3681(13)80029-9","url":null,"abstract":"","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 34-48"},"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)80029-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91991967","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":"The Predictability and Safety of 4-Incision Keratotomy for Myopia and Myopic Astigmatism","authors":"William Jory","doi":"10.1016/S0955-3681(13)80026-3","DOIUrl":"10.1016/S0955-3681(13)80026-3","url":null,"abstract":"<div><p>Objective: Incisional keratotomy (RK) and photorefractive keratectomy by excimer laser (PRK) are the 2 chief methods for surgical removal of myopia and astigmatism. This study of 100 eyes of consecutive patients who had RK performed in 1993 was done to set a bench-mark against which excimer laser (PRK) results could be compared. Study Design: Surgery was performed by a single surgeon in a day care surgical centre under local anaesthetic. The surgical study was restricted to 4-incision keratotomy with or without astigmatic surgery. All patients attended for follow-up which was up to 1 year. Patients: The range of refractive error treated was between −1.50 D and −6.75 D of myopia and between 1.25 D and 5.25 D of astigmatism. Coincident astigmatic surgery was done on 30% of cases and secondary enhancement surgery on 15% of cases. Main Outcome Measures: The aim of the surgery was −0.50 D and predictability was measured as a percentage of eyes correcting to within 0.50 D and 1.00 D. Loss or gain of best corrected visual acuity (BCVA) was assessed. Results: Eighty-three per cent of eyes were corrected to within 0.50 D and 98% corrected to within 1.00 D of the target of -0.50 D. Two eyes lost 1 line of BCVA and 5 eyes gained 1 line of BCVA. Conclusions: It is concluded that at this time 4-incision keratotomy achieves a higher predictability of result than any published results in the same refractive groups receiving excimer laser treatment.</p></div>","PeriodicalId":100500,"journal":{"name":"European Journal of Implant and Refractive Surgery","volume":"7 1","pages":"Pages 17-19"},"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)80026-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82089965","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}