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Cataract surgery in a monocular amblyopic patient 单眼弱视患者的白内障手术
JCRS Online Case Reports Pub Date : 2018-01-01 DOI: 10.1016/j.jcro.2017.11.001
Kirsten J. Midgley MD, Alyssa M. Miller, Michael A. Ullman MD, Kevin Wells MD, Eric Fleischer MD
{"title":"Cataract surgery in a monocular amblyopic patient","authors":"Kirsten J. Midgley MD,&nbsp;Alyssa M. Miller,&nbsp;Michael A. Ullman MD,&nbsp;Kevin Wells MD,&nbsp;Eric Fleischer MD","doi":"10.1016/j.jcro.2017.11.001","DOIUrl":"10.1016/j.jcro.2017.11.001","url":null,"abstract":"<div><p><span><span>We report a case of restoration of vision in an amblyopic eye after cataract extraction and intraocular lens insertion after a traumatic event resulting in no light perception vision in the </span>contralateral eye. The timing and indication for cataract removal in amblyopic eyes has not been well established. Because this patient was a special case, surgery was the only measure that could be taken to improve the patient's sight. Safe cataract surgery is never without risk and was approached with a long discussion and educational opportunity with the patient. Fortunately, the patient's vision and </span>quality of life greatly improved. To our knowledge, this is the first report of a case in which such a unique decision was encountered.</p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 1","pages":"Pages 10-11"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54450822","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}
引用次数: 0
Intraoperative aberrometry–assisted intraocular lens exchange in post-refractive surgery intraocular lens surprise 术中差测辅助人工晶状体置换在屈光术后人工晶状体意外中的应用
JCRS Online Case Reports Pub Date : 2018-01-01 DOI: 10.1016/j.jcro.2017.11.002
Jeewan S. Titiyal MD, Manpreet Kaur MD, Ruchita Falera MD, Pranita Sahay MD
{"title":"Intraoperative aberrometry–assisted intraocular lens exchange in post-refractive surgery intraocular lens surprise","authors":"Jeewan S. Titiyal MD,&nbsp;Manpreet Kaur MD,&nbsp;Ruchita Falera MD,&nbsp;Pranita Sahay MD","doi":"10.1016/j.jcro.2017.11.002","DOIUrl":"10.1016/j.jcro.2017.11.002","url":null,"abstract":"<div><p><span>We describe a case of intraoperative aberrometry-assisted (Optiwave Refractive Analysis) intraocular lens (IOL) power selection in a post-refractive surgery patient with an IOL surprise. A 46-year-old patient presented with suboptimal visual gain after phacoemulsification in the right eye. The uncorrected distance </span>visual acuity<span><span> (UDVA) in the right eye was 20/300 with residual refraction of +4.50 +1.00 × 170. She had a history of laser in situ keratomileusis in both eyes 17 years ago. She was planned for IOL exchange. No preoperative historical or lens thickness data were available, which precluded the use of established formulas. Power with conventional formulas ranged from +16.5 to +19.5 diopters (D). The previous IOL was explanted and a +20.0 D IOL was implanted in the bag after estimating power using intraoperative </span>aberrometry. One day postoperatively, the UDVA was 20/20 with a refraction of −0.50 +0.75 × 137.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 1","pages":"Pages 12-14"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54450837","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}
引用次数: 1
Inadvertent Descemet membrane detachment after intracameral injection of high-viscosity sodium hyaluronate 在蝶腔内注射高粘度透明质酸钠后，无意中导致蝶膜脱离
JCRS Online Case Reports Pub Date : 2018-01-01 DOI: 10.1016/j.jcro.2017.10.004
Yishay Weill MD, Koby Brosh MD, Joel Hanhart MD, Ben-Zion Silverstone, Yaakov Rozenman MD
{"title":"Inadvertent Descemet membrane detachment after intracameral injection of high-viscosity sodium hyaluronate","authors":"Yishay Weill MD,&nbsp;Koby Brosh MD,&nbsp;Joel Hanhart MD,&nbsp;Ben-Zion Silverstone,&nbsp;Yaakov Rozenman MD","doi":"10.1016/j.jcro.2017.10.004","DOIUrl":"10.1016/j.jcro.2017.10.004","url":null,"abstract":"<div><p><span>A patient developed extensive Descemet membrane<span><span><span><span> detachment after intracameral injection of a high-viscosity sodium hyaluronate </span>ophthalmic viscosurgical device (OVD) (sodium hyaluronate 2.3% [Healon5]). The patient had developed </span>anterior chamber shallowing after an Ex-Press shunt procedure. In an attempt to reform the anterior chamber, the OVD was administered intracamerally. However, during the procedure, a substantial amount of the material was injected accidentally just anterior to Descemet membrane. As a result, a large central Descemet membrane detachment was observed, accompanied by </span>corneal endothelium contact with the anterior surface of the intraocular lens. Two attempts to surgically evacuate the OVD were only partially successful. Conservative management resulted in the return of </span></span>visual acuity<span> to baseline, complete absorption of the OVD, and total reattachment of Descemet membrane. These findings were confirmed by long-term follow-up using anterior segment optical coherence tomography.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 1","pages":"Pages 4-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54451129","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}
引用次数: 0
Descemet membrane endothelial keratoplasty in an aphakic vitrectomized eye with a large iris defect 巩膜内皮角膜移植术治疗无晶状体切除大虹膜缺损眼
JCRS Online Case Reports Pub Date : 2018-01-01 DOI: 10.1016/j.jcro.2017.10.003
Mehmet C. Ozmen MD, FICO, Ece Ozdemir MD
{"title":"Descemet membrane endothelial keratoplasty in an aphakic vitrectomized eye with a large iris defect","authors":"Mehmet C. Ozmen MD, FICO,&nbsp;Ece Ozdemir MD","doi":"10.1016/j.jcro.2017.10.003","DOIUrl":"10.1016/j.jcro.2017.10.003","url":null,"abstract":"<div><p><span>A 58-year old man who had a previous vitrectomy had </span>Descemet membrane endothelial keratoplasty<span><span> (DMEK) for endothelial decompensation in the right eye. He had an accompanying large iris defect and a subluxated intraocular lens, which required removal at the beginning of the surgery. Surgery was performed in the aphakic vitrectomized eye without the support of the iris in the superior quadrants. The anterior chamber was stabilized with the use of a </span>pars plana<span> infusion. The DMEK graft could be successfully inserted and unfolded at the stromal surface with the aid of air and infusion fluid<span> and then attached to the recipient stroma<span>. Three months postoperatively, the graft remained attached, the corrected distance visual acuity improved from counting fingers to 20/200, and the central corneal thickness was reduced from 1000 μm to 712 μm. This case shows that DMEK can be a feasible procedure in the absence of support of the vitreous and iris–lens diaphragm.</span></span></span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54451060","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}
引用次数: 7
Femtosecond laser–assisted anterior lamellar keratoplasty in recurrent epithelial ingrowth after laser in situ keratomileusis 飞秒激光辅助前板层角膜移植术治疗激光原位角膜磨镶术后复发性上皮向内生长
JCRS Online Case Reports Pub Date : 2018-01-01 DOI: 10.1016/j.jcro.2017.09.004
Pratik Y. Gogri MD, Pravin K. Vaddavalli MD
{"title":"Femtosecond laser–assisted anterior lamellar keratoplasty in recurrent epithelial ingrowth after laser in situ keratomileusis","authors":"Pratik Y. Gogri MD,&nbsp;Pravin K. Vaddavalli MD","doi":"10.1016/j.jcro.2017.09.004","DOIUrl":"10.1016/j.jcro.2017.09.004","url":null,"abstract":"<div><p><span><span><span>A 25-year-old woman presented with extensive epithelial ingrowth and corneal scarring in the left eye after a laser in situ keratomileusis (LASIK) retreatment<span> 1 year after primary LASIK. The patient had earlier enhancement for the treatment of overcorrection and subsequently had a flap lift and epithelial ingrowth scraping with alcohol application but had a recurrence in 2 months. Slitlamp </span></span>biomicroscopy<span> and anterior segment optical coherence tomography showed extensive epithelial ingrowth with thinning and partial resorption of the LASIK flap. Femtosecond laser–assisted anterior </span></span>lamellar keratoplasty was performed in the left eye to excise the flap along with a margin of normal </span>stroma<span>. Six months after the procedure, the patient’s corrected distance visual acuity improved to 20/40. Femtosecond laser–assisted anterior lamellar keratoplasty is a good treatment for extensive recurrent epithelial ingrowth associated with flap thinning and scarring after LASIK.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 1","pages":"Pages 7-9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54450995","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}
引用次数: 2
Imerslund-Gräsbeck syndrome with developmental cataract Imerslund-Gräsbeck综合征伴发育性白内障
JCRS Online Case Reports Pub Date : 2017-10-01 DOI: 10.1016/j.jcro.2017.10.001
Sumana J. Kamath MS, Amruthavalli K.S. MB BS, Kamalakshi G. Bhat MD, Pooja Kandula MB BS
{"title":"Imerslund-Gräsbeck syndrome with developmental cataract","authors":"Sumana J. Kamath MS,&nbsp;Amruthavalli K.S. MB BS,&nbsp;Kamalakshi G. Bhat MD,&nbsp;Pooja Kandula MB BS","doi":"10.1016/j.jcro.2017.10.001","DOIUrl":"10.1016/j.jcro.2017.10.001","url":null,"abstract":"<div><p><span><span>An 18-year-old girl was referred to the ophthalmology department with diminution of vision in both eyes of 1-year duration. Imerslund-Gräsbeck syndrome was diagnosed. On examination, anterior polar cataract and posterior subcapsular opacification were present in the right eye and posterior subcapsular opacification was present in the left eye. The rest of the anterior segment was unremarkable in both eyes. Congenital and other systemic associations were ruled out for the lenticular opacity. In the Imerslund-Gräsbeck syndrome, </span>cobalamin<span> deficiency is associated with proteinuria. Low </span></span>vitamin B12<span><span> levels result in high plasma homocysteine levels, which is a potential biomarker of oxidative damage and cataractogenic stressor. Screening and regular follow-up of these cases can result in early detection of cataract and improvement of the </span>visual acuity.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"5 4","pages":"Pages 67-68"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45153582","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}
引用次数: 1
Zonular weakness in patients with gyrate atrophy of the choroid and retina 脉络膜和视网膜旋转萎缩患者的带状无力
JCRS Online Case Reports Pub Date : 2017-10-01 DOI: 10.1016/j.jcro.2017.10.002
Jonathan T. Chao, Prethy Rao MD, MPH, John C. Hart Jr. MD
{"title":"Zonular weakness in patients with gyrate atrophy of the choroid and retina","authors":"Jonathan T. Chao,&nbsp;Prethy Rao MD, MPH,&nbsp;John C. Hart Jr. MD","doi":"10.1016/j.jcro.2017.10.002","DOIUrl":"10.1016/j.jcro.2017.10.002","url":null,"abstract":"<div><p>We describe 2 white female siblings (ages 35 and 38 years), both with a history of gyrate atrophy<span> of the choroid<span><span> and retina, who presented with complaints of decreased vision. The preoperative ophthalmic<span> examination showed visually significant posterior subcapsular cataracts with no evidence of </span></span>zonular weakness<span><span> in either eye. We noted a previously unreported finding of concurrent extensive zonular weakness in both patients when their pupils were dilated and the patients were placed in the supine position<span> for surgery. All 4 eyes received capsular tension rings (CTRs) for zonular stabilization during cataract extraction. Our finding suggests that zonular weakness is a common feature </span></span>in patients with gyrate atrophy and may contribute to late in-the-bag intraocular lens (IOL) dislocations. The use of CTRs in this patient population may stabilize the capsular bag intraoperatively and serve as a circumferential fixation point if late in-the-bag IOL dislocation occurs.</span></span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"5 4","pages":"Pages 69-72"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45530785","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}
引用次数: 0
Calcification of hydrophilic intraocular lenses: Laboratory analysis and surgical technique for intraocular lens exchange 亲水人工晶状体钙化:人工晶状体置换术的实验室分析和手术技术
JCRS Online Case Reports Pub Date : 2017-10-01 DOI: 10.1016/j.jcro.2017.09.003
Jitender Phogat MS, Manisha Rathi MS, Ritesh Verma MB BS, Nisha Marwah MD, Sumit Sachdeva MS, Chand Singh Dhull MS
{"title":"Calcification of hydrophilic intraocular lenses: Laboratory analysis and surgical technique for intraocular lens exchange","authors":"Jitender Phogat MS,&nbsp;Manisha Rathi MS,&nbsp;Ritesh Verma MB BS,&nbsp;Nisha Marwah MD,&nbsp;Sumit Sachdeva MS,&nbsp;Chand Singh Dhull MS","doi":"10.1016/j.jcro.2017.09.003","DOIUrl":"10.1016/j.jcro.2017.09.003","url":null,"abstract":"<div><p>We present 2 cases of calcification of posterior chamber intraocular lenses (IOLs) that presented to the outpatient department of our institute with diminution of vision a few months after successful cataract surgery<span>. Intraocular lens exchange with a hydrophobic IOL was performed in both cases, resulting in a restoration of vision.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"5 4","pages":"Pages 64-66"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41450923","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}
引用次数: 2
Intrastromal corneal ring in deep anterior lamellar keratoplasty 深前板层角膜移植术中的角膜基质内环
JCRS Online Case Reports Pub Date : 2017-10-01 DOI: 10.1016/j.jcro.2017.09.002
Marta Calatayud-Pinuaga MD, PhD, Sara Martin-Nalda MD, Manuel Romera MD
{"title":"Intrastromal corneal ring in deep anterior lamellar keratoplasty","authors":"Marta Calatayud-Pinuaga MD, PhD,&nbsp;Sara Martin-Nalda MD,&nbsp;Manuel Romera MD","doi":"10.1016/j.jcro.2017.09.002","DOIUrl":"10.1016/j.jcro.2017.09.002","url":null,"abstract":"<div><p>We describe 2 patients with unilateral traumatic corneal leucoma and irregular astigmatism<span><span><span> who were treated with deep anterior lamellar keratoplasty<span> and a Krumeich intrastromal corneal ring (ICR) to prevent interface or donor stromal vascularization<span><span>. The endothelial cell count was normal in the 2 eyes, and </span>optical coherence tomography images of the corneas showed no alteration in the deep </span></span></span>stroma and </span>Descemet membrane. After 1 year, all the sutures were removed and a proliferation of vessels that stopped at the ring was seen. Both grafts were clear, and the ICR was located in the middle stroma; there was no sign of rejection, stromal clouding, or vascular ingrowth. Postoperative treatment was shorter than after lamellar keratoplasty. The ICR effectively prevented corneal blood vessel ingrowth in penetrating keratoplasty. It could also be applied to anterior lamellar keratoplasty in high-risk patients.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"5 4","pages":"Pages 61-63"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48111863","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}
引用次数: 1
Unilateral sterile infiltrate following small-incision lenticule extraction 小切口晶状体取出后单侧无菌浸润
JCRS Online Case Reports Pub Date : 2017-10-01 DOI: 10.1016/j.jcro.2017.09.001
Gitansha Shreyas Sachdev MS, FICO, Shreyas Ramamurthy MS, FICO, Shreesha Kumar K MS, DNB, Ramamurthy Dandapani MD, MNAMS
{"title":"Unilateral sterile infiltrate following small-incision lenticule extraction","authors":"Gitansha Shreyas Sachdev MS, FICO,&nbsp;Shreyas Ramamurthy MS, FICO,&nbsp;Shreesha Kumar K MS, DNB,&nbsp;Ramamurthy Dandapani MD, MNAMS","doi":"10.1016/j.jcro.2017.09.001","DOIUrl":"10.1016/j.jcro.2017.09.001","url":null,"abstract":"<div><p><span>We report the case of a patient who presented with complaints of mild pain and redness 1 week after uneventful small-incision lenticule extraction. On examination, a semicircular infiltrate was noted in the right eye outside the area of the small-incision lenticule extraction treatment<span>. The overlying epithelium was intact, and a clear corneal zone was present between the infiltrate and the limbus. A sterile etiology was suspected and a treatment regimen of </span></span>topical steroids<span> and prophylactic antibiotics along with systemic steroids started. The infiltrate resolved without scarring, and the final uncorrected distance visual acuity was 20/20.</span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"5 4","pages":"Pages 59-60"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44515726","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}
引用次数: 3
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