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Intrascleral implantation of glass beads during evisceration. 内脏取出过程中玻璃珠的巩膜内植入。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-07
M. Rosner, I. Ben-Bassat, N. Rosen
{"title":"Intrascleral implantation of glass beads during evisceration.","authors":"M. Rosner, I. Ben-Bassat, N. Rosen","doi":"10.3928/1542-8877-20021101-07","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-07","url":null,"abstract":"BACKGROUND AND OBJECTIVE\u0000To review the results after small glass bead implantation in the scleral cavity during evisceration.\u0000\u0000\u0000MATERIALS AND METHODS\u0000In this retrospective study, we retrieved the follow-up data of 17 patients who underwent evisceration with glass bead implantation from 1993 to 1996.\u0000\u0000\u0000RESULTS\u0000All patients achieved good cosmetic results with good motility of the prosthesis. Complications included transient chemosis at the early postoperative period in 3 patients (17.6%), 1 patient (5.9%) with local dehiscence of the wound, 1 patient developed a cyst in the socket (5.9%), and 1 patient was afflicted with thinning of the conjunctiva over the surgical wound.\u0000\u0000\u0000CONCLUSION\u0000The use of glass beads to fill the scleral cavity during evisceration has the advantage of an excellent fit in accordance with the scleral cavity volume, as well as ease of treatment in case of extrusion. The prosthesis movement is good because of its engagement with the scleral bulges caused by the glass beads.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"25 1","pages":"469-74"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87385468","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
Patient comfort with combined anterior sub-Tenon's, topical, and intracameral anesthesia versus retrobulbar anesthesia in trabeculectomy, phacotrabeculectomy, and aqueous shunt surgery. 在小梁切除术、超声小梁切除术和水分流手术中，与球后麻醉相比，联合前腱亚、局部和内窥镜麻醉的患者舒适度。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Sukesh Kansal, Marlene R Moster, Marcia C Gomes, Courtland M Schmidt, Richard P Wilson
{"title":"Patient comfort with combined anterior sub-Tenon's, topical, and intracameral anesthesia versus retrobulbar anesthesia in trabeculectomy, phacotrabeculectomy, and aqueous shunt surgery.","authors":"Sukesh Kansal,&nbsp;Marlene R Moster,&nbsp;Marcia C Gomes,&nbsp;Courtland M Schmidt,&nbsp;Richard P Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To assess patient comfort using combined anterior sub-Tenon's, topical, and intracameral (\"Blitz\") anesthesia versus retrobulbar anesthesia in glaucoma surgery.</p><p><strong>Patients and methods: </strong>In this study, 139 consecutive patients who received retrobulbar anesthesia and 139 consecutive patients who received Blitz anesthesia during glaucoma surgery were evaluated in a prospective fashion. The retrobulbar group included 49 trabeculectomies, 36 aqueous shunts, and 54 phacotrabeculectomies. The Blitz group included 49 trabeculectomies, 30 aqueous shunts, and 60 phacotrabeculectomies. Patients were asked to assess their level of ocular pain operatively and postoperatively on a 10-point visual analog scale. The operative and postoperative pain scores and postoperative sedation of patients receiving retrobulbar anesthesia were compared with those of patients receiving Blitz anesthesia during trabeculectomy, phacotrabeculectomy, and aqueous shunt surgery, separately.</p><p><strong>Results: </strong>No statistically significant difference was found in the mean operative or postoperative pain scores between the two groups during trabeculectomy, phacotrabeculectomy, or aqueous shunt surgery.</p><p><strong>Conclusions: </strong>Blitz anesthesia offers a reasonable alternative to retrobulbar anesthesia for trabeculectomy, phacotrabeculectomy, and aqueous shunt surgery.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"456-62"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22126813","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
Neodymium:YAG laser surgery in the hospital district of southwestern Finland during the years 1987 to 1998. 1987年至1998年在芬兰西南部医院区进行的YAG激光手术。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
K Matti Saari, Riikka-Maija Tornblom, Pekka Paasio, Juhani Tuominen
{"title":"Neodymium:YAG laser surgery in the hospital district of southwestern Finland during the years 1987 to 1998.","authors":"K Matti Saari,&nbsp;Riikka-Maija Tornblom,&nbsp;Pekka Paasio,&nbsp;Juhani Tuominen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objective: </strong>To investigate the annual incidence rates of Neodymium:YAG laser procedures in the treatment of eye diseases.</p><p><strong>Patients and methods: </strong>In this population-based retrospective study, we evaluated 6,040 patients treated with a Nd:YAG laser in the hospital district of southwestern Finland during the years 1987 to 1998. The corresponding annual incidence rates of different Nd:YAG laser procedures were calculated using the corrected population statistics of the hospital district.</p><p><strong>Results: </strong>The annual incidence rates of all Nd:YAG laser procedures rose significantly (P < 0.0001) from 32.1 per 100,000 patients in 1987 to 169.0 per 100,000 people in 1998. A great majority of Nd:YAG patients were females with a higher median age than the males in the study (P < 0.0001).</p><p><strong>Conclusion: </strong>The rise of the annual population-based incidence rates of cataract surgery with a 7% to 29% need of Nd:YAG laser capsulotomies explained the increase of all Nd:YAG laser procedures.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"475-9"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22126816","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
Clinical evaluation of posterior capsule opacification in eyes with different small-incision intraocular lenses. 不同小切口人工晶体眼后囊膜混浊的临床评价。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-04
S. Yoshida, T. Senoo, F. Fujikake, Y. Obara
{"title":"Clinical evaluation of posterior capsule opacification in eyes with different small-incision intraocular lenses.","authors":"S. Yoshida, T. Senoo, F. Fujikake, Y. Obara","doi":"10.3928/1542-8877-20021101-04","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-04","url":null,"abstract":"BACKGROUND AND OBJECTIVE\u0000To present a new method to quantify posterior capsular opacity with an anterior eye segment image analyzer (EAS 1000, NIDEK).\u0000\u0000\u0000PATIENTS AND METHODS\u0000This study was comprised of patients who underwent phacoemulsification intraocular lens (IOL) implantation. Three types of IOLS, acrylic, silicone, and polymethylmethacrylate (PMMA) were allocated to 30 eyes and clinically evaluated. Patients were observed for 3 years postoperatively using an anterior eye segment image analyzer (EAS1000). Opacity was determined by calculating the area of opacity from a retroillumination image. In the retroillumination mode of analysis, the measurement was limited to a 4-mm-diameter region of the pupillary zone to eliminate the influence of anterior capsular opacity. For color map analysis, the threshold level was expressed as the color tone of 0-255 CCT (computer compatible tape). The glare disability was measured to evaluate the three types of IOLs.\u0000\u0000\u0000RESULTS\u0000The color map analysis revealed a time-related increase in the opacity level of patients receiving the PMMA IOL implant. Three years after surgery, the levels were significantly higher in the PMMA group (P < 0.01) compared to the acryl and silicone groups: acryl (17.5 +/- 3.8), silicone (18.0 +/- 6.2%), and PMMA 36.5 +/- 32.9%.\u0000\u0000\u0000CONCLUSION\u0000Quantitative evaluation using an anterior eye segment image analyzer is effective for observing the degree of posterior capsule opacification. The color map analysis using an anterior eye segment image correlated with the visual function revealed that the time-related increase in the opacity level was significant during the third year in patients receiving PMMA IOL implantation.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"49 1","pages":"450-5"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83252778","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: 4
Partial excision with a conjunctival advancement flap after a relaxing incision for a dissecting glaucoma filtering bleb. 松弛切口后结膜推进瓣部分切除治疗分离性青光眼滤过泡。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Anil K Mandal, Geeta K Vemuganti, Narendra Ladda, M P Veenashree
{"title":"Partial excision with a conjunctival advancement flap after a relaxing incision for a dissecting glaucoma filtering bleb.","authors":"Anil K Mandal,&nbsp;Geeta K Vemuganti,&nbsp;Narendra Ladda,&nbsp;M P Veenashree","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 65-year-old male patient developed dissecting glaucoma filtration bleb following trabeculectomy with mitomycin-C (MMC). Surgical partial excision of the bleb was performed and the tissue was subjected to histopathological evaluation. The bleb area was covered by a conjunctival flap that was advanced with the help of a relaxing incision in the superior conjunctiva fornix. The dissecting bleb was successfully managed by controlling intraocular pressure, and the patient became asymptomatic without any medication. The light microscopic examination of the bleb showed irregularly arranged collagen bundles and hypocellularity of the subconjunctival tissue with places of nodular configuration of the fibroblast in the periphery. Surgical partial excision of the dissecting glaucoma filtering bleb is a reliable, simple, and precise method. Advancing the conjunctival flap by a superior conjunctival relaxing incision facilitates easy mobilization of the flap, ensures healthy resurfacing of the bleb, and prevents postoperative transconjunctival leakage. Histopathology of the bleb is compatible with the use of MMC during original filtering surgery.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"497-500"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22127371","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
Surgical management of a dysfunctional filtering bleb. 功能失调滤过泡的外科治疗。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Komal Desai, Rohit Krishna
{"title":"Surgical management of a dysfunctional filtering bleb.","authors":"Komal Desai,&nbsp;Rohit Krishna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case report presents a patient who developed a large overhanging bleb following antimetabolite trabeculectomy surgery 6 years prior. Complaints included decreasing vision and foreign body sensation for several months. Successful excisional surgery with placement of compression sutures was performed. Visual acuity and intraocular pressure were maintained with the resolution of symptoms.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"501-3"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22127373","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
Müller's muscle-conjunctival resection for blepharoptosis with poor levator function. <s:1>勒氏肌结膜切除术治疗提上睑下垂。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-11
A. Cohen, D. Weinberg
{"title":"Müller's muscle-conjunctival resection for blepharoptosis with poor levator function.","authors":"A. Cohen, D. Weinberg","doi":"10.3928/1542-8877-20021101-11","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-11","url":null,"abstract":"We describe a patient with blepharoptosis, poor levator function, and a positive phenylephrine test who responded favorably to Müller's muscle-conjunctival resection, alleviating the need for a frontalis suspension ptosis repair in the presence of very deep superior sulci.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"56 1","pages":"491-2"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87331236","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: 16
Tube occlusion from the external ostium after implantation of an aqueous shunt. 水分流器植入后外口管闭塞。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Atilla Bayer, Richard R Wilson, Ralph C Eagle
{"title":"Tube occlusion from the external ostium after implantation of an aqueous shunt.","authors":"Atilla Bayer,&nbsp;Richard R Wilson,&nbsp;Ralph C Eagle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two patients had undergone double-plate Molteno shunt implantation. Both patients required surgical revision, the first at 41 months and the second at 8 months postoperatively, because of a failure of previously functioning tube shunts caused by blockage of the external ostium and intraluminal invasion of the tube by fibrous tissue. At the time of surgical revision, fibrous tissue extended down the lumen of the tube, occluding its external ostium. After excision of this tissue, both shunts became fully functional. When functioning aqueous shunts fail and there is no evidence of a bleb over the shunt reservoir or blockage of the internal ostium, ingrowth of fibrous tissue into the external ostium should be considered as a potential cause, especially if a ripcord or Latina suture has been left in place.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"493-6"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22126820","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
Neodymium:YAG laser surgery in the hospital district of southwestern Finland during the years 1987 to 1998. 1987年至1998年在芬兰西南部医院区进行的YAG激光手术。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-08
K. M. Saari, Riikka-Maija Tornblom, Pekka Paasio, J. Tuominen
{"title":"Neodymium:YAG laser surgery in the hospital district of southwestern Finland during the years 1987 to 1998.","authors":"K. M. Saari, Riikka-Maija Tornblom, Pekka Paasio, J. Tuominen","doi":"10.3928/1542-8877-20021101-08","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-08","url":null,"abstract":"BACKGROUND AND OBJECTIVE\u0000To investigate the annual incidence rates of Neodymium:YAG laser procedures in the treatment of eye diseases.\u0000\u0000\u0000PATIENTS AND METHODS\u0000In this population-based retrospective study, we evaluated 6,040 patients treated with a Nd:YAG laser in the hospital district of southwestern Finland during the years 1987 to 1998. The corresponding annual incidence rates of different Nd:YAG laser procedures were calculated using the corrected population statistics of the hospital district.\u0000\u0000\u0000RESULTS\u0000The annual incidence rates of all Nd:YAG laser procedures rose significantly (P < 0.0001) from 32.1 per 100,000 patients in 1987 to 169.0 per 100,000 people in 1998. A great majority of Nd:YAG patients were females with a higher median age than the males in the study (P < 0.0001).\u0000\u0000\u0000CONCLUSION\u0000The rise of the annual population-based incidence rates of cataract surgery with a 7% to 29% need of Nd:YAG laser capsulotomies explained the increase of all Nd:YAG laser procedures.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"37 1","pages":"475-9"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73170008","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
Socket reconstruction with combined mucous membrane and hard palate mucosal grafts. 粘膜与硬腭粘膜联合移植重建眼窝。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Alexander C Lee, Irene Fedorovich, Grant W Heinz, Don O Kikkawa
{"title":"Socket reconstruction with combined mucous membrane and hard palate mucosal grafts.","authors":"Alexander C Lee,&nbsp;Irene Fedorovich,&nbsp;Grant W Heinz,&nbsp;Don O Kikkawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the use of combined mucous membrane and hard palate mucosal grafts in the reconstruction of contracted eye socket.</p><p><strong>Patients and methods: </strong>Thirteen eyes of 13 patients with contracted sockets underwent socket reconstructive surgery with combined mucosal membrane and hard palate mucosal grafts.</p><p><strong>Results: </strong>The average follow-up period was 33 months. Five of 13 patients required additional surgery after initial socket reconstruction. However, all patients who underwent socket reconstruction with hard palate mucosal grafts were able to wear a cosmetically acceptable ocular prosthesis postoperatively.</p><p><strong>Conclusion: </strong>Combined mucosal membrane and hard palate mucosal grafts can be effectively used in the reconstruction of contracted sockets.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"463-8"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22126815","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
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