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Vitreous surgery for bilateral bullous retinal detachment in Vogt-Koyanagi-Harada syndrome. 玻璃体手术治疗Vogt-Koyanagi-Harada综合征双侧大疱性视网膜脱离。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-15
S. Gaun, Y. Kurimoto, Y. Komurasaki, N. Yoshimura
{"title":"Vitreous surgery for bilateral bullous retinal detachment in Vogt-Koyanagi-Harada syndrome.","authors":"S. Gaun, Y. Kurimoto, Y. Komurasaki, N. Yoshimura","doi":"10.3928/1542-8877-20021101-15","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-15","url":null,"abstract":"A successful surgical treatment (vitrectomy) for bilateral bullous retinal detachment in a patient with Vogt-Koyanagi-Harada (VKH) disease is reported. A 78-year-old woman had severe reduction of visual acuity in both eyes because of an extremely bullous nonrhegmatogenous retinal detachment accompanied by VKH disease. We performed lens extraction and vitrectomy on both eyes combined with systemic and topical corticosteroid therapy. The retina was reattached immediately after the surgery and her visual acuity promptly improved in both eyes. She had no recurrence of retinal detachment even after tapering the dose of corticosteroid. We suggest that vitrectomy may be an effective therapeutic option in the treatment for severe bullous retinal detachment associated with VKH disease.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"45 1","pages":"508-10"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85961953","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
Metastatic large-cell lung carcinoma to the orbit in a 25-year-old nonsmoker. 25岁非吸烟者大细胞肺癌眼眶转移。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-10
D. Jordan, M. Lee-Wing
{"title":"Metastatic large-cell lung carcinoma to the orbit in a 25-year-old nonsmoker.","authors":"D. Jordan, M. Lee-Wing","doi":"10.3928/1542-8877-20021101-10","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-10","url":null,"abstract":"Lung cancer commonly affects middle-aged and elderly smokers. Metastatic disease involving the orbit is uncommon. We report the unusual occurrence of a 25-year-old male nonsmoker with an aggressive form of lung cancer who developed metastatic orbital disease involving the medial rectus.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"15 6 1","pages":"488-90"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85395553","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
Silicone plate-haptic posterior chamber intraocular lens implanted in the anterior chamber: report of a bilateral case and potential complications. 硅胶板触觉后房人工晶状体前房植入术:报告一例双侧病例及潜在并发症。
Ophthalmic surgery and lasers Pub Date : 2002-11-01 DOI: 10.3928/1542-8877-20021101-09
A. Izak, L. Werner, D. Apple, S. Pandey, R. Trivedi
{"title":"Silicone plate-haptic posterior chamber intraocular lens implanted in the anterior chamber: report of a bilateral case and potential complications.","authors":"A. Izak, L. Werner, D. Apple, S. Pandey, R. Trivedi","doi":"10.3928/1542-8877-20021101-09","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-09","url":null,"abstract":"BACKGROUND AND OBJECTIVE\u0000To evaluate possible complications associated with implantation of a posterior chamber (PC) intraocular lens (IOL) in the anterior chamber.\u0000\u0000\u0000MATERIALS AND METHODS\u0000We analyzed a plate-haptic silicone IOL that had been explanted from the anterior chamber of an 83-year-old female. Additionally, the lens was experimentally reimplanted into the anterior chambers of 3 human cadaver eyes. After fixation of the eyes (Karnovsky's solution), the anterior-posterior length, the white-to-white diameter, the angle-to-angle diameter, and the sulcus-to-sulcus diameter were measured. Two different techniques to cut the eyes were used: sagittal section and corneal buttonhole technique. The plate-haptic silicone lens was then implanted in the anterior chamber and sulcus ciliaris of the eyes. A Kelman multiflex IOL was used as a control for anterior chamber implantation.\u0000\u0000\u0000RESULTS\u0000This experiment demonstrated that the plate-haptic silicone IOL lens is too small and thick for implantation in the anterior chamber and in the sulcus. The lens could easily rotate in the anterior chamber and also dislocate inferiorly, obstructing the visual axis by its edge. The thickness of the lens theoretically could also cause endothelial cell damage and mechanical iris irritation resulting in chronic uveal inflammation.\u0000\u0000\u0000CONCLUSION\u0000This case and experiment should help surgeons realize the risk and potential for IOL-missizing complications that may be caused if a lens design for the capsular bag is implanted in the anterior chamber, especially if a plate-haptic PC-IOL design is used.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"20 1","pages":"480-7"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73610549","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
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
Mordechai Rosner, Iris Ben-Bassat, Nachum Rosen
{"title":"Intrascleral implantation of glass beads during evisceration.","authors":"Mordechai Rosner,&nbsp;Iris Ben-Bassat,&nbsp;Nachum Rosen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objective: </strong>To review the results after small glass bead implantation in the scleral cavity during evisceration.</p><p><strong>Materials and methods: </strong>In this retrospective study, we retrieved the follow-up data of 17 patients who underwent evisceration with glass bead implantation from 1993 to 1996.</p><p><strong>Results: </strong>All 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.</p><p><strong>Conclusion: </strong>The 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.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","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":"22126814","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
Scleral fixation of posterior chamber intraocular lenses using fascia lata to cover the knots. 后房型人工晶体巩膜固定用阔筋膜覆盖结。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Ziad Bashshur, Riad Ma'luf, Dany Najjar, Baha'a Noureddin
{"title":"Scleral fixation of posterior chamber intraocular lenses using fascia lata to cover the knots.","authors":"Ziad Bashshur,&nbsp;Riad Ma'luf,&nbsp;Dany Najjar,&nbsp;Baha'a Noureddin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objective: </strong>To describe the use of fascia lata to cover the polypropylene knots of scleral fixated posterior chamber intraocular lenses (PCIOL).</p><p><strong>Patients and methods: </strong>Fascia lata was used to cover the knots of scleral fixated PCIOL in 5 eyes with significant scleral thinning. Four of the 5 eyes had the PCIOL insertion and the fascia lata patching in the same setting. The fifth eye previously had scleral fixated PCIOL with late suture erosion through a partial thickness scleral flap.</p><p><strong>Results: </strong>There was no suture exposure or graft thinning throughout a follow-up period of 8 to 16 months. The eyes tolerated the fascia lata well with no early or late postoperative complications.</p><p><strong>Conclusion: </strong>Fascia lata provides an effective means to cover the knots of scleral fixated PCIOL, especially in aphakic patients with significant scleral thinning.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"445-9"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22126902","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
Vitreous surgery for bilateral bullous retinal detachment in Vogt-Koyanagi-Harada syndrome. 玻璃体手术治疗Vogt-Koyanagi-Harada综合征双侧大疱性视网膜脱离。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Satoko Gaun, Yasuo Kurimoto, Yusuke Komurasaki, Nagahisa Yoshimura
{"title":"Vitreous surgery for bilateral bullous retinal detachment in Vogt-Koyanagi-Harada syndrome.","authors":"Satoko Gaun,&nbsp;Yasuo Kurimoto,&nbsp;Yusuke Komurasaki,&nbsp;Nagahisa Yoshimura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A successful surgical treatment (vitrectomy) for bilateral bullous retinal detachment in a patient with Vogt-Koyanagi-Harada (VKH) disease is reported. A 78-year-old woman had severe reduction of visual acuity in both eyes because of an extremely bullous nonrhegmatogenous retinal detachment accompanied by VKH disease. We performed lens extraction and vitrectomy on both eyes combined with systemic and topical corticosteroid therapy. The retina was reattached immediately after the surgery and her visual acuity promptly improved in both eyes. She had no recurrence of retinal detachment even after tapering the dose of corticosteroid. We suggest that vitrectomy may be an effective therapeutic option in the treatment for severe bullous retinal detachment associated with VKH disease.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"508-10"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22127376","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
Bilateral cataract surgery combined with implantation of a brown diaphragm intraocular lens after trabeculectomy for congenital aniridia. 先天性无虹膜小梁切除术后双侧白内障手术联合褐色隔膜人工晶状体植入术。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
Salomon Esquenazi, Sandra Amador
{"title":"Bilateral cataract surgery combined with implantation of a brown diaphragm intraocular lens after trabeculectomy for congenital aniridia.","authors":"Salomon Esquenazi,&nbsp;Sandra Amador","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 17-year-old male patient was referred for poorly controlled glaucoma on maximal medication, congenital aniridia, cataract, nystagmus, and hypoplasia of the macula. A bilateral filtering procedure was performed to control the glaucoma. Three months later, a slow motion phacoemulsification and implantation of a brown diaphragm intraocular lens (IOL) was attempted. Despite the presence of nystagmus and hypoplasia of the macula, the visual acuity improved from 20/300 to 20/100 in the right eye and from 20/400 to 20/150 in the left eye. Both aniridia IOLs were well centered, the anterior segment was quiet with normal intraocular pressure without medication, and all of the patient's glare symptoms disappeared. A single-piece iris diaphragm and optical lens offer a safe alternative for patients who previously had no viable options for iris reconstruction. The most serious postoperative problem, glaucoma, should be addressed before the cataract and lens implantation is performed to avoid a possible acceleration of the glaucoma progression by the large aniridia IOL.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"514-7"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22127380","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
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 DOI: 10.3928/1542-8877-20021101-12
A. Bayer, Richard R. Wilson, R. Eagle
{"title":"Tube occlusion from the external ostium after implantation of an aqueous shunt.","authors":"A. Bayer, Richard R. Wilson, R. Eagle","doi":"10.3928/1542-8877-20021101-12","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-12","url":null,"abstract":"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.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"310 1","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":"77019754","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 DOI: 10.3928/1542-8877-20021101-05
S. Kansal, M. Moster, M. Gomes, C. 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":"S. Kansal, M. Moster, M. Gomes, C. Schmidt, Richard P. Wilson","doi":"10.3928/1542-8877-20021101-05","DOIUrl":"https://doi.org/10.3928/1542-8877-20021101-05","url":null,"abstract":"PURPOSE\u0000To assess patient comfort using combined anterior sub-Tenon's, topical, and intracameral (\"Blitz\") anesthesia versus retrobulbar anesthesia in glaucoma surgery.\u0000\u0000\u0000PATIENTS AND METHODS\u0000In 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.\u0000\u0000\u0000RESULTS\u0000No statistically significant difference was found in the mean operative or postoperative pain scores between the two groups during trabeculectomy, phacotrabeculectomy, or aqueous shunt surgery.\u0000\u0000\u0000CONCLUSIONS\u0000Blitz anesthesia offers a reasonable alternative to retrobulbar anesthesia for trabeculectomy, phacotrabeculectomy, and aqueous shunt surgery.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"4 1","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":"89949140","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: 28
Metastatic large-cell lung carcinoma to the orbit in a 25-year-old nonsmoker. 25岁非吸烟者大细胞肺癌眼眶转移。
Ophthalmic surgery and lasers Pub Date : 2002-11-01
David R Jordan, Matthew W Lee-Wing
{"title":"Metastatic large-cell lung carcinoma to the orbit in a 25-year-old nonsmoker.","authors":"David R Jordan,&nbsp;Matthew W Lee-Wing","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lung cancer commonly affects middle-aged and elderly smokers. Metastatic disease involving the orbit is uncommon. We report the unusual occurrence of a 25-year-old male nonsmoker with an aggressive form of lung cancer who developed metastatic orbital disease involving the medial rectus.</p>","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 6","pages":"488-90"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22126818","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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