Ophthalmic surgery and lasers最新文献_第6页

Transsclerally fixated intraocular lenses in children. 儿童经巩膜固定人工晶状体。

Ophthalmic surgery and lasers Pub Date : 2002-09-01 DOI: 10.3928/1542-8877-20020901-09

A. Ozmen, M. Doğru, Haluk Erturk, H. Ozçetin

{"title":"Transsclerally fixated intraocular lenses in children.","authors":"A. Ozmen, M. Doğru, Haluk Erturk, H. Ozçetin","doi":"10.3928/1542-8877-20020901-09","DOIUrl":"https://doi.org/10.3928/1542-8877-20020901-09","url":null,"abstract":"BACKGROUND AND OBJECTIVE\u0000To evaluate the visual outcome and complications of transsclerally fixated intraocular lenses (IOLs) in children without sufficient capsular support.\u0000\u0000\u0000PATIENTS AND METHODS\u0000Twenty-one aphakic eyes of 18 children (13 boys and 5 girls) who underwent secondary transscleral IOL fixation were evaluated retrospectively. Ten eyes with aphakia after infantile cataract surgery, 7 aphakic eyes following traumatic cataract surgery, and 4 eyes after ectopia lentis surgery received secondary transscleral posterior chamber IOL fixation because of by insufficient posterior capsular support. Visual outcomes and postoperative complications were recorded.\u0000\u0000\u0000RESULTS\u0000After a mean follow up of 22.5 months (range, 12 to 36 months), visual improvement of more than 2 Snellen lines was observed in 9 eyes (42.8 %). Preoperative visual acuity could not be assessed in 7 eyes (33.3%) because of associated neurological and developmental disorders. One eye (4.7%) lost 2 Snellen lines of the best corrected visual acuity because of concurrent endophthalmitis and retinal detachment. Pupillary distortion, transient pupillary membrane, pupillary capture as well as strabismus and anterior uveitis, were the most common complications. Endophthalmitis and retinal detachment were the most severe postoperative complications.\u0000\u0000\u0000CONCLUSION\u0000Transsclerally fixated IOL implantation may be visually rewarding in well selected pediatric cases, but the potential complications would suggest extreme caution in its consideration. Until long-term studies are published, it is difficult to recommend implantation unless it is deemed impossible to provide adequate rehabilitation by other means such as contact lenses or aphakic spectacles.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"147 1","pages":"394-9"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79955643","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: 30

Epibulbar osseous choristoma: case report and review of the literature. 球外骨性脉络瘤:1例报告及文献复习。

Ophthalmic surgery and lasers Pub Date : 2002-09-01 DOI: 10.3928/1542-8877-20020901-11

Gregg S. Gayre, A. Proia, J. Dutton

{"title":"Epibulbar osseous choristoma: case report and review of the literature.","authors":"Gregg S. Gayre, A. Proia, J. Dutton","doi":"10.3928/1542-8877-20020901-11","DOIUrl":"https://doi.org/10.3928/1542-8877-20020901-11","url":null,"abstract":"Epibulbar osseous choristoma is a choristomatous lesion of the conjunctiva containing bone. Originally called epibulbar osteoma, this lesion was first described by von Graefe in 1863. We discuss a case of a 4-year-old patient who presented with an epibulbar lesion consistent histopathologically with an epibulbar osseous choristoma, and report a review of the literature. The differential diagnosis of osseous choristoma should include classical limbal dermoids, epithelial inclusion cysts, prolapsed orbital fat, papillomas, dermolipomas, and complex choristomas. Although the rarest of epibulbar choristomas, 51 epibulbar osteomas have now been reported in the medical literature. Most commonly, this variety of choristoma presents as an isolated epibulbar lesion within the supratemporal quadrant but may occur in other locations on the surface of the globe and possibly in conjunction with other choristomatous tissue as much as 10% of the time. Frequently, they may involve the muscle or have dense attachments to the underlying sclera. Osseous choristomas most likely represent congenital lesions with a potential for slow growth but may occur in association with trauma. Options for management include observation or surgical excision. When surgery is contemplated, preoperative radiographic imaging may be helpful for assessing adhesion to the sclera or extraocular muscles.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"129 1","pages":"410-5"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79224524","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: 48

Epibulbar osseous choristoma: case report and review of the literature. 球外骨性脉络瘤:1例报告及文献复习。

Ophthalmic surgery and lasers Pub Date : 2002-09-01

Gregg Samuel Gayre, Alan D Proia, Jonathan J Dutton

{"title":"Epibulbar osseous choristoma: case report and review of the literature.","authors":"Gregg Samuel Gayre, Alan D Proia, Jonathan J Dutton","doi":"","DOIUrl":"","url":null,"abstract":"Epibulbar osseous choristoma is a choristomatous lesion of the conjunctiva containing bone. Originally called epibulbar osteoma, this lesion was first described by von Graefe in 1863. We discuss a case of a 4-year-old patient who presented with an epibulbar lesion consistent histopathologically with an epibulbar osseous choristoma, and report a review of the literature. The differential diagnosis of osseous choristoma should include classical limbal dermoids, epithelial inclusion cysts, prolapsed orbital fat, papillomas, dermolipomas, and complex choristomas. Although the rarest of epibulbar choristomas, 51 epibulbar osteomas have now been reported in the medical literature. Most commonly, this variety of choristoma presents as an isolated epibulbar lesion within the supratemporal quadrant but may occur in other locations on the surface of the globe and possibly in conjunction with other choristomatous tissue as much as 10% of the time. Frequently, they may involve the muscle or have dense attachments to the underlying sclera. Osseous choristomas most likely represent congenital lesions with a potential for slow growth but may occur in association with trauma. Options for management include observation or surgical excision. When surgery is contemplated, preoperative radiographic imaging may be helpful for assessing adhesion to the sclera or extraocular muscles.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 5","pages":"410-5"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22046849","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

Intravitreal removal of large, fibrotic choroidal neovascular membrane complexes in submacular surgery. 黄斑下手术中玻璃体内大的纤维化脉络膜新生血管复合体的去除。

Ophthalmic surgery and lasers Pub Date : 2002-09-01

Darin R Haivala, Sumit K Nanda

引用次数: 0

Acute-onset postoperative endophthalmitis: review of incidence and visual outcomes (1995-2001). 急性眼内炎术后:发病率和视力结果的回顾(1995-2001)。

Ophthalmic surgery and lasers Pub Date : 2002-09-01 DOI: 10.3928/1542-8877-20020901-06

C. Eifrig, H. Flynn, I. Scott, J. Newton

{"title":"Acute-onset postoperative endophthalmitis: review of incidence and visual outcomes (1995-2001).","authors":"C. Eifrig, H. Flynn, I. Scott, J. Newton","doi":"10.3928/1542-8877-20020901-06","DOIUrl":"https://doi.org/10.3928/1542-8877-20020901-06","url":null,"abstract":"BACKGROUND AND OBJECTIVE\u0000To determine the incidence rate of acute-onset postoperative endophthalmitis and to assess visual acuity outcomes after treatment from the most recent 7 years (1995-2001) compared with the previous 11 years (1984-1994) among patients undergoing intraocular surgery at the same institution.\u0000\u0000\u0000PATIENTS AND METHODS\u0000The medical records were reviewed of all patients undergoing intraocular surgery at the Bascom Palmer Eye Institute between January 1, 1995 and December 31, 2001.\u0000\u0000\u0000RESULTS\u0000The 7-year incidence rate of acute-onset postoperative endophthalmitis was 0.05% (17 of 35,916 intraocular surgeries). The number of patients with endophthalmitis (incidence) and their median final visual acuity for each surgical category are as follows: cataract extraction: 8/21,972 (0.04%) - 20/100; glaucoma surgery: 4/1,970 (0.2%) - 20/70; penetrating keratoplasty: 2/2,362 (0.08%) - light perception; pars plana vitrectomy: 2/7,429 (0.03%) - hand movements; secondary intraocular lens placement: 1/485 (0.2%) - 20/40. Of the 8 cases of endophthalmitis after cataract surgery, 6 cases occurred after phacoemulsification and 2 of these cases had a dear corneal sutureless incision.\u0000\u0000\u0000CONCLUSION\u0000The most recent 7-year incidence rate of acute-onset postoperative endophthalmitis is significantly lower than that of the previous 11 years (0.05% versus 0.09%; = 0.031) at the same institution. Visual acuity outcomes after treatment were generally better in cataract surgery, glaucoma surgery, and secondary intraocular lens categories compared to pars plana vitrectomy and penetrating keratoplasty categories.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"80 1","pages":"373-8"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78963733","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: 179

Severe pupil distortion following transchamber repair of a cyclodialysis cleft. 睫状体透析唇裂经腔修复后的严重瞳孔畸变。

Ophthalmic surgery and lasers Pub Date : 2002-09-01

John C Nichols, Dave H Lee, Stephen S Feman, Steven R Shields

引用次数: 0

Pars plana vitrectomy and transscleral fixation of black diaphragm intraocular lens for the management of traumatic aniridia. 玻璃体切除及经巩膜固定黑膈人工晶状体治疗外伤性无虹膜。

Ophthalmic surgery and lasers Pub Date : 2002-09-01

Wojciech Omulecki, Aleksandra Synder

{"title":"Pars plana vitrectomy and transscleral fixation of black diaphragm intraocular lens for the management of traumatic aniridia.","authors":"Wojciech Omulecki, Aleksandra Synder","doi":"","DOIUrl":"","url":null,"abstract":"Background and objectives: Partial or complete aniridia occurring after severe ocular trauma is a difficult therapeutic problem. Diaphragm intraocular lenses were developed for the correction of aniridia, but the safety and efficacy of implanting such lenses are not well established in traumatic cases because of very few reports, and the small number of cases studied.Patients and methods: Six patients, 4 men and 2 women with a mean age of 44 years, were treated for traumatic aniridia using pars plana vitrectomy and transscleral fixation of a black diaphragm intraocular lens. Total aniridia was observed in 3 eyes and partial aniridia in 3 eyes. Four eyes were aphakic and severe lens subluxation was seen in 2 eyes. Vitreous hemorrhage coexisted in 2 patients and bacterial endophthalmitis was present in 1 patient. Follow-up time ranged between 4 and 39 months (mean, 23 months).Results: Best-corrected visual acuity improved in 5 patients and 1 remained unchanged. Good visual acuity (20/20 - 20/40) was achieved in all cases and all lenses were well-centered. No severe complications were noted. Three of 6 patients required glaucoma topical medications pre- and postoperatively achieving good intraocular pressure control.Conclusion: The management of traumatic aniridia using pars plana vitrectomy and implantation of scleral fixation black diaphragm intraocular lenses seem to be safe. Very good functional results and lack of severe complications are encouraging. Additional cases with a longer follow-up study are necessary to support our opinion.","PeriodicalId":19509,"journal":{"name":"Ophthalmic surgery and lasers","volume":"33 5","pages":"357-61"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22046968","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

Uveitic angle closure glaucoma in a patient with inactive cytomegalovirus retinitis and immune recovery uveitis. 非活动性巨细胞病毒视网膜炎合并免疫恢复性葡萄膜炎合并葡萄膜闭角型青光眼1例。

Ophthalmic surgery and lasers Pub Date : 2002-09-01

Daniel E Goldberg, William R Freeman

引用次数: 0

Corneal burn: a rare complication of radiofrequency diathermy capsulotomy. 角膜烧伤:一罕见的并发症，射频热囊切开术。

Ophthalmic surgery and lasers Pub Date : 2002-09-01 DOI: 10.3928/1542-8877-20020901-15

Chieh-Chih Tsai, H. Kau, S. Kao, W. Hsu

引用次数: 1

Orbital melanoma metastatic from contralateral choroid: management by complete surgical resection. 眼眶黑色素瘤从对侧脉络膜转移:通过完全手术切除的管理。

Ophthalmic surgery and lasers Pub Date : 2002-09-01

Jerry A Shields, Noel Perez, Carol L Shields, Arun D Singh, Ralph C Eagle

引用次数: 0