{"title":"A retrospective study of the effects of laser suture lysis on the long-term results of trabeculectomy.","authors":"A Asamoto, M E Yablonski, M Matsushita","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We retrospectively examined the effects of laser suture lysis on the long-term results of initial trabeculectomies in 130 consecutive eyes that had an intraocular pressure greater than 21 mm Hg during the first 4 postoperative weeks. After the high intraocular pressure was noted, 46 eyes underwent laser suture lysis; the other 84 did not. The 2-year cumulative probability of success in the laser suture lysis group was .84 and, in the control group, .82 (P > .05). Intraocular pressures in the two groups 1 and 2 years after trabeculectomy were similar. Laser suture lysis had no discernible effect on the long-term success rate of trabeculectomy in these patients.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"223-7"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18657762","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-11
Sheppard Jd, Shrum Kr
{"title":"Pars plana Molteno implantation in complicated inflammatory glaucoma.","authors":"Sheppard Jd, Shrum Kr","doi":"10.3928/1542-8877-19950501-11","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-11","url":null,"abstract":"We retrospectively studied pars plana Molteno implantation in seven patients who had previously undergone multiple attempts, both medical and surgical, to control intraocular pressure (IOP), to no avail. In an effort to avoid further anterior chamber complications, a Molteno implant was inserted through the superior temporal vitrectomy port, following a complete pars plana vitrectomy. Acuity decreased in two of the seven patients due to preexisting conditions and one patient lost vision. Preoperative IOPs ranged from 29 to 57 mm Hg (mean 41 mm Hg) and postoperative IOPs ranged from 7 to 20 mm Hg (mean 12 mm Hg)","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"18 1","pages":"218-222"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87425960","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":"Temporal corneal phacoemulsification combined with separate-incision superior trabeculectomy.","authors":"M Weitzman, J Caprioli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe our present method of combined cataract surgery and trabeculectomy, which involves temporal clear corneal phacoemulsification with foldable intraocular lens implant combined with a separate-incision superior limbus-based trabeculectomy. The potential advantages over combined surgery through a single incision include reduced manipulation of conjunctival and scleral flaps, improved visibility for phacoemulsification, and a slightly shorter tunnel.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 3","pages":"271-3"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18655332","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-18
P. Macken, S. Boyd, F. Feldman, J. Heathcote, M. Steiner, F. Billson
{"title":"Intralenticular foreign bodies: case reports and surgical review.","authors":"P. Macken, S. Boyd, F. Feldman, J. Heathcote, M. Steiner, F. Billson","doi":"10.3928/1542-8877-19950501-18","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-18","url":null,"abstract":"Management of intralenticular foreign bodies (ILFBs) is controversial. Correlation between visual outcome, foreign body characteristics, the need for surgical intervention, and the choice of surgical technique are not well established. We report five cases of traumatic ILFBs all managed surgically. Three ILFBs were metal, one was presumably also metal, and one was wood. We chose to proceed with foreign body removal and simultaneous cataract extraction with intraocular lens implantation as a single-staged procedure in four cases. In one case of planned extracapsular cataract extraction, a foreign body was identified only after the expressed nucleus was sent for pathological examination. Visual outcomes were 20/30 or greater in all cases at 5 to 18 month follow up.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"44 1","pages":"250-2"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77767521","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-17
W. R. Raymond, M. Parks
{"title":"Transection of the superior rectus muscle during intended superior oblique tenotomy: a report of three cases.","authors":"W. R. Raymond, M. Parks","doi":"10.3928/1542-8877-19950501-17","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-17","url":null,"abstract":"Reported complications of superior oblique surgery include postoperative vertical or torsional deviation, Brown's syndrome, head tilt, blepharoptosis, and conversion of an A-pattern to a V-pattern. McNeer reported three cases of postoperative vertical deviation, one of which was attributed to severing of the superior rectus tendon. We report three additional cases of inadvertent unrecognized transection of the superior rectus during intended superior oblique tenotomy to emphasize the importance of direct visualization of these tendons during surgery.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"30 1","pages":"244-9"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80765286","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-08
Charles Joseph Anderson
{"title":"Combined topical and subconjunctival anesthesia in cataract surgery.","authors":"Charles Joseph Anderson","doi":"10.3928/1542-8877-19950501-08","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-08","url":null,"abstract":"A combined technique of topical anesthesia (TA) and subconjunctival anesthesia (SCA) was used in 73 consecutive patients undergoing scleral tunnel phacoemulsification cataract surgery. Medical records were evaluated preoperatively, intraoperative, and postoperatively. A patient questionnaire was used to obtain subjective intraoperative and postoperative information. Preoperative and intraoperative sedation of varying degrees was necessary. Ninety-five percent of the patients reported no pain. No patients required additional retrobulbar or peribulbar anesthesia. The most frequent postoperative problems were pain, a need for patching, and headache. The combined TA and SCA technique appeared safe, medically acceptable, and cost-effective.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"32 1","pages":"205-8"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90840222","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-15
Ó. Cruz, L. Matkovich
{"title":"Effects of intraoperative topical mitomycin-C on strabismus surgery in the rabbit: a preliminary study.","authors":"Ó. Cruz, L. Matkovich","doi":"10.3928/1542-8877-19950501-15","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-15","url":null,"abstract":"The effect of intraoperative topical exposure of mitomycin-C (MMC) on muscle reattachment and scarring in strabismus surgery was prospectively investigated in the rabbit by performing bilateral recession surgery in which one eye was treated with topical MMC (0.2 mg/mL) and the other eye served as the control. One week postoperatively, in random, masked fashion, the severity of postoperative adhesions was rated lower in the MMC-treated eyes. Also, histology demonstrated decreased fibrosis in the muscle reattachment sites in the MMC-treated eyes. The muscle tension in the reattached muscles was greater than 100 g in all of the eyes. This preliminary study indicates that topical MMC exposure may inhibit scarring in strabismus surgery without inhibiting muscle reattachment or causing other obvious adverse effects.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"10 1","pages":"237-40"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85088131","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-26
M. Weitzman, J. Caprioli
{"title":"Temporal corneal phacoemulsification combined with separate-incision superior trabeculectomy.","authors":"M. Weitzman, J. Caprioli","doi":"10.3928/1542-8877-19950501-26","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-26","url":null,"abstract":"We describe our present method of combined cataract surgery and trabeculectomy, which involves temporal clear corneal phacoemulsification with foldable intraocular lens implant combined with a separate-incision superior limbus-based trabeculectomy. The potential advantages over combined surgery through a single incision include reduced manipulation of conjunctival and scleral flaps, improved visibility for phacoemulsification, and a slightly shorter tunnel.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"124 1","pages":"271-3"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82446087","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-04
D. Lightman, M. Colucciello, L. Ginsburg, R. Tuller
{"title":"\"Surgeon glove finger\" gas delivery system.","authors":"D. Lightman, M. Colucciello, L. Ginsburg, R. Tuller","doi":"10.3928/1542-8877-19950501-04","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-04","url":null,"abstract":"","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"18 1","pages":"188"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76483963","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}
Ophthalmic surgeryPub Date : 1995-05-01DOI: 10.3928/1542-8877-19950501-06
K. Hinshaw, R. Fiscella, J. Sugar
{"title":"Preparation of pH-adjusted local anesthetics.","authors":"K. Hinshaw, R. Fiscella, J. Sugar","doi":"10.3928/1542-8877-19950501-06","DOIUrl":"https://doi.org/10.3928/1542-8877-19950501-06","url":null,"abstract":"Characteristics of alkalinized local anesthetics are poorly described with regard to stability and precipitation. Current fixed-volume methods of alkalinization often result in unstable, precipitated solutions of unpredictable pH. We determined a stable, nonprecipitating, anesthetic mixture and used it in a randomized double-blind crossover study of 21 patients to evaluate alkalinized anesthetic solutions in reducing pain on injection. Our solution significantly reduced pain associated with retrobulbar injection (analysis of variance, P = .0362) but not that associated with Nadbath injection. Fixed-volume alkalinization is not recommended because complications can result with the use of precipitated anesthetics.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"7 1","pages":"194-9"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73687801","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}