Ophthalmic surgeryPub Date : 1996-03-01DOI: 10.1097/00002341-199603000-00027
D. Jordan
{"title":"Microplate fixation of prefabricated subperiosteal orbital floor implants.","authors":"D. Jordan","doi":"10.1097/00002341-199603000-00027","DOIUrl":"https://doi.org/10.1097/00002341-199603000-00027","url":null,"abstract":"Microplating and miniplating systems are widely available for repairing fractures involving the orbit, face, cranium, and mandible. These plates are superior to traditional wiring techniques because the fractured bones are held in position immediately after the plates have been screwed into position (rigid fixation). Recently, we have found the T-shaped microplate quite helpful in securing the prefabricated subperiosteal orbital floor implants commonly used to augment orbital volume in anophthalmic sockets.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"57 1","pages":"78-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78795676","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":"Combined phacoemulsification, endoscopic ciliary process photocoagulation, and intraocular lens implantation in glaucoma management.","authors":"M Uram","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The safety and efficacy of combined cataract extraction and intraocular lens (IOL) implantation with endoscopic ciliary process photocoagulation in glaucoma management was evaluated. Ten patients with uncontrolled open-angle glaucoma and cataract prospectively underwent concomitant phacoemulsification, endoscopic ciliary process photocoagulation, and posterior chamber IOL implantation. With a mean follow up of 19.2 months, the mean intraocular pressure (IOP) decreased from 31.4 mm Hg preoperatively to 13.5 mm Hg postoperatively, an absolute decrease of 57%. This represented a significant decrease for each of the patients. The visual acuity of each also improved. Transient vitreous hemorrhage developed in one patient, but no cystoid macular edema or any other significant complications occurred and all eyes were quiet. There were no lens implant dislocations. There was no progressive visual field loss at 1 month post surgery, but such loss was noted in one patient 1 year after treatment. Good IOP control on no medical therapy was attained in one half of the patients. It may be concluded that this combined procedure provided effective management of cataract and glaucoma with a minimum of postoperative care. The safety and efficacy of this approach as compared with cataract surgery combined with filtration remains to be determined.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 4","pages":"346-52"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19512094","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 : 1995-07-01DOI: 10.3928/1542-8877-19950701-19
U. Eckardt, C. Eckardt
{"title":"Keratoprosthesis as an aid to learning surgical techniques on cadaver eyes.","authors":"U. Eckardt, C. Eckardt","doi":"10.3928/1542-8877-19950701-19","DOIUrl":"https://doi.org/10.3928/1542-8877-19950701-19","url":null,"abstract":"Practice on cadaver eyes can be an essential aid for residents and inexperienced surgeons in learning operative techniques. Cadaver eyes, however, have been of only limited utility for teaching highly complicated procedures because of the obscuring of intraocular structures caused by the rapid post mortem onset of corneal swelling. We have overcome this problem by the use of a silicone keratoprosthesis that provides an excellent view of all intraocular tissues. Our model allows the use of donor eyes unsuitable for transplantation and facilitates the learning of even complicated cataract surgery, and vitrectomy techniques on the human eye. It thus can reduce the rate of complications in operations on patients.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"2 1","pages":"358-9"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84037036","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 : 1995-07-01DOI: 10.3928/1542-8877-19950701-25
J. Perlman, C. Specht, I. McLean, S. Wolfe
{"title":"Oncocytic adenocarcinoma of the lacrimal sac: report of a case with paranasal sinus and orbital extension.","authors":"J. Perlman, C. Specht, I. McLean, S. Wolfe","doi":"10.3928/1542-8877-19950701-25","DOIUrl":"https://doi.org/10.3928/1542-8877-19950701-25","url":null,"abstract":"A 92-year-old man has had multiple recurrent oncocytic tumors involving the right paranasal sinuses and orbit. A benign oncocytoma that arose from the right lacrimal sac was initially diagnosed at age 80 years. The tumor recurred at 3 and 7 years after initial resection. There was greater histologic atypia in the first recurrent tumor, which extended into the right paranasal sinuses. The second recurrence had zones on oncocytic adenocarcinoma exhibiting prominent nuclear atypia and mitotic activity; this tumor massively invaded the right paranasal sinuses and orbit. We describe the clinical and pathologic features of this rare case.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"143 1","pages":"377-9"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86182080","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 : 1995-07-01DOI: 10.3928/1542-8877-19950701-08
G. Peyman, S. Bassili
{"title":"A practical guideline for management of endophthalmitis.","authors":"G. Peyman, S. Bassili","doi":"10.3928/1542-8877-19950701-08","DOIUrl":"https://doi.org/10.3928/1542-8877-19950701-08","url":null,"abstract":"","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"90 15 1","pages":"294-303"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83465031","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 : 1995-07-01DOI: 10.3928/1542-8877-19950701-16
L. Girard
{"title":"Dislocation of cataractous lens by enzymatic zonulolysis: a suggested solution to the problem of the 18 million individuals blind from cataracts in Third-World countries.","authors":"L. Girard","doi":"10.3928/1542-8877-19950701-16","DOIUrl":"https://doi.org/10.3928/1542-8877-19950701-16","url":null,"abstract":"There are 18 million persons blind from cataracts in Third-World countries and the number is doubling every 20 to 25 years. It is impossible to cure this many blind with present sophisticated surgical techniques. Enzymatic dislocation of the cataractous lens could be performed by nonmedical personnel and the patients given inexpensive mass-produced spectacles, which could solve this tremendous problem.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"5 1","pages":"343-5"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91130778","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":"Amblyopia in congenital ptosis.","authors":"A Hornblass, L G Kass, A J Ziffer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study evaluates the association between congenital ptosis and amblyopia. Amblyopia was detected in 7 of 36 (19%) patients with congenital ptosis. Two patients (6%) with amblyopia had no contributing factors other than the presence of congenital ptosis. A statistically significant correlation between severe nonocclusive ptosis (greater than or equal to 4 mm) and the development of amblyopia was identified. No new cases of amblyopia developed after surgical repair of the ptosis, suggesting early surgery for severe nonocclusive congenital ptosis may decrease the incidence of amblyopia.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 4","pages":"334-7"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19512090","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}
R R Berger, A M Kenyers, B Van Coller, C F Pretorius
{"title":"Vertical tripod fixation (VTF) simplifies transscleral approaches.","authors":"R R Berger, A M Kenyers, B Van Coller, C F Pretorius","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transscleral fixation of intraocular lenses (IOL) is an accepted procedure today. Following Malbran's initial approach, new techniques have been developed in various ophthalmic centers; many, however, are time-consuming and difficult, as reflected by complications, most commonly hyphema and IOL tilt. We present here a simple method of transscleral fixation, which was performed in 24 patients in our department. It involves fixating the IOL vertically, on a three-point configuration, using standard 10-0 prolene stitches. Performing it is easy and time-saving. VTF ensures a stable transscleral fixation of an IOL.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 4","pages":"367-71"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19513389","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 : 1995-07-01DOI: 10.3928/1542-8877-19950701-22
R. R. Berger, A. M. Kenyers, B. V. Van Coller, C. Pretorius
{"title":"Vertical tripod fixation (VTF) simplifies transscleral approaches.","authors":"R. R. Berger, A. M. Kenyers, B. V. Van Coller, C. Pretorius","doi":"10.3928/1542-8877-19950701-22","DOIUrl":"https://doi.org/10.3928/1542-8877-19950701-22","url":null,"abstract":"Transscleral fixation of intraocular lenses (IOL) is an accepted procedure today. Following Malbran's initial approach, new techniques have been developed in various ophthalmic centers; many, however, are time-consuming and difficult, as reflected by complications, most commonly hyphema and IOL tilt. We present here a simple method of transscleral fixation, which was performed in 24 patients in our department. It involves fixating the IOL vertically, on a three-point configuration, using standard 10-0 prolene stitches. Performing it is easy and time-saving. VTF ensures a stable transscleral fixation of an IOL.","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"1 1","pages":"367-71"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90262928","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}
M Soheilian, H Ahmadieh, M H Afghan, S H Sajjadi, M Azarmina, G A Peyman
{"title":"Posterior segment triple surgery after traumatic eye injuries.","authors":"M Soheilian, H Ahmadieh, M H Afghan, S H Sajjadi, M Azarmina, G A Peyman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cataract extraction, posterior chamber intraocular lens (PC-IOL) implantation, and complete vitrectomy combined in a one-stage procedure were performed in 16 eyes (16 patients) with traumatic eye injuries undergoing anterior lensectomy (seven eyes), extracapsular cataract extraction (six eyes), or pars plana lensectomy (three eyes). Membrane peeling and intraocular foreign-body removal (13 eyes, 6 with intraretinal foreign bodies) were performed as needed. Surgery was performed from 1 week to 10 years after injury. After an average follow up of 8 months, 13 eyes (81%) had a visual acuity of at least 20/200; 50%, at least 20/40.</p>","PeriodicalId":19625,"journal":{"name":"Ophthalmic surgery","volume":"26 4","pages":"338-42"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19512091","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}