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Journal of Cataract and Refractive Surgery Online Case Reports最新文献

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Relaxing descemetotomy: microscope-integrated OCT-guided technique for acute corneal hydrops 松弛去角膜切口术：显微镜集成 OCT 引导的急性角膜水肿治疗技术
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2024-02-07 DOI: 10.1097/j.jcro.0000000000000116
Levi N. Kanu, Sana Qureshi, Christina Cherny, Veronica Ng, J. Ciolino
{"title":"Relaxing descemetotomy: microscope-integrated OCT-guided technique for acute corneal hydrops","authors":"Levi N. Kanu, Sana Qureshi, Christina Cherny, Veronica Ng, J. Ciolino","doi":"10.1097/j.jcro.0000000000000116","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000116","url":null,"abstract":"\u0000 \u0000 3 cases are used to illustrate the technique of Descemet membrane (DM) relaxing incisions followed by air descemetopexy for the management of patients with acute corneal hydrops.\u0000 \u0000 \u0000 \u0000 In each case, anterior-segment optical coherence tomography (OCT) demonstrated taut DM detachments and hydrops was refractory to conservative medical management and intracameral air injection.\u0000 \u0000 \u0000 \u0000 To facilitate the reapproximation of DM and potentiate corneal deturgescence, intraoperative OCT-guided descemetotomy was performed with bent surgical scissors and a bent 30-gauge needle. Subsequent air descemetopexy was successful, and DM reattachment was maintained postoperatively. Corneal edema improved in all patients relatively rapidly postoperatively.\u0000 \u0000 \u0000 \u0000 Relaxing descemetotomy with air descemetopexy may be useful in cases of acute corneal hydrops with taut DM detachments that are unresponsive to air tamponade alone.\u0000","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"31 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795231","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
Relaxing descemetotomy: microscope-integrated OCT-guided technique for acute corneal hydrops 松弛去角膜切口术：显微镜集成 OCT 引导的急性角膜水肿治疗技术
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2024-02-07 DOI: 10.1097/j.jcro.0000000000000116
Levi N. Kanu, Sana Qureshi, Christina Cherny, Veronica Ng, J. Ciolino
{"title":"Relaxing descemetotomy: microscope-integrated OCT-guided technique for acute corneal hydrops","authors":"Levi N. Kanu, Sana Qureshi, Christina Cherny, Veronica Ng, J. Ciolino","doi":"10.1097/j.jcro.0000000000000116","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000116","url":null,"abstract":"\u0000 \u0000 3 cases are used to illustrate the technique of Descemet membrane (DM) relaxing incisions followed by air descemetopexy for the management of patients with acute corneal hydrops.\u0000 \u0000 \u0000 \u0000 In each case, anterior-segment optical coherence tomography (OCT) demonstrated taut DM detachments and hydrops was refractory to conservative medical management and intracameral air injection.\u0000 \u0000 \u0000 \u0000 To facilitate the reapproximation of DM and potentiate corneal deturgescence, intraoperative OCT-guided descemetotomy was performed with bent surgical scissors and a bent 30-gauge needle. Subsequent air descemetopexy was successful, and DM reattachment was maintained postoperatively. Corneal edema improved in all patients relatively rapidly postoperatively.\u0000 \u0000 \u0000 \u0000 Relaxing descemetotomy with air descemetopexy may be useful in cases of acute corneal hydrops with taut DM detachments that are unresponsive to air tamponade alone.\u0000","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855107","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
30-gauge needle technique for dislocated intraocular lens: novel surgical technique 30 号针法治疗眼内晶状体脱位：新颖的手术技术
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2023-12-19 DOI: 10.1097/j.jcro.0000000000000115
Leonardo Buchacra, Paula Gochicoa-Mulet, Leandro E. Diaz-Herrera
{"title":"30-gauge needle technique for dislocated intraocular lens: novel surgical technique","authors":"Leonardo Buchacra, Paula Gochicoa-Mulet, Leandro E. Diaz-Herrera","doi":"10.1097/j.jcro.0000000000000115","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000115","url":null,"abstract":"A new, simple and effective technique is described, using a 30-gauge needle that offers many advantages to repositioning of dislocated single-piece posterior chamber intraocular lenses (IOLs) in eyes without sufficient capsular support. This technique may shorten the surgical time and minimize surgical trauma. The data regarding treatment modalities available for dislocated IOLs in eyes without sufficient capsular support remain scarce, thus reporting new surgical techniques is beneficial.","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962354","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
Novel A-type scleral suture technique for sulcus-fixated intraocular lens tilt 新型 A 型巩膜缝合技术治疗沟状固定式眼内透镜倾斜
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2023-11-08 DOI: 10.1097/j.jcro.0000000000000107
K. Lee, Yong Ha Jo, S. Nam, Joon Hyuck Jang, Hun Lee, H. Tchah, Jae Yong Kim
{"title":"Novel A-type scleral suture technique for sulcus-fixated intraocular lens tilt","authors":"K. Lee, Yong Ha Jo, S. Nam, Joon Hyuck Jang, Hun Lee, H. Tchah, Jae Yong Kim","doi":"10.1097/j.jcro.0000000000000107","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000107","url":null,"abstract":"This report describes the first use to the authors' knowledge, of a simple technique for repositioning a tilted intraocular lens (IOL) after scleral fixation. A 76-year-old woman presented with sudden blurred vision in the right eye. She had previously undergone IOL scleral fixation due to traumatic cataract and acute angle-closure glaucoma. IOL tilt was revealed on examination, and repositioning was performed with polypropylene sutures across the pupil from limbus to limbus by forming an A shape to stabilize the IOL and prevent rotation. 6 months after the repositioning surgery, the IOL was well positioned and the patient's corrected distance visual acuity improved from counting fingers to 20/25. This surgical technique was successfully performed for a patient with IOL tilt. It decreased operative time and corneal damage while increasing IOL stability. The procedure was a safe and effective alternative to IOL exchange for a patient with inadequate capsular support.","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"207 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139282608","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
Secondary single-piece toric posterior chamber intraocular lens fixation 继发性单片环形后房型人工晶状体固定
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2023-03-29 DOI: 10.1097/j.jcro.0000000000000095
R. Pandit
{"title":"Secondary single-piece toric posterior chamber intraocular lens fixation","authors":"R. Pandit","doi":"10.1097/j.jcro.0000000000000095","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000095","url":null,"abstract":"","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122050109","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
Epithelial cell curette: simple solution to epithelial cell removal from small-incision lenticule extraction pocket or LASIK flap 上皮细胞刮除器:用于小切口晶状体提取袋或LASIK皮瓣中上皮细胞清除的简单解决方案
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2023-01-01 DOI: 10.1097/j.jcro.0000000000000090
S. Agarwal, Erin Thornell
{"title":"Epithelial cell curette: simple solution to epithelial cell removal from small-incision lenticule extraction pocket or LASIK flap","authors":"S. Agarwal, Erin Thornell","doi":"10.1097/j.jcro.0000000000000090","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000090","url":null,"abstract":"","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129895664","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
Perfect Flanger forceps: standardizing flange creation for intrascleral intraocular lens fixation 完善的法兰钳:用于巩膜内人工晶状体固定的标准化法兰制造
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2022-11-30 DOI: 10.1097/j.jcro.0000000000000089
Sebastian F. Amado
{"title":"Perfect Flanger forceps: standardizing flange creation for intrascleral intraocular lens fixation","authors":"Sebastian F. Amado","doi":"10.1097/j.jcro.0000000000000089","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000089","url":null,"abstract":"","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128619193","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 endophthalmitis after cataract surgery causing scleral melt and intraocular lens exposure 白内障手术后双侧眼内炎引起巩膜融化和人工晶状体暴露
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2022-06-28 DOI: 10.1097/j.jcro.0000000000000085
Daniel S. Kim, Justin D. Shortell
{"title":"Bilateral endophthalmitis after cataract surgery causing scleral melt and intraocular lens exposure","authors":"Daniel S. Kim, Justin D. Shortell","doi":"10.1097/j.jcro.0000000000000085","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000085","url":null,"abstract":"Introduction: Postsurgical endophthalmitis is a rare but serious complication most commonly occurring after cataract surgery. As immediately sequential bilateral cataract surgery (ISBCS) becomes more used, it is important to recognize the risk for bilateral endophthalmitis leading to permanent vision loss. This report reviews a devastating complication of ISBCS. Patient and Clinical Findings: We report a 64-year-old man who underwent ISBCS, who presented with severe headache and eye pain late in the course of bilateral endophthalmitis. The right eye was disorganized with shrinkage in addition to superior scleral rupture/melt and prolapsed uveal tissue. The left eye showed superior complete scleral thinning with an exposed intraocular lens. Diagnosis, Intervention, and Outcomes: Computed tomography maxillofacial study confirmed bilateral endophthalmitis with deformation of the globes with abscess formation. A culture of the exposed purulent material revealed multidrug-resistant Pseudomonas aeruginosa. Owing to the severity of the infection, a primary bilateral enucleation was performed, which was tolerated well without signs of systemic infection. Conclusions: Surgeons should proceed with caution, given the devastating complications that can come with ISBCS. Stricter criteria for patient selection may avoid complications when patient reliability or incomplete medical history is of concern.","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133801166","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
Management of corneal haze and edema post-PRK prk后角膜雾霭和水肿的处理
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2022-06-28 DOI: 10.1097/j.jcro.0000000000000079
A. Awidi, Ishrat Ahmed, Y. Daoud
{"title":"Management of corneal haze and edema post-PRK","authors":"A. Awidi, Ishrat Ahmed, Y. Daoud","doi":"10.1097/j.jcro.0000000000000079","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000079","url":null,"abstract":"Introduction: To present the potential use of serum tears, corneal crosslinking, and phototherapeutic keratectomy in the management of corneal haze and edema post-photorefractive keratectomy (PRK). Patient and Clinical Findings: A patient who underwent PRK and subsequently developed corneal haze and edema was treated using conservative management to achieve moderate improvement. Diagnosis, Intervention, and Outcomes: The combination of serum tears, corneal crosslinking, and phototherapeutic keratectomy was used to treat corneal haze and edema, helping the patient achieve an uncorrected visual acuity of 20/20 in the last follow-up. Conclusions: The use of serum tears, corneal crosslinking, and phototherapeutic keratectomy may provide an additional therapeutic option in the treatment of corneal haze and edema that develops post-PRK.","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123843647","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
Management of Irvine-Gass syndrome with a scleral intraocular lens 巩膜人工晶状体治疗Irvine-Gass综合征
Journal of Cataract and Refractive Surgery Online Case Reports Pub Date : 2022-01-25 DOI: 10.1097/j.jcro.0000000000000056
Mathieu Noel, F. Willermain, B. Pion
{"title":"Management of Irvine-Gass syndrome with a scleral intraocular lens","authors":"Mathieu Noel, F. Willermain, B. Pion","doi":"10.1097/j.jcro.0000000000000056","DOIUrl":"https://doi.org/10.1097/j.jcro.0000000000000056","url":null,"abstract":"","PeriodicalId":227563,"journal":{"name":"Journal of Cataract and Refractive Surgery Online Case Reports","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123344289","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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