ISRN ophthalmologyPub Date : 2011-10-25eCollection Date: 2011-01-01DOI: 10.5402/2011/831051
Daniel Demsey, Stephanie Baxter
{"title":"Influence of Donor Tissue Factors on Detachment Rate in DSAEK Patients.","authors":"Daniel Demsey, Stephanie Baxter","doi":"10.5402/2011/831051","DOIUrl":"https://doi.org/10.5402/2011/831051","url":null,"abstract":"<p><p>Purpose. To determine whether the rate of graft detachment in patients undergoing the DSAEK procedure is influenced by the time elapsed between donor death and tissue implantation. Methods. Data on procedure outcome and donor tissue for patients undergoing the DSAEK procedure were reviewed. Data on time elapsed between harvest, processing, storage, and implantation of the tissue, as well as donor tissue endothelial cell count were obtained from reports made available from the Eye Bank of Canada. The adverse outcome of interest was graft detachment. Results. 71 cases were reviewed, with 14% resulting in detachment. The following time periods were compared between detachment and nondetachment groups: donor death to enucleation; enucleation to processing; duration of storage at the Eye Bank to implantation. No statistically significant differences were found (Student's t-test, P > 0.05). Endothelial cell counts of donor tissue were compared between the two groups, and no statistically significant difference was found (Student's t-test, P > 0.05). Conclusion. The range of processing times and endothelial cell counts in donor tissue available from the Eye Bank did not predict a change in the rate of graft dislocation in one surgeon's practice. </p>","PeriodicalId":90193,"journal":{"name":"ISRN ophthalmology","volume":"2011 ","pages":"831051"},"PeriodicalIF":0.0,"publicationDate":"2011-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32140717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN ophthalmologyPub Date : 2011-10-20eCollection Date: 2011-01-01DOI: 10.5402/2011/465198
Ozlem G Sahin, Elçin Kartal, Nusret Taheri
{"title":"Meibomian gland dysfunction: endocrine aspects.","authors":"Ozlem G Sahin, Elçin Kartal, Nusret Taheri","doi":"10.5402/2011/465198","DOIUrl":"https://doi.org/10.5402/2011/465198","url":null,"abstract":"<p><p>Purpose. To compare the hormone levels of patients with seborrheic meibomian gland dysfunction with controls. Procedures. This is a retrospective case-control study involving 50 patients and 50 controls. Blood workup for hormones was studied in both groups by using macroELISA (enzyme-linked immunosorbent assay). Statistical evaluation was done by using SPSS 15.0 independent samples t-test. Results. There were statistically significant differences of serum testosterone and dehydroepiandrosterone sulphate levels between patients and controls (P = 0.000). Female gender showed statistically significant differences of serum thyroid-stimulating hormone and prolactin levels between patients and controls (P = 0.014 and P = 0.043), in addition to serum testosterone and dehydroepiandrosterone sulphate levels (P = 0.000 and P = 0.001). However, male gender showed statistically significant differences of only serum testosterone and dehydroepiandrosterone sulphate levels between patients and controls. (P = 0.003 and P = 0.003 resp.). Conclusions. Increased serum levels of testosterone and dehydroepiandrosterone sulphate in both genders should be considered as diagnostic markers for seborrheic meibomian gland dysfunction. </p>","PeriodicalId":90193,"journal":{"name":"ISRN ophthalmology","volume":"2011 ","pages":"465198"},"PeriodicalIF":0.0,"publicationDate":"2011-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32122612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vitreous incarceration in patients undergoing second 20-gauge pars plana vitrectomy for recurrent retinal detachment.","authors":"Yongxin Zheng, Haotian Lin, Wen Liu, Dandan Wang, Suying Huang","doi":"10.5402/2011/456191","DOIUrl":"https://doi.org/10.5402/2011/456191","url":null,"abstract":"<p><p>Purpose. To observe and classify vitreous incarcerations in patients undergoing second 20-gauge pars plana vitrectomy (PPV) for recurrent retinal detachment. Methods. Retrospective noncomparative consecutive case series. Eighty-two consecutive patients with recurrent retinal detachment were included. The previous sclerotomy sites were examined by our sclera depression method and the vitreous incarceration were classified into Grade 0-IV by their severity under surgical microscope before second surgery. The relationship of vitreous incarceration and different ports was statistically investigated in our included patients. Results. Vitreous incarceration in the previous sclerotomy sites were found frequently. Vitreous cutter sites were most involved, but the infusion pipe sites were the least. According to our classification and definition, Grade III and IV of vitreous incarceration in all the three different sclerotomy sites accounted for 32.5%. Grade II of vitreous incarceration consisted of 12.6%. Grade 0 and I in all the three different sclerotomy sites were 54.8%. The frequency of all grades of vitreous incarceration in light port or vitreous cutter port was significant higher than that in infusion port. Conclusions. Vitreous incarceration in light port and vitreous cutter port are found more common than in infusion port for 20-gauge PPV with our new method. </p>","PeriodicalId":90193,"journal":{"name":"ISRN ophthalmology","volume":"2011 ","pages":"456191"},"PeriodicalIF":0.0,"publicationDate":"2011-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32122611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN ophthalmologyPub Date : 2011-09-20eCollection Date: 2011-01-01DOI: 10.5402/2011/495047
Sepehr Feizi, Mohammad Zare, Bahram Einollahi
{"title":"Simultaneous phacoemulsification and graft refractive surgery in penetrating keratoplasty eyes.","authors":"Sepehr Feizi, Mohammad Zare, Bahram Einollahi","doi":"10.5402/2011/495047","DOIUrl":"https://doi.org/10.5402/2011/495047","url":null,"abstract":"<p><p>Purpose. To report outcomes of graft refractive surgery (GRS) along with clear-cornea phacoemulsification and intraocular lens (IOL) implantation in penetrating keratoplasty (PKP) eyes. Methods. Fourteen eyes of 13 patients who had received PKP underwent simultaneous GRS (relaxing incisions with or without counter-quadrant compression sutures) and clear-cornea phacoemulsification with IOL implantation. To calculate IOL power, preoperative keratometry readings and the SRK-T formula were used. Results. Mean patient age and follow-up period were 50.5 ± 14.4 years and 14.6 ± 7.1 months, respectively. A significant increase was observed in best spectacle-corrected visual acuity (from 0.55 ± 0.18 logMAR to 0.33 ± 0.18 logMAR, P = 0.001). There was a significant decrease in vector keratometric astigmatism by 6.22 D (P = 0.03). Spherical equivalent refraction was reduced from -3.31 ± 3.96 D to -1.69 ± 2.38 D (P = 0.02) which did not significantly differ from the target refraction (-0.76 ± 0.14 D, P = 0.20). No complications developed and all the grafts remained clear at the final examination. Conclusion. Simultaneous phacoemulsification and GRS is a safe and effective method to address post-PKP astigmatism and lens opacity. IOL power can be calculated from preoperative keratometry readings with an acceptable accuracy. However, patients should be informed about the possibility of high refractive errors postoperatively. </p>","PeriodicalId":90193,"journal":{"name":"ISRN ophthalmology","volume":"2011 ","pages":"495047"},"PeriodicalIF":0.0,"publicationDate":"2011-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN ophthalmologyPub Date : 2011-09-07eCollection Date: 2011-01-01DOI: 10.5402/2011/146813
Kayoung Yi, Mircea Mujat, Wei Sun, B Hyle Park, Johannes F de Boer, Teresa C Chen
{"title":"Peripapillary retinal thickness maps in the evaluation of glaucoma patients: a novel concept.","authors":"Kayoung Yi, Mircea Mujat, Wei Sun, B Hyle Park, Johannes F de Boer, Teresa C Chen","doi":"10.5402/2011/146813","DOIUrl":"https://doi.org/10.5402/2011/146813","url":null,"abstract":"<p><p>Purpose. To show how peripapillary spectral domain optical coherence tomography (SDOCT) retinal thickness (RT) maps can complement retinal nerve fiber layer (RNFL) thickness maps in the evaluation of glaucoma patients. Methods. After a complete eye exam with standard fundus photography and visual field testing, normal and glaucomatous eyes were imaged with an experimental SDOCT system. From SDOCT images, RNFL thickness and RT maps were constructed and then correlated with disc photography and visual field testing. Results. Two normal eyes of 2 patients and 5 eyes of 4 glaucoma patients were imaged. Although both RNFL and RT maps correlated well with visual field defects, glaucomatous arcuate defects were sometimes more easily identified in the RT maps. Conclusions. To our knowledge, this is the first paper to show that peripapillary SDOCT RT maps may provide important supplemental information to RNFL thickness maps in the evaluation of glaucoma patients. </p>","PeriodicalId":90193,"journal":{"name":"ISRN ophthalmology","volume":"2011 ","pages":"146813"},"PeriodicalIF":0.0,"publicationDate":"2011-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN ophthalmologyPub Date : 2011-07-13eCollection Date: 2011-01-01DOI: 10.5402/2011/138941
Eghosasere Iyamu, Joy Iyamu, Christian Izuchukwu Obiakor
{"title":"The role of axial length-corneal radius of curvature ratio in refractive state categorization in a nigerian population.","authors":"Eghosasere Iyamu, Joy Iyamu, Christian Izuchukwu Obiakor","doi":"10.5402/2011/138941","DOIUrl":"https://doi.org/10.5402/2011/138941","url":null,"abstract":"<p><p>The aim of this study was to investigate the association of axial length (AL)/corneal radius of curvature (CRC) ratio (AL/CRC) with spherical equivalent refractive state (SER) in young adults. A total of seventy (n = 70) subjects consisting of 31 males and 39 females participated in this study. Subjects were categorized into emmetropia, hyperopia and myopia using the spherical equivalent refraction. The axial length was measured with I-2100 A-Scan ultrasonography/Biometer (CIMA Technology, USA), the corneal radius of curvature with Bausch & Lomb H-135A (Bausch & Lomb Corp., USA), and the refractive state by static retinoscopy and subjective refraction. The mean AL, CRC and AL/CRC ratio of all subjects were 23.74 ± 0.70 mm, 7.84 ± 0.19 mm, and 3.03 ± 0.14, respectively. Myopes had significantly longer AL, steeper CRC and higher AL/CRC ratio than the emmetropes and hyperopes. There was statistically significant inverse correlation between AL and CRC (r = -0.53, P < 0.0001), SER (r = -0.64, P < 0.0001), and between SER and AL/CRC (r = -0.78, P < 0.0001). A significant positive correlation was found between CRC and SER (r = -0.69, P < 0.0001). The categorization of the refractive state of an individual is better done by using the AL/CRC ratio index. </p>","PeriodicalId":90193,"journal":{"name":"ISRN ophthalmology","volume":"2011 ","pages":"138941"},"PeriodicalIF":0.0,"publicationDate":"2011-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/138941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}