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Aphakic Pupillary Block

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Acute angle closure in an aphakic infant: Case report and review of the literature.

Lily Okrent Smolar, Anfisa Ayalon, Noa Ela-Dalman, Elad Moisseiev,

Purpose:Aphakic pupillary block glaucoma is a rare complication after congenital cataract surgery. We describe the case of an infant with acute angle closure in an aphakic eye following congenital cataract lensectomy with anterior vitrectomy nine months prior. Potential pathophysiology and therapeutic strategies are discussed. Observations:A one-year-old male infant presented to ... Read more >>

Am J Ophthalmol Case Rep (American journal of ophthalmology case reports)
[2019, 15:100459]

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Unilateral phacoemulsification in a captive African elephant (Loxodonta africana).

Katherine E L Manchip, Ghislaine Sayers, John C M Lewis, James W Carter,

Background:The following case reports describe the clinical presentation, surgical protocol, post-operative care, and long-term follow-up of an African elephant (Loxodonta Africana) presenting with a unilateral cataract. Case description:A 42-year-old female African elephant presented for the assessment of ocular discomfort and visual deterioration in the left eye. Pre-surgical treatment included topical ... Read more >>

Open Vet J (Open veterinary journal)
[2020, 9(4):294-300]

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Management of pseudophakic bullous keratopathy with ultrathin Descemet stripping automated endothelial keratoplasty and modified Yamanes' technique of scleral fixation.

Jai Kelkar, Aditya Kelkar, Yogesh Chougule,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(1):185-186]

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Peripheral iridectomy for preventing iris-related complications in glued intraocular lens surgery in children.

Divya Balakrishnan, Avadhesh Oli, Remya M Paulose, Hasnat Ali,

Purpose:To assess the role of surgical peripheral iridectomy (PI) in preventing iris-related complications associated with glued intraocular lens (GIOL) surgery in children with bilateral ectopia lentis. Methods:Nonrandomized interventional case series of 34 eyes of 17 children (<15 years of age) who underwent pars plana lensectomy (PPL) and GIOL surgery between ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2020, 68(3):466-470]

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Five-year follow-up outcomes after Descemet's stripping automated endothelial keratoplasty: a retrospective study.

Koichi Wakimasu, Koji Kitazawa, Kanae Kayukawa, Isao Yokota, Tsutomu Inatomi, Osamu Hieda, Chie Sotozono, Shigeru Kinoshita,

Objective:To assess graft survival and endothelial cell density (ECD) over a 5-year follow-up period after Descemet's stripping automated endothelial keratoplasty (DSAEK). Methods and analysis:This retrospective study involved 130 eyes of 130 consecutive patients with Fuchs endothelial corneal dystrophy (FECD), non-FECD bullous keratopathy (BK) (non-FECD) or BK post-trabeculectomy or tube-shunt surgery ... Read more >>

BMJ Open Ophthalmol (BMJ open ophthalmology)
[2020, 5(1):e000354]

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Dislocated Intraocular Lens Extraction and Iris-Claw Lens Implantation in Vitrectomized and Non-vitrectomized Eyes

M. Giray Ersöz, Mümin Hocaoğlu, Işıl Bahar Sayman Muslubaş, Serra Arf, Murat Karaçorlu,

Objectives:To compare the outcomes and complications of dislocated intraocular lens (IOL) extraction and secondary iris-claw IOL (ICIOL) implantation in vitrectomized and non-vitrectomized eyes. Materials and Methods:This retrospective study included 19 vitrectomized eyes and 11 non-vitrectomized eyes that underwent dislocated IOL extraction and secondary anterior chamber ICIOL implantation between June 2014 ... Read more >>

Turk J Ophthalmol (Turkish journal of ophthalmology)
[2019, 49(5):277-282]

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IOL repositioning using iris sutures: a safe and effective technique.

Tomaso Caporossi, Ruggero Tartaro, Fabrizio Gs Franco, Francesco Barca, Lucia Finocchio, Daniela Bacherini, Dario Giorgio, Fabrizio Giansanti, Stanislao Rizzo,

This retrospective non-comparative consecutive case series study was conducted at Azienda Ospedaliera Universitaria Careggi, Florence, Italy and describes a useful intraocular lens (IOL) repositioning technique using iris sutures. In our study, 41 consecutive cases of posteriorly dislocated IOLs were surgically treated between January 2015 and May 2017. Six of the ... Read more >>

Int J Ophthalmol (International journal of ophthalmology)
[2019, 12(12):1972-1977]

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Emulsification of Different Viscosity Silicone Oil in Complicated Retinal Detachment Surgery: A Randomized Double-Blinded Clinical Trial.

Tanapat Ratanapakorn, Watcharaporn Thongmee, Kidakarn Meethongkam, Suthasinee Sinawat, Thuss Sanguansak, Chavakij Bhoomibunchoo, Wipada Laovirojjanakul, Yosanan Yospaiboon,

Objective:To study silicone oil (SO) emulsification, anatomic and visual outcome after complicated retinal detachment surgery by pars plana vitrectomy (PPV) with intraocular SO tamponade, comparing between low and high viscosity SO. Design:Randomized, double-blinded, controlled trial. Patients and Methods:Patients with complicated retinal detachment who had been surgically treated by PPV and ... Read more >>

Clin Ophthalmol (Clinical ophthalmology (Auckland, N.Z.))
[2020, 14:359-367]

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Transfixion technique for the treatment of silicone oil pupillary block glaucoma refractory to Nd-YAG iridotomy.

Sergio E Hernández-Da Mota, Rafael Castañeda-Diez, María Teresa Zavala-Martínez,

Background:Pupillary block induced by silicon oil in vitrectomized patients is a common condition usually treated with Nd-YAG laser iridotomy or with surgical removal of silicon oil. Case report:A case of silicone oil pupillary block glaucoma successfully treated with a 30 G needle transfixion technique is described. We performed a non-complicated ... Read more >>

Cir Cir (Cirugia y cirujanos)
[2019, 87(2):215-218]

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Five-year follow-up of secondary iris-claw intraocular lens implantation for the treatment of aphakia: Anterior chamber versus retropupillary implantation.

Mario Damiano Toro, Antonio Longo, Teresio Avitabile, Katarzyna Nowomiejska, Caterina Gagliano, Sarah Tripodi, Tomasz Choragiewicz, Agnieszka Kaminska, Michele Figus, Chiara Posarelli, Matteo Forlini, Anselm Gerhard Maria Jünemann, Michele Reibaldi, Robert Rejdak,

BACKGROUND:Though several procedures of IOL implantation have been described (sutured scleral fixation, intra-scleral fixation, angle-supported anterior chamber, and anterior chamber or retropupillary iris-claw IOLs), there are no randomized trials which are comparing different techniques. Hence, the surgical treatment of aphakia still remains controversial and challenging. The purpose of this study ... Read more >>

PLoS ONE (PloS one)
[2019, 14(4):e0214140]

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Descemet membrane endothelial keratoplasty (DMEK): an update on safety, efficacy and patient selection.

Bruno Lovaglio Cançado Trindade, Glauber Coutinho Eliazar,

Descemet membrane endothelial keratoplasty (DMEK) is gaining popularity worldwide as a procedure to address corneal endothelial dysfunctions. Its perfect anatomical result improves outcomes and expedites visual recovery. This review addresses important aspects of safety, efficacy and patient selection. ... Read more >>

Clin Ophthalmol (Clinical Ophthalmology (Auckland, N.Z.))
[2019, 13:1549-1557]

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Bilateral Phacoemulsification in an African Elephant (Loxodonta africana).

Anthony J Cerreta, Richard J McMullen, Heather E Scott, Jennifer D Ringenberg, Julie E Hempstead, Ryan S DeVoe, Michael R Loomis, Larry J Minter,

A 37-year-old bull African elephant (Loxodonta africana) at the North Carolina Zoo (NCZ) was diagnosed with bilateral cataracts leading to behavioral changes and significant weight loss secondary to functional blindness. On initial examination, a weight loss of 234 kg, a mature cataract in the right eye, and a focal cataract ... Read more >>

Case Rep Vet Med (Case reports in veterinary medicine)
[2019, 2019:2506263]

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Advanced glaucoma following Nd:YAG capsulotomy: a case report.

Colin Goudie, Andrew Tatham,

BACKGROUND:We present a case of aphakic pupil block caused by vitreous prolapse into the anterior chamber following Nd:YAG capsulotomy. CASE PRESENTATION:This resulted in advanced glaucoma in a young patient, which presented a significant clinical management challenge. CONCLUSIONS:Ultimately, at the time of writing, her intraocular pressure and uveitis were well controlled, ... Read more >>

BMC Ophthalmol (BMC ophthalmology)
[2018, 18(Suppl 1):229]

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Management Strategies of Ocular Abnormalities in Patients with Marfan Syndrome: Current Perspective.

Hamed Esfandiari, Shabnam Ansari, Hossein Mohammad-Rabei, Marilyn B Mets,

Marfan syndrome is an autosomal dominant genetic connective tissue disorder that results from mutations in the fibrillin-1 gene located on chromosome band 15q15-21. Fibrillin, a glycoprotein, is widely expressed throughout the body and contributes to the elasticity and force-bearing capacity of connective tissue. In the eye, fibrillin is a key ... Read more >>

J Ophthalmic Vis Res (Journal of ophthalmic & vision research)
[2019, 14(1):71-77]

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Double trouble: Microspherophakia with Axenfeld-Rieger anomaly.

Jyoti Shakrawal, Harathy Selvan, Arpit Sharma, Dewang Angmo,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2019, 67(3):394-395]

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Graft Detachment After Descemet's Stripping Automated Endothelial Keratoplasty in Bullous Keratopathy and Fuchs Dystrophy.

Nicola Cardascia, Valentina Pastore, Vito Bini, Maria Gabriella Lategola, Giovanni Alessio,

Descemet's stripping automated endothelial keratoplasty (DSAEK) is a surgical technique for corneal transplantation in case of corneal decompensation. One of the main complications is graft detachment (GD) recoverable with Air Re-bubbling (ARB). The aim of this retrospective, interventional case series was to identify factors related to this complication in eyes ... Read more >>

Med Hypothesis Discov Innov Ophthalmol (Medical hypothesis, discovery & innovation ophthalmology journal)
[2020, 9(1):15-22]

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Unusual complications and corneal clearance after Descemet Membrane Endothelial Transfer in Pseudophakic Bullous Keratopathy.

Anil Rahul Rachwani, Carlos Rocha-de-Lossada, Calvo de Mora Marina Rodríguez, Baca Vaca Gustavo Fernández,

Purpose. to report malignant glaucoma and infectious crystalline keratopathy as complications after an uneventful Descemet Membrane Endothelial Keratoplasty (DMEK), and corneal clearance despite graft detachment after the surgery in a patient with pseudophakic bullous keratopathy. Method. A 81-year-old patient with high Intraocular Pressure (IOP) and flat anterior chamber with patent ... Read more >>

Rom J Ophthalmol (Romanian journal of ophthalmology)
[2019, 63(3):277-280]

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Lasers in glaucoma.

Harsh Kumar, Tarannum Mansoori, Gazella B Warjri, Bindu I Somarajan, Suman Bandil, Viney Gupta,

While lasers have been used for many years for the treatment of glaucoma, proper indications and use of the procedures need to be considered before their application. This review summarizes the important laser procedures in Glaucoma. ... Read more >>

Indian J Ophthalmol (Indian journal of ophthalmology)
[2018, 66(11):1539-1553]

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Descemet Membrane Endothelial Keratoplasty for Corneal Decompensation Secondary to Phakic Intraocular Lenses.

Ester Fernández López, Cristina Peris Martínez,

Purpose:To describe the surgical technique and clinical outcomes of bilensectomy (pIOL explant and phacoemulsification), followed by DMEK performed for bullous keratopathy secondary to pIOL. Methods:Seven eyes of seven patients, who developed corneal decompensation after pIOL implantation, underwent bilensectomy followed by DMEK in a two-step procedure. Main outcome measures included uncorrected ... Read more >>

J Ophthalmol (Journal of ophthalmology)
[2019, 2019:2038232]

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Large Capsulorhexis Related Uveitis-Glaucoma-Hyphema Syndrome Managed by Intraocular Lens Implant Exchange and Gonioscopy Assisted Transluminal Trabeculotomy.

Mohammad Reza Razeghinejad, Shane J Havens,

Purpose:To report a case of uveitis-glaucoma-hyphema syndrome (UGHS) secondary to a large capsulorhexis with an intracaspular intraocular lens (IOL) managed with IOL exchange and gonioscopy assisted transluminal trabeculotomy (GATT). Case Report:A 73-year-old male patient presented with UGHS of the right eye in the setting of an intracapsular single-piece acrylic IOL ... Read more >>

J Ophthalmic Vis Res (Journal of ophthalmic & vision research)
[2019, 14(2):215-218]

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Corneal transplantation in the modern era.

Rashmi Singh, Noopur Gupta, M Vanathi, Radhika Tandon,

Corneal blindness is one of the major causes of reversible blindness, which can be managed with transplantation of a healthy donor cornea. It is the most successful organ transplantation in the human body as cornea is devoid of vasculature, minimizing the risk of graft rejection. The first successful transplant was ... Read more >>

Indian J. Med. Res. (The Indian journal of medical research)
[2019, 150(1):7-22]

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Clinical spectrum and surgical outcomes in spherophakia: a prospective interventional study.

S Khokhar, G Pillay, S Sen, E Agarwal,

PurposeTo study the varied clinical presentations of patients with spherophakia, their management using surgical methods, and the clinical outcomes.Patients and methodsA prospective interventional study of 13 patients of spherophakia who presented to us from January 2014 and were followed up over the course of their treatment, and the data were ... Read more >>

Eye (Lond) (Eye (London, England))
[2018, 32(3):527-536]

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The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery.

Ümit Ekşioğlu, Mehmet Yakın, Özgür Balta, Evin Şingar-Özdemir, Hande Hüsniye Telek, Firdevs Örnek, Ilgaz Yalvaç,

To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery.Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma.Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was 62.57±12.47 years. Mean follow-up ... Read more >>

Turk J Ophthalmol (Turkish journal of ophthalmology)
[2018, 48(1):19-22]

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Outcomes of 25-gauge vitrectomy with relaxing retinectomy for retinal detachment secondary to proliferative vitreoretinopathy.

Yi Jiang, Daniel J Oh, Wyatt Messenger, Jennifer I Lim,

Purpose:The aim of this study is to evaluate visual and anatomic outcomes of 25-gauge vitrectomy with relaxing retinectomies for complex retinal detachment (RD) secondary to proliferative vitreoretinopathy (PVR). Methods:A single-center, retrospective case series of 44 patients who had undergone a 25-gauge vitrectomy with a relaxing retinectomy for the treatment of ... Read more >>

J Vitreoretin Dis (Journal of vitreoretinal diseases)
[2019, 3(2):69-75]

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Dexamethasone Implant as Sole Therapy in Sympathetic Ophthalmia.

Ahmad M Mansour,

We present the case of a 46-year-old woman with sympathetic ophthalmia occurring 27 years after complicated juvenile cataract surgeries. The patient declined systemic immunosuppressive therapy. Dexamethasone implant in the sympathizing eye allowed good visual recovery up to 18 months of follow-up with a total of 6 implants. Intraocular pressure rise ... Read more >>

Case Rep Ophthalmol (Case Reports in Ophthalmology)
[2018, 9(2):257-263]

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