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Pseudophakic Pupillary Block

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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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Headache: tip of the iceberg.

Usha Bhanu Kommineni, Rashmi Krishnamurthy,

We report the case of a 64-year-old pseudophakic patient in a rural area who chronically suffered from headache with eye pain and was on analgesics for pain relief but never turned up to an ophthalmologist. There was lack of awareness to visit an ophthalmologist for headache as he thought that ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(2):]

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Six-Month Results of Descemet Membrane Endothelial Keratoplasty in 100 Eyes: First Clinical Results from Turkey

Osman Şevki Arslan, Cezmi Doğan, Burak Mergen,

Objectives:To evaluate the 6-month outcomes of Descemet membrane endothelial keratoplasty (DMEK) in patients with pseudophakic bullous keratopathy (PBK) and Fuchs’ endothelial dystrophy (FED) in a single center in Turkey. Materials and Methods:The medical records of patients who underwent DMEK were reviewed retrospectively. Best corrected visual acuity (BCVA), donor corneal endothelial ... Read more >>

Turk J Ophthalmol (Turkish journal of ophthalmology)
[2019, 49(5):235-242]

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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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Combined Descemet stripping automated endothelial keratoplasty and intravitreal dexamethasone implant for concomitant pseudophakic bullous keratopathy and cystoid macular edema.

Gabriella Cirigliano, Marco R Pastore, Alberto A Perrotta, Chiara De Giacinto, Daniele Tognetto,

Int J Ophthalmol (International journal of ophthalmology)
[2019, 12(5):866-869]

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Late onset pupillary block glaucoma following phacoemulsification with posterior chamber intraocular lens implantation.

Natasha Gautam Seth, Faisal Thattaruthody, Ajay Jurangal, Surinder Singh Pandav,

Secondary angle closure in a pseudophakic eye due to pupillary block, more than a decade following phacoemulsification, has not been reported. We managed a 75-year-old female presenting with sudden, painful diminution of vision and raised intraocular pressure in the right eye. The key finding was an almost flat anterior chamber ... Read more >>

Eur J Ophthalmol (European journal of ophthalmology)
[2019, :1120672119848898]

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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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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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Visual Outcome of Descemet Membrane Endothelial Keratoplasty during the Learning Curve in Initial Fifty Cases.

Sanjay K Singh, Sanjeeta Sitaula,

This study was performed to evaluate the clinical outcomes of the first fifty patients who underwent Descemet membrane endothelial keratoplasty (DMEK) during the 3-month postoperative period and to describe the challenges encountered during the learning curve. In this retrospective study, we reviewed the charts of patients who underwent DMEK. All ... Read more >>

J Ophthalmol (Journal of ophthalmology)
[2019, 2019:5921846]

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Surgery-induced iris abnormalities after Descemet membrane endothelial keratoplasty and their impact on postoperative clinical outcomes.

Natsuko Mori, Hideaki Yokogawa, Akira Kobayashi, Tsubasa Nishino, Kazuhisa Sugiyama,

Purpose: This study aimed to elucidate the frequency of surgery-induced iris abnormalities after Descemet membrane endothelial keratoplasty (DMEK) and their impact on postoperative clinical outcomes. Methods: In this retrospective study, medical records of 32 eyes from 28 consecutive patients (mean age, 65.7±13.4 years; 14 men, 18 women) who underwent DMEK (or ... Read more >>

Clin Ophthalmol (Clinical Ophthalmology (Auckland, N.Z.))
[2019, 13:805-809]

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Ultrasound biomicroscopy as a vital tool in occult phacomorphic glaucoma.

Vasile Potop, Valeria Coviltir, Speranţa Schmitzer, Cătălina Gabriela Corbu, Cătălina Ioana Ionescu, Miruna Gabriela Burcel, Alina Ciocâlteu, Dana Dăscălescu,

Ultrasound is a fundamental tool used in all medical specialties, including ophthalmology. Nowadays, ultrasound biomicroscopy (UBM), a method with higher resolution, allows the investigation of in vivo details of the anterior segment of the eye at microscopic resolution. The examination is especially useful in patients with secondary glaucoma that involves ... Read more >>

Rom J Ophthalmol (Romanian journal of ophthalmology)
[2019, 63(4):311-314]

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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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Anterior hyaloid membrane dissection using the conventional surgical microscope: a novel surgical approach in 2 patients.

Radwan S Ajlan, Joey Luvisi,

Background:To describe the dissection and removal of the anterior hyaloid membrane using the conventional surgical microscope. Case presentation:This microscopic surgical approach involves dissecting the anterior hyaloid at the natural anatomical plane. A 30-gauge needle mounted on a 3.0 cc syringe is used to inject filtered air anterior to the anterior hyaloid ... Read more >>

Int J Retina Vitreous (International journal of retina and vitreous)
[2019, 5:40]

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"PI-less DMEK": results of Descemet's membrane endothelial keratoplasty (DMEK) without a peripheral iridotomy.

Eitan Livny, Irit Bahar, Issac Levy, Michael Mimouni, Yoav Nahum,

PURPOSE:To assess Descemet's membrane endothelial keratoplasty (DMEK) without performing a peripheral iridotomy (PI) prior to or during surgery ("PI-less DMEK"). MATERIALS AND METHODS:This retrospective study included consecutive patients that underwent PI-less DMEK by a single surgeon (E.L) between February 2016 and February 2017 at the Rabin Medical Center, a Tertiary ... Read more >>

Eye (Lond) (Eye (London, England))
[2019, 33(4):653-658]

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Influence of temperature change in donor corneas on postoperative endothelium cell density following endothelial transplantation.

Koji Kakisu, Takefumi Yamaguchi, Jun Shimazaki,

To examine the influence on postoperative endothelial cell density (ECD) caused by preoperative temperature change from 4 °C to room temperature in donor corneas for Descemet stripping automated endothelial keratoplasty (DSAEK). This retrospective, case-controlled comparison of 100 eyes that underwent DSAEK using imported donor corneas transferred from an overseas eye bank ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):731]

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A prospective pilot study using a low power piggy-back toric implantable Collamer lens to correct residual refractive error after multifocal IOL implantation.

Gernot Iw Duncker, Anna C Sasse, Tobias Duncker,

Purpose:To assess whether residual refractive error after in-the-bag multifocal intraocular lens (mIOL) implantation can efficaciously and safely be corrected with a piggy-back low power Visian Toric Implantable Collamer Lens® (VTICL, STAAR Surgical) placed in the ciliary sulcus. Patients and methods:Twenty-four eyes of 23 patients (mean age: 57.5 years) with diminished ... Read more >>

Clin Ophthalmol (Clinical Ophthalmology (Auckland, N.Z.))
[2019, 13:1689-1702]

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Combined microinvasive glaucoma surgery in osteogenesis imperfecta patient with refractory open angle glaucoma.

Daniel Laroche, Gideon Nkrumah,

Purpose:To report a case of refractory open angle glaucoma (POAG) in an osteogenesis imperfecta patient who was successfully treated with combination microinvasive glaucoma surgery: combined kahook blade goniotomy and ciliary sulcus suprachoroidal microtube insertion. Observation:A 57-year-old woman with a history of osteoporosis, breast cancer, osteogenesis imperfecta, with uncontrolled POAG in ... Read more >>

Am J Ophthalmol Case Rep (American journal of ophthalmology case reports)
[2020, 18:100617]

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Commentary: Expanding indications of newer and economically viable phakic posterior chamber intraocular lens designs.

Suresh K Pandey, Vidushi Sharma,

Indian J Ophthalmol (Indian journal of ophthalmology)
[2019, 67(7):1066-1067]

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Evaluation of intraocular gas using magnetic resonance imaging after pars plana vitrectomy with gas tamponade for rhegmatogenous retinal detachment.

Makoto Gozawa, Masayuki Kanamoto, Shota Ishida, Yoshihiro Takamura, Kentaro Iwasaki, Hirohiko Kimura, Masaru Inatani,

We used magnetic resonance imaging (MRI) to assess how a patient's posture affects intraocular gas changes and whether the postoperative prone position is required after pars plana vitrectomy (PPV) with gas tamponade for rhegmatogenous retinal detachments (RRDs). Eight patients with RRDs who underwent PPV combined with cataract surgery with gas ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):1521]

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Bilateral Acute Angle-Closure Glaucoma after Macular Hole Surgery.

Chong Eun Lee, Yu Cheol Kim,

Korean J Ophthalmol (Korean journal of ophthalmology : KJO)
[2019, 33(1):101-102]

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The inner clock-Blue light sets the human rhythm.

Siegfried Wahl, Moritz Engelhardt, Patrick Schaupp, Christian Lappe, Iliya V Ivanov,

Visible light synchronizes the human biological clock in the suprachiasmatic nuclei of the hypothalamus to the solar 24-hour cycle. Short wavelengths, perceived as blue color, are the strongest synchronizing agent for the circadian system that keeps most biological and psychological rhythms internally synchronized. Circadian rhythm is important for optimum function ... Read more >>

J Biophotonics (Journal of biophotonics)
[2019, 12(12):e201900102]

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Temporary Filtering Bleb Failure Induced by Anterior Chamber Sulfur Hexafluoride Gas: A Complication after Descemet Membrane Endothelial Keratoplasty.

Philip Enders, Georgia Avgitidou, Ludwig M. Heindl, Thomas S. Dietlein, Claus Cursiefen,

Herein, we report two clinical cases with acute temporary filtering bleb obstruction by gas tamponade after Descemet membrane endothelial keratoplasty (DMEK) surgery and postoperative intraocular pressure (IOP) peaks. Both patients underwent uncomplicated DMEK surgery with 20% sulfur hexafluoride (SF<sub>6</sub>) anterior chamber tamponade and had previous trabeculectomy for glaucoma. Prior to ... Read more >>

Case Rep Ophthalmol (Case reports in ophthalmology)
[2019, 10(1):120-126]

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"Ghost DMEK" Technique: Circular Peripheral Staining of Descemet's Membrane Endothelial Keratoplasty Grafts.

Eitan Livny, Irit Bahar, Yoav Nahum,

PURPOSE:To describe the ghost Descemet's membrane endothelial keratoplasty (DMEK) technique that allows for real-time evaluation of DMEK graft orientation, location, and folding status within the anterior chamber, by simple observation at the surgical microscope. METHODS:This is a retrospective case series done in a university hospital. The study included 10 patients ... Read more >>

Cornea (Cornea)
[2019, 38(2):252-255]

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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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Effect of Nd:YAG laser posterior capsulotomy on intraocular pressure, refraction, anterior chamber depth, and macular thickness.

Anil Parajuli, Purushottam Joshi, Prabha Subedi, Chandni Pradhan,

Purpose: To see the effect of Nd:YAG laser capsulotomy on intraocular pressure (IOP), refraction, best-corrected visual acuity (BCVA), anterior chamber depth (ACD), and macular thickness. Methodology: The authors conducted a prospective, descriptive study on pseudophakic eyes with posterior capsule opacification who underwent Nd:YAG laser capsulotomy. BCVA, IOP, spherical equivalent (SE), ... Read more >>

Clin Ophthalmol (Clinical Ophthalmology (Auckland, N.Z.))
[2019, 13:945-952]

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