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Effects of cataract extraction with intraocular lens placement on scanning laser polarimetry of the peripapillary nerve fiber layer.

PURPOSE: To determine the effects of cataract extraction with intraocular lens placement on scanning laser polarimetry of the peripapillary nerve fiber layer. DESIGN: Cohort study. METHODS: Thirty-four eyes of 33 patients undergoing phacoemulsification cataract surgery with intraocular lens were imaged using the GDx Nerve Fiber Analyzer within 4 weeks before and at least 4 weeks after cataract surgery. Preoperative and postoperative mean images were compared. The effects of cataract severity and type, and intraocular lens material, were also examined. RESULTS: Comparison of preoperative and…

Clinical symptoms and visual outcome in patients with presumed congenital cataract.

PURPOSE: To investigate clinical symptoms and visual outcome in patients who had presumed congenital cataract with visual acuity > or =20/20 … or posterior subcapsular in 12 eyes, and polar in 7 eyes. All patients underwent lens aspiration or phacoemulsification combined with posterior chamber intraocular lens (PC-IOL) implantation without performing intentional posterior capsulotomy and anterior vitrectomy. RESULTS: The most common clinical symptom was visual disturbance followed by blurred vision, glare …

Surgically induced astigmatism with superior and temporal incisions in cases of with-the-rule preoperative astigmatism.

PURPOSE: To evaluate surgically induced astigmatism (SIA), postoperative astigmatism, and uncorrected visual acuity (UCVA) after cataract surgery with superior corneal, superior scleral, and temporal corneal 4.0 mm sutureless incisions in cases of preoperative with-the-rule (WTR) astigmatism. SETTING: Hopital des Quinze-Vingts, Paris, France. METHODS: This prospective evaluation included patients having phacoemulsification with foldable lens implantation through a 4.0 mm incision. Patients with preoperative WTR astigmatism were randomly assigned to 1 of 3 incisions: superior corneal (Group 1…

Двусторонний спонтанный диализ сетчатки в промежуточном увейтете, связанном с множественным склерозом: необычный случай.

ЦЕЛЬ: Сообщить о случае регматального сетчатого отсека (RRD), вызванного спонтанным диализом сетчатки в промежуточном увейтете из-за множественного склероза (MS). ЗАМЕЧАНИЯ: 29-летняя женщина из Ближнего Востока получила диагноз MS после случая двустороннего промежуточного увеита. Позже она представила последовательность RRD в обоих глазах. Пациент перенёс 25-футовый план витректомию. Внезапно был отмечен диализ сетчатки из-за тяги на витроусовой базе. Было также отмечено, что из-за ишемии утонченная сетчатка позвоночника. Постактивно, она восстановила свою зрительную привлекательность в обоих

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… Following phacoemulsification with intraocular lens implantation in the right eye and silicone oil removal, and phacoemulsification with intraocular lens implantation in the left eye, her BCVA was 6/6 in both eyes. Since then, she has been on regular follow-up in the uveitis clinic. …

Use of intracameral antibiotics prophylaxis in patients with posterior capsular rupture during cataract surgery: systematic review and meta-analysis.

TOPIC: Posterior capsular rupture (PCR) during cataract surgery predisposes patients to postoperative endophthalmitis (POE). However, little … trategy: (cataract OR phaco OR "Cataract Extraction" OR "manual small incision cataract surgery" OR phacoemulsification OR "extracapsular cataract extraction" OR ECCE) AND (intracameral OR "Intracameral Injection" OR "irrigating infusion fluid" OR "anterior chamber injection") AND (antibiotic OR moxifloxacin OR cefuroxime OR vancomycin OR cephalosporin OR prophylaxis …

Comparative visual and refractive analysis of two enhanced monofocal intraocular lenses.

PURPOSE: To compare visual and refractive outcomes and monocular defocus performance between the Isopure 1.2.3 (ISP; PhysIOL, Liège, Belgium) and the TECNIS Eyhance ICB00 (EH; J&J Vision, Santa Ana, CA, USA) intraocular lenses (IOLs). METHODS: Eyes undergoing uncomplicated cataract surgery with either ISP or EH were reviewed. Preoperative characteristics, postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), intermediate VA at 66 cm, near VA at 40 cm, refractive outcomes, and monocular defocus curves were evaluated 3 months after surgery. RESULTS: A

Management of Patient Dissatisfaction After Presbyopia-Correcting Intraocular Lens Implantation.

PURPOSE: To evaluate the success rate of different treatments for dissatisfaction after presbyopia-correcting intraocular lens (PrC-IOL) surgery and propose a management decision tree to maximize patient satisfaction. METHODS: This was a retrospective evaluation of patients who were dissatisfied following PrC-IOL implantation. Evaluated outcomes included nature of visual complaints, treatment modalities employed for each type of complaint, and treatment success for each intervention. RESULTS: There were 140 eyes of 93 patients evaluated. PrCIOLs included trifocal (PanOptix), diffractive exte

Viscoelastic-Assisted Patient Interface Docking: A Technical Optimization in LenSx Femtosecond Laser-Assisted Cataract Surgery.

PURPOSE: To evaluate the efficacy of viscoelastic-assisted patient interface docking in LenSx (Alcon Laboratories, Inc) femtosecond laser-assisted cataract surgery (FLACS). METHODS: This was a randomized controlled trial. Patients undergoing FLACS from January to August 2025 at Aier Eye Hospital of Wuhan University were randomized via a random number table to receive balanced salt solution (BSS) or visoeleastic as the patient interface docking medium. The primary outcome was docking efficiency, measured by one-time docking success rate, the number of docking attempts, and mean docking time. S

Intraocular lens subluxation obstructing a glaucoma tube shunt after a Valsalva maneuver: a case report.

BACKGROUND: Late subluxation of an intraocular lens (IOL) within the capsular bag is a rare complication of cataract surgery, primarily asso … glaucoma. CASE PRESENTATION: A 66-year-old man with pseudoexfoliative glaucoma underwent uneventful phacoemulsification with IOL implantation in his left eye in 2013. He subsequently required trabeculectomy in 2015 and later an Ahmed glaucoma valve implantation due to uncontrolled IOP (38 mmHg). Postoperatively, his IOP remained stable (8–10 mmHg) without medication. …

Initial results of DMEK combined with cataract surgery and implantation of the light-adjustable lens.

PURPOSE: To evaluate the use of light-adjustable intraocular lenses (LALs) to maximize visual acuity (VA) postoperatively in eyes undergoing combined Descemet membrane endothelial keratoplasty (DMEK) and cataract surgery. SETTING: Private practice, tertiary referral center. DESIGN: Retrospective review of initial case series. METHODS: Patients with Fuchs endothelial dystrophy had DMEK combined with phacoemulsification and LAL implantation. Lenses were adjusted based on postoperative manifest refraction and locked-in 3 to 6 months postoperatively. Adjustments to the LAL were started after st…

Performance of formulas included in the ESCRS intraocular lens power calculator.

PURPOSE: To compare the refractive prediction errors (PEs) of formulas included in the ESCRS intraocular lens (IOL) power calculator to aid in informed decisions on IOL power selection based on the output of this tool. SETTING: Cullen Eye Institute, Baylor College of Medicine, Houston, Texas. DESIGN: Retrospective case-series. METHODS: 748 eyes of 748 patients after implantation of 1 of 3 lenses were included, single-piece: the SN60WF, PCB00/ZCB00 and 3-piece: MA60MA. IOL constants recommended by the calculator were used for the study. We performed analysis for the whole dataset, short (<22

Iris defect management in the context of presbyopia-correcting intraocular lenses.

A 65-year-old man had uneventful cataract surgery in the right eye with a toric diffractive intraocular lens (IOL) placed fully within the capsule bag. On postoperative day 1 and week 1, the IOL was well positioned and his eye was healing normally. The plan was to proceed with cataract surgery in the left eye in the near future. One month postoperatively, he presented with blurred vision, glare, and halos and was noted to have iris prolapse out of the temporal clear corneal main incision. Of interest, the patient reported some itching and eye rubbing in the early postoperative period. He was t

Choice of intraocular lens calculation formula for cataract patients with prior pars plana vitrectomy.

PURPOSE: To determine the optimal intraocular lens (IOL) calculation formula for vitrectomized eyes with diverse surgical and biometric characteristics. SETTING: Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. DESIGN: Retrospective consecutive case series study. METHODS: This study included 974 vitrectomized eyes (974 patients) scheduled for phacoemulsification with IOL implantation. 11 formulas were evaluated: Barrett Universal II (BUII), Emmetropia Verifying Optical, Hoffer-QST, Kane, Ladas Super Formula, Pearl-DGS, Radial Basis Function (RBF), Haigis, HofferQ, Holl…

Analysis of the capsular bend in posterior capsular opacification using anterior segment optical coherence tomography.

PURPOSE: To investigate the link between the capsular bend and the morphological types and characteristics of posterior capsular opacification (PCO) using anterior segment optical coherence tomography. METHODS: Thirty eyes with PCO were examined, and three types of PCO were identified: pearl, fibrosis, and mixed. We assessed anterior capsular overlap, intraocular lens-capsule adhesion, and capsular bending. In addition to measuring the intraocular lens-posterior capsule distance and capsule bending angle (CBA), the PCO parameters (area, density, and score at 6-, 5-, and 3-mm intraocular lens

Visual outcomes, satisfaction, and spectacle independence with a nondiffractive extended vision intraocular lens targeted for slight monovision.

PURPOSE: To evaluate vision, satisfaction, and spectacle independence of the AcrySof IQ Vivity intraocular lens when the nondominant eye is targeted for slight myopia. SETTING: 1 clinical practice in the United States. DESIGN: Prospective unmasked nonrandomized clinical trial. METHODS: Patients presenting for cataract surgery interested in reducing their dependence on spectacles were enrolled, with the dominant eye targeted for emmetropia and the nondominant eye targeted for slight monovision (-0.50 diopters [D]). Visual disturbances, satisfaction, and spectacle independence were evaluated.

Preclinical biocompatibility and biosafety evaluation of a new foldable brown diaphragm intraocular lens: An in vitro and in vivo study.

BACKGROUND: A new foldable brown diaphragm intraocular lens (IOL) was preclinically evaluated in vitro and in vivo by comparing its biocompatibility and biosafety with those of a commercially available IOL. METHODS: The new foldable iris-diaphragm IOL is composed of hydrophobic acrylic material, with a transparent optical zone and surrounding brown diaphragm. Cellular experiments evaluating lens epithelial cell morphology, adhesion, and migration were conducted to exclude cytotoxic effects. Twelve New Zealand rabbits underwent implantation of a brown diaphragm IOL in one eye, whilst an additi

Orientation of the intermediate-vision zone of rotationally asymmetric multifocal intraocular lenses and photic phenomena.

PURPOSE: To evaluate the association between the orientation of the intermediate-vision zone and postoperative photic phenomena in eyes implanted with rotationally asymmetric multifocal intraocular lenses with + 1.5 diopters near addition. STUDY DESIGN: Retrospective comparative case series. METHODS: We performed the photic phenomena test (PPT) to quantitatively evaluate photic phenomena at 1-3 months after cataract surgery with Lentis Comfort LS-313 MF15 or Lentis Comfort Toric LS-313 MF15T insertion (Oculentis; Santen Pharmaceutical). In cases of bilateral surgeries, only the right eye was

Comparison of visual performance between bifocal and extended-depth-of-focus intraocular lenses.

We compared the visual performance of a bifocal intraocular lens (IOL) (ZMB00) and an extended-depth-of-focus (EDOF) IOL (ZXR00V) by evaluating postoperative parameters at 10 weeks after the last surgery in cataract patients who underwent bilateral ZMB00 or ZXR00V implantation between 2011 and 2020. The right and left lenses were implanted within 3 months of each other. The study enrolled 1536 eyes of 768 patients; the ZMB00 group comprised 1326 eyes of 663 patients (age: 67.0 ± 7.8 years; female/male, 518/145), and the ZXR00V group comprised 210 eyes of 105 patients (age: 67.8 ± 6.9 years; fe

Safety and efficacy of manual small-incision cataract surgery in patients with brunescent and black cataracts and other ocular comorbidities.

PURPOSE: To determine the safety and efficacy of manual small-incision cataract surgery (MSICS) for brunescent and black cataracts in patients with other ocular comorbidities. METHODS: Medical records of patients with hard cataracts (grade 4 nuclear opalescence and above) with other ocular comorbidities such as spheroidal degeneration of the cornea (SDC), pseudoexfoliation (PXF), non-dilating pupil, and high myopia who underwent MSICS were retrieved retrospectively. Intraoperative and postoperative complications were noted. Preoperative and postoperative visual outcome comparisons were perfor

Comparative visual performance of diffractive bifocal and rotationally asymmetric refractive intraocular lenses.

We compared the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00 [Johnson & Johnson Surgical Vision]) and a rotationally asymmetric refractive IOL with + 1.5 D near addition (LS-313 MF15 [Teleon Surgical BV]) 10 weeks after cataract patients' last surgery for bilateral ZMB00 or LS-313 MF15 implantation between 2011 and 2020, with the lenses of each eye implanted within 3 months of each other. The ZMB00 and LS-313 MF15 groups comprised 1326 eyes of 663 patients (age: 67.0 ± 7.8 years; females/males, 518/145) and 448 eyes of 224 patients (73.6