[Prospective analysis of outcomes of cataract phacoemulsification with the implantation of the Crystalens accommodative intraocular lens].

Objectives: To evaluate visual outcomes after bilateral implantation of Crystalens accommodative intraocular lenses. Material and methods: The study group consisted of 20 patients (40 eyes) who underwent uneventful phacoemulsification through a 2.8 mm wide clear corneal incision followed by the implantation of an accommodative intraocular lens Crystalens HD or Crystalens AO.

Intraoperative floppy iris syndrome – epidemiology and clinical assessment.

Purpose: To assess the incidence, and to identify medications and clinical features associated with intraoperative floppy iris syndrome in patients undergoing cataract surgery. Material and methods: The non-randomized, observational, prospective study was performed in 616 eyes (610 patients) after cataract surgery to determine the incidence of intraoperative floppy iris syndrome and the medications associated with its higher prevalence. We used a slit lamp adapted optical coherence tomography to evaluate anterior segment of 155 eyes (154 patients), measuring pupil diameter before and after the use of mydriatics and assessing the pre-dilated iris thickness at the dilator and sphincter muscle region.

The effect of the selected factors on corneal endothelial cell loss following phacoemulsification.

Introduction: Corneal endothelium is a single layer of cells, which do not regenerate. Damage to the endothelium can take place in the course of certain diseases and after intraocular operations. When the number of endothelial cells decreases, corneal decompensation can occur.

Comparative analysis of early distance visual acuity in patients after coaxial phacoemulsification through the micro-incision (1.8 mm) and after standard phacoemulsification through the small incision (2.75 mm).

Introduction: The purpose of the study was to evaluate early postoperative visual acuity outcomes of coaxial phacoemulsification with a foldable intraocular lens implantation, performed through a 1.8 mm wide clear corneal microincision (C-MICS) and to compare it with standard phacoemulsification through a 2.75 mm incision.

[Evaluation of quality of life of patients after phacoemulsification with accommodating lens implantation].

Introduction: Intraocular lens implantation is an important part of cataract surgery, as it has a significant influence on the final result. Accommodative intraocular lenses (IOLs) are the latest solution for the lack of accommodation in pseudophakic eyes.

Purpose: To evaluate the quality of life of patients who underwent cataract surgery with accommodating IOL implantation and to compare the data with results of patients after standard monofocal IOL implantation.

Results of phacoemulsification with Malyugin Ring in comparison with manual iris stretching with hooks in eyes with narrow pupil.

Purpose: To evaluate the results of phacoemulsification in eyes with a narrow pupil dilated with Malyugin Ring, in comparison with manual pupillary stretching with hooks.

Setting: Department of Ophthalmology, Medical University of Lodz, Poland.

Materials And Methods: The examined group (group 1) consisted of 23 eyes of 23 patients whose pupil was dilated using Malyugin Ring.

Results of implantation a new type of foldable anterior chamber intraocular lens.

Unlabelled: In aphakic patients, lack of capsular support or insufficient capsular support require an implantation of an anterior chamber intraocular lens or a sclerally fixated lens. Rigid PMMA (polymethylmetacrylate) anterior chamber intraocular lenses or transscleral intraocular lenses require an incision 6.0-7.

Results of coaxial phacoemulsification through a 1.8-mm microincision in hard cataracts.

Background And Objective: To assess the results of coaxial phacoemulsification through 1.8-mm coaxial microincision cataract surgery (C-MICS) phacoemulsification with foldable intraocular lens implantation in eyes with hard cataracts in comparison to eyes with soft cataracts.

Patients And Methods: Group 1 consisted of 40 eyes of 40 patients with hard cataracts (grade ≥ 4, Lens Opacities Classification System III scale) and group 2 consisted of 45 eyes of 45 patients with non-mature cataracts (grade ≤ 2, Lens Opacities Classification System III scale).

Evaluation of surgically induced astigmatism after coaxial phacoemulsification through 1.8 mm microincision and standard phacoemulsification through 2.75 mm incision.

Unlabelled: Improvements in technology connected with cataract surgery have made it possible to decrease significantly the size of corneal incision created during phacoemulsification. Recently, coaxial phacoemulsification through a 1.8 mm microincision (C-MICS) has been introduced.

Factors affecting patient cooperation and level of pain perception during phacoemulsification in topical and intracameral anesthesia.

Purpose: To evaluate selected factors that may influence pain perception and patient cooperation with the surgeon during phacoemulsification performed under topical and intracameral anesthesia.

Methods: A total of 203 consecutive patients who had uncomplicated cataract phacoemulsification with foldable intraocular lens implantation through clear corneal 2.8 mm temporal incision under topical anesthesia were enrolled into the study.

Comparison of internal anterior chamber diameter measured with ultrabiomicroscopy with white-to-white distance measured using digital photography in aphakic eyes.

Purpose: Measuring the anterior chamber diameter (AC) is important both for diagnostics and before ocular surgery. In clinical practice, horizontal AC diameter is usually estimated on the basis of measurements of corneal diameter (so-called white-to-white [WTW] distance). The usual method for selecting an appropriate size for an AC lens is to add 1 mm to WTW measurement.

Comparison of early corneal endothelial cell loss after coaxial phacoemulsification through 1.8 mm microincision and bimanual phacoemulsification through 1.7 mm microincision.

Purpose: To compare corneal endothelial cell loss after coaxial 1.8 mm microincision cataract surgery (MICS) and bimanual 1.7 mm MICS.

Comparison of surgically induced astigmatism after coaxial phacoemulsification through 1.8 mm microincision and bimanual phacoemulsification through 1.7 mm microincision.

Purpose: To compare surgically induced astigmatism (SIA) after coaxial 1.8 mm microincision cataract surgery (MICS) and bimanual 1.7 mm MICS calculated with 3 mathematical methods.

Incidence and functional outcome of phacoemulsification complicated by posterior capsular rupture.

Purpose: To evaluate retrospectively anatomic and functional results of phacoemulsification with posterior chamber intraocular lens implantation, complicated by intraoperative posterior capsular rupture (PCR).

Material And Methods: Data were gathered from medical records of 930 patients (one thousand eyes), who underwent phacoemulsification. The examined group consisted of 52 eyes of 52 patients, 27 women (52%), and 25 men (48%), 50 to 84 years old (mean age 73.

[Evaluation of visual acuity, contrast sensitivity and spherical aberrations in pseudophakic eyes with an intraocular lens].

Introduction: The use of modern technologies enables constructing and producing perfected intraocular lenses. Recently, aspheric implants have become widely available.

Purpose: The purpose of the study was to evaluate functional results, contrast sensitivity in scotopic conditions and spherical aberrations of the optical system of the eye after phacoemulsification with implantation of aspheric intraocular lens.

[Comparison of efficacy and safety of cataract phacoemulsification in patients with different degree of nuclear sclerosis].

Purpose: To compare the course of surgery and operative outcomes in patients with different stages of nuclear hardness.

Material And Methods: The study comprises 36 patients with hard nucleus cataract (III and IV degree in LOCS scale)--group II and 45 patients with softer types of cataract (I and II degree in LOCS scale)--group I. All patients underwent clear corneal phacoemulsification and foldable intraocular lens implantation.

[Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses--long-term results].

Purpose: Estimation of long-term results and complications of complex surgical technique, used for the management of luxated crystalline lenses.

Material And Methods: This prospective study involved 29 consecutive patients (31 eyes) with the mean age of 62 years. The applied surgical technique comprised pars plana vitrectomy, perfluorocarbon liquid injection and crystalline lens phacofragmentation in the vitreous cavity.

[Results of bimanual phacoemulsification with intraocular lens implantation through the micro incision].

Purpose: To evaluate the postoperative results of bimanual, cold phacoemulsification with foldable lens implantation through 1.7 mm incision.

Material And Methods: Thirty four bimanual cold phacoemulsifications with Acri.

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses.

Purpose: To present a complex surgical technique used for the management of luxated crystalline lenses and evaluate treatment results.

Setting: Department of Ophthalmology, Medical University of Lodz, Lodz, Poland.

Methods: This prospective study involved 29 consecutive patients (30 eyes) with the mean age of 60.

[Surgically induced astigmatism after cataract phacoemulsification].

Purpose: To evaluate the astigmatic effect after phacoemulsification depending on size and location of incision.

Material And Methods: Three groups of 30 patients each: In 1st group with scleral tunnel incision enlarged to 6 mm with continuous cross-like suture at 12 o'clock; In 2nd group with 3.2 mm scleral incision without suture at 12 o'clock; In 3rd group with 3.

[The influence of viscoelastic's maintenance in the anterior chamber on early results and complications after trabeculectomy].

Purpose: The evaluation of intraocular pressure and number of complications in the early postoperative period in patients after trabeculectomy with viscoelastic agent used to recreate the anterior chamber at the end of procedure.

Material And Methods: Between November 2001 and February 2002, in 56 patients (58 eyes) with primary open-angle glaucoma trabeculectomy was performed. Patients were divided into two groups.

[Evaluation of blood-flow parameters in extraocular arteries in patients with primary open-angle glaucoma before and after surgical treatment].

Purpose: To determine blood-flow parameters in extraocular vessels in patients with primary open-angle glaucoma before and after trabeculectomy.

Material And Methods: Between November and December 2002 in 18 patients (12 women and 6 men) with primary open-angle glaucoma trabeculectomy was performed. In preoperative period, 10 days after and between third and sixth month after trabeculectomy, patients were subjected to complete ocular examination and evaluation of blood flow velocity (mean, systolic, diastolic) and pulsation indexes in posterior ciliary arteries with Doppler focused pulsating ultrasonography.

[Intraocular pressure in early postoperative period after cataract phacoemulsification].

Purpose: The purpose of this study was to investigate the pattern of intraocular pressure (IOP) change after phacoemulsification and its bearing on timing of postoperative review.

Material And Methods: 31 eyes of 31 consecutive patients having uneventful phacoemulsification were included in this study. The IOP was measured by Goldmann applanation tonometry preoperatively and 1-3 hours, 1 day and 1 week postoperatively.

[Removal of luxated crystalline lenses by intravitreal phaco-emulsification].

Purpose: To present the complex surgical technique used for the management of luxated crystalline lenses and to evaluate results of this treatment.

Material And Methods: Between May 2001 and February 2002, ten patients (ten eyes) were treated for crystalline lens luxation. There were 4 females and 6 males in this group, their age ranged between 46 and 78 years (average 63 years).

[A study of human lens epithelial cells by light and electron microscopy and by immunohistochemistry in different types of cataracts].

Purpose: To evaluate the characteristics of cataract changes in lens epithelial cells (LECs), in different types of human cataract.

Material And Methods: Anterior capsules for the study were obtained from patients with different types of cataracts during extracapsular cataract extraction, or phacoemulsification using continuous curvilinear capsulorhexis. LECs attached to the anterior capsules were analyzed for morphological changes by light and electron microscopy, and for cellular characteristics by immunohistochemistry.