Malignant phyllodes tumor with metastases to lung, adrenal and brain: A rare case report.

Background: Phyllodes tumors are spectrum of tumors ranging from benign to malignant. Malignant spectrum pose a management challenge for clinicians due to high risks of recurrence and metastasis. Malignant phyllodes tumor with brain, lung and adrenal metastases at the same time is rare.

Pharmacologic prophylaxis and risk factors for intraoperative floppy-iris syndrome in phacoemulsification performed by resident physicians.

Purpose: To determine the incidence of intraoperative floppy-iris syndrome (IFIS) in patients taking tamsulosin who had surgery by resident physicians, the effect of prophylactic intracameral lidocaine-epinephrine on the incidence, and the relationship between preoperative dilated pupil diameter and the incidence.

Setting: Tertiary care hospital, Seattle, Washington, USA.

Methods: Charts of consecutive patients who had cataract extraction by resident physicians between January 2005 and July 2008 were reviewed.

Virtual reality simulation in acquiring and differentiating basic ophthalmic microsurgical skills.

Objective: A virtual reality (VR) surgical simulator (EyeSi ophthalmosurgical simulator: VRMagic, Mannheim, Germany) was evaluated as a part-task training platform for differentiating and developing basic ophthalmic microsurgical skills.

Methods: Surgical novice performance (residents, interns, and nonmicrosurgical ophthalmic staff) was compared with surgical expert performance (practicing ophthalmic microsurgeons) on a basic navigational microdexterity module provided with the EyeSi simulator.

Results: Expert surgeons showed a greater initial facility with all microsurgical tasks.

Managing the broken capsule.

Purpose Of Review: Posterior capsular rupture is a common complication of cataract extraction surgery. Prompt management of anterior and posterior capsular tears may prevent associated complications or need for subsequent procedural intervention.

Recent Findings: When tears develop in the anterior capsule, novel techniques allow predictable rescue of a capsulorhexis, preventing radial extension to the posterior capsule.

Bilateral isolated lateral geniculate body lesions in a patient with pancreatitis and microangiopathy.

An 18-year-old woman developed pancreatitis and a thrombotic microangiopathy but no electrolyte abnormalities. She required intubation hours after admission and was not able to communicate for 8 days. Upon recovering consciousness, she reported severely impaired vision in both eyes, but ophthalmologic evaluation and neuroimaging were not obtained until several days later.

Low cost eye surgery simulator with skill assessment component.

Ophthalmic surgeons require years of training and continuous practice to successfully manipulate the delicate tissues of the human eye. Development of the fine motor skills is a crucial component of this training. Virtual eye surgery simulators have come on the market in recent years leveraging the advantages of virtual procedures.

Intraocular pressure in a Somali population living in the United States.

Purpose: Intraocular pressure is a risk factor for the development of glaucomatous optic neuropathy. With few exceptions, higher mean intraocular pressure and greater prevalences of glaucoma have been reported for individuals of African origin. This study was performed to compare the mean intraocular pressure of a group of ethnic East Africans living in the United States with that of Caucasians living in the same community.