Surface calcification of a 3-piece silicone intraocular lens in a patient with asteroid hyalosis: a clinicopathologic case report.

Objective: To illustrate the laboratory findings in a patient with bilateral asteroid hyalosis who presented with calcified deposits on a 3-piece silicone intraocular lens (IOL).

Design: Observational case report.

Methods: A 76-year-old diabetic woman underwent uneventful cataract surgery in 1994 with implantation of a silicone-optic polypropylene-haptic IOL in the left eye.

Perioperative treatment of patients with diabetes having eye surgery with local anesthesia in an ambulatory facility.

Background And Objective: To evaluate the incidence of hyperglycemia and hypoglycemia in diabetic patients on the morning of eye surgery scheduled under local anesthesia in an ambulatory surgery facility.

Patients And Methods: A retrospective analysis of fasting blood glucose levels in 216 diabetic patients on 326 admissions.

Results: The fasting blood glucose level was 80 mg/dL or lower in 10 patient admissions (3%).

Comparison of pain, motility, and preoperative sedation in cataract phacoemulsification patients receiving peribulbar or sub-Tenon's anesthesia.

Background And Objectives: The authors hoped to reduce the need for preoperative sedation and intravenous pain medication during cataract surgery by converting from peribulbar anesthesia to sub-Tenon's anesthesia.

Patients And Methods: A consecutive series of 2453 cataract patients' charts were reviewed. Each patient had previously watched a videotape explaining the anesthetic method to be used.

The results of ab interno laser thermal sclerostomy combined with cataract surgery versus trabeculectomy combined with cataract surgery 6 to 12 months postoperatively.

Background And Objective: When cataract surgery and glaucoma surgery are combined, the theoretical advantages of pressure control, removal of the visual impairment, and protection against an increase in intraocular pressure (IOP) in the immediate postoperative period are gained. The authors' objective was to determine whether ab interno laser thermal sclerostomy (LTS) combined with cataract surgery would be as effective as trabeculectomy combined with cataract surgery.

Patients And Methods: Ab interno LTS was compared with trabeculectomy, retrospectively, for patients who had undergone combined cataract and glaucoma surgery.

Combined cataract-glaucoma surgery using the THC:YAG (holmium) laser ab interno without gonioscopy.

We describe a simple method of combined cataract-glaucoma surgery, involving use of the THC:YAG (holmium) laser ab interno, without gonioscopy, in which the initial cataract incision remains small and the glaucoma filtering procedure can be completed relatively quickly, with minimal surgical manipulation of the conjunctiva. In a series of 15 eyes (13 patients) with visually significant cataracts and medically uncontrolled glaucoma, followed for an average of 14 weeks (range, 1 to 26 weeks), 13 of the 15 eyes had decreased IOP. Visual acuity was improved in 9 eyes, remained the same in 4 eyes (with age-related macular degeneration), and was worse in 2 eyes (with opacification of the posterior capsule sufficient to account for the decrease in acuity).