Suction posterior capsulorhexis: an audit of 15 years' experience.

Aims: To audit the results of 15 years' experience of suction posterior capsulorhexis (SPC) during phacoemulsification and compare the outcomes with a recently published multicentre audit of cataract surgery, the Cataract National Dataset (CND).

Methods: Prospective cohort observational study.

Setting: Ophthalmology department of a district general hospital.

A rapidly growing lid lump.

A 97-year-old woman presented with a 5-month history of a rapidly growing, painless, left upper eyelid lesion. Examination revealed a large vascularised, ulcerated nodule on the left upper lid, causing significant ptosis. Wide local excision of the lesion was performed and the wound was left to heal by secondary intention.

Consecutive toxic anterior segment syndrome in combined phaco-vitrectomy.

Toxic anterior segment syndrome (TASS), though rare, has been well documented following anterior segment surgery but not following vitrectomy (Monson et al., J Cataract Refract Surg 18:184-189, 1992). It typically presents within 24 h of uncomplicated cataract surgery with minimal or no pain and intense anterior segment inflammation (Monson et al.

Bilateral ischaemic optic neuropathy following laparoscopic proctocolectomy: a case report.

Introduction: Perioperative visual loss occurring during non-ocular surgery is a devastating event. Ischaemic optic neuropathy (ION) is a complication described following many procedures. We report the first case of ION occurring during laparoscopic proctocolectomy and discuss the aetiological factors.

Standing phacoemulsification: a prospective audit of 20 consecutive cases.

Purpose: To audit the surgical and postoperative complications and the visual outcomes of standing phacoemulsification and compare these with the results of conventional seated phacoemulsification.

Setting: District general hospital, Sidcup, England.

Design: Prospective comparative case series.

Role of the anaesthetist during cataract surgery under local anaesthesia in the UK: a national survey.

Background: Recent advances in cataract surgery techniques have enabled these to be performed under less invasive local anaesthetic techniques. As a result, ophthalmic surgeons are increasingly prepared to give the local anaesthesia to the patient themselves without the need for the presence of an anaesthetist.

Methods: A national postal survey was conducted in 2008, asking all consultant ophthalmic surgeons for their choice of local anaesthetic technique, whether an anaesthetist or a surgeon performs the block, the current level of anaesthetic cover for the ophthalmic operating sessions, and the need for anaesthetists for phacoemulsification under local anaesthesia in future.

A spontaneous suprachoroidal haemorrhage: a case report.

Introduction: We present a case of spontaneous suprachoroidal haemorrhage in a patient taking Warfarin. This is only the second case reported of a patient whose anticoagulation was within the therapeutic range.

Case Presentation: An 84 year old white male with a history of end stage atrophic age related macular degeneration presented with angle closure glaucoma.

Diplopia associated with the cosmetic use of botulinum toxin a for facial rejuvenation.

We report three cases in which cosmetic injections of botulinum toxin A around the eye caused diplopia. Diplopia was due to inferior oblique paresis, which was bilateral in two cases. We suggest that consent for periocular botulinum toxin procedures should include a warning about diplopia.

Uncomplicated phacoemulsification and first-day review: the patient's perspective.

Purpose: To evaluate patients'opinions regarding first-day review following uncomplicated phacoemulsification.

Methods: A prospective questionnaire-based survey was conducted on consecutive patients at the time of listing for day-case phacoemulsification. Data collected included demographic details, proposed anaesthetic technique, first or second eye surgery and postcode.

YAG curios #2: Nd:YAG laser treatment following suction posterior capsulorhexis.

Suction posterior capsulorhexis (SPC) is a relatively new technique for creating a posterior capsulorhexis. We present a case series of seven patients who required Nd:YAG laser treatment 27 months after SPC. No patient had pre-existing risk factors for increased postoperative inflammation and all received a one-piece polymethylmethacrylate intraocular lens placed in-the-bag.

YAG curios #1: repeat Nd:YAG laser posterior capsulotomy.

A descriptive case series of five patients identified either opportunistically or from a retrospective review of the laser register is presented. All underwent cataract surgery between 1995 and 1999 and required initial Nd:YAG laser posterior capsulotomy 15-30 months after surgery. They subsequently developed reclosure of the capsulotomy, necessitating repeat laser capsulotomy 11-82 months later.

Effect of pupil dilation on the accuracy of the IOLMaster.

Purpose: To evaluate the effect of pupil dilation on the accuracy of the IOLMaster (Zeiss) in performing biometry and to assess test-retest variability without pupil dilation.

Setting: Ophthalmic outpatient department of a district general hospital.

Methods: This prospective study comprised consecutive patients presenting to a cataract clinic (study group) who had biometry performed with the IOLMaster before and after pupil dilation.

Intraoperative and early postoperative results of suction posterior capsulorhexis.

Purpose: To report the intraoperative complications and early postoperative visual results of suction posterior capsulorhexis (SPC).

Setting: Ophthalmology department of a district general hospital, Kent, United Kingdom.

Methods: This prospective observational study included all patients having phacoemulsification who required SPC as a planned procedure or because of posterior capsule tears (128 eyes of 122 patients).

Single injection peribulbar anaesthesia. Total upper eyelid drop as an end-point marker.

A prospective, observer blinded study on 51 patients undergoing cataract surgery was conducted to assess Total Upper Eyelid Drop as a new end-point marker to single injection peribulbar block. At present, no such clinical marker exists to stop clinicians injecting more than necessary volumes of local anaesthetic and therefore to prevent dangerous increases in intra-ocular pressure. Using this technique, satisfactory ocular akinesia was achieved in 90% of eyes 10 min after injection.

Suction posterior capsulorhexis.

A technique for creating a posterior capsulorhexis during phacoemulsification is presented. It can be used in cases with posterior capsule tears or opacities. The free edge of the capsule is grasped with suction using a 2 mL syringe and a 27 gauge Rycroft cannula introduced via the paracentesis.

The effect of fluorescein on the accuracy of blood glucose determination by glucose meters.

Purpose: To investigate whether intravenous fluorescein significantly affected the accuracy of a glucose meter.

Methods: Thirty-four consecutive patients undergoing fluorescein angiography were recruited. Venous blood was removed immediately before and 1 hour after injection of 5 mls of 20% Sodium Fluorescein solution (1 mg).