Short-Term Outcomes of a Modified Safer Surgery Trabeculectomy Technique.

Purpose: To determine the short-term outcomes of a modified Moorfields Safer Surgery System technique of trabeculectomy.

Methods: This is a prospective interventional study. Trabeculectomy was performed according to the author's modification of Moorfields Safer Surgery System.

Relationship of degrees of gonioscopy assisted transluminal trabeculotomy and trabecular shelf to success using a marker suture technique.

Objective: To evaluate the safety and efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) using a marker suture which could be a viable low cost alternative to an illuminated micro catheter, by helping the surgeon identify obstruction to suture passage, and estimate the degree of Schlemm's canal cannulated.

Subject/methods: Thirty four eyes with 360° of open angles with uncontrolled IOP despite maximal medical therapy, non-compliant to medical therapy or failed incisional glaucoma surgery underwent GATT. 5-0 or 6-0 Prolene® suture was used to cannulate Schlemm's canal.

Outcome of large angle exotropia treated by single stage adjustable strabismus surgery with monitored conscious anesthesia.

Purpose: :To evaluate the outcomes of large-angle exotropia by single-stage adjustable strabismus surgery (SSASS) under monitored conscious anesthesia.

Methods: A prospective study was done in 33 patients above 14 years with ≥40 prism diopters (PD) of exotropia. All patients underwent SSASS under monitored conscious anesthesia (topical anesthesia plus intravenous sedation).

A Preliminary Study on the Outcome of Plication Augmentation of the Augmented Anderson Procedure for Patients with Infantile Nystagmus Syndrome and a Face Turn.

Purpose: To report the results of plication augmentation of the augmented Anderson procedure in patients with infantile nystagmus syndrome and face turn.

Methods: In this retrospective study, all patients who underwent plication augmentation of the augmented Anderson procedure between August 2015 and November 2018 were included. Our study included patients older than 6 years with a face turn >25°.

Outcome of a low-cost glaucoma drainage device with posterior chamber/pars plana insertion of the tube.

Introduction: The Aurolab aqueous drainage implant (AADI) is a low-cost glaucoma drainage device that is modelled on the Baerveldt glaucoma implant. Studies on AADI have reported absolute success rates of 41.8-93.

A modified technique for attaching the lateral rectus muscle to the orbital periosteum through a skin incision over the lateral orbital rim.

Background: The traditional approach for periosteal fixation of the lateral rectus muscle involves securing the muscle using nonabsorbable sutures by exposing the orbital periosteum 5 mm to the inside of the orbital margin. We present a simplified approach that exposes the orbital periosteum through a skin incision, providing more room and avoiding extraconal fat manipulation.

Methods: We used our technique to expose the lateral orbital periosteum and suture the lateral rectus muscle to the periosteum using nonabsorbable sutures in 2 patients with exotropic Duane retraction syndrome and 1 patient with congenital oculomotor nerve palsy.

Surgically Induced Necrotizing Scleritis Following Strabismus Surgery Treated Successfully with Topical N-acetylcysteine in a Child with Congenital Fibrosis of Extraocular Muscles and Varadi Papp Syndrome.

Introduction: Surgically induced necrotizing scleritis (SINS) is a rare but serious disorder that can develop many years after strabismus surgery. It is generally treated with high-dose steroids or immunosuppression.

Case Report: We describe a patient with Varadi Papp syndrome and congenital fibrosis of the extraocular muscles, who developed surgically induced necrotizing scleritis a month after strabismus surgery and was successfully managed by oral vitamin C and topical N-acetylcysteine 10%.

Recurrent Brown's Syndrome after Superior Oblique Tendon Recession Treated by Silicone Spacer.

Introduction: Undercorrections have been reported after a number of surgical procedures for Brown's syndrome. The reason for late undercorrections is not clear but may be related to the heterogeneous etiology of Brown's syndrome.

Purpose: We report a patient with late undercorrection after superior oblique tendon recession for Brown's syndrome that was partially relieved by a silicone spacer placed nasally.

Resolution of anterior segment ischemia after the removal of lateral fixation sutures.

Anterior segment ischemia is a rare but well-recognized complication after strabismus surgery, involving multiple extraocular muscles. We report a case of traumatic left sixth nerve palsy in a 32-year-old man who developed anterior segment ischemia after left medial rectus muscle recession and partial tendon transfer of the vertical rectus muscles to the lateral rectus, augmented by lateral fixation sutures. The corneal edema and anterior chamber reaction cleared upon removal of the lateral fixation sutures and institution of steroids and cycloplegics.

Healon5 sandwich technique for phacoemulsification in vitrectomized eyes.

We have developed a safe approach to phacoemulsificaiton in post-vectromized eyes. The technique, called the Healon5 sandwich, uses the viscoadaptive properties of sodium hyaluronate 2.3% (Healon5) to prevent a posterior chamber dehiscence.

Evaluation of retinal nerve fiber layer thickness measurement following laser in situ keratomileusis using scanning laser polarimetry.

Aim: To evaluate the effect of laser-assisted in situ keratomileusis (LASIK) on the measurement of retinal nerve fiber layer thickness by scanning laser polarimetry using customized corneal compensation in myopes.

Materials And Methods: Scanning laser polarimetry was performed on 54 eyes of 54 healthy patients with myopia using the glaucoma diagnostics variable corneal compensation (GDx VCC) instrument (Laser Diagnostic Technologies, San Diego, California) before and a week after LASIK. The various parameters were compared using the Student's t test.

Insertion of a foldable hydrophobic IOL through the trabeculectomy fistula in cases with microincision cataract surgery combined with trabeculectomy.

Background: The use of conventional foldable hydrophobic intraocular lenses (IOLs) in microincision cataract surgery (MICS) currently requires wound enlargement. We describe a combined surgical technique of MICS and trabeculectomy with insertion of a foldable IOL through the trabeculectomy fistula.

Methods: After completion of MICS through two side port incisions, a 3.