Intraocular methotrexate for epithelial downgrowth: long-term outcomes in a multicentre case series.

Background/aims: Sheet-like type of epithelial downgrowth (EDG) is not easily amenable to surgical excision. We describe long-term outcomes in patients with EDG treated with intraocular methotrexate (MTX).

Methods: This is a retrospective, multicentric case series including 10 eyes (nine patients) treated with intraocular MTX for sheet-like EDG.

High-vacuum clothesline technique for elevation and repositioning of posteriorly dislocated intraocular lens.

We describe a technique to simplify the retrieval process of an intraocular lens (IOL) that has fallen into the posterior segment of the eye. A high-vacuum level setting is used to achieve fixation of the IOL to the vitrectomy tip, permitting the IOL to be elevated into the anterior segment. The clothesline technique is then used to secure the IOL partially within the anterior chamber for subsequent suture fixation or explantation.

Dissecting Aortic Aneurysm 55 Years after Diagnosis of Iris Flocculi.

Purpose: The aim of this study is to report the clinical features, imaging studies, surgical removal, and pathology of congenital iris flocculi in a patient who developed a life-threatening dissecting aortic aneurysm after 55 years of follow-up.

Methods: Documentation with iris photography was performed from age 18 to 55 years, at which time anterior segment optical coherence tomography (OCT) was performed. At the time of subsequent cataract surgery, the iris flocculi were removed in each eye and submitted for light and electron microscopy.

Implantation of multifocal intraocular lenses using a magnification strategy in cataractous eyes with age-related macular degeneration.

Purpose: To examine visual function after targeting -2.0 diopter (D) spherical equivalent (SE) when implanting a multifocal intraocular lens (IOL) in eyes with cataract and age-related macular degeneration (AMD).

Setting: Three private practices.

Removal of lens epithelial cells to delay anterior capsule-intraocular lens adherence.

To test the theory that removing lens epithelial cells at the time of cataract extraction with intraocular lens (IOL) implantation or refractive lens exchange might decrease the rate at which the anterior capsule becomes adherent to the lens optic postoperatively, we performed the technique in approximately 200 eyes that were considered likely to require postoperative IOL exchange. In 4 eyes that had an IOL exchange procedure 6 to 12 weeks after the primary procedure, the anterior capsule was nonadherent or weakly adherent to the lens optic.