Choroidal neovascularization following macular hole surgery.

Background: Retinal pigment epitheliopathy, a recognized finding in eyes that have undergone macular hole surgery, may limit visual outcome and predispose to the development of choroidal neovascularization (CNV). This study reports on the features and outcomes of CNV following otherwise successful surgery for idiopathic macular holes.

Methods: Case series including three eyes of two patients who developed CNV following macular hole surgery.

Quality of life of low-vision patients and the impact of low-vision services.

Purpose: To investigate the functional status and quality of life of patients at a low-vision clinic and to evaluate the impact of low-vision services.

Methods: Interviews, including the Medical Outcomes Study 36-Item Short Form (SF-36), the Visual Function-14 (VF-14), and the 51-item Field Test Version of the National Eye Institute Visual Functioning Questionnaire (NEI-VFQ), were administered to 156 consecutive patients 1 week before and 3 months after their low-vision clinic visit.

Results: Low-vision patients scored lower (P < .

Retinal detachment associated with macular hole surgery: characteristics, mechanism, and outcomes.

Objective: To study the frequency, features, and outcomes of retinal detachment (RD) occurring after macular hole surgery.

Methods: Retrospective review of all cases of macular hole surgery. Cases with postoperative RD were identified for study.

Vitrectomy in the management of diabetic retinopathy.

According to the Early Treatment Diabetic Retinopathy Study, at least 5% of eyes receiving optimal medical treatment will still have progressive retinopathy that requires laser treatment and pars plana vitrectomy. During the past decade, improvements in instrumentation and surgical techniques have allowed more difficult cases of diabetic retinopathy to be candidates for vitrectomy. However, although the thresholds for performing surgery within established indicated situations have been lowered, only a few additional indications have been established.

Combined lensectomy, vitrectomy and scleral fixation of intraocular lens implant after closed-globe injury.

Purpose: To describe our experience in the surgical management of cataracts in patients with complications of closed-globe injury using pars plana lensectomy (PPL), pars plana vitrectomy (PPV), and scleral fixation of posterior chamber intraocular lens (PCIOL).

Methods: We retrospectively reviewed charts of all patients with closed-globe injury who underwent PPL, PPV and scleral fixation of PCIOL at our institution between January 1991 and July 1997. We identified 28 eyes; because of less than 2 weeks follow-up, 4 eyes were excluded from the current study.

Transscleral diode laser retinopexy in retinal detachment surgery: results of a multicenter trial.

Purpose: To evaluate the safety and efficacy of transscleral diode laser for retinopexy in rhegmatogenous retinal detachment surgery in a multicenter trial.

Methods: Seventy-two patients with primary rhegmatogenous retinal detachments were enrolled. No patient with chronic detachment, a retinal break greater than 90 degrees, history of uveitis or infectious retinopathy, or proliferative vitreoretinopathy was enrolled.

Reopening of macular holes after initially successful repair.

Objective: To evaluate the frequency and prognosis of reopening of a macular hole after initially successful repair in a defined patient cohort.

Design: Retrospective consecutive noncomparative case series.

Participants: Seventeen cases of reopened macular holes among 390 cases of idiopathic macular holes that previously had undergone macular hole surgery were studied.

Quantification of holmium: YAG and thulium: YAG laser-induced scleral shrinkage for buckling procedures.

Background And Objective: To quantify and compare holmium:YAG (2.1 microns) and thulium:YAG (2.0 microns) laser-induced scleral shrinkage for retinal buckling procedures.

Vitreoretinal surgery outcomes: results of a patient satisfaction/functional status survey.

Objective: This study aimed to assess patient satisfaction and change in functional status after surgery for epiretinal membrane (ERM), rhegmatogenous retinal detachment (RRD), and complex retinal detachment (CRD). This study also aimed to determine whether objective measures of vision are predictive of subjective improvement after surgery.

Design: The study design included patient interviews and retrospective chart review.

Treatment outcomes of endogenous fungal endophthalmitis.

Endogenous fungal endophthalmitis may present in a debilitated or otherwise healthy host, may be increasing in prevalence, and is most commonly caused by Candida albicans. Recognizing the potential for complications with systemic amphotericin B use, recent investigators have developed several newer principles governing the treatment of such cases. For cases of simple choroiditis or very minimal endophthalmitis (i.

Outcomes of vitreoretinal surgery in patients with X-linked retinoschisis.

Background And Objective: To assess the outcomes of vitreoretinal surgery in the treatment of vision-threatening posterior segment complications of X-linked retinoschisis.

Patients And Methods: The authors performed a retrospective analysis of 16 eyes from 11 patients who underwent vitreoretinal surgery. All the patients had a documented positive family history of X-linked retinoschisis, and all patients had bilateral macular disease.

Comparison of recombinant transforming growth factor-beta-2 and placebo as an adjunctive agent for macular hole surgery.

Objective: This study aimed to compare the visual and anatomic results of macular hole surgery in eyes treated with recombinant transforming growth factor-beta-2 (TGF-beta2) or placebo.

Design: The design was a prospective, multicenter, randomized, double-masked, placebo-controlled clinical study.

Participants: One hundred thirty eyes with idiopathic macular holes of 1 year or less and a refracted Early Treatment Diabetic Retinopathy Study visual acuity of 20/80 or worse were treated with 1.

Vitreous surgery for chronic macular holes.

Objective: The purpose of the study is to compare the results of vitreous surgery for a group of patients with chronic macular holes with a group of patients with acute-onset macular holes undergoing identical surgery.

Design: A case-control study design was used.

Participants: The duration of symptoms of visual loss due to macular holes was greater than 1 year's duration in 11 eyes in each group consecutively operated on within a few days.

Visual acuity outcomes among patients with appositional suprachoroidal hemorrhage.

Objective: The purpose of the study is to investigate visual acuity outcomes among patients with appositional suprachoroidal hemorrhage and to identify clinical features associated with visual prognosis.

Design: The study design was a retrospective chart review.

Participants: All patients whose ocular echographic examination results showed appositional suprachoroidal hemorrhage at the Bascom Palmer Eye Institute between January 1, 1987, and December 31, 1996 were included.

Long-term visual outcomes in patients with successful macular hole surgery.

Objective: The purpose of the study is to determine the long-term visual outcomes in patients undergoing successful macular hole surgery.

Design: A consecutive series of eyes with an anatomically successful macular hole surgical result and at least 1 year postoperative follow-up information was identified and studied. Preoperative and postoperative visual acuities were measured in accordance with the Early Treatment Diabetic Retinopathy Study protocol.

Macular hole surgery without using adjunctive additives.

Background And Objective: To evaluate the efficacy of performing surgical techniques for macular holes without using adjunctive additives.

Patients And Methods: A prospective study was completed of consecutive eyes treated for macular holes of 1 year or less duration that had not had previous vitreous surgery. The best-corrected visual acuity and hole flattening were determined.

Idiopathic macular hole following vitrectomy: implications for pathogenesis.

Background And Objective: Attention to the pathogenesis and clinical features of macular hole formation has increased with the advent of therapy. The purpose of this study is to present three cases that occurred in atypical settings that may have important pathogenic implications.

Patients And Methods: The authors conducted a retrospective study of three patients who presented with macular holes that developed 10 months to 5.

Giant retinal tear as a complication of attempted removal of intravitreal lens fragments during cataract surgery.

Purpose: To report giant retinal tear and retinal detachment as a complication of attempted removal of intravitreal lens fragments at the time of cataract surgery and to evaluate the anatomic and visual acuity outcomes of pars plana vitrectomy and retinal reattachment surgery.

Methods: Retrospectively, 10 patients with giant retinal tear, retinal detachment, and intravitreal lens fragments in 10 eyes were reviewed.

Results: In 10 eyes, retrieval of intravitreal lens fragments using the limbal approach by deep vitrectomy, copious vitreous cavity irrigation, or deep vitreous cavity phacoemulsification had been attempted by the anterior segment surgeon at the time of cataract surgery in each patient.

Vitreoretinal surgery outcomes. Impact on bilateral visual function.

Purpose: The authors evaluated the impact of vitreoretinal surgery for epiretinal membrane (ERM), rhegmatogenous retinal detachment (RRD), and complex retinal detachment (CRD) on bilateral visual function.

Methods: Anatomic and visual acuity outcomes were reviewed by the authors for all patients who underwent surgery for ERM, RRD, or CRD during a 2-year period. Several outcome measures of bilateral visual function were applied to quantitate the impact of surgery on bilateral visual function.

Removal of retained lens fragments after phacoemulsification reverses secondary glaucoma and restores visual acuity.

Purpose: The purpose of the study is to evaluate the effect of vitrectomy on secondary glaucoma and visual acuity outcomes in patients with retained lens fragments after phacoemulsification.

Methods: A retrospective analysis of 126 patients who had vitrectomy for retained lens fragments after phacoemulsification during the 3-year period between January 1, 1993, and December 31, 1995.

Results: Glaucoma, defined as an intraocular pressure of greater than or equal to 30 mmHg, occurred in 42 (36.

Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses.

Purpose: To report a large series of delayed posterior dislocation of silicone plate haptic intraocular lenses after Nd:YAG laser capsulotomy and discuss the surgical management of this complication.

Methods: We reviewed the records of 11 consecutive patients (11 eyes) with delayed onset of posterior dislocation of a plate haptic silicone intraocular lens. The cause of the posterior capsular defect, time to dislocation, surgical management techniques, complications, and visual outcome were recorded.