Background: Patient-reported outcome measures (PROMs) have become crucial in assessing cataract surgery, especially with increasing patient expectations. The RayPro database offers a platform for tracking PROMs after surgery. The purpose of this study is to investigate determinants of patient satisfaction following cataract surgery by analysing PROMs.
View Article and Find Full Text PDFPurpose: To evaluate the rotational stability and visual performance of the enVista toric intraocular lens (IOL) (MX60ET) in cataract patients with preexisting astigmatism.
Setting: 6 U.S.
Purpose: To evaluate depth of focus (DOF) and visual acuities (VAs) by manifest refractive spherical equivalent (MRSE) and degree of preoperative corneal astigmatism with the IC-8 small aperture intraocular lens (SA IOL) (Apthera).
Setting: 21 investigational sites in the United States.
Design: Prospective, multicenter, open-label, parallel-group, nonrandomized, examiner-masked, 1-year clinical study.
A 51-year-old man was referred for refractive surgery evaluation. Spectacle dependence and poor visual quality in both eyes was his chief complaint. He cannot tolerate contact lenses.
View Article and Find Full Text PDFPurpose: To compare postoperative anterior chamber inflammation, pain, and patient preference following small incision lenticule extraction (SMILE) in eyes treated with a dexamethasone 0.4 mg intracanalicular insert (DEX) or topical prednisolone acetate (PRED).
Patients And Methods: In this prospective, randomized, fellow eye-controlled trial, 20 patients underwent same-day, bilateral SMILE.
Postrefractive surgery ectasia is a serious, sight-threatening complication seen after the following procedures: laser in situ keratomileusis, photorefractive keratectomy, small-incision lenticule extraction, radial keratotomy, and/or arcuate keratotomy. Specific risk factors may include age, corneal thickness, degree of refractive error, corneal topographic changes including irregular astigmatism, percent tissue ablation, and residual stromal bed. Biomarkers may be a new option to help indicate who is at greatest risk for ectasia.
View Article and Find Full Text PDFPurpose: The purpose of this study was to evaluate the impact of nitinol microfilament lens disassembly using the miLOOP device on phacoemulsification parameters in routine cataract surgery.
Setting: Private practice in Cleveland, Ohio.
Design: Retrospective comparative consecutive case series.
A healthy corneal endothelium is required for corneal clarity. Both the glaucoma disease state and its various forms of treatment can have adverse effects on the corneal endothelium. Both the presence of glaucoma and the magnitude of intraocular pressure elevation are related to endothelial cell loss (ECL).
View Article and Find Full Text PDFThe prevalence of presbyopia continues to increase every year. The therapeutic approaches to presbyopia cover the spectrum of non-surgical to surgical techniques. With recent advances in biocompatible materials, corneal inlays make a strong case for their place within the treatment spectrum.
View Article and Find Full Text PDFDysfunctional tear syndrome (DTS) is a common and complex condition affecting the ocular surface. The health and normal functioning of the ocular surface is dependent on a stable and sufficient tear film. Clinician awareness of conditions affecting the ocular surface has increased in recent years because of expanded research and the publication of diagnosis and treatment guidelines pertaining to disorders resulting in DTS, including the Delphi panel treatment recommendations for DTS (2006), the International Dry Eye Workshop (DEWS) (2007), the Meibomian Gland Dysfunction (MGD) Workshop (2011), and the updated Preferred Practice Pattern guidelines from the American Academy of Ophthalmology pertaining to dry eye and blepharitis (2013).
View Article and Find Full Text PDFSingle-bundle posterior cruciate ligament (PCL) reconstruction can restore normal posterior laxity; double-bundle reconstruction is needed to more closely mimic normal knee kinematics. Drilling two tunnels removes additional bone from the medial femoral condyle and may interfere with its vascular supply, increasing the risk of fracture or subchondral collapse. Three groups of seven synthetic femurs were tested: no tunnels, single anterolateral 10-mm tunnel, and double tunnel (anterolateral 10-mm tunnel and posteromedial 8-mm tunnel).
View Article and Find Full Text PDFWe describe a technique for reducing capsular volume arthroscopically by shifting the anterior inferior glenohumeral ligament (AIGHL) and capsule up to the top of the subscapularis. This procedure is performed when laxity exists in the absence of a Bankart lesion. The AIGHL is first released from the capsule.
View Article and Find Full Text PDFWe compared 2 groups of patients with chronic distal biceps tendon ruptures, 7 patients treated nonoperatively and 7 undergoing semitendinosus autograft tendon reconstruction. The mean time to surgery after the initial injury was 17 weeks. The mean clinical follow-up in the operative group was 63 months.
View Article and Find Full Text PDFBackground: Single- and double-bundle reconstructions have been proposed for the knee after combined posterior cruciate ligament/posterolateral corner injuries.
Hypothesis: The double-bundle posterior cruciate ligament reconstruction is superior to the single-bundle posterior cruciate ligament reconstruction with regard to restoration of normal knee kinematics to the posterior cruciate ligament/posterolateral corner-sectioned knee.
Study Design: Controlled laboratory study.
Materials: A consecutive group of 73 patients (77 calcaneal fractures) treated with open reduction and internal fixation through a smile-shaped lateral approach to the hindfoot were reviewed retrospectively. Inclusion criteria were a closed displaced intra-articular fracture of the calcaneus, no compartment syndrome, and adequate followup. Followup ranged from 4 months to 4 years.
View Article and Find Full Text PDFPurpose: The purpose of this study was to objectively compare volume reduction after arthroscopic plication and open lateral capsular shift.
Type Of Study: Experimental cadaver study.
Methods: Fifteen fresh-frozen human cadaver shoulders were assigned to 1 of 2 groups: arthroscopic plication (n = 7) or open lateral capsular shift (n = 8).
We describe a technique of arthroscopic capsular plication and shift used to address both anterior and posterior capsular laxity. This technique is used when the labrum is intact or if laxity persists after labral repair.
View Article and Find Full Text PDFWe describe a simple and easy-to-tie knot that can slide and lock. The benefit of these characteristics is that when the knot is seated and locked, it is secure in that it will not slip before the 3 reversed half-hitches with alternating posts are placed.
View Article and Find Full Text PDFWe describe a safe and simple approach for performing biceps tenodesis. This is performed in conjunction with arthroscopic inspection and debridement. This approach is less invasive than a deltopectoral approach and has been tested and proven secure.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
September 2002
Study Design: A morphometric study of the lateral buttress region of the lumbar pars interarticularis from L1-L5 on 10 dried lumbar spines was performed.
Objective: To qualitatively describe and quantitatively evaluate this portion of the pars and to discuss its clinical and surgical relevance.
Background: The "lateral buttress" is a bony bridge connecting the superolateral edge of the inferior facet to the pedicle/transverse process junction, offering structural support to the pars interarticularis at upper lumbar levels.