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| http://dx.doi.org/10.1136/bjo.43.4.193 | DOI Listing |
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A decade of intracapsular cataract extraction: Clinical profile and visual outcomes at Hospital Melaka, Malaysia.
Med J Malaysia
January 2025
Universiti Sains Malaysia, School of Medical Sciences, Department of Ophthalmology and Visual Science, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Introduction: Cataract is a leading cause of visual impairment globally and in Malaysia, with surgery being the definitive treatment. While intracapsular cataract extraction (ICCE) is now less commonly performed due to advancements in surgical techniques, it remains essential in specific cases, such as those with weak zonular support. This study aims to evaluate the incidence, clinical profiles, and visual outcomes of patients who underwent ICCE, with or without intraocular lens (IOL) implantation, at Hospital Melaka, Malaysia, over the past decade.
View Article and Find Full Text PDFClarity unveiled: A journey through time in cataract surgery.
J Perioper Pract
January 2025
University of Derby, Derby, UK.
This historical research article offers a comprehensive examination of the evolution of cataract surgery from ancient practices to modern innovations. The historical trajectory of cataract treatment will be explored, beginning with ancient techniques such as couching in ancient civilisations and progressing through critical milestones in surgical advancement. The research delves into the challenges faced by early practitioners, the emergence of novel techniques and the pivotal contributions of pioneering surgeons throughout history.
View Article and Find Full Text PDFSecondary acute angle closure glaucoma after 25-gauge pars plana vitrectomy for a macular hole: a case report.
J Med Case Rep
October 2024
Department of Ophthalmology, Saitama Red Cross Hospital, Saitama, Japan.
Article Synopsis
- - A 61-year-old woman experienced acute angle-closure glaucoma in her pseudophakic eye after undergoing a 25-gauge pars plana vitrectomy for a macular hole, despite initially having an uncomplicated surgery.
- - The patient had to maintain a face-down position post-surgery, which, combined with gas tamponade, may have led to increased intraocular pressure and the development of glaucoma, characterized by a severe rise in pressure (53 mmHg) and iris bombe.
- - The condition was treated successfully with a laser peripheral iridotomy, which helped lower the intraocular pressure and ultimately closed the macular hole, illustrating the complex post-operative scenarios that can arise in eye surgeries.
Article Synopsis
- - Three Japanese patients with pseudoexfoliation syndrome (PEX) successfully underwent intrascleral intraocular lens (IOL) fixation after challenges with traditional fixation methods due to zonular weakness.
- - Each case utilized a double-needle technique for IOL fixation six to eight weeks after initial cataract surgery, with adjustments like anterior vitrectomy in case two to address complications.
- - The procedure resulted in positive outcomes, with no serious complications; preserving the lens capsule during fixation helped reduce intraoperative risks and complications, though the long-term safety of this approach needs further investigation.
Two-year retrospective review of lens-induced glaucoma in Hospital Taiping, Perak, Malaysia.
Med J Malaysia
July 2024
Universiti Sains Malaysia, School of Medical Sciences, Department of Ophthalmology and Visual Science, Kubang Kerian, Kelantan, Malaysia.
Article Synopsis
- Delayed cataract surgery can lead to lens-induced glaucoma (LIG), and a study in Malaysia analyzed the demographics and outcomes of patients with LIG who underwent surgery between 2019 and 2020.* -
- Out of 3233 cataract surgeries, 24 patients with LIG were studied; most were over 60 years old, primarily Malay, and presented with severe visual impairment and high intraocular pressure.* -
- Post-surgery, a majority of patients experienced significant improvement in intraocular pressure and visual acuity, although some faced complications, highlighting the need for timely cataract treatment to prevent serious conditions like LIG.*
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