Background/aims: To analyse quantitatively the anterior segment configuration in eyes with nanophthalmos before and after cataract surgery.
Methods: This was a retrospective, non-comparative, interventional case series. Eleven eyes in eight patients with nanophthalmos who underwent phacoemulsification and intraocular lens implantation were identified from the department's surgical log, and their clinical records were retrospectively reviewed. Main outcome measures were as follows: visual acuity, intraocular pressure (IOP), axial length and the following ultrasound biomicroscopy parameters: angle opening distance at 500 μm anterior to the scleral spur (AOD500), trabecular-iris angle (TIA) and trabecular ciliary process distance.
Results: The mean axial length of the eyes was 17.3 ± 1.7 mm. AOD500 and TIA increased after cataract surgery (p<0.005). Smaller axial length, AOD500 and TIA before cataract surgery were observed in eyes with preoperative IOP elevation than those without preoperative IOP elevation (p<0.05). Lower postoperative IOP was correlated with greater AOD500 and TIA before cataract surgery (p<0.05).
Conclusions: Cataract surgery deepened the anterior chamber and widened the anterior chamber angle in nanophthalmic eyes. Cataract surgery may have beneficial effects on IOP in eyes with nanophthalmos.
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http://dx.doi.org/10.1136/bjophthalmol-2012-301496 | DOI Listing |
Pan Afr Med J
October 2024
Department of Ophthalmology, Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Anterior segment dysgenesis exerts its influence on a diverse array of ocular structures, encompassing the cornea, iris, ciliary body, anterior chamber and lens. We present a 20-month-old boy with bilateral corneal opacity. The visual acuity (VA) was 6/480 in both eyes.
View Article and Find Full Text PDFClin Ophthalmol
January 2025
Sengi, Penniac, NB, Canada.
Purpose: To evaluate visual outcomes and quality of vision following bilateral implantation of a hydrophobic acrylic intraocular lens (IOL) in eyes targeted for emmetropia.
Methods: This was a prospective, single arm study. Subjects were bilaterally implanted with the Clareon PanOptix IOL and evaluated at 1 and 3 months postoperatively.
Five cases of transient anterior subcapsular vacuolar lens opacities following trabeculectomy using a dispersive ophthalmic viscosurgical device (OVD) performed by the same surgeon were reviewed at Shimane University Hospital from February to June 2024. All cases presented with anterior vacuolar subcapsular lens opacities observed seven days after surgery, which gradually resolved without specific interventions. Detailed surgical records and clinical outcomes were collected, and the findings suggest that these opacities, characterized by their transient and vacuolar appearance, should be recognized as an early complication of trabeculectomy, potentially linked to the use of dispersive OVDs.
View Article and Find Full Text PDFClinics (Sao Paulo)
January 2025
Horta Institute, Rio de Janeiro, Brazil.
Purpose: This study aimed to evaluate the accuracy and quality of healing of main corneal incisions in femtosecond laser procedures in cataract surgery.
Methods: It was a prospective, non-randomized, investigator-masked study. A total of 37 eyes of 37 patients with indication for cataract surgery were separated into two groups in this prospective, nonrandomized study: Femto group, with incisions automated by femtosecond laser (18 eyes), and Phaco group, with incisions made using a keratome (19 eyes).
J AAPOS
January 2025
Johns Hopkins University Wilmer Eye Institute, Baltimore, Maryland. Electronic address:
Background Recommendations regarding long-term postoperative activity are intended to prevent adverse events, but no common policy or best practice exists among ophthalmologists for pediatric patients. We surveyed ophthalmologists on their postoperative guidelines after the one-month postoperative period following childhood cataract and glaucoma surgeries. Methods A 28-question anonymous Qualtrics survey was distributed via listservs and social media.
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