A retrospective study of 107 cases of retinal detachment in aphakic and pseudophakic eyes showed different types of retinal break depending upon surgical method. Three techniques were studied: intracapsular extraction (ICCE), intracapsular extraction with anterior chamber lens implant (ICCE, AC-IOL), and extracapsular extraction with posterior chamber lens implant (ECCE, PC-IOL). Results were compared for each technique with and without peripheral iridectomy. Typical aphakic and pseudophakic retinal breaks were found only in eyes having undergone peripheral iridectomy: our conclusion is that peripheral iridectomy is a risk factor for typical retinal breaks.
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Indian J Ophthalmol
December 2024
Cornea, Cataract and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Intrascleral haptic fixation of intraocular lens (IOL) is an extremely useful technique to provide visual rehabilitation in eyes with inadequate capsular support. It requires exteriorization of haptics along with tucking of haptics in the scleral groove preferably and conventionally in the horizontal meridian. In eyes with large corneal diameter, there is difficulty in tucking enough length of the haptics into the intrascleral groove, carrying the risk of slippage of haptics and decentration of IOL.
View Article and Find Full Text PDFMedicine (Baltimore)
December 2024
Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
The objective was to study the incidence of acute primary angle closure (acute PAC) during pharmacologic mydriasis before cataract surgery and changes in anterior chamber angle parameters in patients with primary angle closure diseases (PACD) with and without prophylaxis laser peripheral iridotomy (LPI). This was a prospective, comparative study of cataract patients with PACD with and without prophylaxis LPI presented at the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand during June 2022 to December 2023. The incidence of acute PAC during pharmacologic mydriasis prior to cataract surgery was recorded.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Pediatric Ophthalmic Pathology Department, SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine", 49/51 Frantsuzkyi Bulvar, Odesa 65015, Ukraine.
Introduction: Idiopathic congenital acorea is extremely rare. There are several techniques for preserving the clear lens during pupil formation.
Case Presentation: The complete pupil absence caused acute glaucoma attack 2 weeks after birth, which was controlled in a 1-month-old child by peripheral iridectomy and disconnecting iris-corneal synechias.
BMC Ophthalmol
October 2024
Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Background: This study aimed to investigate the effect of laser peripheral iridotomy (LPI) on intraocular lens (IOL) power in patients with primary angle closure disease (PACD), and to construct mathematical models to assess changes in IOL power.
Methods: This study included 58 eyes of PACD patients. IOL Master700 was used to analyze and compare the changes of IOL power and ocular related parameters in each formula before and after LPI.
Am J Ophthalmol
January 2025
Department of Ophthalmology (M.S.), Selcuk University Faculty of Medicine, Konya, Turkey.
Purpose: To compare clinical outcomes, reverse pupillary block (RPB) findings, and anterior segment parameters in patients with and without intraoperative peripheral iridectomy during sutureless flattened flange intrascleral intraocular lens (IOL) fixation.
Design: Retrospective comparative case series.
Participants: This study included 94 eyes of 82 patients who underwent IOL explantation due to vitreous-dislocated IOL at our clinic between March 2020 and September 2023, followed by flattened haptic-tipped IOL intrascleral fixation combined with pars plana vitrectomy.
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