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DMEK Surgical Strategy in Aphakic and Vitrectomized Eyes.
Eur J Ophthalmol
January 2025
Cornea and Refractive Surgery Unit, Instituto de Microcirugía Ocular (IMO), Barcelona, 08035, Spain.
Article Synopsis
- After 15 years of DMEK experience, the technique has shown high success rates but still struggles with certain eye conditions like aphakia and eyes that have had vitrectomy.
- A new method involves injecting an air bubble under the Descemet membrane graft to help unroll it more efficiently during surgery.
- This approach has been found to decrease surgical time while ensuring successful attachment of the graft, offering a promising option for complex DMEK cases.
Retropupillary Iris Clip Intraocular Lenses: A Case Series of 57 Eyes.
Int Ophthalmol Clin
January 2025
Westmead and Central Clinical Schools, Specialty of Ophthalmology and Eye Health, The University of Sydney, Sydney, NSW, Australia.
Purpose: To report visual and refractive outcomes and intraoperative and postoperative complications after pars plana vitrectomy (PPV) with retropupillary implantation of an iris clip intraocular lens (IOL).
Methods: This is a retrospective case series of patients who underwent secondary retropupillary intraocular lens insertion combined with pars plana vitrectomy to treat aphakia secondary to a dislocated nucleus lens (group A); or IOL dislocation (group B). Patient demographics, preoperative visual and refractive outcomes, intraoperative factors, postoperative visual and refractive outcomes, and complications within the follow-up period ranging from 6 months up to 3 years postoperative, were recorded.
Purpose: To compare the aberrometric profile of the Artisan Aphakia lens (Opthec BV) and transscleral plug FIL-SSF lens (Soleko) and to assess the impact of tilt and decentration on their optical performance.
Methods: This retrospective observational study was conducted at Azienda Ospedaliera Universitaria Careggi, Florence, Italy, with a consecutive cohort of aphakic eyes undergoing secondary lens implantation with an Artisan or FIL-SSF lens. Wavefront analysis was performed using a pyramidal wavefront-based aberrometer (Osiris-T; CSO).
Intraocular lens exchange or explantation post cataract surgery.
Int J Ophthalmol
November 2024
Department of Cataract, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad 500034, Telangana, India.
Article Synopsis
- * The most common reasons for IOL exchange were IOL subluxation (43.3%) and dislocation (33.3%), with a significant portion of surgeries (60%) performed by trainees, yet no major difference in visual outcomes between trainee and experienced surgeons was observed.
- * Post-surgery, over 70% of patients achieved a best corrected visual acuity (BCVA) better than 20/60, indicating that proper selection
Comparison of refractive outcomes in patients following scleral fixated intraocular lens implantation with Yamane and Z-suture techniques.
Eur J Ophthalmol
November 2024
University of Health Sciences, Beyoglu Eye Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey.
Purpose: To compare visual and refractive outcomes in aphakic patients who underwent scleral fixated intraocular lens (SF-IOL) implantation with Yamane and Z-suture techniques.
Design: Retrospective study.
Methods: Patients who underwent SF-IOL implantation with Yamane and Z-suture techniques due to aphakia between 2021 and 2023 were analyzed.
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