Glued intraocular lens: a major review on surgical technique and results.

Purpose Of Review: To review the changes and results of glued intraocular lens (IOL) procedure in eyes with inadequate capsule.

Recent Findings: The recent review of 735 eyes with glued IOL showed 486 rigid glued IOL, 191 foldable IOL, 10 glued iris prosthesis, 16 eyes with glued IOL with pupilloplasty and 32 eyes with glued IOL with penetrating keratoplasty. The postoperative best corrected visual acuity (BCVA) in eyes with the rigid glued IOL was 0.

Reliability and reproducibility of assessment of corneal epithelial thickness by fourier domain optical coherence tomography.

Purpose: To analyze the intra-user reliability and inter-user reproducibility of assessment of corneal epithelial thickness by Fourier domain optical coherence tomography.

Methods: In this consecutive cross-sectional case series performed at a tertiary ocular care institution, 210 eyes of 210 subjects underwent anterior segment Fourier domain optical coherence tomography (FDOCT). A caliper tool software was used to measure the corneal thickness.

Comparison of Outcomes of Suprabrow Single-Stab and 3-Stab Incision Frontalis Sling Surgery.

Purpose: This study aimed to compare functional and cosmetic outcomes of suprabrow single-stab (SBSS) versus conventional 3-stab incision frontalis sling surgery.

Design: Comparative case series.

Methods: Twenty-one eyes of 17 patients for the study group and 21 eyes of 16 patients for the control group were included.

Glued endocapsular hemi-ring segment for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses.

Surgical expertise, prolonged surgical time, suture-related problems, and delayed intraocular lens (IOL) subluxation or dislocation due to broken sutures are limitations of suture fixation of the capsular bag to the scleral wall. We describe a new device made of IOL haptic material (polyvinylidene fluoride) that allows sutureless fibrin glue-assisted transscleral fixation of the capsular bag to address these issues. The device has a hemi-ring portion that lies in the capsular fornix and a double scroll mechanism that engages the capsulorhexis rim.

A new, pachymetry-based approach for diagnostic cutoffs for normal, suspect and keratoconic cornea.

Purpose: To analyze whether an association exists between keratometric and pachymetric changes in the cornea, and whether it can be used to create pachymetric cutoff criteria secondary to keratometric criteria.

Methods: In this cross-sectional study, 1000 candidates presenting to the refractive surgery services of a tertiary care hospital underwent bilateral Orbscan IIz (Bausch and Lomb) assessment along with other ophthalmic evaluation.

Results: Stepwise regression analysis-based models showed that simulated keratometry (simK) astigmatism was significantly predicted by the minimum corneal thickness (MCT) and difference between central and MCT (δCT), mean SimK by the MCT and δCT, and maximum keratometry in the central 10-mm zone by the MCT and δCT (P<0.

Glued intrascleral fixation of posterior chamber intraocular lens in children.

Purpose: To evaluate the short-term results of glued intrascleral fixation of posterior chamber intraocular lens (glued IOL) in children without adequate capsular support.

Design: Noncomparative retrospective observational case series.

Setting: Institutional practice.

Endothelial cell loss associated with diffuse lamellar keratitis because of laser-assisted in situ keratomileusis.

Purpose: To report a case of severe interface inflammation, flap edema, and endothelial cell loss after laser-assisted in situ keratomileusis (LASIK).

Methods: A 22-year-old woman with no previous ocular abnormality underwent LASIK for myopia. The surgery was uneventful.

Viscocannula-assisted reinversion of implantable collamer lens: comparison of postoperative outcomes with the fellow eyes.

Purpose: To analyze and compare the postoperative outcomes of eyes with accidental intraoperative inversion of implantable collamer lens (ICL) and viscocannula-assisted reinversion in high myopia.

Design: Retrospective observational case comparison.

Setting: Institutional practice.

Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome.

Purpose: To analyze the anatomical and functional outcome of glued intra ocular lens (IOL) implantation technique and its modifications.

Design: Retrospective observational case series.

Methods: This is a retrospective analysis of the patients who underwent glued intra ocular lens implantation from December 2007 to August 2010.

Femtosecond sub-bowman keratomileusis: a prospective, long-term, intereye comparison of safety and outcomes of 90- versus 100-μm flaps.

Purpose: To analyze the long-term safety profile, visual and refractive results, and incidence of complications between sub-Bowman keratomileusis with 90- and 100-μm flaps.

Design: Prospective, randomized, comparative clinical study.

Method: A total of 385 candidates (770 eyes) underwent bilateral, single-sitting, sub-Bowman keratomileusis, with flap creation (90 or 100 μm) on IntraLase 60-kHz (Abott Medical Optics) and ablation on Technolas 217z100 (Technolas PV) .

Predictive factor and kappa angle analysis for visual satisfactions in patients with multifocal IOL implantation.

Purpose: To evaluate the visual acuity and quality-related satisfaction of patients implanted with a refractive design multifocal intraocular lens (IOL), and evaluate the factors predicting it including angle kappa.

Setting: Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai.

Methods: In this prospective trial, 50 eyes of 44 consecutive patients were included.

Comparison of laser in situ keratomileusis for myopic astigmatism without iris registration, with iris registration, and with iris registration-assisted dynamic rotational eye tracking.

Purpose: To compare the visual and refractive outcomes of laser in situ keratomileusis (LASIK) without iris registration, with static preablation iris registration, and with preablation iris registration-assisted intra-ablation with dynamic rotational eye tracking.

Setting: Refractive Surgery Services, Dr. Agarwal's Eye Hospital, Chennai, India.

Evaluation of intraocular lens tilt with anterior segment optical coherence tomography.

Purpose: To determine the ability of anterior segment optical coherence tomography (OCT) to detect intraocular lens (IOL) tilt evaluation in relation to the limbus.

Design: Observational case series.

Methods: The IOL position of 123 eyes of 92 patients was examined with anterior segment OCT (Carl Zeiss Meditec, Dublin, California, USA).

Cost-effectiveness of cataract surgery.

Purpose Of Review: To review the changes in the cost-effectiveness of cataract surgery in the last few decades.

Recent Findings: Cataract surgery is the commonly performed procedure and it has evolved through various techniques, namely extracapsular cataract extraction, phacoemulsification and small or microincision cataract surgery. In this article we have reviewed the healthcare variant analysis, mainly the cost-effectiveness and cost utility over the past few years.

Femtosecond-assisted descemet stripping automated endothelial keratoplasty with fibrin glue-assisted sutureless posterior chamber lens implantation.

Purpose: We report a surgical technique for managing postsurgical aphakia with endothelial decompensation. The technique comprises femtosecond laser-assisted Descemet stripping automated endothelial keratoplasty (DSAEK) with fibrin glue-assisted sutureless posterior chamber intraocular lens (IOL) implantation-"glued IOL".

Methods: Three eyes (of 3 patients) underwent the technique.

The three-pass-underpass technique: a graded flap dissection technique for thin femtosecond sub-bowman keratomileusis flaps.

Purpose: Femtosecond laser-assisted sub-Bowman keratomileusis has an occasional intraoperative complication of a flap tear. We describe a new technique (three-pass-underpass technique) to dissect and lift the flap to reduce the probability of a tear.

Methods: This comparative case series, 150 consecutive cases of femtosecond-assisted flap creation for laser in situ keratomileusis underwent flap separation with the new (three-pass-underpass) technique.

Turnaround technique for intrastromal corneal ring implantation in eyes with false channel dissection.

Unlabelled: We describe a turnaround technique for implantation of intrastromal corneal ring segments in eyes with femtosecond laser-assisted channel creation in which inappropriate surgeon maneuvering creates a false channel. The false channel causes difficulty in implantation as further forward maneuvering leads to enlargement of the false channel, finally precluding forward movement of the segment. This may result in suboptimal placement of the segment or abandoning the procedure.

Surface ablation with iris recognition and dynamic rotational eye tracking-based tissue saving treatment with the Technolas 217z excimer laser.

Purpose: To evaluate the visual and refractive outcomes and expected benefits of Tissue Saving Treatment algorithm-guided surface ablation with iris recognition and dynamic rotational eye tracking.

Methods: This prospective, interventional case series comprised 122 eyes (70 patients). Pre- and postoperative assessment included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refraction, and higher order aberrations.

Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes.

Purpose: To evaluate the post-operative outcome of fibrin glue-assisted posterior chamber intraocular lens (IOL) implantation in eyes with deficient capsular support after 1 year.

Methods: Eyes operated with fibrin glue-assisted posterior chamber IOL implantation from December 2007 to May 2008 were included. The post-operative best spectacle-corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), intraocular pressure (IOP), central macular thickness, and specular count were evaluated.

Predictive factor analysis for successful performance of iris recognition-assisted dynamic rotational eye tracking during laser in situ keratomileusis.

Purpose: To analyze the predictive factors associated with success of iris recognition and dynamic rotational eye tracking on a laser in situ keratomileusis (LASIK) platform with active assessment and correction of intraoperative cyclotorsion.

Design: Interventional case series.

Methods: Two hundred seventy-five eyes of 142 consecutive candidates underwent LASIK with attempted iris recognition and dynamic rotational tracking on the Technolas 217z100 platform (Techolas Perfect Vision, St Louis, Missouri, USA) at a tertiary care ophthalmic hospital.

Cataract surgery in the setting of trauma.

Purpose: To review the changes in the surgical techniques used for cataract removal in the setting of trauma and their postoperative outcome.

Recent Findings: Primary cataract removal with intraocular lens (IOL) implantation is the commonly followed procedure for penetrating injuries with cataract. IOL implantation has evolved through various techniques namely 'in the bag', 'in the sulcus', epilenticular implantation, anterior chamber IOL, scleral fixated IOL and recently glued IOL.

Quantitative assessment of post-LASIK corneal infiltration with frequency domain anterior segment OCT: a case report.

We present the use of frequency domain (FD) optical coherence tomography (OCT) for quantitative assessment of the infiltration in the eye with post-laser in situ keratomileusis (LASIK) corneal inflammation. Serial OCT images are taken in a patient with post-LASIK inflammation and are used to see the response to treatment over a time period. Clinical value of FD-OCT as a diagnostic tool in objective assessment of corneal inflammation and response to treatment is shown.