241 results match your criteria: "Glaucoma Aphakic And Pseudophakic"

Purpose: The potential risks and benefits of cataract surgery, in context of congenital aniridia (CA), are not widely understood, yet. Our purpose was to investigate the effect of lens properties on visual acuity (VA), aniridia-associated keratopathy (AAK) stage and presence of glaucoma at the Homburg Aniridia Center.

Methods: CA subjects, examined at the Department of Ophthalmology of Saarland University between June 2003 and January 2022, were included.

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Article Synopsis
  • Secondary angle closure glaucoma (SACG) differs from primary angle closure glaucoma, often presenting acutely and involving various ocular and systemic associations, which can complicate diagnosis and treatment.
  • *Prompt diagnosis is crucial, and the video outlines different imaging techniques like optical coherence tomography and ultrasound biomicroscopy to identify the causes of SACG effectively.
  • *The video highlights the various mechanisms behind SACG, including those with and without pupillary block, and offers insights on their treatment options.*
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Objective: To identify the main predictors for corneal graft failure in patients who underwent retransplantation.

Method: This is a cross-sectional research with a quantitative and analytical approach, conducted based on data from secondary sources of a Human Eye Tissue Bank (HETB) in Northeast Brazil. Data were collected from the medical charts of all patients transplanted between January 2010 and December 2014.

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Ten-year outcomes of congenital cataract surgery performed within the first six months of life.

J Cataract Refract Surg

July 2024

From the Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan (Oshika); Division of Ophthalmology, National Center for Child Health and Development, Tokyo, Japan (Nishina); Osaka City General Hospital, Osaka, Japan (Unoki); Aichi Children's Health and Medical Center, Aichi, Japan (Miyagi); Hyogo Prefectural Kobe Children's Hospital, Hyogo, Japan (Nomura); Department of Ophthalmology, Fukushima Medical University, Fukushima, Japan (Mori); Department of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan (Matsuki); Osaka Women's and Children's Hospital, Osaka, Japan (Endo); Department of Ophthalmology, Iwate Medical University School of Medicine, Iwate, Japan (Kurosaka); Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan (Negishi); Department of Ophthalmology, Kurume University School of Medicine, Fukuoka, Japan (Yoshida); Nagamoto Eye Clinic, Tokyo, Japan.

Article Synopsis
  • The study examines the long-term results of congenital cataract surgeries conducted within the first 6 months of life across 11 surgical sites in Japan.
  • It found that surgeries performed during critical periods of visual development lead to better final visual acuity compared to those done later, though earlier surgeries had a higher frequency of visual axis opacification.
  • Factors influencing visual outcomes included laterality of cataract, type of surgery (pseudophakia vs. aphakia), and any existing comorbidities, highlighting the potential benefits of using intraocular lenses (IOL) in these procedures.
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The comparison of corneal densitometry in cases with glaucoma following childhood cataract surgery and juvenile glaucoma.

Int Ophthalmol

February 2024

Ulucanlar Eye Education and Research Hospital, University of Health Sciences, Ulucanlar Caddesi No:59, 06240, Altindag Ankara, Turkey.

Purpose: To compare the corneal densitometry (CD) in pediatric cases with glaucoma following childhood cataract surgery and juvenile open-angle glaucoma (JOAG).

Methods: This prospective comparative study involved 13 eyes with JOAG, 12 eyes with pseudophakic glaucoma, 13 eyes with aphakic glaucoma, and 15 control subjects. Pentacam HR Scheimpflug corneal topography was employed to evaluate corneal thickness (CCT) and CD values.

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Article Synopsis
  • - The study analyzed 10-year outcomes of pediatric cataract surgery in 277 patients who had surgery before age six, finding that the average age at surgery was about 1.3 years and follow-up was roughly 12.8 years.
  • - Results showed that visual acuity was generally better for patients with bilateral cataracts and those who received intraocular lenses, while factors like systemic and ocular comorbidities, and the occurrence of glaucoma also played significant roles.
  • - Additionally, younger age at surgery and aphakic status (absence of the lens) correlated with a higher incidence of secondary glaucoma, indicating that better planning could improve long-term outcomes in these patients.
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Introduction: The use of the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser to treat malignant glaucoma (MG) has been described in the literature since the 1980s. However, the technique has been reported to have a short-term effect, with a notable relapse rate. In the present study, we report the efficacy and durability of a modified Nd:YAG laser treatment methodology for treatment of pseudophakic or aphakic MG.

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Article Synopsis
  • - Descemet's stripping endothelial keratoplasty (DSEK) has become the preferred surgical option for replacing damaged corneal endothelium, aiming to improve visual acuity and overall surgical outcomes.
  • - The study involved 18 patients (ages 25 to 70) treated with DSEK over two years, assessing their vision before and at various points after surgery while comparing demographic data and surgical complications.
  • - Results showed a significant increase in best-corrected visual acuity after six months (from 1.73 to 0.73 logMAR), with some complications like buttonholing occurring in 11% of cases, highlighting both effectiveness and challenges of the procedure.
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XEN-45 implantation for refractory uveitic glaucoma.

Graefes Arch Clin Exp Ophthalmol

March 2024

Eye Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Killianstraße 5, 79106, Freiburg, Germany.

Purpose: To evaluate the efficacy of XEN-45 gel stent ab interno implantation for medically uncontrolled uveitic glaucoma.

Methods: Retrospective analysis of 25 eyes receiving XEN gel stent for medically uncontrolled uveitic glaucoma from February 2019 to February 2023 with recording of intraocular pressure (IOP) values, ocular hypotensive medication, requirement for revision or secondary surgery and complications. Prerequisites for XEN implantation were a clear cornea, an open iridocorneal angle and an unscarred, mobile conjunctiva at the implantation site.

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Purpose: The aim of this study was to define risks for corneal transplantation associated with fibrous ingrowth among first-time transplant recipients.

Methods: We performed a retrospective case-control study of patients with a histopathologic diagnosis of fibrous ingrowth between 2002 and 2019. Patients with fibrous ingrowth from a first corneal specimen were included.

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A long-term clinical outcome of Hoffmann pocket four-point scleral fixated intraocular lens implantation combined with penetrating keratoplasty - A single corneal surgeon's report.

Indian J Ophthalmol

July 2023

Senior Consultant, Cornea and Refractive Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Purpose: To analyze retrospectively the outcomes of Hoffmann pocket scleral fixated intraocular lens implantation combined with penetrating keratoplasty at a tertiary institute by a single corneal surgeon.

Methods: Forty-two eyes of 42 patients, aged between 11 and 84 years, had a mean follow-up of 2 ± 2.216 years.

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Gonioscopy-assisted transluminal trabeculotomy (GATT) has been used as a safe and effective procedure in the treatment of open angle glaucoma. In the present report, we demonstrated successful IOP control in two uveitic glaucoma cases secondary to juvenile idiopathic arthritis (JIA) following 360° GATT. Case 1 was a 7-year-old pseudophakic male with a preoperative IOP of 38 mmHg; his IOP stabilized at 17 mmHg with two topical antiglaucoma medications over 18 months.

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Purpose: To evaluate the prevalence of hypertensive phase (HP) and failure in patients who underwent Ahmed Glaucoma Valve (AGV) implantation and identify the possible risk factors for both HP and failure.

Methods: A cross-sectional, observational study was conducted. Medical records of patients who underwent AGV implantation and had at least 1 year of follow-up were reviewed.

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Purpose: To evaluate the outcome of glaucoma drainage device (GDD) insertion of tube through ciliary sulcus (CS) versus anterior chamber (AC) placement in the North Indian population.

Methods: This retrospective comparative case series included 43 patients in CS group and 24 in AC group, who underwent GDD implantation, from March 2014 to February 2020. The main outcome measures were intraocular pressure (IOP), number of anti-glaucoma medications, best corrected visual acuity (BCVA), and complications.

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Article Synopsis
  • - A 24-year-old male diabetic patient developed acute pupillary block glaucoma after undergoing vitrectomy with silicone oil for retinal detachment, leading to severe eye pain and high intraocular pressure (IOP).
  • - Despite attempts with medications to reduce IOP, the condition persisted, necessitating surgical intervention to remove the silicone oil and wash the anterior chamber.
  • - The case highlights that pupillary block glaucoma can occur not only in aphakic patients but also in phakic and pseudophakic patients, especially in complex cases.
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Importance: Glaucoma can develop following cataract removal in children.

Objective: To assess the cumulative incidence of glaucoma-related adverse events (defined as glaucoma or glaucoma suspect) and factors associated with risk of these adverse events in the first 5 years after lensectomy prior to 13 years of age.

Design, Setting, And Participants: This cohort study used longitudinal registry data collected at enrollment and annually for 5 years from 45 institutional and 16 community sites.

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Purpose: To assess the incidence of glaucoma after combined Descemet's stripping endothelial keratoplasty (DSEK) and retropupillary fixated iris-claw intraocular lens (IOL) implantation in the patients with bullous keratopathy (BK) who required secondary IOL or IOL exchange.

Methods: In this retrospective case series, medical records of 22 patients who underwent combined DSEK and retropupillary fixated iris-claw IOL implantation were evaluated. Preoperative vision, intraocular pressure (IOP), postoperative IOP at different time periods, and intraoperative and postoperative complications were analyzed.

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Background: Congenital cataracts are lens opacities in one or both eyes of babies or children present at birth. These may cause a reduction in vision severe enough to require surgery. Cataracts are proportionally the most treatable cause of visual loss in childhood, and are a particular problem in low-income countries, where early intervention may not be possible.

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Background: Evaluate outcomes and identify prognostic factors in congenital aniridia.

Methods: Retrospective interventional case series of patients with congenital aniridia treated between 2012-2020. Ocular examination and surgical details were collected.

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Current therapeutic approaches for glaucoma aim to reduce intraocular pressure (IOP), which is the only available and reliable strategy proven to control the risk of disease development and progression. Omidenepag isopropyl (OMDI) is a novel topical ocular hypotensive agent that was launched onto the market for the treatment of glaucoma and ocular hypertension (OHT). After topical instillation and during corneal penetration, OMDI is converted into the active metabolite omidenepag (OMD), which behaves as a non-prostaglandin, selective E-prostanoid subtype 2 (EP2) receptor agonist.

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Purpose: The purpose of this study was to evaluate 15-year outcomes of Descemet stripping endothelial keratoplasty (DSEK).

Methods: We retrospectively reviewed an initial, consecutive series of 350 DSEK cases in 290 patients (mean age 69 years), performed between December 2003 and December 2005 for Fuchs dystrophy (86%), pseudophakic/aphakic bullous keratopathy (10%), or failed penetrating keratoplasty (4%). Outcomes included best spectacle-corrected visual acuity (BSCVA), endothelial cell density (ECD), and graft failure (defined as regraft for any reason or persistent loss of stromal clarity).

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Visual outcomes and complications in infantile cataract surgery: a real - world scenario.

BMJ Open Ophthalmol

April 2022

Strabimsus, Pediatric and Neuro-ophthalmology, Jasti V Ramanamma Children's Eye care, Child Sight Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India.

Objective: To evaluate visual outcomes and complications of infantile cataract surgery through a 1-year follow-up period in a real world scenario.

Methods And Analysis: Prospective observational study evaluating infants with cataract undergoing surgery.

Results: We analysed 173 eyes of 97 infants (76 bilateral); median age 18.

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Purpose: To carry out a prospective study to analyze the incidence and various preoperative, intraoperative, and postoperative risk factors for the development of PPKG.

Methods: A total of 207 patients were analyzed prospectively, who were operated for penetrating keratoplasty (PK) in a tertiary eye care hospital between the time period of August 1, 2017 and February 28, 2018 and were followed up till the sixth month. Each patient was analyzed at every visit to determine the factors responsible for post-keratoplasty glaucoma.

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Importance: Cataract is an important cause of visual impairment in children. Data from a large pediatric cataract surgery registry can provide real-world estimates of visual outcomes and the 5-year cumulative incidence of adverse events.

Objective: To assess visual acuity (VA), incidence of complications and additional eye operations, and refractive error outcomes 5 years after pediatric lensectomy among children younger than 13 years.

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