Economic Impact Analysis of Custom Pak on Cataract and Vitreoretinal Surgery in the United States.

Purpose: Implicit costs of surgical preparation and materials management for cataract/anterior segment and retinal/posterior segment procedures are often unquantified. Use of ophthalmological surgical procedure packs is common in these surgeries; however, there is little in the literature demonstrating their time and cost impacts. Understanding the costs and potential benefits of surgical pack procedure use is important for administrators in purchasing decision-making.

COAGULASE-NEGATIVE STAPHYLOCOCCUS-INDUCED FROSTED BRANCH ANGIITIS AFTER INTRAVITREAL ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR INJECTION.

Purpose: To describe a case of frosted branch angiitis after intravitreal ranibizumab injection.

Methods: Retrospective chart review.

Results: A patient with a history of neovascular age-related macular degeneration underwent intravitreal ranibizumab injection and subsequently developed coagulase-negative Staphylococcus endophthalmitis with findings of frosted branch angiitis.

Leukemia presenting as serous retinal detachment.

Background: To describe a patient who presented with bilateral serous retinal detachments without the other retinal vascular or ocular inflammatory signs, and who was ultimately diagnosed with acute leukemia.

Methods: Case report and review of the literature.

Results: This patient presented with isolated bilateral serous retinal detachments as the initial manifestation of hematologic malignancy.

Intravitreal triamcinolone acetonide injection for macular edema due to central retinal vein occlusion persisting despite multiple intravitreal bevacizumab injections.

Purpose: To evaluate the response to intravitreal triamcinolone acetonide for macular edema persisting or recurring despite multiple intravitreal bevacizumab (IVB) treatments for central retinal vein occlusion (CRVO).

Methods: Retrospective interventional case series of 21 eyes with CRVO from 21 patients who were diagnosed with persistent or recurrent macular edema secondary to CRVO and treated with 0.1mL (4mg) intravitreal triamcinolone acetonide (IVTA) after initial treatment with 3 or more IVB injections.

Diagnosis of occult melanoma using transient receptor potential melastatin 1 (TRPM1) autoantibody testing: a novel approach.

Purpose: To report the first case of melanoma-associated retinopathy (MAR) and underlying occult melanoma diagnosed based on the presence of serum transient receptor potential melastatin 1 (TRPM1) autoantibodies.

Design: Interventional case report with basic science correlation.

Participants: One patient with MAR.

Optogenetics, visual prosthesis and electrostimulation for retinal dystrophies.

Purpose Of Review: Outer retinal degenerations such as retinitis pigmentosa can cause profound vision loss. Various treatment strategies are being pursued to potentially restore functional vision in these patients.

Recent Findings: Advances in retinal prostheses have restored some vision in patients previously blind from retinitis pigmentosa.

Drug-induced uveitis.

A number of medications have been associated with uveitis. This review highlights both well-established and recently reported systemic, topical, intraocular, and vaccine-associated causes of drug-induced uveitis, and assigns a quantitative score to each medication based upon criteria originally described by Naranjo and associates.

Eyelid cutaneous hypopigmentation after sub-tenon triamcinolone injection after retinal detachment repair.

Background: Cutaneous hypopigmentation has been reported after steroid injection. Sub-Tenon triamcinolone injection is often administered to control or prevent ocular inflammation.

Methods: Observational case report.

Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachment repair.

Purpose: To assess the rate of retained subretinal perfluorocarbon liquid (PFCL) in patients undergoing rhegmatogenous retinal detachment (RRD) repair with sutureless 23-gauge vitrectomy versus traditional 20-gauge vitrectomy.

Methods: A retrospective, consecutive, interventional comparative case series. All patients with a diagnosis of RRD who underwent pars plana vitrectomy with PFCL for RRD repair from November 1, 2005 through October 31, 2008 were included.

Sterile endophthalmitis following intravitreal injection of preservative-free triamcinolone acetonide.

Purpose: To describe two cases of sterile endophthalmitis following intravitreal injection of preservative-free triamcinolone acetonide.

Methods: Chart review.

Results: Two patients with histories of sterile inflammatory reaction to intravitreal Kenalog (triamcinolone acetonide) subsequently were treated with intravitreal injections of preservative-free triamcinolone.

Retinal pigment epithelial tears after intravitreal bevacizumab injection for exudative age-related macular degeneration.

Purpose: To determine the incidence of and the risk factors for the development of retinal pigment epithelial (RPE) tears after intravitreal bevacizumab (Avastin) injection for the treatment of exudative age-related macular degeneration (AMD).

Methods: A retrospective, multicentre, consecutive interventional case series of all patients with subfoveal exudative AMD treated with intravitreal bevacizumab between August 2005 and April 2007. The main outcome measures were pre- and post-RPE tear visual acuity and choroidal neovascular membrane lesion types, incidence of tears and time from first injection until development of the tear.

Do not try this at home: trash can intracapsular cataract extraction.

The authors present a 39-year-old woman who sustained blunt trauma from a metal garbage can to her left eye and presented with her intact crystalline lens luxated subconjunctivally after expulsion through a scleral wound. External photographs show the lens found under intact conjunctiva and a computed tomography scan demonstrates the extrascleral lens. The patient had a ruptured globe repair and intraoperative photographs showed removal of the lens.