1/13. Triangular transchamber suture.A 64-year-old woman with a fibrous membrane at the lens plane after traumatic loss of all the iris and massive intraocular hemorrhage had posterior chamber intraocular lens (PCIOL) implantation anterior to the fibrous membrane with a triangular transchamber suture to prevent possible PCIOL-corneal touch and enhance the stability of the PCIOL. After 3 years, the PCIOL remained in a good position and visual rehabilitation was satisfactory and without complications.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
2/13. Complications of ocular paintball injuries in children.PURPOSE: To evaluate the ocular complications of paintball injuries in children. methods: The clinical course of four children with traumatic ocular paintball injuries was evaluated. All patients underwent a complete ocular examination. Their age, injuries sustained, surgical procedure(s) performed, presence of protective eyewear at the time of injury, and final visual outcome was assessed. The presence of directly related anterior and posterior segment abnormalities were also evaluated. RESULTS: Four boys sustained traumatic paintball injuries. Average patient age was 11.25 years (range: 10-12 years). None of the children were wearing ocular or facial protection at the time of the initial injury. All patients had hyphema and traumatic cataract, and some form of retinal pathology (vitreous hemorrhage, epiretinal membrane, retinal hemorrhage, and choroidal rupture). One child had a partial-thickness corneal laceration that did not require surgical intervention. All other patients underwent ophthalmic surgery. Final visual acuity was 20/30 or better in two patients, and 20/100 or worse in the others. The cause of decreased visual acuity in these children was directly related to macular pathology. CONCLUSION: Ocular injuries resulting from paintball impact are often severe and usually occur when the participants are not wearing eye protection or this protection becomes dislodged. Treatment of these injuries is sometimes limited to an attempt to salvage what remains of useful vision. Unfortunately, most of these sports-related injuries could have been prevented if patients wore adequate eye protection when involved in this sport.- - - - - - - - - - ranking = 0.5keywords = membrane (Clic here for more details about this article) |
3/13. Hemorrhagic Descemet's membrane detachment as a complication of deep sclerectomy: a case report.PURPOSE: To report a case that developed hemorrhagic Descemet's membrane detachment after deep sclerectomy. PATIENT AND methods: Case report. A 63-year-old diabetic patient suffering from uncontrolled chronic open-angle glaucoma with full medication, underwent an uneventful deep sclerectomy operation combined with intraoperative mitomycin-C. RESULTS: On the second postoperative day, a hemorrhagic Descemet's membrane detachment (HDDM) was observed. The hemorrhage showed rapid absorption rate during the first two weeks along with reduction of the HDDM. After this period of time the rate of blood absorption was decreased. The Descemet's membrane reattached completely six months after surgery without any intervention but a paracentral corneal scar was present. The bleb was not functionally impaired during the whole postoperative period, and intraocular pressure remained stable at the level between 12 and 15 mmHg without medication. CONCLUSION: Hemorrhagic Descemet's membrane detachment should be considered as a potential complication of deep sclerectomy.- - - - - - - - - - ranking = 4keywords = membrane (Clic here for more details about this article) |
4/13. descemet membrane detachment with hemorrhage after alkali burn to the cornea.PURPOSE: To report two cases of descemet membrane detachment associated with hemorrhage after alkali burn to the cornea. DESIGN: Observational case reports. methods: We describe two patients with detachment of descemet membrane associated with hemorrhage after alkali burns to the cornea. RESULTS: Patient 1 received a splash of caustic soda to the face. descemet membrane detachment with hemorrhage was present. An attempt at reattachment using intraocular gases failed. Patient 2 sustained a chemical burn secondary to an airbag injury. A thickened, detached descemet membrane associated with a hyphema was evident. CONCLUSIONS: Detachments of descemet membrane associated with alkali burns are often accompanied by irreversible endothelial cell damage.- - - - - - - - - - ranking = 4.5keywords = membrane (Clic here for more details about this article) |
5/13. Differential diagnosis of spontaneous hyphema associated with central retinal vein occlusion.Spontaneous hyphema refers to a nontraumatic hemorrhage in the anterior chamber. It is uncommon and may result from such conditions as rubeosis iridis, intraocular neoplasms, blood dyscrasias, severe iritis, fibrovascular membranes in the retrolental or zonular area, and vascular anomalies of the iris. A case is presented describing a spontaneous hyphema occurring as a result of iris neovascularization in a patient who suffered from occlusion of the central retinal vein. Spontaneous hyphema and the presenting ocular conditions as they pertain to its occurrence are discussed.- - - - - - - - - - ranking = 0.5keywords = membrane (Clic here for more details about this article) |
6/13. Acquired epimacular membrane after multiple intraocular procedures in an infant.At 7 months of age, an infant with Lowe's oculocerebrorenal syndrome developed an epimacular membrane after three intraocular surgeries in the right eye. Serial fundus photographs document the membrane's appearance 6 months after lensectomy/vitrectomy for a dense cataract and 2 months after the second trabeculotomy for congenital glaucoma. Epimacular membranes are a vitreoretinal disorder found almost exclusively in adults. To the best of our knowledge, this is the first documented case of acquired preretinal macular membrane in an infant and the youngest case reported in the literature. The loss of formed vitreous and repeated deposition of blood products into the vitreous cavity may be responsible for the development of this preretinal membrane.- - - - - - - - - - ranking = 4.5keywords = membrane (Clic here for more details about this article) |
7/13. Pars plana approach for pupillary membranes.Pars plana surgery was performed, using a vitreous infusion suction cutter, for the treatment of after-cataracts, traumatic pupillary membranes, inflammatory pupillary membranes, and varoius pupillary membranes combined with other posterior segment problems. Surgical complications were minimal. A permanent pupillary opening was achieved in all but one case. Visual success was dependent on the underlying disease. One should not operate during active phases of uveitis.- - - - - - - - - - ranking = 3.5keywords = membrane (Clic here for more details about this article) |
8/13. Spontaneous hyphaema from persistent remnant of the pupillary membrane. A case report.A spontaneous unilateral hyphaema in a 75-year-old woman, due to bleeding from iris vessels, a remnant of the pupillary membrane, was observed. Hyphaema was completely resorbed after 24 h. fluorescein angiography showed the presence of a blood circulation in the anomalous vessels and a diffusion of fluorescein from saccular dilatations on the inferior vessel.- - - - - - - - - - ranking = 2.5keywords = membrane (Clic here for more details about this article) |
9/13. Fibrous ingrowth with retrocorneal membrane.A case of retrocorneal fibrous membrane is reported in a patient who underwent cataract extraction and experienced a postoperative hyphema. A distinctive straw-colored appearance to the membrane was due to blood staining. A penetrating keratoplasty with extensive anterior segment surgery restored the eye to useful vision. The penetrating keratoplasty specimen disclosed an unusual double-layered retrocorneal fibrous membrane, produced in part by a vascularized fibrous ingrowth and also by fibroblastic transformation of the corneal endothelial cells.- - - - - - - - - - ranking = 3.5keywords = membrane (Clic here for more details about this article) |
10/13. Low-dose intraocular tissue plasminogen activator treatment for traumatic total hyphema, postcataract, and penetrating keratoplasty fibrinous membranes.tissue plasminogen activator (tPA) has been used to treat severe postcataract and vitrectomy fibrinous membranes, but intraocular bleeding has occurred with doses of 25 micrograms or higher. We report three patients, one with nonclearing total hyphema and uncontrollable intraocular pressure and two with severe fibrinous membrane formation, who had treatment with low-dose (4 micrograms to 6 micrograms) intraocular tPA. Although the fibrinous membranes or hyphema resolved in all three patients, they recurred and bleeding that required additional treatment occurred in one patient. Intraocular low-dose tPA may minimize the risk of corneal and retinal toxicity and may be considered an alternative treatment in intractable cases. However, secondary intraocular hemorrhage can occur, and the timing between the initial vascular injury, treatment with tPA, and subsequent bleeding may reduce the risk of further hemorrhaging.- - - - - - - - - - ranking = 3.5keywords = membrane (Clic here for more details about this article) |
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