1/6. Managing a dropped nucleus during the phacoemulsification learning curve.Three patients had a pars plana vitrectomy to remove retained nuclei within 72 hours after phacoemulsification performed by a surgeon making the transition from extra-capsular cataract extraction to phacoemulsification. After vitrectomy, the nuclei were brought to the midvitreous cavity from the retinal surface with a posterior segment phacofragmenter, emulsified, and completely removed. Then, a posterior chamber intraocular lens was implanted in the sulcus through the previous cataract surgery incision and remained well centered postoperatively. postoperative complications included cystoid macular edema in 1 patient and choroidal detachment in another. No other complications were detected. Final visual acuity ranged from 20/60 to 20/30.- - - - - - - - - - ranking = 1keywords = edema (Clic here for more details about this article) |
2/6. corneal edema with dislocated anterior polar cataract.PURPOSE: To report an unusual manifestation of anterior polar cataract. methods: Observational case report. A 35-year-old woman presented with localized inferior corneal edema associated with a white nodular lesion on the iris. The anterior lens capsule was deficient centrally with scrolled edges and an underlying subcapsular opacity. The nodule was removed surgically and subjected for histopathologic examination. RESULTS: The histopathologic examination of the white nodular lesion showed parallel collagen fibers that were positive for collagen on the Masson trichrome stain. Correlating with clinical features, these findings were suggestive of dislocated anterior polar cataract. CONCLUSION: Anterior pyramidal cataract may dislocate spontaneously and present as an anterior chamber foreign body and may even lead to corneal endothelial cell loss.- - - - - - - - - - ranking = 3030.3691387775keywords = corneal edema, edema (Clic here for more details about this article) |
3/6. In vivo confocal microstructural analysis and surgical management of Brown-Mclean syndrome associated with spontaneous crystalline lens luxation.We report 3 members of an extended family who presented with bilateral peripheral corneal edema consistent with Brown-McLean syndrome. On clinical examination, all eyes demonstrated normal central corneas and marked peripheral edema. In vivo confocal microscopy of the peripheral cornea highlighted similar observations in the 6 eyes including endothelial pigmentation, masked stromal structure due to edema, prominent nerves, and localized basal epithelial edema. In the central cornea, in vivo confocal microscopic observations highlighted large cellular structures with prominent nuclei in groups consisting of several cells of similar appearance. In vivo confocal microscopy may enhance the diagnosis of Brown-McLean syndrome and may be used for dynamic evaluation and postoperative follow-up of the structural corneal changes.- - - - - - - - - - ranking = 3029.3691387775keywords = corneal edema, edema (Clic here for more details about this article) |
4/6. Bottle-cork injury to the eye: a review of 13 cases.PURPOSE: To analyze the anatomic and functional consequences of wine-cork injury to the eye in relation to the patient's age and the type of cork and wine. methods: We retrospectively studied 13 patients, six women and seven men, presenting to our department with bottle-cork injury to the eye between January 1999 and June 2001. RESULTS: All patients presented with closed-globe injury according to Kuhn et al's classification. All the cases were injured by bottle corks from sparkling wine: white in ten cases and red in three. Mean visual acuity at admission was 20/100 (range, hand motion to 20/20). The most frequent early injury was anterior chamber hyphema (84.6%), followed by corneal injury (62.2%), ocular hypertension (46.1%), lens subluxation (30.8%), traumatic cataract (23.1%), and post-traumatic retinal edema (23.1%). Mean final visual acuity was 20/25; the follow-up ranged from 3 to 29 months, averaging 16.1 months. Late complications were as follows: pupil motility anomalies (38.5%), traumatic cataract (30.8%), iridodialysis (15.4%), traumatic optic neuropathy (7.7%), post-traumatic glaucoma (7.7%), and traumatic maculopathy (15.4%). Surgical treatment was necessary in two cases (15.4%). CONCLUSIONS: Bottle-cork eye injuries account for 10.8% of post-traumatic hospital admissions to our department. Most of them are due to sparkling white wine served at room temperature. There is no correlation between ocular injury and the eye-bottle distance or the type of cork.- - - - - - - - - - ranking = 1keywords = edema (Clic here for more details about this article) |
5/6. Bee sting-induced ocular changes.A six-year-old boy was stung by a bee on his right cornea. A severe conjunctival injection, chemosis, marked corneal edema, and hyphema developed. A partially dislocated lens, partial iris atrophy, and cataract formation were subsequently noted. He was treated with systemic and topical corticosteroids. Later, the subluxated cataract was removed through the pars plana approach.- - - - - - - - - - ranking = 3026.3691387775keywords = corneal edema, edema (Clic here for more details about this article) |
6/6. Complications of retained nuclear fragments in the anterior chamber after phacoemulsification with posterior chamber lens implant.PURPOSE: We report two cases in which retained nuclear fragments in the anterior chamber after phacoemulsification and posterior chamber lens implant resulted in intraocular complications. methods: case reports. RESULTS: In two eyes of two patients, retained nuclear fragments resulted in minimal anterior chamber reaction but substantial corneal edema and reduced visual acuity. Topical anti-inflammatory medications did not alter the postoperative course. Improvement occurred only when the nuclear fragments were surgically removed. CONCLUSIONS: Retained nuclear fragments in the anterior chamber can cause corneal edema and reduced vision that may be reversed by removing the fragments.- - - - - - - - - - ranking = 6052.7382775551keywords = corneal edema, edema (Clic here for more details about this article) |