1/14. Treatment of a cyclodialysis cleft by means of ophthalmic laser microendoscope endophotocoagulation.PURPOSE: To report on the repair of a cyclodialysis cleft by means of endolaser photocoagulation. METHOD: Case report. We describe treatment of a cyclodialysis cleft by means of endolaser photocoagulation with a diode laser. RESULTS: In a 8-year-old boy with pseudophakia and secondary glaucoma in the right eye, combined trabeculectomy/trabeculotomy was performed. Ten months later, the patient was seen with persistent hypotony with a flat filtration bleb. The hypotony was unresponsive to all forms of medical therapy. Reformation of the anterior chamber along with synechialysis revealed a 2.5 clock-hour cyclodialysis cleft by means of gonioscopy. A laser microendoscope probe was used and laser was applied to both the internal scleral and external ciliary body surfaces within the depths of the cleft. Within 3 weeks after treatment, intraocular pressure increased to 15 mm Hg and has remained at that level as of 9 months after the endolaser photocoagulation procedure. CONCLUSION: Endolaser photocoagulation with the ophthalmic laser microendoscope may be an appropriate procedure, after failure of medical therapy, for the diagnosis and repair of a cyclodialysis cleft, especially in the pediatric population.- - - - - - - - - - ranking = 1keywords = pseudophakia (Clic here for more details about this article) |
2/14. Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery.PURPOSE: To report the clinical features and management of two patients with pseudophakic anterior capsule contraction with secondary tractional ciliary body detachments and hypotonous choroidal effusions. methods: case reports. RESULTS: In two eyes of two patients with pseudophakia, severe anterior lens capsule contraction and tractional ciliary body detachments, anterior capsulotomy (one Nd:YAG laser, one surgical), was followed by resolution of the ocular hypotony and resolution/nonrecurrence of the choroidal effusions. In both cases, continuous curvilinear capsulorhexis was used during cataract surgery. CONCLUSION: Anterior capsule contraction following pseudophakia may result in tractional ciliary detachment and secondary ocular hypotony. Radial anterior capsulotomy appeared to be effective in both cases.- - - - - - - - - - ranking = 2keywords = pseudophakia (Clic here for more details about this article) |
3/14. Chronic bacterial endophthalmitis in pseudophakia.The present report describes a case of bacterial endophthalmitis which was suppressed with topical and systemic corticosteroids for 3 1/2 months in the belief that the uveitis was a sterile reaction. Subsequent pars plana vitrectomy and microbiological work-up disclosed an infection with coagulase-negative staphylococci. The patient was treated with intraocular and systemic antibiotics, and the inflammation settled rapidly. It is concluded that infectious endophthalmitis should be suspected after intraocular surgery when the intraocular inflammation is unexpectedly exaggerated. A diagnosis of sterile uveitis should be made only after careful evaluation which includes a proper microbiological work-up.- - - - - - - - - - ranking = 4keywords = pseudophakia (Clic here for more details about this article) |
4/14. Pars plana vitrectomy for persistent, visually significant vitreous opacities.PURPOSE: To evaluate the role of vitrectomy in patients with persistent, visually disabling vitreous opacities. methods: Six consecutive eyes of five men (age 58-66 years) with pseudophakia or aphakia and vitreous opacities resulting in visual symptoms for more than 1 year that underwent vitrectomy were retrospectively reviewed. Postoperative questionnaires regarding functional performance and quality-of-life issues were completed by the participants to assess subjective patient satisfaction. RESULTS: Postoperative Snellen visual acuity was improved or equal to preoperative acuity in all cases (8-44 month follow-up) and there were no surgical complications. All patients expressed high satisfaction with overall visual function. Analysis of the National eye Institute Visual Function Questionnaire-39 indicated that general vision, near activities, distance activities, mental health, role difficulties, and peripheral vision were significantly improved (P < 0.05) following surgical intervention. CONCLUSIONS: vitrectomy may be indicated in a select group of patients with visually disabling vitreous floaters, although objective assessment of visual dysfunction from vitreous floaters requires further evaluation.- - - - - - - - - - ranking = 1keywords = pseudophakia (Clic here for more details about this article) |
5/14. Bipseudophakia: clinicopathological correlation of a dropped lens.PURPOSE: To examine postmortem human globes containing an anterior chamber and a posterior chamber intraocular lens (IOL). SETTING: Center for research on Ocular therapeutics and Biodevices, Storm eye Institute, Charleston, south carolina, USA. methods: The globes were sectioned at the equator, and the anterior and posterior segments were macroscopically examined. Gross photographs were taken using the Miyake-Apple posterior photographic technique. Histological sections were cut and stained with hematoxylin and eosin, periodic acid-Schiff, and Masson's trichrome. RESULTS: Histopathological findings included a large Soemmering's ring, a tear in the posterior capsule, 1 haptic of the anterior chamber IOL displaced into the iridectomy, thin and atrophic corneal epithelium, separation of Bowman's layer and stroma by fibrovascular tissue, and atrophy of the retinal ganglion cell layer and nerve fiber layer. CONCLUSION: In cases in which secondary IOL implantation is indicated, removing the dislocated IOL appears to be a reasonable choice.- - - - - - - - - - ranking = 4keywords = pseudophakia (Clic here for more details about this article) |
6/14. Bipseudophakia. Clinicopathological findings of a pseudophakic human globe obtained postmortem implanted with an anterior chamber and a posterior chamber intraocular lens.We report the clinicopathological findings of a human pseudophakic globe obtained postmortem, containing both anterior and posterior chamber intraocular lens, a condition we termed "bipseudophakia".- - - - - - - - - - ranking = 5keywords = pseudophakia (Clic here for more details about this article) |
7/14. Cystoid macular edema associated with latanoprost use in a pseudophakic eye with a history of surgical complications.PURPOSE: To report the development of cystoid macular edema following the use of topical latanoprost in an eye with glaucoma and pseudophakia. CASE: A 73-year-old woman with bilateral pseudophakia and glaucoma had been treated with topical carteolol hydrochloride and isopropyl unoprostone bilaterally. One month later the unoprostone was replaced by latanoprost bilaterally. After 1 month, the patient complained of decreased vision in the right eye, which had a history of surgical complications. RESULTS: fluorescein angiography showed cystoid macular edema in the right fundus. The edema disappeared 2 weeks after the discontinuation of latanoprost. Cystoid macular edema did not develop in the left eye, which had no history of surgical complications. CONCLUSION: These observations suggest that latanoprost may cause cystoid macular edema in an eye with a history of surgical complications.- - - - - - - - - - ranking = 2keywords = pseudophakia (Clic here for more details about this article) |
8/14. Cystoid macular edema in aphakia and pseudophakia after use of prostaglandin analogs.Prostaglandin analogs are powerful ocular hypotensive agents that may also be associated with a breakdown of the blood-retinal barrier and cystoid macular edema. The association is evident in pseudophakic or aphakic patients. This paper presents a case of unilateral latanoprost-associated clinical cystoid macular edema in a bilaterally pseudophakic patient; the only difference between the two eyes was the presence of a capsulotomy in the affected eye. We review the literature concerning prostaglandin analog-associated cystoid macular edema, as well as the evidence for prostaglandin analog-associated breakdown of the blood-retinal barrier. Although some evidence is suggestive of a connection between prostaglandin analogs and cystoid macular edema, many questions concerning the complex physiology of prostanoids remain. Until our understanding of these issues is more advanced, judicious use of prostaglandin analogs in patients at risk for cystoid macular edema would be prudent.- - - - - - - - - - ranking = 4keywords = pseudophakia (Clic here for more details about this article) |
9/14. Management of bipseudophakia with implantation of an iris claw lens.We discuss a case of bipseudophakia with secondary dislocation of a posterior chamber intraocular lens (IOL) into the anterior chamber that was managed by explantation of the anterior and posterior chamber IOLs and implantation of an iris claw IOL.- - - - - - - - - - ranking = 5keywords = pseudophakia (Clic here for more details about this article) |
10/14. Malignant glaucoma as a complication of Nd:YAG laser posterior capsulotomy.A 79-year-old woman with pseudophakia who underwent Nd:YAG posterior capsulotomy for posterior capsular opacification in her right eye had increased intraocular pressure associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce the intraocular pressure. B-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical and surgical therapy normalized the intraocular pressure and resolved the symptoms of malignant glaucoma.- - - - - - - - - - ranking = 1keywords = pseudophakia (Clic here for more details about this article) |
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