The Experts below are selected from a list of 93 Experts worldwide ranked by ideXlab platform
Juha Välimäki - One of the best experts on this subject based on the ideXlab platform.
-
Cataract surgery in patients with glaucoma drainage implants: the hooked tube technique
International Ophthalmology, 2019Co-Authors: Juha VälimäkiAbstract:Purpose Cataract surgery has been reported to adversely affect the IOP control in eyes with the glaucoma drainage implant (GDI). One reason might be the flow of lens debris/viscoelastic material through the GDI tube into the bleb. This pilot study was conducted to determine the clinical results of a novel technique for temporary occlusion of the GDI tube with an Iris Retractor hook during phacoemulsification. Methods Retrospective analysis of 15 patients (control group) who underwent phacoemulsification between January 2005 and December 2010 and 17 patients (treatment group) who underwent phacoemulsification with the hooked tube technique between January 2011 and April 2016 with a minimum 1-year follow-up. Results The IOP remained within 4 mmHg of the preoperative level in all eyes of the treatment group. Three eyes exhibited IOP spikes (≥ 10 mmHg) among controls. The mean postoperative IOP at 1 month was statistically significantly increased in the control group compared with the treatment group ( P = 0.040). The number of antiglaucoma medications at 3 and 6 months was significantly increased in the control group (1.4 ± 1.1 vs. 1.7 ± 1.1; P = 0.041, 1.4 ± 1.1 vs. 2.3 ± 1.2; P = 0.017, respectively). After phacoemulsification, there was a significant increase in the mean number of antiglaucoma medications used at 6 months in the control group compared with the treatment group ( P = 0.049). In both groups, one eye developed corneal decompensation. Conclusions The hooked tube technique seems to provide an effective way to reduce the risk of the IOP spikes after cataract surgery in eyes with GDI.
-
Cataract surgery in patients with glaucoma drainage implants: the hooked tube technique.
International Ophthalmology, 2018Co-Authors: Juha VälimäkiAbstract:Purpose Cataract surgery has been reported to adversely affect the IOP control in eyes with the glaucoma drainage implant (GDI). One reason might be the flow of lens debris/viscoelastic material through the GDI tube into the bleb. This pilot study was conducted to determine the clinical results of a novel technique for temporary occlusion of the GDI tube with an Iris Retractor hook during phacoemulsification.
Philip Alexander - One of the best experts on this subject based on the ideXlab platform.
-
management of intraoperative floppy Iris syndrome associated Iris prolapse using a single Iris Retractor
Journal of Cataract and Refractive Surgery, 2009Co-Authors: Naing L Tint, Aaron M Yeung, Philip AlexanderAbstract:Tamsulosin is an α 1 -adrenergic antagonist known to be linked with intraoperative floppy-Iris syndrome (IFIS), which is characterized by Iris atonicity and a propensity toward progressive intraoperative pupil constriction and Iris prolapse. We present 2 strategies for managing IFIS-associated Iris prolapse. Placement of a single subincisional Iris Retractor following reposition of the prolapsed Iris was the more successful approach. We recommend consideration of this approach in all cases of Iris prolapse.
Rohit Saxena - One of the best experts on this subject based on the ideXlab platform.
-
modified flexible Iris Retractor to retract superior Iris and support inferior capsule in eyes with Iris coloboma and inferior zonular deficiency
Journal of Cataract and Refractive Surgery, 2006Co-Authors: Harinder Singh Sethi, Ankur Sinha, Rohit SaxenaAbstract:Flexible nylon Iris Retractors are a useful adjunct to cataract surgery in cases of small pupil and subluxated lenses. A modification is presented of the standard application of Iris hooks to retract the superior Iris and support the inferior capsule during phacoemulsification in cases of Iris coloboma with inferior zonular deficiency. Three Iris hooks are applied to retract the Iris, and 2 Iris hooks are applied to the inferior capsule margin to support the crystalline lens in that quadrant. Clear corneal temporal phacoemulsification is then performed with adequate pupillary diameter and capsular support.
Naing L Tint - One of the best experts on this subject based on the ideXlab platform.
-
management of intraoperative floppy Iris syndrome associated Iris prolapse using a single Iris Retractor
Journal of Cataract and Refractive Surgery, 2009Co-Authors: Naing L Tint, Aaron M Yeung, Philip AlexanderAbstract:Tamsulosin is an α 1 -adrenergic antagonist known to be linked with intraoperative floppy-Iris syndrome (IFIS), which is characterized by Iris atonicity and a propensity toward progressive intraoperative pupil constriction and Iris prolapse. We present 2 strategies for managing IFIS-associated Iris prolapse. Placement of a single subincisional Iris Retractor following reposition of the prolapsed Iris was the more successful approach. We recommend consideration of this approach in all cases of Iris prolapse.
Harinder Singh Sethi - One of the best experts on this subject based on the ideXlab platform.
-
modified flexible Iris Retractor to retract superior Iris and support inferior capsule in eyes with Iris coloboma and inferior zonular deficiency
Journal of Cataract and Refractive Surgery, 2006Co-Authors: Harinder Singh Sethi, Ankur Sinha, Rohit SaxenaAbstract:Flexible nylon Iris Retractors are a useful adjunct to cataract surgery in cases of small pupil and subluxated lenses. A modification is presented of the standard application of Iris hooks to retract the superior Iris and support the inferior capsule during phacoemulsification in cases of Iris coloboma with inferior zonular deficiency. Three Iris hooks are applied to retract the Iris, and 2 Iris hooks are applied to the inferior capsule margin to support the crystalline lens in that quadrant. Clear corneal temporal phacoemulsification is then performed with adequate pupillary diameter and capsular support.