The Experts below are selected from a list of 28314 Experts worldwide ranked by ideXlab platform
Gholam A Peyman - One of the best experts on this subject based on the ideXlab platform.
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surgical management of cataract and posterior chamber intraocular Lens Implantation in fuchs heterochromic iridocyclitis
International Ophthalmology, 1997Co-Authors: Masoud Soheilian, Farid Karimian, Mohammad Ali Javadi, Hamid Sajjadi, Hamid Ahmadieh, Mohsen Azarmina, Naser Valaee, Bahram Rahmani, Gholam A PeymanAbstract:Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber Lens Implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or Lensectomy(13 eyes) accompanied by posterior chamber intraocular Lens Implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular Lens Implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p< 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P < 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular Lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation.
David D Yu - One of the best experts on this subject based on the ideXlab platform.
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posterior chamber intraocular Lens Implantation combined with Lensectomy vitrectomy and intraretinal foreign body removal
Archives of Ophthalmology, 1992Co-Authors: Madison M Slusher, Craig M Greven, David D YuAbstract:• Two patients with intraretinal foreign bodies and traumatic cataracts were treated with pars plana Lensectomy, vitrectomy, and removal of the foreign body. In each case, it was technically possible to preserve the anterior capsule despite small but obvious rents caused by the foreign body. This allowed support for the placement of a posterior chamber intraocular Lens at the time of the initial repair. Posterior chamber intraocular Lens Implantation may be a useful adjunctive step in the treatment of selected patients with intraocular foreign bodies.
David Meyer - One of the best experts on this subject based on the ideXlab platform.
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small incision trabeculotomy combined with phacoemulsification and intraocular Lens Implantation
Journal of Cataract and Refractive Surgery, 1993Co-Authors: Howard V Gimbel, David MeyerAbstract:Cataract surgeons frequently face the challenge of treating an open-angle glaucoma patient presenting for cataract surgery and intraocular Lens Implantation. It seems logical to treat both problems during the same surgical procedure if it can be done without jeopardizing the results of either. We present a short historic overview of the trabeculotomy procedure in adults, together with our technique using the new Fukasaku modification of the instrumentation (probes and forceps) and report 50 consecutive cases with a 100% three-month follow-up. The mean preoperative intraocular pressure was 19.3 mm Hg (range 16.0 to 37.0 mm Hg); three months after surgery it was 14.2 mm Hg (range 6.0 to 24.0 mm Hg). The mean preoperative pressure-reducing medications were 2.3 drugs per patient, and the postoperative mean was 0.7. Except for three cases of small postoperative hyphemas, no other complications were encountered during the study.
Masoud Soheilian - One of the best experts on this subject based on the ideXlab platform.
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surgical management of cataract and posterior chamber intraocular Lens Implantation in fuchs heterochromic iridocyclitis
International Ophthalmology, 1997Co-Authors: Masoud Soheilian, Farid Karimian, Mohammad Ali Javadi, Hamid Sajjadi, Hamid Ahmadieh, Mohsen Azarmina, Naser Valaee, Bahram Rahmani, Gholam A PeymanAbstract:Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber Lens Implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or Lensectomy(13 eyes) accompanied by posterior chamber intraocular Lens Implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular Lens Implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p< 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P < 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular Lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation.
Hajib N Madhavan - One of the best experts on this subject based on the ideXlab platform.
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postoperative mycobacterium chelonae endophthalmitis after extracapsular cataract extraction and posterior chamber intraocular Lens Implantation
Ophthalmology, 2000Co-Authors: Anand A Ramaswamy, Jyotirmay Biswas, Vinithra Bhaskar, Lingam Gopal, Rama Rajagopal, Hajib N MadhavanAbstract:Abstract Objective To describe a case of postoperative endophthalmitis caused by Mycobacterium chelonae after extracapsular cataract extraction with posterior chamber intraocular Lens Implantation. Design Interventional case report. Methods The history and clinical presentation of a 66-year-old female patient, in whom a low-grade delayed-onset endophthalmitis and keratitis developed after extracapsular cataract extraction with posterior chamber intraocular Lens Implantation, is described. Microbiologic investigations of the scrapings of corneal infiltrate at the cataract incision site, aqueous humor and eviscerated material, and histopathologic study of eviscerated material and an enlarged cervical lymph node were performed. Main outcome measures The clinical, histopathologic, and microbiologic findings in a case of low-grade delayed-onset endophthalmitis. Results Analysis of the direct smear of both the corneal infiltrate as well as the eviscerated material revealed acid-fast bacilli. M. chelonae was isolated from these specimens. Direct smear and culture of the aqueous humor were negative for bacteria (including mycobacteria) and fungus. Histopathologic examination of the eviscerated material showed a dense infiltration of polymorphonuclear leukocytes in the uveal tissue, extensive necrosis and hemorrhage, and exudates with hemorrhage in the vitreous cavity. Histopathologic examination of the lymph node revealed granulomatous inflammation with caseation necrosis, but did not reveal acid-fast bacilli. Conclusions M. chelonae , although infrequent, should be considered an etiologic agent of delayed-onset, postoperative endophthalmitis and early bacterial diagnosis should help in institution of appropriate therapy.