Endophthalmitis Vitrectomy Studies

Post-cataract endophthalmitis is a rare but serious complication.1 Recent studies show a rate of postoperative endophthalmitis after cataract surgery of 0.04% to 0.29%.2-4 However, it remains the most important concern for surgeons, because it can have devastating consequences on vision.5 It is recently reported that 9% of patients with endophthalmitis have a poor ocular prognosis (visual acuity <20/100).6

Including all surgeries with suitable follow-up, DMEK patients had a preoperative mean BCVA ± SD of 0.64 ± 0.41 logMAR improving to 0.19 ± 0.16 logMAR at 5 years. A visual acuity of 20/40 or better was reached in 84% of eyes and of 20/25 or better in 48% (Table1).

This case study follows a 63-year-old Caucasian man with a 55-year history of long-standing retinal detachment after trauma. He came into their facility and presented pain and redness, a total hyphema, no light perception vision and an intraocular pressure of 60 mmHg (right eye). He disclosed that he has a history of diabetes and coronary artery disease. He also stated he was hit in the eye with a stone 55 years ago. Following anterior chamber washout, he was found to have neovascular glaucoma. After washout and intraocular pressure control, his visual acuity improved to light perception. He underwent vitrectomy, membrane peeling, endolaser and silicone oil placement to reattach his retina, and then a second retinal reattachment procedure Following

It has gained momentum in modern era among retinal specialists as a well-accepted alternative surgical approach to vitrectomy and scleral bucking for selected cases. (3) Qualified candidates must meet well-defined inclusion criteria in order to achieve the best outcome. The indications for PR include: (4)

Peter Stalmans and associates143 conducted a randomized control trial. Its data support the finding that intravitreal injection of ocriplasmin leads to resolution of vitreomacular traction, induction of posterior vitreous detachment, and closure of a macular hole in some cases. The incidence of vitrectomy was lower among the patients who received ocriplasmin than among those who received placebo. A sham injection would have provided a better comparison with the natural history of the disease process than that provided by the group of patients who received a placebo, which was chosen to control for the effect of an intravitreal injection. The main visual symptom of vitreomacular traction and macular holes is decreased visual acuity. Although more

The surgeon uses microkeratome or a laser to change the shape of the cornea of the eye so that the visual acuity is improved significantly. As it has been observed, this technique leads to permanent effect and this means that you will have complete freedom from glasses. This procedure is so popular that till 2011, over twenty eight million of them had been performed all over the world.

Conjunctival/Tenon’s transposition (Tenonplasty)- in Grade IV burns, anterior segment necrosis can result from loss of limbal vascular blood supply. In severe limbal ischemia, a sterile corneal ulceration can ensue. After removal of necrotic tissue, a tenonplasty (advancement of the conjunctiva and Tenon’s to the limbus) can be employed to reestablish limbal vascularity and facilitate

The OSDI questionnaire was used to quantify the dry eye symptoms before surgery and 2 weeks, 1 month and 3 months postoperatively. In this questionnaire, patients were asked about dry eye symptoms that they had experienced during a 1-week recall period. Each answer was scored on a 4-point scale from zero (indicating no problems) to four (indicating a significant problem). Accordingly, we combined the responses to all of the questions to generate a composite OSDI score that ranged from 0 to 100, with higher OSDI scores indicating more severe symptoms.

Among the wide variety of refractive surgical procedures available for correction of post-keratoplasty refractive errors, the choice is tailored according to patient, ocular and economic factors. Patient's age and occupational demands should be considered during counseling. Cost-effectiveness and technology availability can affect the decision. However, the ocular condition remains the most influential factor in the choice of the best option (Alio et al., 2015).

Some of the risks of vitreoretinal surgery you should be made aware of includes retinal detachment, bleeding and

The rate of progression of cataracts is usually predictable and surgery is successful in restoring vision in a large majority of cases.

In 1748, the first surgical cataract removal occurred in Paris. Topical anesthetic was instilled and an incision was made that went halfway around the cornea and the entire opaque lens was removed. It was important that the lens was “ripened” meaning completely hardened so that the lens would not break into pieces when being removed. Thus this surgery was restricted to only the most advanced cataracts. Fine sutures weren’t available at that time so patients were immobilized with

The prognosis for a macula-off RRD is typically worse than that of a macula-on RRD. The standard of practice in a macula-on RRD is to maintain baseline vision and operate within 24 hours to reduce the possibility of macular detachment.7 In a macula-off RRD, the liquefied vitreous enters the subfoveal space, leading to photoreceptor death and retinal anoxia, which may cause permanent vision loss.7 Multiple studies have shown that surgery should be performed within a window of 7 to 10 days to maximize visual outcome because the longer the photoreceptors are separated from the underlying RPE, the greater the atrophy.5 Kim et. al. showed that the cumulative mean BCVA rapidly worsened when the detachment period exceeded 6 days.8,9 This implies that surgery after a macula-off RD should be done within 7 days.9,10 Hassan et. al. showed that surgery performed within the first 10 days of macular detachment achieved excellent

     Are you ready to give up your glasses or contacts? LASIK vision correction is an up-and-coming procedure designed to reduce your dependence on glasses and contacts. My objective is to show both sides of the procedure, the risks involved and the wonderful possibility of not having to wear glasses or corrective lenses. Of patients with moderate vision impairments who have had the LASIK surgery performed, eighty-two percent achieve 20/20 vision or better and ninety-nine percent achieve 20/40 or better (May 60). However, LASIK vision correction is not for everyone. There are definite risks as well as possible side effects involved. Some of the side effects are hazing, night glare and halos, loss of vision,

About 40 million people in the world are blind and India is home to 1/3 of the world’s blind population. Yet, for many of these cases, it is preventable and treatable. In developing countries, the leading cause of blindness is attributed to cataracts, in which the natural lens of the eye clouds over time. This requires surgical