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Query: UMLS:C0086543 (cataract)
 29,165 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Suprachoroidal hemorrhage(SH) may cause the expulsion of the intraocular contents. Vitreous incarceration in the wound and retinal detachment with SH are extremely poor prognostic signs. Treatment modalities depend on the severity of eye damage. This particular patient had "kissing" hemorrhagic choroidal detachment which completely filled the vitreous cavity after cataract surgery. It seemed to be inoperable. Secondary surgery was delayed 3 days to lower IOP to normal levels. The eye underwent anterior drainage sclerotomy under constantly-maintained limbal or pars plana infusion fluid line pressure. The authors performed a pars plana vitrectomy, followed by perfluorocarbon liquid injection and a silicone oil tamponade. After this surgical approach, the patient attained an attached retina and a visual acuity of 5/200 at the 3 month follow-up.
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PMID:Massive suprachoroidal hemorrhage with retinal and vitreous incarceration; a vitreoretinal surgical approach. 1093 18

The outcome of combined same-site phacoemulsification, posterior chamber lens implantation and trabeculectomy was retrospectively studied in patients with cataract and moderately controlled glaucoma, with a follow-up of at least 6 months. Primary phacotrabeculectomy without antimetabolites was performed in 74 patients. Mean IOP decreased from 22.8 to 14.3 mm Hg (35.3%). A maximum IOP of 19 mm Hg without glaucoma medication was reached in 66.2%. Mean logMAR visual acuity increased from 0.58 to 0.30. Primary phacotrabeculectomy has been shown to be a safe and effective procedure with good IOP control and rapid visual rehabilitation.
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PMID:Phacotrabeculectomy. 1111 10

Peters' anomaly is not an isolated anterior segment abnormality, but occurs as a diverse, phenotypically heterogeneous condition associated with multiple underlying ocular and systemic defects. Surgical treatment of Peters' anomaly is a complex and challenging undertaking. The broad spectrum of disease severity, the lack of uniformity in clinical features, the differences and overlap of preoperative risk factors, and the variability in the numbers and types of intraocular procedures that are performed on individual eyes, as well as postoperative complications all contribute to the difficulties involved in surgical management. This article discloses useful information pertaining to keratoplasty for Peters' anomaly. The study by Yang et al showed that long-term graft clarity could be achieved in 36% of eyes. However, 93% of all clear grafts were first grafts, whereas only 7% were second grafts. All third or subsequent grafts failed. Other important findings were: (1) the significantly greater chance of maintaining a clear graft with initial grafts, compared with subsequent grafts; (2) the disclosure of periods of differential risk for graft failure; and (3) the identification of risk factors for graft failure. Surgical intervention involving one or more procedures is effective in controlling IOP in 32% of eyes with associated congenital glaucoma. Still, multiple procedures and adjunctive medical therapy are often required to achieve and maintain adequate IOP control. The visual outcome is guarded in children with Peters' anomaly. Achieving a satisfactory visual outcome and preventing further visual loss is impeded by the presence of congenital anterior and posterior segment anomalies, structural defects of the CNS, cognitive dysfunction and amblyopia, as well as postoperative complications such as graft failure, cataract, inoperable retinal detachment, and phthisis.
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PMID:Peters' anomaly. A synopsis of surgical management and visual outcome. 1170 47

An acute open angle glaucoma of the right eye was diagnosed in an 8-year-old male Yorkshire terrier which was presented with anorexia, depression, and trembling. Abnormal findings of the right eye on admission included elevated intraocular pressure (IOP; 40 mmHg), the presence of fibrin and flare in the anterior chamber, and immature cataract. Morphological abnormalities of the iridocorneal angle were not detected, and an open angle was seen in the eye. Although an elevated IOP was observed at one year after admission, lowering IOP (< or = 24 mmHg) was maintained with medical therapy using dichlorphenamide (DCPA) and timolol maleate, DCPA alone, or no-treatment for 1973 days. This case suggests that lower IOP can be maintained with medical therapy alone for a long period in a patient with open angle glaucoma.
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PMID:Long-term management of a glaucomatous eye in a dog treated with medical therapy alone. 1178 11

The purpose of this study was to evaluate a nonfiltering glaucoma technique viscocanalostomy alone or in combination with small incision phacoemulzification and intraocular lens (IOL) implantation. From January 1999 to February 2001 viscocanalostomy was performed in 18 patients with medically uncontrolled primary open angle glaucoma. In 10 patients with cataract and primary open angle glaucoma combined operation phacoemulsification and viscocanalostomy was performed. The mean IOP reduction remained statistically significant after 12 months in both groups (p < 0.01). There was also a significant decrease in the antiglaucoma medications in both groups postoperatively. Perforation of trabeculo-Descemet's membrane occurred in two eyes with POAG and the procedure was completed as trabeculectomy, and those patients were excluded from the study. Good hypotensive effect with very low complications rate was achieved. Such a low complication rate makes this operation particularly attractive to surgeons who perform an increasing number of operations in outpatient's bases.
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PMID:Visco and phacoviscocanalostomy in managing glaucoma patients. 1267 50

The paper is a statistical retrospective trial that evaluates the prevalence of postoperative complications of the cataract surgery in the IInd Department of Ophthalmology Timisoara. The parameters of interest were the type and the frequency of the postoperative complication encountered after the extracapsular cataract extraction (ECCE) followed by a PMMA intraocular lens (IOL) implantation. The most frequent early postoperative complications were endoepithelial comeal edema (20.8%), inflammatory complications (uveitis) (8.72%), hemorrhagic complications (4.02%), and postoperative rise of IOP (8.05%). Out of late complication, we encountered cystoid macular edema (1.34%), bullous keratopathy (1.34%), IOL malposition (0.67%) and secondary glaucoma (1%).
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PMID:[Postoperative complications in cataract surgery]. 1288 80

The authors try to establishes the algorithm for the treatment in patients who have both cataract and glaucoma. Clinicians must decide when to do cataract surgery, when to do glaucoma surgery and when to do a combined procedure, as well as decide which technique is appropriate. The paper presents a comparative analyze on three groups of patients who have this pathological association, regarding the factors involved in the surgery decision process and the postoperative results (visual acuity--VA, intraocular pressure--IOP, complications).
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PMID:[Surgical decision in both cataract and glaucoma]. 1297 35

We present a technique that uses intracameral lidocaine to induce pupil dilation without using preoperative mydriatic eyedrops. After 1 or 2 drops of topical lidocaine hydrochloride 1% (Xylocaine-MPF 1%) are applied to the ocular surface, a 1.0 mm side-port incision is created through which Xylocaine-MPF 1% is injected into the anterior chamber. The lidocaine paralyzes the pupil sphincter, and adequate mydriasis occurs within 90 seconds. Epinephrine (0.3 cc of 1:1000) is added to the irrigation fluid comprising balanced salt solution (BSS), and standard phacoemulsification with intraocular lens implantation is performed. Pupil dilation is maintained or increased during the procedure. Postoperatively, the pupil returns more quickly to normal size and reaction. Using lidocaine for mydriasis instead of standard dilating drops eliminates the cardiac risk of topical sympathetic agents, decreases the time patients wait in the holding area before surgery, reduces the risk of superficial punctate keratopathy, and provides faster recovery of normal pupil function.
J Cataract Refract Surg 2003 Dec
PMID:Cataract surgery without preoperative eyedrops. 1513 Jun 18

Trabeculectomy is the most commonly used glaucoma procedure for combined glaucoma-cataract surgery. The results are, however, challenged by rather frequent exudation of fibrin into the auterior chamber. Therefore, two separate procedures can be recommended if there is no urgent need for a combined glaucoma-cataract operation. The other glaucoma procedures that were described in combination with cataract surgery are trabeculotomy, deep sclerectomy, viscocanalostomy, trabecular aspiration, and laser trabecular ablation. The IOP lowering effect of these procedures seems somewhat less effective. However, there is also a lower complication rate. In combined procedures, a separate temporal clear cornea approach for phacoemulsification is superior to a one-site approach. Nuclear expression techniques and corneoscleral incisions should no longer be used in combined glaucoma-cataract surgery.
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PMID:[Combined glaucoma-cataract surgery]. 1516 69

A case of an 85 year-old white man with bilateral senile cataract and advanced primary open-angle glaucoma uncontrolled with maximal medical therapy, asteroid hyalosis in OD and age-related macular degeneration in OS, submitted to a phacotrabeculectomy OU with mitomycin-C is reported. Because the surgery failed in both eyes, even after laser suture lysis, 5-FU injections and needling, it was necessary to reintroduce hypotensive agents. With the fixed combination of 0.5% timolol+2% dorzolamide, a serous choroidal detachment with marked hypotony developed in both eyes; with 1% brinzolamide it only occurred in the OS. The IOP raised and the choroidal detachment resolved completely after discontinuation of the medications. The dilemma was finally solved through repeat needling with subconjunctival 5-FU injections.
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PMID:[Late and recurrent serous choroidal detachment after trabeculectomy: case report]. 1982 Aug 1


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