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Visual outcome and surgical results in children with Marfan Syndrome
Eighty-two eyes of 41 patients with a genetically proven diagnosis of Marfan syndrome were retrospectively analysed. Twenty-seven had bilateral subluxation and 14 received lensectomy. Follow-up was three years. Mean visual acuity (VA) was 0.1 ±0.7 logMAR in patients with normal...
Delayed angle closure in pseudophakia and repeated intravitreal therapy
The authors report two cases of acute angle closure many years after uneventful cataract surgery and posterior chamber intraocular lens (IOL) implantation. Both patients had neovascular age-related macular degeneration (AMD) and received regular intravitreal injections (24 and 25 injections in...
Surgery technique for subluxation in Marfan syndrome
The authors evaluated the efficacy and safety of bimanual capsulorrhexis combined with sutureless scleral-fixated IOL implant in children with Marfan syndrome. Seven children (14 eyes) with subluxated lenses underwent bilateral surgery; four female, three male with mean age of 7.1...
Hydrogel expanders in the management of congenital anophthalmia
This is a retrospective case series of 11 anophthalmic orbits in eight children. Anophthalmia can result micro-orbitism, congenital fornix atresia, constricted socket, phimotic lids and reduced palpebral aperture. Expanders play an important role in improving the orbital volume and forniceal...
Local surgical treatment of trigeminal neuralgia
This is a retrospective review of a new surgical treatment of intractable periorbital neuropathic pain. Five patients with post-herpetic (three), post-traumatic (one) and idiopathic (one) neuralgia underwent transection of the nerves supplying the dermatomes affected by the neuropathic pain. The...
Is it worth performing cataract surgery in amblyopic eyes?
It was estimated that about 3% of all cataract surgeries in adults were performed in eyes that have pre-existing amblyopia, and there is a long-standing belief that eyes with amblyopia have limited benefit from cataract extraction in the adult age....
Incidence and factors associated with complication of sutured and sutureless cataract surgery following PPV
This is a retrospective review of 485 patients who had undergone phacoemulsification and IOL implantation after previous pars planar victrectomy (PPV) surgery between May 2000 and May 2014. The incidence and factors contributing to complications were studied. The most common...
Placement of an eyelid weight as an upper lid spacer for lagophthalmos
Upper lid loading with a weight is a well described procedure for the treatment of lagophthalmos and exposure keratopathy. The authors describe a modification of this procedure whereby the levator aponeurosis is recessed in combination with supratarsal weight implantation. The...
RCT of IOL type
The optical performance of pseudophakic eyes were compared after implantation of spherical and aspheric IOLs in paediatric patients after cataract surgery. This randomised controlled trial included 40 eyes of 23 patients: 20 eyes in each group. Follow-up was over three...
Treatment of infantile cataract with secondary IOLs
The authors examined whether secondary IOL insertion is helpful in the successful treatment of monocular infantile cataracts. Eleven children were reviewed: eight with cataract extraction at one to four months of age and three at five to seven months of...
