Dupps, William J. Jr MD, PhD
doi : 10.1097/j.jcrs.0000000000000858
December 2021 - Volume 47 - Issue 12 - p 1497-1498
Barrett, Graham D. MD, FRANZCO
doi : 10.1097/j.jcrs.0000000000000842
December 2021 - Volume 47 - Issue 12 - p 1499-1501
Spalton, David J. FRCS
doi : 10.1097/j.jcrs.0000000000000843
December 2021 - Volume 47 - Issue 12 - p 1502
Sia, Rose K. MD; Ryan, Denise S. MS; Beydoun, Hind PhD; Eaddy, Jennifer B. OD; Logan, Lorie A. OD; Rodgers, Samantha B. MD; Rivers, Bruce A. MD
doi : 10.1097/j.jcrs.0000000000000689
December 2021 - Volume 47 - Issue 12 - p 1503-1510
To assess early visual outcomes and military task performance after small-incision lenticule extraction (SMILE) among U.S. military service members.
Vingopoulos, Filippos MD; Zisimopoulos, Athanasios MD; Kanellopoulos, Anastasios John MD
doi : 10.1097/j.jcrs.0000000000000687
December 2021 - Volume 47 - Issue 12 - p 1511-1518
To define and compare the centration of the ablation effect in laser in situ keratomileusis (LASIK) with the corresponding effect in small-incision lenticule extraction (SMILE), in myopic laser vision correction to possibly explain the refractive performance differences noted between the two procedures in a contralateral eye study.
Reynolds, Margaret MD; Hoekel, James OD; Tychsen, Lawrence MD
doi : 10.1097/j.jcrs.0000000000000678
December 2021 - Volume 47 - Issue 12 - p 1519-1523
To assess the safety of intraocular collamer lens (ICL) implantation in children with high ametropia by reporting rates and case specifics of perioperative and longer-term adverse events (AEs).?
Yurttaser Ocak, Serap MD; Mangan, Mehmet Serhat MD
doi : 10.1097/j.jcrs.0000000000000686
December 2021 - Volume 47 - Issue 12 - p 1530-1534
To report the intraoperative changes in corneal pachymetry, as well as the efficacy and safety of accelerated corneal crosslinking (A-CXL) treatment using only hypo-osmolar riboflavin (HO-RF) solution in progressive keratoconus patients with thin corneas.
Barberá-Loustaunau, Emanuel MD; Basanta, Iván MD; Vázquez, José MD; Durán, Pablo MD; Costa, María MD; Couñago, Felipe MD PhD; Garzón, Nuria PhD; Ángel Sánchez-Tena, Miguel PhD
doi : 10.1097/j.jcrs.0000000000000688
December 2021 - Volume 47 - Issue 12 - p 1535-1541
To compare the time spent on toric intraocular lens (IOL) implantation during cataract surgery using a manual-marking vs a digital image–guided system (t Verion) for toric IOL alignment.
Abulafia, Adi MD; Rein, Adi Porat MD; Weill, Yishay MD; Zadok, David MD; Mourits, Maarten P. MD, PhD; Lapid-Gortzak, Ruth MD, PhD
doi : 10.1097/j.jcrs.0000000000000671
December 2021 - Volume 47 - Issue 12 - p 1542-1547
To compare calculated corneal surgically induced astigmatism (SIA) by means of anterior-based keratometry (K) and total keratometry (TK) measurements made by 2 biometric devices.
Spadea, Leopoldo MD; Zanotto, Elisa PhD; Cavallo, Rossana MD, PhD; Campagna, Giuseppe PhD; Giannico, Maria Ilaria MD; Costagliola, Ciro MD; ELOOM Study Investigators
doi : 10.1097/j.jcrs.0000000000000672
December 2021 - Volume 47 - Issue 12 - p 1548-1555
To evaluate the antimicrobial effectiveness of a liposomal ozonized oil solution used as a home therapy in patients undergoing cataract surgery. Antimicrobial efficacy was evaluated as the reduction in the bacterial load of the most common bacteria isolated from cases with endophthalmitis.
Reilly, Grace R. BS; Tipton, Caroline W. BS; Armbrust, Karen R. MD, PhD; Boyd, Kelly BA; Murray, Jared J. MD; Kopplin, Laura J. MD, PhD; Berkenstock, Meghan K. MD
doi : 10.1097/j.jcrs.0000000000000676
December 2021 - Volume 47 - Issue 12 - p 1556-1560
To investigate complications and outcomes of clear corneal incision cataract surgery in patients with thrombocytopenia.
Freissinger, Sigrid MD; Vounotrypidis, Efstathios MD; Stetzer, Eva PhD; Bayer, Iris MD; Shajari, Mehdi MD; Kreutzer, Thomas MD; Keidel, Leonie MD; Kern, Christoph MD; Priglinger, Siegfried MD, PhD; Wolf, Armin MD, PhD
doi : 10.1097/j.jcrs.0000000000000684
December 2021 - Volume 47 - Issue 12 - p 1561-1567
To evaluate functional outcome after retinal detachment (RD) repair surgery in eyes with a multifocal intraocular lens (mIOL).
Witsberger, Emily M. MD; Maguire, Leo J. MD; Patel, Sanjay V. MD, FRCOphth
doi : 10.1097/j.jcrs.0000000000000685
December 2021 - Volume 47 - Issue 12 - p 1568-1572
To quantify changes in manifest refractive error and mean keratometric power (Km) at 1 month and ?12 months after Salzmann nodule excision.
Fernández-Vigo, José Ignacio MD, PhD, FEBO; Shi, Hang MD, PhD; Almorín-Fernández-Vigo, Ignacio MD, PhD; Burgos-Blasco, Bárbara MD; De-Pablo-Gómez-de-Liaño, Lucía MD, PhD; Kudsieh, Bachar MD, PhD; Fernández-Vigo, José Ángel MD, PhD; Macarro-Merino, Ana MD, PhD
doi : 10.1097/j.jcrs.0000000000000832
December 2021 - Volume 47 - Issue 12 - p 1573-1580
To assess the dimensions of the limbus–ciliary sulcus region measured by swept-source optical coherence tomography (SS-OCT) and conduct a correlation study in a large healthy population.
Özalp, Onur MD; Atalay, Eray MD; Y?ld?r?m, Nilgün MD
doi : 10.1097/j.jcrs.0000000000000669
December 2021 - Volume 47 - Issue 12 - p 1524-1529
To determine the prevalence of keratoconus (KC) in the students and faculty members (aged ?18 and ?30 years) studying/working at the Medical and Health Sciences faculties of Eski?ehir Osmangazi University.
O'Rourke, Micheal MB, FRCSI(Ophth), FEBO, PhD; Knowles, Susan J. MB, BCh, BAO, DCH; Curry, Anya BSc, MS; Kealy, Nikita BSc; Barry, Peter FRCS; Khan, Rizwana MBBS, FRCSI, MRCOphth
doi : 10.1097/j.jcrs.0000000000000599
December 2021 - Volume 47 - Issue 12 - p 1581-1586
To assess the effectiveness of current antiseptic agents on multidrug-resistant (MDR) isolates in an in vitro setting.
Fernández, Joaquín MD, PhD; Rodríguez-Vallejo, Manuel OD, PhD; Burguera, Noemí OD, PhD; Rocha-de-Lossada, Carlos MD; Piñero, David P. OD, PhD
doi : 10.1097/j.jcrs.0000000000000713
December 2021 - Volume 47 - Issue 12 - p 1587-1595
The increase in the depth of focus (DoF) for the treatment of presbyopia or cataracts is a topic of great interest for anterior segment surgeons who have seen how new surgical possibilities to achieve DoF enlargement have emerged. Nowadays, several technologies to extend the DoF are available, from corneal laser refractive surgery procedures in presbyopia to intraocular lens (IOL) implantation in cataract or refractive lens exchange. Some of these procedures are based on aspheric profiles, either in the cornea or in the IOL, which modulate the spherical aberration (SA) and, therefore, extend the light energy on different focal planes. The aim of this narrative review was to give an overall picture about the reasons why there is not a general solution persistent along time of SA induction to extend DoF, especially considering that SA depends on pupil diameter and this decreases with age.
Ong, Ariel Yuhan MBChB, BMedSci(Hons); Naughton, Aoife MB BCh BAO, FRCOphth; Stone, Niamh MBChB, FRCOphth; Aslam, Sher BM DPhil, FRCOphth; Higham, Aisling MBBS, MSc, FRCOphth
doi : 10.1097/j.jcrs.0000000000000647
December 2021 - Volume 47 - Issue 12 - p 1596-1597
Liu, Christopher OBE, FRCOphth, FRCSEd, FRCP
doi : 10.1097/j.jcrs.0000000000000648
December 2021 - Volume 47 - Issue 12 - p 1598
Santhiago, Marcony R. MD, PhD
doi : 10.1097/j.jcrs.0000000000000853
December 2021 - Volume 47 - Issue 12 - p 1599
A 21-year-old man was referred for refractive surgery evaluation. Spectacle dependence and poor visual quality in his left eye is his chief complaint. He cannot tolerate contact lenses (CLs). The corrected distance visual acuity (CDVA) was 20/20 in the right eye (?1.50 ?2.00 × 180) and 20/30 in the left eye (?1.25 ?1.50 × 170). The patient denied any history of ocular trauma, systemic disease, or medications.
Schallhorn, Julie MD, MS
doi : 10.1097/01.j.jcrs.0000805112.77938.6c
December 2021 - Volume 47 - Issue 12 - p 1599
De Stefano, Vinicius S. MD, PhD
doi : 10.1097/01.j.jcrs.0000805116.05909.44
December 2021 - Volume 47 - Issue 12 - p 1600
Goggin, Michael FRCSI(Ophth), FRCOphth, FRANZCO, MS; Pesudovs, Konrad PhD
doi : 10.1097/01.j.jcrs.0000805120.83568.3c
December 2021 - Volume 47 - Issue 12 - p 1600-1601
Mimouni, Michael MD
doi : 10.1097/01.j.jcrs.0000805124.76974.4b
December 2021 - Volume 47 - Issue 12 - p 1601-1602
Mehta, Jod S. MD, PhD, FRCS(Ed)
doi : 10.1097/01.j.jcrs.0000805128.00404.02
December 2021 - Volume 47 - Issue 12 - p 1602
Shetty, Rohit MD, FRCS, PhD; Khamar, Pooja MS, FCRS(NN), PhD
doi : 10.1097/01.j.jcrs.0000805132.61324.01
December 2021 - Volume 47 - Issue 12 - p 1602
doi : 10.1097/01.j.jcrs.0000805136.68312.69
December 2021 - Volume 47 - Issue 12 - p 1602-1603
Yusuf, Imran H. MRes, MRCP, FRCOphth; Matsou, Artemis MD, MRCP, FEBO; Lake, Damian MB ChB, FRCOphth; Bostanc?, Ba?ak MD, FEBO; Nanavaty, Mayank A. MBBS, DO, FRCOphth, PhD
doi : 10.1097/j.jcrs.0000000000000831
December 2021 - Volume 47 - Issue 12 - p 1604
Qi, Susan Ruyu MD; Hébert, Mélanie MD, MSc; You, Eunice MD; Légaré, Marie Eve MD; Arshinoff, Steven A. MD; Arsenault, Roxanne OD; Mercier, Mathieu MD
doi : 10.1097/j.jcrs.0000000000000830
December 2021 - Volume 47 - Issue 12 - p 1604-1605
Ceran, Basak Bostanci MD, FEBO; Yusuf, Imran H. MRes, MRCP, FRCOphth; Karim, Rushmia MBBS, MMed; Tassignon, Marie-José MD, PhD, FEBO
doi : 10.1097/j.jcrs.0000000000000852
December 2021 - Volume 47 - Issue 12 - p 1605-1606
Tychsen, Lawrence MD; Reynolds, Margaret MD; Hoekel, James OD
doi : 10.1097/j.jcrs.0000000000000851
December 2021 - Volume 47 - Issue 12 - p 1606-1607
doi : 10.1097/j.jcrs.0000000000000839
December 2021 - Volume 47 - Issue 12 - p 1608
Sharma, Namrata MD, DNB, MNAMS; Devi, Chandra MBBS; Agarwal, Rinky MD, DNB, MNAMS; Bafna, Rahul Kumar MD; Agarwal, Amar MD
doi : 10.1097/j.jcrs.0000000000000603
December 2021 - Volume 47 - Issue 12 - p e44-e48
Four patients with pseudophakic corneal edema were subjected to pre-Descemet endothelial keratoplasty (PDEK) under the direct guidance of microscope-integrated optical coherence tomography (i-OCT). i-OCT facilitated successful type 1 big bubble formation during donor preparation, debridement of the hypertrophic epithelium, planning and placement of surgical wounds, descemetorrhexis with removal of remnant Descemet membrane tags, and identification of correct donor orientation and interface details. It was also possible to discern the stability of intraocular lens, flat iris configuration, adequate stromal hydration, and wound apposition on i-OCT. Preoperative visual acuity was counting fingers (50%), 0.78 logMAR (25%), and 1.48 logMAR (25%), whereas postoperative visual acuity was 0.6 logMAR (50%) and 0.3 logMAR (50%). At 6-months of follow-up, all grafts were clear and well attached, the mean central corneal thickness, graft size, graft thickness, and endothelial cell loss were 557.25 ± 13.45 ?m, 7.75 ± 0.20 mm, 25.5 ± 2.64 ?m, and 21.6 ± 0.02%, respectively. To conclude, i-OCT helped during various surgical steps of PDEK.
Mittal, Vikas MS; Rathod, Darshana MS; Sehdev, Nancy MS
doi : 10.1097/j.jcrs.0000000000000644
December 2021 - Volume 47 - Issue 12 - p e49-e55
Carpel, Emmett F. MD; Scheurer, Ryan A. MD
doi : 10.1097/j.jcrs.0000000000000645
December 2021 - Volume 47 - Issue 12 - p e56-e59
An old and currently seldom used technique, true preplaced sutures, is described in a case that was high risk for choroidal hemorrhage (CH). A penetrating keratoplasty technique, termed graft-over-host technique, was used allowing the surgeon to expeditiously close the eye in the event of CH. After partial-thickness trephination, true preplaced sutures through the corneal host tissue were passed. After complete trephination, the corneal donor graft was placed under the host and sutured in a controlled fashion. The preplaced sutures had been drawn immediately, giving a broad secure cover, allowing controlled permanent suturing of the graft while selectively removing the preplaced sutures. When CH occurs, the preplaced sutures allow the surgeon to quickly close the eye securely.
Thompson, Vance MD; Holladay, Jack MD, MSEE, FACS; Sretavan, David MD, PhD
doi : 10.1097/j.jcrs.0000000000000805
December 2021 - Volume 47 - Issue 12 - p e60-e65
Circumferential, even anterior capsular overlap maximizes intraocular lens stability and posterior capsular opacification mitigation and provides best long-term outcomes for the cataract patient. P1 and P4 Purkinje reflections at patient fixation may provide a reliable marker for capsulotomy centration. However, patient fixation may be hindered during surgery because of anesthesia or light sensitivity. In this study, we demonstrate that the relationship between the P1 and P4 Purkinje reflections previewed prior to surgery when the patient is fixating may be recreated intraoperatively if fixation becomes difficult. The final position of P1 and P4 relative to one another at fixation is invariant in a given patient, but there are variations among patients. Knowledge of the P1 and P4 relationship can be used as a surrogate sign of patient fixation to assist in capsulotomy centration during cataract surgery.
Liu, Ya-Jun MD, MS; Zhang, Wen-Wen MD, MS; Chen, Fei-Fei MD, MS; He, Zi-Fang MD, MS; Xie, Zheng-Gao MD, PhD
doi : 10.1097/j.jcrs.0000000000000675
December 2021 - Volume 47 - Issue 12 - p e66-e69
Implantation of an intraocular lens (IOL) after combined vitrectomy and cataract surgery is usually required to reduce postoperative refraction errors. However, because of the severe fibrosis of the anterior capsule and the adhesion between the anterior and posterior capsules, it is difficult to reopen the capsular bag to complete the secondary IOL implantation. In this study, a surgical approach is described for reopening the severe adhesion between capsules and removing the significant fibroproliferative membranous material by injecting ophthalmic viscosurgical device into the periphery of the capsular bag to separate the anterior and posterior capsules. The IOL was implanted into the capsular bag without any zonular rupture or posterior capsule tear. The position of the IOL was stable during postoperative follow-up up to 3 months. This procedure to open a severely fibrosis capsule was safe and effective.
Fukuoka, Sachiko MD; Kinoshita, Taiga MD; Morita, Shinichi MD; Sakurai, Toshiya MD
doi : 10.1097/j.jcrs.0000000000000695
December 2021 - Volume 47 - Issue 12 - p e70-e74
Current intraocular lens (IOL) explantation techniques are limited to cutting the optic and removing the pieces through a small incision or folding single-piece acrylic IOLs using a 2-handed technique. Poor execution of IOL explantation can result in injury to intraocular structures, including the corneal endothelium and iris. The minimally invasive cartridge pull-through technique uses a cartridge for IOL implantation and new forceps optimized for secure grasping of the IOL for removal. This method involved less manipulation in the anterior chamber, thereby reducing the risks for complications such as corneal and iris injuries. A dropped IOL lying on the retinal surface can be extracted directly without lifting it onto the iris first. The cartridge pull-through technique offers a more streamlined and potentially safer approach for IOL explantation.
Gabai, Andrea MD; Zeppieri, Marco MD, PhD; Toneatto, Giacomo MD; Salati, Carlo MD
doi : 10.1097/j.jcrs.0000000000000700
December 2021 - Volume 47 - Issue 12 - p e75-e79
A simplified intrascleral fixation technique involving implantation of the Carlevale intraocular lens (IOL) in the posterior chamber is described, which lodges the T-shaped IOL haptics in the scleral wall, not requiring scleral flaps. This surgical modification reduces operative time, limits iatrogenic damage to the sclera, and avoids friction between haptics and the conjunctiva, which may cause conjunctival erosion and infection in the long term. 13 patients with crystalline lens or IOL dislocation/subluxation had surgery to implant the Carlevale IOL in the posterior chamber. Mean corrected distance visual acuity preoperatively was 0.75 ± 0.5 logMAR (range, 0.2 to 1.5 logMAR) and improved to 0.28 ± 0.3 logMAR (range, 0 to 1.0 logMAR) postoperatively. Complications rarely occurred and were not sight-threatening. The sutureless scleral fixation of the Carlevale IOL using the modified surgical technique may represent a safe and effective procedure to restore visual function in patients with damaged zonular–capsular support.
De Francesco, Ticiana MD; Ma, Jingyi BMSc; Ahmed, Iqbal Ike K. MD, FRCSC
doi : 10.1097/j.jcrs.0000000000000718
December 2021 - Volume 47 - Issue 12 - p e80-e83
Iris defects and distorted pupils are commonly managed with iris suturing techniques that aim to close the defect and/or reform the physiological pupil. The re-creation of an optimally sized and centered pupil is often challenging because of missing iris, asymmetrical iris damage, or variable tension around the pupil. Current options include removing or cutting iris tissue using microscissors or the vitreous cutter, instrument stretching, or postoperative laser photocoagulation. Iris microendodiathermy is a simple technique that is minimally traumatic, titratable, and controlled, avoids excessive tissue manipulation, and is able to create a round cosmetically pleasing pupil. A bipolar endodiathermy cautery is applied to the iris stroma to induce tissue contraction and to gently pull the pupil in the meridian to which probe is applied. Endothermal pupilloplasty (EDP) may be used to recenter or enlarge a small pupil, thereby avoiding additional trauma inflicted by a vitrector or microscissors that physically cuts the iris.
Fram, Nicole R. MD; Masket, Samuel MD; Alsetri, Hasan BS; Pham, Don BS
doi : 10.1097/j.jcrs.0000000000000752
December 2021 - Volume 47 - Issue 12 - p e84-e87
Intraocular lens (IOL) exchange in patients with anterior capsule contraction resulting from phimosis can complicate IOL exchange as the fibrotic anterior capsule must be cut to gain access to the IOL. Maintaining curvilinear capsulotomy is particularly important when the desired outcome is bag-to-bag IOL exchange. Similarly, when the posterior capsule is open, properly sized curvilinear anterior capsulotomy will allow for optic capture and further stability of the exchanged IOL. Secondary capsulotomy size ranged from 4.9 to 5.0 mm, and the energy was set at 4 to 10 ?J depending on diffusiveness of the anterior capsule. The femtosecond laser was adapted to create a secondary anterior capsulotomy to facilitate IOL exchange.
Neuhann, Raphael MD; Neuhann, Tobias MD; Hörster, Robert MD, PhD; Cursiefen, Claus MD, PhD; Guell, José MD, PhD; Siebelmann, Sebastian MD, PhD, MHBA
doi : 10.1097/j.jcrs.0000000000000773
December 2021 - Volume 47 - Issue 12 - p e88-e92
Weinlander, Eric MD; Nakatsuka, Austin MD; Lin, Amy MD
doi : 10.1097/j.jcrs.0000000000000800
December 2021 - Volume 47 - Issue 12 - p e93-e97
Current scleral suture fixation techniques pose challenges for highly complex eyes. A scleral suture fixation technique using a snare that is fashioned out of a 27-gauge needle and 8-0 nylon suture is described. This technique is well-suited for scleral suture fixation in complex eyes because it reduces risk factors for intraoperative and postoperative complications, simplifies intraocular maneuvers, minimizes surgical trauma, and does not require specialized microinstrumentation.
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