To describe complications arising from sulcus placement of single-piece acrylic (SPA) intraocular lenses (IOLs), evaluate IOL options for eyes that lack adequate capsule support, and examine the appropriateness various designs placement.University private anterior segment surgery practices.Patients referred SPA IOLs in ciliary 2006 2008 were identified. Demographic information, examination findings, initial recorded. Details surgical interventions most recent corrected distance visual acuity...

An online survey of members the American Society Cataract and Refractive Surgery indicated a strong preference for preoperative postoperative topical antibiotic prophylaxis, with most surgeons favoring latest generation fluoroquinolones. A significant percentage reported being concerned about risks homemade intracameral preparations, there was desire to have commercially available approved injection. This is reflected in fact that 77% respondents were still not injecting antibiotics, but 82%...

We analyzed laboratory results from corneal ulcers seen 1976 to 1999 at the Francis I. Proctor Foundation, a referral center in San Francisco, determine relative frequencies of pathogens and analyze for trends most common pathogens. The were compared with previous study 1948 same institution.Ulcers presenting Foundation Gram stained cultured using standard techniques. Herpetic excluded study.Organisms isolated 427 ulcers, 38% all cases. Two hundred seventy-eight (59%) isolates gram-positive...

To investigate the effect on intraocular pressure (IOP) of sutureless scleral and corneal tunnel Kelman phacoemulsification (KPE) with foldable posterior chamber lens (IOL) implantation.Jules Stein Eye Institute, Los Angeles, California, USA.Preoperative postoperative (1 6 weeks to 8 months) IOP measurements 385 consecutive eyes having uneventful IOL implantation were reviewed retrospectively. A subset 193 for which no missing at any follow-up analyzed separately.Mean preoperative was 15.8...

According to an online survey, most members of the American Society Cataract and Refractive Surgery believe that tamsulosin makes cataract surgery more difficult (95%) increases risks (77%). Commonly reported complications intraoperative floppy-iris syndrome (IFIS) were significant iris trauma posterior capsule rupture, with 52% 23% respondents, respectively, reporting these at a higher rate than in non-IFIS eyes. There was no single preferred surgical method for managing IFIS; 33%...

Objectives: To compare intraoperative and postoperative effects of applying a viscosurgical device versus balanced salt solution (BSS) during cataract surgery. Methods: Single-center retrospective case–control pilot study. Reviewed 27 patients who received Viscoat (Alcon Laboratories, Inc. Fort Worth, TX) or BSS on the cornea uncomplicated Surgeries were analyzed for time when microscope light reflection was indistinct while instruments in eye. Postoperative data included patient pain...

To compare the heat production of longitudinal versus torsional phacoemulsification under strict laboratory test conditions.Department Ophthalmology, David Geffen School Medicine at UCLA, and Jules Stein Eye Institute, Los Angeles, California, USA.Two Infiniti handpieces were inserted into silicone chambers filled with a balanced salt solution imaged serially using thermal camera. Incision compression was simulated by suspending 25.3 g weights from chambers. simulate occlusion tip,...

Purpose: To compare clinical and patient-reported outcomes with bilateral implantation of AcrySof toric or spherical control (Alcon Laboratories Inc) intraocular lenses (IOLs). Methods: Patients cataract corneal astigmatism who previously received either an IOL were offered the same in fellow eye. Six-month assessments included visual acuity, refractive cylinder, spectacle use, patient satisfaction. Results: The study 62 patients (toric, n=40; control, n=22). All incisions temporal, final...

Purpose To evaluate the ability of phacoemulsifiers with active versus passive infusion fluidics control systems to maintain target intraocular pressures (IOPs) under varying flow conditions. Setting Alcon Research, Ltd., Lake Forest, California, USA. Design Experimental study. Methods An acrylic test chamber was used model anterior eye. Two (gravity-based) were tested using bottle heights yielding 41, 75, and 109 cm water zero-flow One actively controlled system equivalent IOPs 30, 55, 80...

To describe the visual complaints of a series patients implanted with AcrySof(R) (Alcon Surgical) acrylic intraocular lens (IOL) that resolved IOL exchange.Jules Stein Eye Institute, Los Angeles, California, and John A. Moran Center, Salt Lake City, Utah, USA.This was retrospective review who had AcrySof exchange from January 1997 to December 1998.Eight (9 eyes) bothersome symptoms following implantation were identified. Problems included glare, halos around point light sources, peripheral...

To determine the accuracy of Pentacam Scheimpflug system Holladay equivalent keratometry (K) readings (EKRs) in calculating intraocular lens (IOL) power after corneal refractive surgery, including laser situ keratomileusis (LASIK), photorefractive keratectomy (PRK), and radial keratotomy (RK).Jules Stein Eye Institute, David Geffen School Medicine at University California, Los Angeles, USA.In this combined retrospective prospective clinical study, patients who had cataract surgery were...

This study was undertaken to identify features of optic nerve head architecture that might explain, in part, why ganglion cell loss occurs patients with low-tension glaucoma. We compared retrospectively the disc photographs 25 glaucoma those 26 control typical open-angle No differences were observed any following features: pore length, shape, or size variation; cup/disc and disc/arteriole ratio; clock positions total rim loss; central retinal vessel entry site; pallor; number rim-crossing...

Purpose: To assess the preliminary safety and efficacy of custom silicone artificial iris implantation. Setting: Stein Eye Institute. Design: Prospective consecutive case series. Methods: Medical records patients implanted with were reviewed followed for 1 year. Safety measures included corrected distance visual acuity (CDVA), intraocular pressure (IOP), endothelial cell count (ECC), surgical complications, secondary interventions, adverse events (AEs). Efficacy CDVA glare, subjective...