bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mersilene Sutures for Corneal Surgery
Authors: Frucht-Pery Joseph 
Published: April 2021

ABSTRACT
We studied the complications resulting from using running Mersilene suture in 14 patients who underwent penetrating keratoplasty for keratoconus. 11-0 Mersilene running suture and 12 interrupted 10-0 nylon stitches were used in each procedure and the patients were followed for 22 to 48 months. None of the Mersilene sutures broke, but four were removed in two patients: in one, due to astigmatism or loosening of the suture as a result of sterile ulceration, and in the other, due to herpetic keratitis. Marked scarring manifested along the (oops of the sutures in 11 of the Mersilene sutures. Despite these problems, we conclude that the use of Mersilene sutures, alone or combined with nylon sutures, in penetrating keratoplasty is sufficiently advantageous to warrant further study.
Argon Laser Trabeculoplasty: Long-Term Results
Authors: Lotti Raffaella , Traverso Carlo E , Murialdo Ugo , Frau Barbara , Calabria Giovanni A , Zingirian Mario 
Published: April 2021

ABSTRACT
We analyzed the long-term success of argon laser trabeculoplasty (ALT) performed in 237 eyes of 175 patients diagnosed with primary open-angle glaucoma and followed for up to 11 years (maximum, 132 months) after treatment. The cumulative proportion of success, defined as the avoidance of glaucoma surgery or an intraocular pressure never exceeding 22 mm Hg, was calculated throughout follow up using the KaplanMeier life-table analysis. The success rates were: 78% at 1 year (n =205), 71% at 3 years (n = 139), 61% at 5 years (n = 73), and 40% at 10.5 years (n = 19). Our data confirm previous reports of the high initial success rate of ALT, followed by a time-dependent decrease in its efficacy.
Long-Term Results of Molteno Implants
Authors: Price Francis W , Wellemeyer Mark 
Published: April 2021

ABSTRACT
We retrospectively reviewed 76 Molteno implants in 72 eyes, with a minimum of 18 months' follow up. Double-plate implants were used initially in 64 of these eyes. After a mean follow up of 33.27 months, the mean intraocular pressure (IOP) was 14.0 mm Hg, as compared with 35.31 mm Hg preoperatively. With success defined as an IOP greater than 5 mm Hg but no greater than 21 mm Hg at the last visit, the success rate was 74%. If the four cases of chronic hypotony without loss of best-corrected vision are included, the success rate was 79%. The most frequent complications included corneal graft failure, filtration tube blockage, choroidal effusion, and hyphema/vitreous hemorrhage.
Low-Power Intraocular Lens Implantation in Patients With Cataracts and Age-Related Macular Degeneration
Authors: Boutros George J E , Boutros Haifa Nabali 
Published: April 2021

ABSTRACT
Three patients with age-related macular degeneration for whom cataract surgery was indicated received low-power intraocular lenses (IOLs) calculated to produce an end spectacle refraction of approximately +6 diopters, producing a magnification of about 12%. Our experience with these three cases suggests that use of low-power implants in such patients may yield better results than emmetropic IOLs.
Securing Silicone Stents in Dacryocystorhinostomy
Authors: Jordan David R , Bellan Lorne D 
Published: April 2021

ABSTRACT
Silicone stents are commonly used in dacryocystorhinostomy to help maintain a patent mucosal passage-way into the nose. It is not unusual for a tube to become displaced and migrate laterally (stent prolapse), and, at times, it may be difficult to reposition it. We describe how stent prolapse may be prevented by using aneurysm clips to secure the silicone stents once they are in place.
Painless Wakeful Peribulbar Block Achieved Safely With a Single Transconjunctival Injection
Authors: Hulquist C Richard 
Published: April 2021

ABSTRACT
This single-injection, peribulbar technique provides a painless and efficacious block without the need for intravenous supplements. One hundred consecutive patients achieved lid akinesia and complete akinesia and anesthesia of the globe by the transconjunctival route. Only 1% needed a supplemental injection, and complications were minor end infrequent.
Pars Plana Molteno Implantation in Complicated Inflammatory Glaucoma
Authors: Sheppard John D , Shrum K Ray 
Published: April 2021

ABSTRACT
We retrospectively studied pars plana Molteno implantation in seven patients who had previously undergone multiple attempts, both medical and surgical, to control intraocular pressure (IOP), to no avail. In an effort to avoid further anterior chamber complications, a Molteno implant was inserted through the superior temporal vitrectomy port, following a complete pars plana vitrectomy. Acuity decreased in two of the seven patients due to preexisting conditions and one patient lost vision. Preoperative IOPs ranged from 29 to 57 mm Hg (mean 41 mm Hg) and postoperative IOPs ranged from 7 to 20 mm Hg (mean 12 mm Hg).
A Retrospective Study of the Effects of Laser Suture Lysis on the Long-term Results of Trabeculectomy
Authors: Asamoto Ayako , Yablonski Michael E , Matsushita Misuzu 
Published: April 2021

ABSTRACT
We retrospectively examined the effects of laser suture lysis on the long-term results of initial trabeculectomies in 130 consecutive eyes that had an intraocular pressure greater than 21 mm Hg during the first 4 postoperative weeks. After the high intraocular pressure was noted, 46 eyes underwent laser suture lysis; the other 84 did not. The 2-year cumulative probability of success in the laser suture lysis group was .84 and, in the control group, .82 (P >.05). Intraocular pressures in the two groups 1 and 2 years after trabeculectomy were similar. Laser suture lysis had no discernible effect on the long-term success rate of trabeculectomy in these patients.
Effects of Intraoperative Topical Mitomycin-C on Strabismus Surgery in the Rabbit: A Preliminary Study
Authors: Cruz Oscar A , Matkovich Lydia 
Published: April 2021

ABSTRACT
The effect of intraoperative topical exposure of mitomycin-C (MMC) on muscle reattachment and scarring in strabismus surgery was prospectively investigated in the rabbit by performing bilateral recession surgery in which one eye was treated with topical MMC (0.2 mg/mL) and the other eye served as the control. One week postoperatively, in random, masked fashion, the severity of postoperative adhesions was rated lower in the MMC-treated eyes. Also, histology demonstrated decreased fibrosis in the muscle reattachment sites in the MMC-treated eyes. The muscle tension in the reattached muscles was greater than 100 g in all of the eyes. This preliminary study indicates that topical MMC exposure may inhibit scarring in strabismus surgery without inhibiting muscle reattachment or causing other obvious adverse effects.
Orbital Inflammatory Syndrome: An Unusual Presentation
Authors: Loff Howard , Levine Mark R 
Published: April 2021

ABSTRACT
A 22-year-old woman had right unilateral proptosis. Evaluation revealed a large intraconal orbital mass, consistent with cavernous hemangioma. The mass was removed via a lateral orbitotomy. Histopathology, confirmed by electron microscopy, demonstrated fibroblasts with inflammatory histiocytes, but there was no evidence of cavernous hemangioma. To our knowledge, this is the first description of a well-circumscribed intraconal mass diagnosed as orbital inflammatory syndrome.
Temporal Corneal Phacoemulsification Combined With Separate-Incision Superior Trabeculectomy
Authors: Weitzman Marc , Caprioli Joseph 
Published: April 2021

ABSTRACT
We describe our present method of combined cataract surgery and trabeculectomy, which involves temporal clear corneal phacoemulsification with foldable intraocular lens implant combined with a separate-incision superior limbus-based trabeculectomy. The potential advantages over combined surgery through a single incision include reduced manipulation of conjunctival and scierai flaps, improved visibility for phacoernulsification, and a slightly shorter tunnel.
Astigmatic and Refractive Stabilization After Cataract Surgery
Authors: Oshika Tetsuro , Tsuboi Shunji 
Published: April 2021

ABSTRACT
We assessed the timing of astigmatic and refractive stabilization following six cataract surgery procedures with intraocular lens implantation in 229 eyes divided into six groups in the following incision sizes and methods of wound closure:
* 11-mm incision with running suture closure (26 eyes)
* 6.5-mm incision with running suture closure (29 eyes)
* 6.5-mm incision with single horizontal suture closure (25 eyes)
* 6.5-mm incision without suture closure (46 eyes)
* 5.5-mm incision without suture closure (51 eyes)
* 3.2-mm incision without suture closure (52 eyes).
Analyzed up to 6 months postoperatively were:
* the mean and standard deviation of axis-based keratometric cylinders
* the absolute value of the induced-cylinder vector
* the spherical equivalent of the refractive power.
In the 11- and 6.5-mm incision running suture groups, these parameters did not stabilize during the study period. In the 6.5-mm incision horizontal suture and sutureless groups, the values stabilized at 3 months postoperatively; in the 5.5-mm incision group, at 1 month; and in the 3.2-mm incision group, at 2 weeks. These results indicate that the appropriate point at which to prescribe postoperative correction spectacles differs significantly depending on the procedure, and that smaller incisions with wound-closure methods that do not exert vertical force are associated with fewer postoperative refractive changes.
Combined Phacoemulsification, Endoscopic Ciliary Process Photocoagulation, and Intraocular Lens Implantation in Glaucoma Management
Authors: Uram Martin 
Published: April 2021

ABSTRACT
The safety and efficacy of combined cataract extraction and intraocular lens (IOL) implantation with endoscopie ciliary process photocoagulation in glaucoma management was evaluated. Ten patients with uncontrolled open-angle glaucoma and cataract prospectively underwent concomitant phacoemulstfication, endoscopie ciliary process photocoagulation, and posterior chamber IOL implantation.
With a mean follow up of 19.2 months, the mean intraocular pressure (IOP) decreased from 31.4 mm Hg preoperatively to 13.5 mm Hg postoperatively, an absolute decrease of 57%. This represented a significant decrease for each of the patients. The visual acuity of each also improved. Transient vitreous hemorrhage developed in one patient, but no cystoid macular edema or any other significant complications occurred and all eyes were quiet. There were no lens implant dislocations. There was no progressive visual field loss at 1 month post surgery, but such loss was noted in one patient 1 year after treatment. Good IOP control on no medical therapy was attained in one half of the patients. It may be concluded that this combined procedure provided effective management of cataract and glaucoma with a minimum of postoperative care. The safety and efficacy of this approach as compared with cataract surgery combined with filtration remains to be determined.
A Central Dystonia Causes Spastic Lower Eyelid Entropion: A Hypothesis
Authors: Zolli Christine L 
Published: April 2021

ABSTRACT
This article presents a novel hypothesis on what causes an involutional entropion. The theory herein proposes that the pathophysiology of entropion is that of an idiopathic dystonia with the locus of dysfunction posed in the rostral brain stem and with stimuli for its causation mediated through the seventh cranial nerve-the facial nerve-by a cord of fibers making its path to the upper, ie, temporooculo-zygomatic ramus of the nerve. In a word, involutional entropion is but a variant of essential blepharospasm and one of the clinical entities within the oculo-oro-facial-cervical family of dystonia disorders.
Indocyanine Green Angiography for Recurrent Choroidal Neovascularization in Age-related Macular Degeneration
Authors: Reichel Elias , Pollock David A , Duker Jay S , Puliafito Carmen A 
Published: April 2021

* BACKGROUND AND OBJECTIVE: Recurrence of choroidal neovascular membranes (CNV) occurs frequently following laser photocoagulation. Recurrent CNV can be difficult to treat because they may not be well defined by fluorescein angiography.
* PATIENTS AND METHODS: The fluorescein and indocyanine green (ICG) angiograms of 58 eyes of 57 patients who presented with clinically suspected recurrence were evaluated retrospectively.
* RESULTS: In 14 eyes (24%), a well-defined recurrent CNV could be identified by evaluating the fluorescein angiogram. In 6 (14%) of the remaining 44 eyes, a well-defined recurrent CNV was identifiable by ICG angiography.
* CONCLUSION: A role for ICG angiography in the care of patients with suspected recurrent CNV is discussed.
[Ophthalmic Surg Lasers 1995;26:513-518.]
Ocular Injuries Related to Air Bag Inflation
Authors: Vichnin Michael C , Jaeger Edward A , Gault Janice A , Jeffers John B 
Published: April 2021

* BACKGROUND AND OBJECTIVES: The effectiveness of air bags as a safety device in decreasing fatalities and reducing morbidity in frontal impact motor vehicle accidents has been well established. However, case reports have surfaced documenting ocular injuries related to air bag inflation. The purpose of this study was to identify and analyze ocular injuries sustained during air bag inflation.
* PATIENTS AND METHODS: Hospital emergency room records were reviewed retrospectively for a period of 4 years for patients who had sustained ocular injuries in motor vehicle accidents. Those injuries associated with air bag inflation were analyzed as to the nature of the injury, type of vehicle, speed, and visual morbidity.
* RESULTS: Fourteen cases of ocular injury related to air bag inflation were identified. Hyphema (nine cases) and cornea abrasion (eight cases) were the most common. Three cases, all patients who had been wearing glasses, sustained serious and permanent ocular damage.
* CONCLUSION: While air bags are an unequivocal safety feature, ocular injuries do occur that are related to air bag inflation. Eyeglass wear may present an additional risk factor.
[Ophthalmic Surg Lasers 1995;26:542-548.]
Penetration of Topical 0.3% Ciprofloxacin Into Human Aqueous Humor
Authors: Kalayci Defne , Basci Nursabah , Akpek Esen , Hasiripi Hikmet , Bozkurt Atilla 
Published: April 2021

* BACKGROUND AND OBJECTIVE: Investigation of the penetration of topical ciprofloxacin into aqueous humor.
* PATIENTS AND METHODS: Topical 0.3% ciprofloxacin drops were administered to 17 patients with cataracts before lens extraction surgery. The time interval between the first dose and sampling was 3 hours in 9 patients (group A) and 6 hours in 8 (group B). In both groups, aqueous samples were collected 30 minutes after the last ciprofloxacin application. Ciprofloxacin concentration was determined by highperformance liquid chromatography-fluorescence detection.
* RESULTS: Mean aqueous concentration was 0.83 ± 0.48 pg/ml in group A and 2.42 ± 1.42 ug/ml in group B.
* CONCLUSION: Topical 0.3% ciprofloxacin penetrates into the aqueous in a significant concentration.
[Ophthalmic Surg Lasers 1996;27:21-24.]
Anterior Chamber Fluid Cultures Following Phacoemulsification and Posterior Chamber Lens Implantation
Authors: Gimbel Howard V , Sun Ran , DeBroff Brian M , Yang Hui-ming 
Published: April 2021

* BACKGROUND AND OBJECTIVE: A randomized, prospective study was undertaken to evaluate the incidence of positive cultures in the anterior chamber following cataract surgery when using intracameral gentamicin compared with no antibiotic.
* PATIENTS AND METHODS: A total of 97 patients were enrolled-48 receiving gentamicin in the irrigating solution and 49 receiving no intracameral antibiotics (control group). Each cataract extraction was accomplished by phacoemulsification followed by intraocular lens implantation. At the end of surgery, 0.1 ml of anterior chamber fluid from each case was collected and cultured.
* RESULTS: All cultures were negative in the group receiving gentamicin. However, one positive culture occurred in the control group. There was no significant difference in the positive culture rate between the two groups (P= .52).
* CONCLUSION: This study suggests that cataract extraction with phacoemulsification and intraocular lens implantation has gready reduced the incidence of bacterial contamination of anterior chamber fluid, with or without the use of intracameral antibiotic.
[Ophthalmic Surg Lasers 1996;27:121-126.]
Silicone Intubation With Tissue Glue Anastomosis in the Treatment of Congenital Nasolacrimal Duct Obstruction
Authors: Liao Chiu L , Kao Shine C S , Lin Pi R , Wu Kuo C , Hou Ping K 
Published: April 2021

* BACKGROUND AND OBJECTIVE: To evaluate the advantages of tissue glue application for the anastomosis of silicone intubation in congenital nasolacrimal duct obstruction.
* PATIENTS AND METHODS: Patients with con genital nasolacrimal duct obstruction were treated with silicone intubation with the aid of tissue glue for end-to-end anastomosis. The recurrence rate, complications, and the need for general anesthesia at tube removal were recorded.
* RESULTS: The silicone tubes for all 18 eyes studied were removed smoothly on an outpatient basis. Early extrusion was noted in 3 eyes. No recurrence of epiphora was noted in any eye after more than 6 months of follow-up.
* CONCLUSION: Tissue glue anastomosis is a beneficial modification that avoids the need for general anesthesia during stent removal in children and allows removal to be easily performed in an outpatient clinic.
[Ophthalmic Surg Lasers 1996;27:197-199.]
High-volume Intraocular Lens Surgery in a Rural Eye Camp in India
Authors: Civerchia Linda , Ravindran R D , Apoorvananda S W , Ramakrishnan R , Balent Alvan , Spencer Martin H , Green David 
Published: April 2021

* BACKGROUND AND OBJECTIVE: The appropriate surgical treatment for the enormous number of patients in developing nations who are blind due to cataract is a hody debated issue. The authors' objective is to demonstrate that modern surgical techniques (extracapsular cataract extraction and intraocular lens implantation, phacoemulsification and intraocular lens implantation) can be performed in a high-volume, costeffective manner, even in temporary settings. The authors believe that the approach to cataract blindness is not simple intracapsular cataract extraction, but rather the challenge of (1) training all ophthalmic personnel in modern techniques (microsurgery, biometry), (2) training managers in higher levels of organizational skill, and (3) doing these things in the face of limited resources.
* PATIENTS AND METHODS: A total of 1298 surgeries were performed in a public eye camp in Ganeshpuri, India (50 miles north of Bombay). Of these, 1214 (93.5%) of the patients received intraocular lens (IOL) implants. Ninety-three percent (1032/1 108) of the patients who underwent extracapsular cataract extraction (ECCE) and IOL implantation and 89% (83/93) of the patients who underwent phacoemulsification and IOL implantation returned for follow-up.
* RESULTS: Postoperatively, 48% (498/1032) of the patients who underwent ECCE and IOL implantation achieved corrected vision of 6/12 or better and 65% (671/1032) attained corrected vision of 6/ 1 8 or better. Of the patients who underwent phacoemulsification and IOL implantation, 59 of 83 (71%) attained vision of 6/12 or better with correction and 68 of 83 (79%) achieved vision of 6/18 or better with correction. These results are almost identical to those obtained by the authors in their Ganeshpuri 1991 camp. Surgical complication rates were comparable to those reported in hospitalbased studies.
* CONCLUSION: For this type of camp to operate efficiently, there must be standardization of skills among ophthalmic personnel, costs must be contained, and the organizational skills necessary to ensure smooth functioning of the camp must exist. However, on the basis of their data, these authors believe that with suitable organizational and surgical facilities, IOL implantation can be successfully performed in high-volume surgical eye camps.
[Ophthalmic Surg Lasers 1996;27:200-208.]
Experimental Evaluation of a Hydroxylapatite Reservoir Tube Shunt in Rabbits
Authors: Pandya A D , Rich C , Eifrig D E , Hanker J , Peiffer R L 
Published: April 2021

* BACKGROUND AND OBJECTIVES: Anterior chamber tube shunts of various design are of increasing importance in the surgical management of refractory glaucoma. However, the reservoirs that are commonly used today are made of a silicone or an acrylic material that may become enveloped by a fibrous capsule, which in turn may impede aqueous resorption. In this study, the authors investigated the properties of hydroxylapatite (HA) as a reservoir in gonioimplants, using three different types of HA reservoir designs. It has been demonstrated that HA orbital implants become vascularized, and the authors hypothesized that this feature of HA might modify the development of the fibrous capsule, enhancing the efficacy and decreasing the size of the implants.
* MATERIALS AND METHODS: HA reservoirs with Silastic tube shunts were implanted in the right eyes of six Dutch-belted rabbits. Clinical examinations were performed and intraocular pressure was measured periodically for 16 weeks postoperatively. Prior to euthanasia, fluorescein-labeled latex microspheres were injected into the anterior chamber to demonstrate implant patency. Light microscopy was used to study the tissue response to the implants and the pathways of aqueous flow.
* RESULTS: In general, the authors found a granulomatous inflammatory response to the HA accompanied by neovascularization into the implant and minimal fibrous encapsulation of the reservoir.
* CONCLUSIONS: The use of HA as a suprascleral reservoir has several advantages, the major one being a theoretical increase in the functional lifetime of the implant.
[Ophthalmic Surg Lasers 1996;27:308-314.]
Predicting Long-term Results of Trabeculectomy From Early Postoperative Intraocular Pressure Levels
Authors: Asamoto Ayako , Yablonski Michael E , Matsushita Misuzu 
Published: April 2021

* BACKGROUND AND OBJECTIVES: The authors retrospectively examined the potential for early postoperative intraocular pressure to predict the long-term results of initial trabeculectomies.
* PATIENTS AND METHODS: The records of 173 patients (207 consecutive eyes) who underwent initial trabeculectomies, which were performed by one of the authors between 1983 and 1991, with a minimum follow-up of 150 days were reviewed. Cases of trabeculectomy combined with cataract extraction were excluded.
* RESULTS: The intraocular pressure during postoperative week 1 was the same for patients with successful initial trabeculectomies (success group) as it was for patients with unsuccessful trabeculectomies (failure group). However, the intraocular pressure during the second, third, and fourth weeks was significantly higher in the failure group (P < .001). Laser suture lysis and 5-fluorouracil had no influence on the fact that high intraocular pressure during the first postoperative week had no prognostic significance.
* CONCLUSION: Positive results on postoperative Seidel tests did not predict a poor prognosis. However, high intraocular pressure after the first week may require intervention because it predicts a poor prognosis.
[Ophthalmic Surg Lasers 1996;27:355-360.]