PURPOSE To evaluate the magnitude of refractive astigmatism after congenital cataract surgery and to define its correlation with patient age. METHODS The authors retrospectively reviewed the charts of all pediatric patients who underwent congenital cataract extraction with intraocular lens (IOL) implantation through a 3.0-mm clear corneal incision from 1998 to 2003, and had no suture removal ...

Scleral fixation of intraocular lenses (IOLs) and adjunctive capsular devices can be performed under the protection of a scleral flap. A modification of this technique uses a scleral pocket initiated through a peripheral clear corneal incision. Full-thickness passage of a double-armed suture through the scleral pocket and conjunctiva, with subsequent retrieval of the suture ends through the ext...

PURPOSE To analyze the 6-month anterior and posterior topographic changes of the cornea after deep lamellar endothelial keratoplasty. METHODS Orbscan topographies of 22 eyes from 21 patients with corneal decompensation were retrospectively analyzed: 11 eyes received a 9-mm scleral access incision (large-incision group) and 11 eyes received a 5-mm scleral access incision (small-incision group)...

PURPOSE To analyze and compare the clinical outcomes obtained after cataract surgery with the implantation of a new multifocal toric intraocular lens (IOL) using two different types of corneal incision. METHODS Retrospective study including 64 eyes of 35 patients who underwent surgery with implantation of the AT LISA 909M multifocal toric IOL (Carl Zeiss Meditec) in 2 different ophthalmologic...

A 60-year-old man with bilateral corneal opacity underwent cataract extraction surgery involving the use of a limbal relaxing incision in his left eye. He had lower lid ectropion and lagophthalmos in both eyes. Eleven days after the surgery, a slit-lamp examination revealed a neurotrophic corneal ulcer with a punch-out epithelial defect and rolled edges at the center of the pre-existing corneal...

Introduction: Primary open angle glaucoma is a symptom complex wherein there is damage to the optic nerve head with characteristic morphological and functional alterations in Optic Nerve Head (ONH). Aim: To compare the recent surgical approach minitrab with conventional trabeculectomy with reference to post-operative success. Materials and Methods: This prospective study was done in Theni Medic...

PURPOSE To evaluate the effects of stromal hydration on clear corneal incision (CCI) architecture immediately after surgery using anterior segment optical coherence tomography (AS-OCT). SETTING Department of Ophthalmology, Royal Berkshire Hospital, Reading, United Kingdom. METHODS Clear corneal incisions in adult eyes were examined using a Visante AS-OCT imaging system within 1 hour of surg...

incision used in modern-day phacoemulusification cataract surgery. CCI allows sutureless surgery, induces little astigmatism and provides fast visual rehabilitation1,2. Over the past decade the incidence of endophthalmitis after cataract surgery has increased. There has been much debate on whether the increasing use of clear cornea incision has contributed to this3-5. A recent study speculated ...

Several techniques have been employed for repositioning dislocated intraocular lenses (IOLs). Herein, we describe a simplified and modified technique in which scleral fixation is performed together with temporary externalization of IOL haptics through a small, superior clear corneal incision. The sutures are tied to the externalized haptics; the haptics are then repositioned into the anterior c...

AIM To compare the intraoperative difficulty and postoperative outcome in patients who have white mature cataract in one eye and other types of senile cataract in the other eye undergoing clear corneal phacoemulsification and foldable intraocular lens implantation. METHODS 82 patients who had white mature cataract in one eye, posterior subcapsular, cortical, nuclear, or mixed type cataract in...