Between June 1983 and March 1992, we performed a capsular reconstruction procedure through an anterior approach in ten patients (ten shoulders) who had multidirectional laxity of the shoulder and symptomatic atraumatic posterior glenohumeral instability. The procedure included closure of the capsule in the rotator interval and imbrication of the anterior, inferior, and posteroinferior aspects o...

Iris-fixated IOLs, positioned either anterior or posterior to the iris plane, are an alternative to scleral-fixated posterior chamber IOLs or angle-fixated anterior chamber IOLs, with several advantages. Specifically, although scleral fixation of a posterior chamber IOL preserves the ocular anatomy, the surgical procedure is complex, with potentially severe complications, extended surgical time...

PURPOSE To evaluate the long-term outcomes of ciliary sulcus versus capsular bag fixation of intraocular lenses (IOLs) in children after pediatric cataract surgery. METHODS IOL was implanted in the ciliary sulcus in 21 eyes of 14 children, and in the capsular bag in 19 eyes of 12 children for the treatment of pediatric cataract in an institutional setting. Ultrasound biomicroscopy (UBM) was p...

Posterior capsular contracture is a common cause of shoulder pain in which the patient presents with restricted internal rotation and reproduction of pain. Increased anterosuperior translation of the humeral head occurs with forward flexion and can mimic the pain reported with impingement syndrome; however, the patient with impingement syndrome presents with normal range of motion. Initial mana...

purpose: to report a case of capsular bag distension syndrome (cbds) with solid material presenting eight years after cataract surgery. case report: a 58-years-old female who underwent an uneventful clear-cornea phacoemulsification with in-the-bag intraocular lens (iol) implantation in the right eye, presented with a chief complaint of blurred vision (va: 20/200) and cobweb like matter appearin...

Peters' anomaly is characterized by a central corneal opacity with corresponding defects in the posterior stroma, Descemet's membrane, and endothelium. We present 2 cases that showed corneal opacity when examined by topical endoscopic imaging (TEI). Case 1 was a 20-day-old neonatal female who had a central corneal opacity in the left eye. TEI showed that the iris stroma was adhered toward the b...

P erforming cataract extraction in patients with zonular weakness presents many challenges and increases the risk of intraand postoperative complications. Capsular tension rings (CTRs) and other endocapsular support devices have been important management options for patients with significant zonulopathy. Hara et al1 and Nagamato and Bissen-Miyajima2 introduced the first endocapsular devices, bu...

PURPOSE To establish a fully human in vitro culture model with which to test the putative effects of intraocular lens (IOL) designs in preventing posterior capsule opacification (PCO) after cataract surgery. METHODS A sham cataract operation was performed to prepare human capsular bags from donor lenses. In one capsular bag of a donor pair, an intraocular lens (PMMA round-edge IOL or acrylic ...

PURPOSE A side effect associated with long-term treatment of various diseases with steroids is a high incidence of posterior subcapsular cataracts (PSC). To understand the mechanism underlying steroid-induced cataract, the cultured lens model was developed, and the expression of potential candidate proteins during opacity formation was examined. METHOD Rat lenses were carefully dissected from...