BACKGROUND In our experience, for all surgeries in the hand, the optimal epinephrine effect from local anesthesia-producing maximal vasoconstriction and visualization-is achieved by waiting significantly longer than the traditionally quoted 7 min from the time of injection. METHODS In this prospective comparative study, healthy patients undergoing unilateral carpal tunnel surgery waited eithe...

Dear Editor, Cho et al. [1] described the “Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes’’ in April issue. The authors prepare two scleral pockets with a crescent knife 2 mm from the limbus and opposed 180 degree each other without any conjunctival dissection. Following, they enter into the posterior chamber with a 26-gauge ...

Soft tissue dehiscence around dental implant has frequently been observed and it may lead to poor oral hygiene, especially around crowns that exhibit contours with prominent convexity. The present case demonstrates a peri-implant mucosal dehiscence coverage with modified semilunar coronary positioned flap (CPF) in #15 and 16. A semilunar partial-thickness incision was performed 7-10 mm apical f...

Dear Editor, The Baerveldt glaucoma implant (BGI; Abbott Laboratories, Abbott Park, IL, USA) is a widely used glaucoma drainage device for intraocular pressure (IOP) control. Although the BGI effectively controls IOP, the possibility of postoperative ocular hypotony owing to excessive aqueous drainage and tube-related complications still remains [1,2]. Given that the amount of aqueous drainage ...

BACKGROUND Mini-open carpal tunnel release has become increasingly popular for the treatment of carpal tunnel surgery. The main advantages are shortening recovery time and return-to-work time. However, the risk of neurovascular injury still remains worrisome. METHODS In this study, we developed a new retractor (herein called the PSU retractor) modified from the widely used Senn retractor, wit...

The Veria operation is a non-mastoidectomy technique for cochlear implantation. It uses the transcanal approach to the middle ear and the cochlea. The steps of the procedure are: (1) endaural approach, that offers a wide accessibility to the middle ear structures; (2) inspection of the middle ear anatomy; (3) straightening of the postero-superior bony canal wall, which is usually concave; (4) p...

Most surgeons seem to favour the former method. Even when the erisophake is used instead of forceps, the technique of zonulolotomy and delivery of the lens remains essentially the same. Since the introduction of A.C.T., however, mechanical zonulolotomy has been replaced by enzymatic zonulolysis and the extraction of the lens by seizing it at the 12 o'clock position is being increasingly practis...

The collagen microstructure of the peripheral cornea is important in stabilizing corneal curvature and refractive status. However, the manner in which the predominantly orthogonal collagen fibrils of the central cornea integrate with the circumferential limbal collagen is unknown. We used microfocus wide-angle x-ray scattering to quantify the relative proportion and orientation of collagen fibr...

OBJECTIVE To compare the transtibial and two-incision techniques for anterior cruciate ligament (ACL) reconstruction using a single band. METHODS A prospective and randomized study was conducted in blocks. Patients underwent ACL reconstruction by means of two techniques: transtibial (group 1: 20 patients) or two incisions (group 2: 20 patients). The radiographic positioning of the tunnel, inc...

PURPOSE To report short-term surgical outcomes of single-stage simultaneous rescue and sutureless intrascleral fixation of dislocated intraocular lens (IOLs). METHODS Sixteen eyes of 16 patients who underwent simultaneous rescue and intrascleral fixation of dislocated 3-piece IOLs were retrospectively evaluated. Partial thickness limbal-based scleral flaps (2.0 × 2.0 mm) were created, and a 2...