Purpose. The purpose of this study was to investigate the long-term clinical course of NTG patients who initiated intraocular pressure- (IOP-) lowering therapy. Methods. The present study included 72 normal-tension glaucoma (NTG) patients. The mean deviation (MD) was measured with visual fields. Nocturnal hypotension with weighted standard deviation (wSD) was determined by 24-hour ambulatory bl...

Toxic anterior segment syndrome (TASS) developed in four cases after uneventful implantation of a foldable iris-fixated phakic intraocular lens (pIOL). Two cases occurred sequentially in one patient. The TASS subsided without complications in all cases after intensive topical steroid treatment. A multitude of possible causes is considered for the occurrence of these TASS cases. From the sterili...

AIM To determine the efficacy and safety of keratorefractive surgery in patients with accommodative and non-accommodative strabismus in a prospective study. METHODS Preoperative assessment included uncorrected (UCVA) and best-corrected visual acuity (BCVA), manifest and cycloplegic refraction and orthoptic examination. Laser in situ keratomileusis, laser epithelial keratomileusis and Artisan ...

PURPOSE To evaluate changes in endothelial cell density (ECD) in the corneal region after implantation of an iris-fixated phakic intraocular lens (PIOL). METHODS Forty-five eyes of 25 myopic patients implanted with Artisan iris-fixated PIOLs (Ophtec BV) and 30 eyes of 15 myopic controls were enrolled. Corneal ECD and the distance between endothelium and the PIOL optic were evaluated in five d...

PURPOSE To evaluate the change of accommodation-convergence parameters after implantation of Artisan phakic intraocular lens (PIOL). METHODS Prospective study for the patients with the Artisan PIOL implantation was performed. A total of 37 patients (3 males and 34 females) enrolled the study. Preoperatively, convergence amplitude, the stimulus accommodative convergence per unit of accommodati...

PURPOSE A seventh annual survey was carried out by mail in February 1999 to investigate the current trends in cataract and refractive surgery in Japan. METHODS Questionnaires were sent to 925 ophthalmologist members of the Japanese Society of Cataract and Refractive Surgery. Data received from 411 (44.4%) of the recipients were cross-analyzed and compared with those from the previous surveys....

PURPOSE To determine the feasibility of using posterior chamber phakic intraocular lenses (PIOLs) to treat high myopia, comparing two different models, Staar and Adatomed. METHODS Twenty-four eyes from 12 patients were studied prospectively. A phakic Staar IOL was implanted in one eye of each patient, and the other eye received a phakic Adatomed IOL. Patients with uveitis or ocular trauma pri...

Posterior Chamber Phakic Toric Implantable Collamer Lenses have become increasingly used to correct refractive error associated with astigmatism. These devices are claimed to provide high efficacy in terms of refractive correction. This book chapter is an updated review on the safety and effectiveness and potential complications of the toric implantable collamer lens (Toric ICL) published in pe...

purpose: to evaluate the predictability, efficacy, and safety of iris-claw artisanô phakic intraocular lenses ­for myopia. methods: through a prospective clinical study, 35 eyes of 21 patients with myopia from -5 to 26.5 diopters underwent implantation of the artisan lens. patients were examined 1, 3, and 7 days (all eyes); 1 month (28 eyes), 3 months (29 eyes), and 6 months (32 eyes) after the...

PURPOSE To conduct a material analysis of spontaneously subluxated iris-fixated phakic intraocular lenses (IOLs) using light and scanning electron microscopy. METHODS Six explanted Artisan/Verisyse and Artiflex/Veriflex IOLs (Ophtec, Groningen, Netherlands/AMO, Santa Ana, CA) were analyzed in a laboratory using light and scanning electron microscopy. Four of the IOLs had been explanted after ...