Phacoemulsification and 1% atropine eye drops for treatment of antimetropic congenital microcoria associated with cataracts

ABSTRACT A rare case of bilateral congenital microcoria associated with antimetropia in a 47-year-old man is here described. The patient presented with a chief complaint of progressive vision loss in his right eye over the past five years. A slit-lamp examination and ultrasound biomicroscopy confirmed congenital microcoria and cataracts. Phacoemulsification was performed using an iris expansion device and the anterior capsule was stained using the “ trypan down under ” technique. Preoperative considerations, the surgical approach, and postoperative management are discussed.RESUMO Um caso raro de microcoria cong ênita bilateral associada à antimetropia em um homem de 47 anos de idade é descrito aqui. O paciente queixava-se de perda visual progressiva em seu olho direito nos últimos 5 anos. Um exame com lâmpada de fenda e biomicroscopia ultrassônica confirmaram microcoria congênita e catarata. A facoe mulsificação foi realizada usando dispositivo de expansão iriana, e a cápsula anterior foi corada através da técnica “ trypan down under ” . Considera ções pré-operatórias, abordagem cirúrgica e manejo pós-operatório são discutidos.
Source: Arquivos Brasileiros de Oftalmologia - Category: Opthalmology Source Type: research

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CONCLUSIONS: This survey provided a comprehensive update of the present cataract surgery practices in the Republic of Korea. The results emphasized the increasing use of premium intraocular lenses, optical biometry, and topical anesthesia. PMID: 31612656 [PubMed - in process]
Source: Korean Journal of Ophthalmology : KJO - Category: Opthalmology Tags: Korean J Ophthalmol Source Type: research
CONCLUSIONS: Today, an increasing number of eyes that underwent refractive surgery previously are facing cataract surgery. Maybe even more important than adequate biometry of the human eye will be using appropriate calculation schemes in order to enhance post-cataract refractive outcomes or predictability. PMID: 31600819 [PubMed - as supplied by publisher]
Source: Klinische Monatsblatter fur Augenheilkunde - Category: Opthalmology Tags: Klin Monbl Augenheilkd Source Type: research
Abstract OBJECTIVE: Evaluate the effect of increasing ultrasound (US) power on chatter events and efficiency under both continuous and micropulse torsional US to reduce total cataract extraction times. DESIGN: In vitro laboratory study. METHODS: Porcine lens nuclei were incubated in formalin for 2 hours and then cut into 2-mm cubes. Phacoemulsification was performed using the Centurion Vision System and Infiniti OZil handpiece with the balanced tip. Both US modalities were studied at 60%, 80%, and 100% power. Micropulse rate was 83 pulses per second with 50% on time. Each combination comprised 20 runs. E...
Source: Canadian Journal of Ophthalmology - Category: Opthalmology Authors: Tags: Can J Ophthalmol Source Type: research
In this study, a comparison is made of the findings of B-mode ultrasound and ultrasound elastography with the Lens Opacities Classification (LOCS) grade in patients with senile cataracts. A total of 74 patients with cataracts and 32 age-matched healthy volunteers as the control group were evaluated in the departments of ophthalmology and radiology between 2016 and 2017. In the patient group, cataracts were graded according to LOCS, and B-mode sonographic appearance and elasticity measurements were recorded, after which the cataract grade and sonoelastography/B-mode ultrasound findings were compared using statistical method...
Source: Journal of Ultrasound - Category: Radiology Source Type: research
Because the ICL was previously repositioned already three times, an additional repositioning was considered as not useful. An ultrasound biomicroscopy is planned to rule out any anatomical anomaly or (multiple) cysts in the iridociliary sulcus.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Refractive Source Type: research
The ICL is obviously rotating. The most important information, the anatomy behind the iris, regarding ICL (haptic and footplate) positioning and ICL sizing, is needed. Very high frequency digital ultrasound scanning of the posterior chamber and delineation of the anatomical markers is now essential. Otherwise, the clinician continues to go in blindly each time, risking endothelial cell loss and cataract formation in a young patient. Rotating is possible, but publications have shown that the largest sulcus diameter can be either in the vertical or the horizontal axis.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Refractive Source Type: research
ConclusionsThe use of FLACS on the Alcon LenSx platform results in a small decrease in phacoemulsification energy as compared to conventional phacoemulsification in certain cases. Further study assessing optimal laser settings and surgical technique is necessary.
Source: International Ophthalmology - Category: Opthalmology Source Type: research
Glaucoma is an important cause of pediatric blindness. Our study aims to better understand ciliary body structural parameters and differences in patients with Primary Congenital Glaucoma (PCG) and Glaucoma Following Congenital Cataract Surgery (GFCCS).
Source: Journal of AAPOS - Category: Opthalmology Authors: Source Type: research
CONCLUSIONS: Late-onset UGH syndrome can be caused by SRC. Surgical removal of the SRC with IOL repositioning within the capsular bag resolves most if not all components of UGH. Anterior segment ultrasound biomicroscopy is a helpful modality for determining if a SRC is present by demonstrating anatomic relationships commonly obscured by a miotic pupil. PMID: 31358142 [PubMed - in process]
Source: Canadian Journal of Ophthalmology - Category: Opthalmology Authors: Tags: Can J Ophthalmol Source Type: research
If you’ve been diagnosed with kidney stones (urolithiasis), you may have several options for treatment. These include medical therapy, extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotripsy (PCNL), and ureteroscopy. A brief anatomy of the urinary tract The urinary tract includes kidneys (two organs that filter waste and extra water from the blood) ureters (two tubes bringing urine from each kidney to the bladder) bladder (organ that collects urine) urethra (a single tube through which urine in the bladder passes out of the body). The evaluation for kidney stones If your symptoms suggest kidney...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Kidney and urinary tract Men's Health Women's Health Source Type: blogs
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