Search results for "cataract surgery"
showing 10 items of 82 documents
Acu priekšējās kameras stāvoklis pacientiem pirms un pēc intraokulārās lēcas implantācijas
2016
Ievads: Priekšējā kamera ir ļoti svarīga acs struktūra, kas ir pildīta ar intraokulāro šķidrumu (IOŠ), kas cirkulē caur priekšējo kameras kaktu uz drenāžas kanāliem. Šīm struktūrām ir nopietna loma glaukomas attīstības patoģenēzē. Nepieciešams noskaidrot kā viena no visbiežākajām ķirurģiskajām manipulācijām (kataraktas operācija) ietekmē priekšējās kameras parametrus. Pētījuma mērķis bija izvērtēt izmaiņas acs priekšējās kameras parametros pēc fakoemulsifikācijas un inrtaokulārās lēcas (IOL) implantācijas, izmantojot Pentacam (Oculus, Wetzlar, Germany). Metodes un materiāli: Tika veikts prospektīvs pētījums. Pētījumā piedalījās 18 pacienti (20 acis), kuriem tika izvērtēts un salīdzināts acs…
Endophthalmitis in cataract surgery
1999
Abstract Objective To document perioperative prophylactic treatment and to evaluate the risk factors for endophthalmitis after cataract surgery. Design Cross-sectional study via anonymous survey. Participants Four hundred sixty-nine centers in Germany were queried. Results A total of 311 (67%) questionnaires were received, with each center reporting an average of 900 cataract surgeries per year (total, 340,633 surgeries in 1996). Respondents reported a total of 267 cases of endophthalmitis, which resulted in a mean responder-specific endophthalmitis rate of 0.148% versus a median rate of 0%. Statistical analysis via Poisson regression suggested that sclerocorneal incisions were associated w…
One week of levofloxacin plus dexamethasone eye drops for cataract surgery: an innovative and rational therapeutic strategy
2020
Background: Cataract surgery is the most common operation performed worldwide. A fixed topical corticosteroid-antibiotic combination is usually prescribed in clinical practice for 2 or more weeks to treat post surgical inflammation and prevent infection. However, this protracted schedule may increase the incidence of corticosteroid-related adverse events and notably promote antibiotic resistance. Methods: This International, multicentre, randomized, blinded-assessor, parallel-group clinical study evaluated the non-inferiority of 1-week levofloxacin/dexamethasone eye drops, followed by 1-week dexamethasone alone, vs. 2-week gold-standard tobramycin/dexamethasone (one drop QID for all schedul…
Multifokale Intraokularlinsen
2001
Modern cataract surgery has developed tremendously during the past 10-15 years. Improved surgical techniques, as well as improved implant materials and designs, have enlarged patient profiles and indications for cataract surgery. This also created much higher expectations from the patients' site. The loss of accommodation is loss of quality of life for presbyopic and especially young pseudophakic patients. Therefore cataract surgery with multifocal IOL implantation is not only of academic interest, but reflects demands and expectations of our patients. Multifocal IOLs have been implanted since 1986, starting with 2-3 zone refractive and diffractive designs. Due to surgical techniques of tha…
Visual acuity and color discrimination in patients with cataracts.
2020
Color vision tests can give information about pathological changes in eye structures. The purpose of our research was to study the color vision sensitivity and visual acuity changes before and after cataract surgery. We used a saturated Farnsworth D15 color vision arrangement test to check color sensitivity changes in confusion line directions. The test is easily perceptible (essential to eldery patients), and it is possible to check color sensitivity changes in tritan, protan, and deutan confusion line directions. The results were analyzed in several ways: by summing the color differences between adjacent caps according to Bowman and averaging the color difference vectors according to Ving…
Ocular biometry with swept-source optical coherence tomography
2020
This study aimed to summarize the outcomes reported when swept-source optical coherence tomography (SS-OCT) is used for ocular biometry. A literature search was performed to identify publications reporting clinical outcomes of patients measured with commercial SS-OCT. Twenty-nine studies were included in this review. A comprehensive analysis of the available data was performed, focusing on parameters used for intraocular lens (IOL) power calculation in cataract surgery, including keratometry, central corneal thickness, white-to-white distance, anterior chamber depth, lens thickness, axial length, IOL power, and pupil diameter. Different metrics for repeatability, reproducibility, and agreem…
Kosteneffektivitätsanalyse der Versorgung von Kataraktpatienten mit monofokalen Intraokularlinsen aus Sicht der Leistungserstatter
2003
BACKGROUND Data on the cost effectiveness of cataract surgery with respect to the German statutory health insurance system are hardly available. Hence the increase in visual acuity as primary efficacy endpoint, order of posterior capsule opacification as primary complication endpoint and direct cost for supplementation with monofocal intraocular lenses have been assessed via meta-analyses to evaluate the procedure's cost effectiveness from the perspective of the German statutory health insurance system. MATERIAL AND METHODS Using the medical internet database MEDLINE two meta-analyses on publications between 1995 and 2002 were carried out, one estimating the gained increase in visual acuity…
Visual Acuity and Contrast Sensitivity in Eyes Implanted with Aspheric and Spherical Intraocular Lenses
2009
Purpose To compare visual acuity and contrast sensitivity (CS) in eyes implanted with aspheric and spherical intraocular lenses (IOLs) after cataract surgery. Design Randomized, prospective study. Participants Five hundred twenty-four eyes from 262 cataract surgery patients implanted with 2 IOL models: the AcrySof IQ (262 eyes) and AcrySof SN60AT (262 eyes; Alcon Laboratories, Fort Worth, TX). Methods High-contrast photopic best-corrected distance visual acuity (BCVA) and CS under photopic (85 cd/m 2 ) and mesopic (6 cd/m 2 ) conditions were measured. Pupil diameter was analyzed for distance vision under both lighting conditions. Follow-up was carried out for 6 months in all patients. Main …
Prophylaxis of Pseudophakic Cystoid Macular Edema with Intraoperative Pegaptanib
2011
The purpose of this study was to determine the efficacy of an intraoperative intravitreal pegaptanib injection during phacoemulsification in preventing the development of pseudophakic cystoid macular edema (CME) following cataract surgery.This prospective, controlled pilot study was carried out at the Department of Ophthalmology, Nuevo Hospital Universitario y Politécnico La Fe, Valencia (Spain). Five hundred patients with cataract and healthy retina were included in the study. Patients were assigned in a 1:1 ratio to receive an intraoperative intravitreal pegaptanib injection (n=250) or not (control group, n=250) associated with standardized phacoemulsification surgery and postoperative tr…
Healon5 versus Viscoat during cataract surgery: intraocular pressure, laser flare and corneal changes
2000
Background: The use of a viscoelastic substance facilitates cataract surgery. Healon 5 is a new viscoelastic product with special rheological properties. We evaluated the postoperative effect of Viscoat and Healon5 on intraocular pressure (IOP), central corneal thickness (CCT), endothelial cell counts and laser flare. Methods: Forty-eight eyes of 48 patients undergoing routine phacoemulsification followed by foldable IOL implantation were enrolled. Either Healon5 or Viscoat was used according to a block- randomization scheme. The aspiration technique was standardized. IOP, CCT, endothelial cell counts and laser flare were compared pre- and postoperatively. Statistical analysis was performed…