IOL’S For Visual Rehabilitation in Stable Keratocounus

2018 ◽

Vol 3 (4) ◽

Author(s):

Dr. Vidhyasri M ◽

Dr. S. M. Pasha

Keyword(s):

Marked Improvement ◽

Clinical Case ◽

Treatment Plan ◽

Visual Disability ◽

Visual Rehabilitation ◽

Potential Risks ◽

The Subject ◽

Slow Frequency

Introduction: This is the case report of child who was diagnosed with LCA reported with complaints of large-amplitude, slow-frequency, roving nystagmus, frequent tendency to press on his eyes, enopthalmos, with completely normal ophthalmoscopic examination with normal appearing optic nerve and retina and has a non recordable ERG; considering this condition under the lines of Vataja Nanatmaja Vyadhi treatment was structured to render effective visual rehabilitation which showed marked results. Methods: 4 years old male child who was diagnosed with lebers congenital amaurosis was brought by his parents to Eye OPD, GAMC, Bengaluru. The presentation of this case includes bibliographic review of the subject, presentation of a clinical case and description of the importance of Ayurvedic prespective of handling of these patients. Results: The child showed improvement in fixing for light and also nystagmus showed marked improvement and there were considerable behavioural changes observed. Discussion: It is important to deepen the environment of the disease to know the possible implications in Ayurvedic management, recognize the magnitude of visual disability that our patient presents for the establishment of the treatment plan and provide an integral care of excellence in an interdisciplinary way in favor of visual rehabilitation of our patients and also help to restore quality of life with no potential risks of side effects.

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Gamma-Irradiated Cornea in Combat-related Ocular Trauma

Military Medicine ◽

10.1093/milmed/usaa479 ◽

2020 ◽

Author(s):

Brian M Davis ◽

Carson Clabeaux ◽

Anton Vlasov ◽

Paul Houghtaling

Keyword(s):

Ocular Trauma ◽

Cost Savings ◽

Corneal Tissue ◽

Significant Cost ◽

Visual Rehabilitation ◽

Military Health ◽

Corneal Injury ◽

Gamma Irradiated ◽

The Military ◽

Penetrating Ocular Trauma

ABSTRACT Corneal injury is a known risk for deployed troops worldwide. To the authors’ knowledge, there has been no reported use of gamma-irradiated corneas in the setting of severe corneal trauma. Our report highlights the case of a 36-year-old active duty solider who sustained bilateral penetrating ocular trauma from a nearby ordnance explosion. We propose that ocular surgeons should consider utilizing gamma-irradiated corneas in (1) a situation where the corneal tissue is so damaged that it would be challenging to accomplish an adequate repair while providing the opportunity for future visual rehabilitation and (2) remote and/or deployed environments where storage of fresh donor tissue is limited. The long shelf life of gamma-irradiated corneas reduces the need for specialized storage equipment and the need for continuous resupply, both potentially leading to significant cost savings for the Military Health System.

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Long term outcome of combined phacoemulsification and excisional goniotomy with the Kahook Dual Blade in different subtypes of glaucoma

Scientific Reports ◽

10.1038/s41598-021-90223-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Ahmed Al Habash ◽

Abdulrahman Albuainain

Keyword(s):

Case Series ◽

Angle Closure ◽

Combined Surgery ◽

Visual Rehabilitation ◽

Term Outcome ◽

Long Term Outcome ◽

Kahook Dual Blade ◽

Significant Cataract

AbstractTo characterize changes in intraocular pressure (IOP) and IOP-lowering medications through up to 2 years of follow-up in patients undergoing combined phacoemulsification and excisional goniotomy with the Kahook Dual Blade (phaco-KDB), with simultaneous goniosynechialysis in cases of angle-closure glaucoma. Prospective, non-comparative, interventional case series. Consecutive patients with medically-treated glaucoma and visually-significant cataract underwent combined surgery. Analysis was conducted on open-angle (OAG) and angle-closure (ACG) glaucoma groups separately. Thirty-seven patients with OAG (24 with primary OAG and 13 with pseudoexfoliation glaucoma) and 11 with ACG were enrolled. In OAG eyes, mean (standard error) baseline IOP was 21.1 (0.9) mmHg and through 24 months of follow-up was reduced by 6.4–7.7 mmHg (24.6–32.1%; p ≤ 0.0001 at all time points). In ACG eyes, mean baseline IOP was 20.8 (1.6) mmHg and was reduced by 6.1–8.77 mmHg (23.4–39.0%; p ≤ 0.0353). Mean medications were reduced by 61.9–89.1% (p ≤ 0.0001) in OAG eyes and by 56.3–87.3% (p ≤ 0.0004) in ACG eyes. Phaco-KDB significantly lowered IOP ~ 30% and medications by > 50% through 24 months. This combined procedure provides meaningful long-term reductions in IOP and need for IOP-lowering medication and does not adversely affect visual rehabilitation in eyes with cataract and glaucoma.

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Visual Rehabilitation in Chronic Cerebral Blindness: A Randomized Controlled Crossover Study

Frontiers in Neurology ◽

10.3389/fneur.2016.00092 ◽

2016 ◽

Vol 7 ◽

Cited By ~ 7

Author(s):

Joris A. Elshout ◽

Freekje van Asten ◽

Carel B. Hoyng ◽

Douwe P. Bergsma ◽

Albert V. van den Berg

Keyword(s):

Crossover Study ◽

Visual Rehabilitation ◽

Randomized Controlled

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Visual rehabilitation of aphakic children

Survey of Ophthalmology ◽

10.1016/0039-6257(90)90113-a ◽

1990 ◽

Vol 34 (5) ◽

pp. 366-371 ◽

Cited By ~ 18

Author(s):

John D. Baker

Keyword(s):

Visual Rehabilitation

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Rigid Gas-Permeable Contact Lenses for Visual Rehabilitation of Traumatized Eyes in Children

Cornea ◽

10.1097/ico.0000000000000103 ◽

2014 ◽

Vol 33 (5) ◽

pp. 486-489 ◽

Cited By ~ 5

Author(s):

Zia Sultan Pradhan ◽

Rashmi Mittal ◽

Pushpa Jacob

Keyword(s):

Contact Lenses ◽

Visual Rehabilitation

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Visual Rehabilitation Rate After Isolated Descemet Membrane Transplantation

Archives of Ophthalmology ◽

10.1001/archophthalmol.2008.619 ◽

2009 ◽

Vol 127 (3) ◽

pp. 252 ◽

Cited By ~ 96

Author(s):

Lisanne Ham

Keyword(s):

Visual Rehabilitation ◽

Descemet Membrane

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Possibilities of scleral lenses for visual rehabilitation of patients with corneal scars

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-5-157-161 ◽

2021 ◽

pp. 157-161

Author(s):

O.I. Ryabenko ◽

◽

O.M. Selina ◽

E.M. Tananakina ◽

◽

...

Keyword(s):

Visual Acuity ◽

Contact Lenses ◽

Efficacy And Safety ◽

Visual Rehabilitation ◽

Optical Correction ◽

Vision Correction ◽

Post Traumatic ◽

Key Words Cornea ◽

Irregular Astigmatism ◽

Spectacle Correction

Purpose. To analyze the efficacy and safety of SCL in patients with corneal cicatricial changes and other concomitant conditions. Material and мethods. The study included 19 patients (20 eyes) with cicatricial deformity of the cornea of various etiology, who were fitted with scleral contact lenses. Results and discussions. The use of SCL is possible in post-traumatic pathology, such as corneoscleral scars with or without aphakia, as well as after keratitis with an outcome in cicatricial deformity, cicatricial changes after a burn. A significant increase in visual acuity compared with spectacle correction has been proven. Depending on the topography of the scar, it is possible to select scleral lenses such as Oblate and Prolate, as well as with different versions of the support zone: both toric and quadratic. Conclusion. Scleral lenses can be successfully used for optical correction in patients with cicatricial changes in the cornea and other concomitant post-traumatic conditions of ineffectiveness of other methods of visual rehabilitation. Key words: cornea, lenses, vision correction, contact lenses, visual rehabilitation, scleral lenses, corneal scars, post-traumatic astigmatism, aphakia, keratitis, toric lenses, quadratic lenses, astigmatism, irregular cornea, regular cornea, regular astigmatism, irregular cornea, irregular astigmatism, prolate, oblate.

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