Surgical Modifications Required for Planned Extracapsular Cataract Extraction under Topical Anaesthesia with Van Lint Block

1995 ◽  
Vol 7 (6) ◽  
pp. 338-341 ◽  
Author(s):  
M.N. Abdel-Khalek ◽  
R.F. Refaat
Keyword(s):  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Topical Anaesthesia

Acquired acoria and iris pearls in leprosy: Case report

2021 ◽  
pp. 112067212110240
Author(s):  
Luciana Negrão Almeida Morais ◽  
Joacy Pedro Franco David ◽  
João Victor Peres Lima ◽  
Samia Demachki ◽  
Daniel Guerreiro Diniz ◽  
...  
Keyword(s):  
Case Report ◽  
Cataract Extraction ◽  
Ocular Involvement ◽  
Histopathological Diagnosis ◽  
Extracapsular Cataract Extraction ◽  
Ophthalmological Examination ◽  
Case Description ◽  
Leprosy Case ◽  
Proper Diagnosis

Purpose: To describe a case of a patient presenting with acquired acoria and iris pearls, a rare eye manifestation and pathognomonic finding for leprosy; to reinforce clinical, histopathological, and therapeutic aspects of ocular involvement in leprosy. Methods: Case report. Case description: A 62-year-old male presenting with acquired acoria and iris pearls in both eyes due to leprosy also had anterior uveitis and cataract. Histopathological diagnosis of iris pearls was confirmed by the presence of Hansen’s bacilli. Ophthalmological examination revealed improvement of the visual acuity after iridectomy and extracapsular cataract extraction. Conclusions: To our knowledge, this is the first reported case of acquired acoria in a leprosy patient. It led to impaired vision and reversible blindness. Proper diagnosis and ophthalmological treatment of patients with these conditions are essential for the maintenance of a good quality of life.

scholarly journals Vitreous loss in planned extracapsular cataract extraction does lead to a poorer visual outcome

Eye ◽  
1995 ◽  
Vol 9 (4) ◽  
pp. 446-451 ◽  
Author(s):  
N A Frost ◽  
J M Sparrow ◽  
N P Strong ◽  
A R Rosenthal
Keyword(s):  
Visual Outcome ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Vitreous Loss

scholarly journals Implantation epithelial iris cyst following the perforating corneal injury

2006 ◽  
Vol 134 (3-4) ◽  
pp. 151-154
Author(s):  
Milos Jovanovic ◽  
Zoran Latkovic
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Cataract Extraction ◽  
Wound Management ◽  
Surgical Removal ◽  
Extracapsular Cataract Extraction ◽  
Secondary Cataract ◽  
Corneal Injury ◽  
Iris Cyst ◽  
Iris Prolapse

The objective of this case report was to present the development of implantation cyst following the perforating corneal injury, the problems related to the treatment, including total surgical excision of the cyst, the secondary cataract extraction, iridoplasty and the artificial intraocular lens reposition. A patient first presented with perforating corneal injury inflicted by a piece of wood, with the iris prolapse. Primary wound management, reposition of prolapsed iris and corneal sutures were performed four days after the injury. Eight months later, the patient was rehospitalized due to an implantation iris cyst and traumatic cataract. The cyst was excised, the extracapsular cataract extraction was done and the anterior chamber lens was implanted. Postoperative visual acuity was normal. Three years later, the patient presented for a follow-up examination, with the cyst filled up again, occupying two thirds of the anterior chamber. This time, the cyst was completely excised, all fibrous remnants of the secondary cataract were removed, and the iridoplasty was necessary due to large iris coloboma. Reposition of the anterior chamber lens was carried out. Histological examination revealed an implantation iris cyst covered by multilayered squamous epithelium. Normal visual acuity was achieved. The patient has been followed-up for six months uneventfully. Management of perforating corneal wound with iris prolapse may lead to development of an implantation iris cyst. Puncture of the cyst as well as incomplete excision will not solve the problem. Complete surgical removal of the iris cyst is the treatment of choice.

scholarly journals Effect of Music on Blood Pressure and Heart Rate in Patients Undergoing Cataract Extraction Surgery

2021 ◽  
Vol 10 (20) ◽  
pp. 1474-1478
Author(s):  
Aditi Gadegone ◽  
Sachin Daigavane ◽  
Ruta Walavalkar
Keyword(s):  
Blood Pressure ◽  
Local Anaesthesia ◽  
Large Population ◽  
Cost Effective ◽  
Cataract Extraction ◽  
Topical Anaesthesia ◽  
Heart Rates ◽  
Prevalence Studies ◽  
Before And After ◽  
Anxiety Levels

BACKGROUND Music is an inexpensive, easily available anxiolytic known to mankind since ages. Cataract extraction surgery is one of the widely performed surgeries under local anaesthesia. India is a developing country where limited resources are spent over health infrastructure which has to cater to a large population. In our study we have tried to utilize the anxietolytic effect of music in combating the anxiety and stress patients suffer during surgery. METHODS In this prospective, interventional study, 300 patients diagnosed with senile cataract were selected. The sample size was decided taking into consideration various prevalence studies. The patients were consequently recruited for the study considering the inclusion and exclusion criteria. Patients were divided into three groups - one undergoing phacoemulsification surgery under topical anaesthesia and two groups undergoing phacoemulsification surgery under local anaesthesia by the same surgeon in a same operating room. Two groups including the one where topical anaesthesia was used were made to listen to ‘Classical Sitar Music’ whereas one group was not made to listen to music. Blood pressure and heart rates were measured before and after surgery and compared in all patients. RESULTS Blood pressure and heart rates were statistically significantly normalized (lowered) post-operatively when compared to their pre-operative values in groups which were made to listen to music. There was a marked decrease in the anxiety levels in patients who were operated under topical anaesthesia when compared to those operated under local anaesthesia. CONCLUSIONS Music can be widely used in decreasing anxiety levels in patients undergoing cataract extraction surgery thereby improving the post-operative prognosis in patients in a cost-effective way. KEY WORDS Phacoemulsification Surgery, Classical Sitar Music, Peri-Bulbar Block, Topical Anaesthesia, Anxiety, Blood Pressure, Pulse Rate

scholarly journals CATARACT SURGERY AND PROGRESSION OF DIABETIC RETINOPATHY

2003 ◽  
Vol 41 (143) ◽  
pp. 433-437
Author(s):  
Sudesh Subedi
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Diabetic Retinopathy ◽  
Cataract Surgery ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Vitreous Loss ◽  
Clinically Significant Macular Edema ◽  
Clinically Significant ◽  
Form Type

Patient with diabetes mellitus have a higher prevalence of lens opacity 1and cataractdevelopment at an earlier age than non diabetic.2Cataract in diabetes mellitus decreasesthe visual acuity, makes posterior segment evaluation and laser treatment difficult.Several studies have shown that there is progression of diabetic retinopathy after cataractsurgery. In all studies, criteria for progression of diabetic retinopathy are:a) progression of any form/type or stage of diabetic eye (DE), nonproliferative diabeticretinopathy (NPDR) or proliferative diabetic retinopathy (PDR) to any advanced,recurrent form/ type or stage of NPDR or PDR andb) development of new clinically significant macular edema (CSME) and/or worsening/recurrent of preexisting CSME defined by Early Treatment Diabetic RetinopathyStudy (ETDRS).• More severe the preexisting diabetic retinopathy (DR), much worse the DR aftercataract extraction. The progression of DR after cataract extraction is severe inIntracapsular Cataract Extraction (ICCE) than Extracapsular Cataract Extraction(ECCE) with Intraocular Lens (IOL) and Sutureless Small Incision CataractSurgery (SICS) and Phacoemulcification.• Progression of DR increases with complicated cataract surgery, like posteriorcapsular rupture (PCR), vitreous loss and prolonged surgery.• The first 6 months period is crucial as a minimum period of follow up to detectprogression of DR.• There are other several local and systemic risk factors for the progression of DR,like hypertension, renal failure, ischemic heart disease, high cholesterol andtriglyceride level, pregnancy etc.Key Words: Diabetic retinopathy, cataract surgery, risk factors

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