Effects of Kakkon-to and Sairei-to on Aqueous Flare Elevation after Complicated Cataract Surgery

2002 ◽  
Vol 30 (02n03) ◽  
pp. 347-353 ◽  
Author(s):  
Nariko Ikeda ◽  
Seiji Hayasaka ◽  
Yasunori Nagaki ◽  
Yoriko Hayasaka ◽  
Chiharu Kadoi ◽  
...  

We evaluate prospectively the effects of traditional herbal medicines on elevation of aqueous flare after complicated cataract surgery. Twenty-seven patients with bilateral complicated cataract undergoing phacoemulsification with intraocular lens implantation were studied. The patients received no herbal medicine when the right eyes underwent cataract surgery. Fifteen patients were given Kakkon-to (Ge-Gen-Tang in Chinese) granules (7.5 g daily) and 12 patients were given Sairei-to (Cai-Ling-Tang in Chinese) granules (9.0 g daily), for 3 days before surgery, the day of surgery, and for 7 days after surgery when the left eyes underwent cataract surgery. Diclofenac eyedrops were instilled in all patients. Aqueous flare was measured before and after surgery. The differences in preoperative flare intensities between groups treated with Kakkon-to and Sairei-to were not significant. In the untreated right eyes of the Kakkon-to and Sairei-to groups, the flare was 99.1 and 89.6 photon counts/msec, respectively, on day 1, and then gradually decreased. The flare intensities on days 1, 3, and 5 in the Kakkon-to treated left eyes were significantly lower than in those of the untreated right eyes (Fig. 1). The flare intensities in the Sairei-to treated left eyes were the same as those in the untreated right eyes. Kakkon-to contributed to a reduction of aqueous flare elevation after surgery for complicated cataract.

Author(s):  
Irit Bahar ◽  
Omer Bialer

ABSTRACT We report cataract surgery with toric intraocular lens implantation for the management of senile cataract combined with pellucid marginal degeneration. A 72-year-old man with bilateral senile cataract and significant against-the-rule astigmatism sought counseling for blurry vision and glare, mostly in the right eye. Based on ophthalmic examination and corneal topography, a diagnosis of pellucid marginal degeneration and cataract was made. Since visual acuity and refraction had been stable in the past 3 years, the patient underwent cataract extraction and implantation of a custom-designed toric posterior chamber intraocular lens. Postoperative follow-up of 1.5-year demons- trated marked improvement in visual acuity, stable refraction and patient satisfaction. This treatment for pellucid marginal degeneration offers the simplicity of regular cataract surgery, and avoids the known complications of keratoplasty and other corneal surgical manipulation for the management of pellucid marginal degeneration. How to cite this article Bahar I, Bialer O. Cataract Extraction and Toric Intraocular Lens Implantation for the Management of Pellucid Marginal Degeneration and Cataract. Int J Keratoco Ectatic Corneal Dis 2012;1(1):66-67.


1970 ◽  
Vol 13 (4) ◽  
pp. 163-167
Author(s):  
K Fariduddin ◽  
S Samanta ◽  
C Chakraborty

A 39 year-old female presented with progressive diminution of vision in the right eye for six months after sustaining an injury from a high-voltage electric current to the right side of her forehead, face, around the right eye and to the scalp. On examination with the slit lamp, the right eye showed a mature cataract and anterior subcapsular opacities, with early lental opacity in left eye. She suffered from lagophthalmos and slight conjunctival congestion in the right eye. Vision in the right eye was only perception of light and in the left eye accurate projection of rays and 6/24. From the history, the type of injury (wound of entry and exit), and slit-lamp examination confirmed a case of bilateral electric cataract. We performed manual smallincision cataract surgery with posterior chamber intraocular lens implantation in right eye and in the left eye, using local anesthesia. Postoperative visual acuity was only 3/20 in the right eye and 6/6 in the left eye. In this case we have seen three circumscribed retinal lesions in the right eye; the left eye it was normal. This has been documented.The second case was a 20-year-old male, who was admitted to our center with bilateral electric cataract. He was treated the same way as the first case. He regained normal BCVA after cataract surgery with posterior chamber intraocular lens implantation.


Author(s):  
Y.V. Grigoryeva ◽  
◽  
M.R. Obraztsova ◽  

Purpose. To evaluate the clinical and functional visual results in a patient with complicated cataract on the background of combined congenital eye pathology after performing cataract phacoemulsification with toric intraocular lens implantation. Material and methods. Under the supervision of patient Ch., who successfully underwent surgery on the right eye-cataract phacoemulsification with implantation of an intraocular lens for complicated cataracts against the background of combined congenital eye pathology. Results. The patient Ch. was subjectively satisfied with the visual functions obtained in the right eye. Conclusion. Thus, this clinical case demonstrates a very successful implementation of cataract phacoemulsification with implantation of a toric intraocular lens in a patient with complicated cataracts against the background of a combined congenital eye pathology. Key words: complicated cataract, coloboma of the iris, coloboma of the choroid, phacoemulsification of the cataract, astigmatic correction.


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