scholarly journals Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Waleed Ali Abou Samra ◽  
Amani E. Badawi ◽  
Hanem Kishk ◽  
Ayman Abd El ghafar ◽  
Mohamed M. Elwan ◽  
...  
Keyword(s):  
Contact Lens ◽  
Subjective Evaluation ◽  
Patient Comfort ◽  
Visual Rehabilitation ◽  
Common Cause ◽  
The Mean ◽  
High Degree ◽  
Lens Wear ◽  
Objective And Subjective Evaluation

Objectives. To study the fitting and the visual rehabilitation obtained with a corneoscleral contact lens, namely, Rose K2 XL in patients with irregular cornea.Methods. This prospective study included 36 eyes of 36 patients with irregular cornea fitted with Rose K2 XL. Refractive and visual outcomes and mesopic and aberrometric parameters of fitted eyes were assessed at 2 weeks, 3 months, and 6 months after the initial lens use. Objective and subjective parameters of patient satisfaction and lens comfort were noted. Causes of lens discontinuation and complications were also recorded.Results. Average logMAR VA improved significantly from 0.95 ± 0.09 without correction to 0.04 ± 0.05 six months after lens wear. Similarly, mesopic and aberrometric measures were significantly improved. Statistical analysis of the subjective patients’ responses showed a significant acceptance of the lens by most of them. At the end of follow-up, the mean wearing time was 9.9 ± 2.9 hours per day. The most common cause of wearing discontinuation was persistent discomfort (16.7%) and high lens expenses(16.7%). Self-assessed questionnaire showed statistically significant improvement in nearly all measured subjective parameters.Conclusion. Rose K2 XL lenses provide patients with irregular cornea with both quantitative and qualitative optimal visual function with high degree of patient comfort and satisfaction.

scholarly journals Releasable Suture versus Autologous Blood for Pterygium Surgery using Conjunctival Autografts

2020 ◽  
Author(s):  
Gautam Singh Parmar ◽  
Bhushan Ghodke ◽  
Ashok Kumar Meena
Keyword(s):  
Autologous Blood ◽  
Graft Loss ◽  
Patient Comfort ◽  
Duration Of Surgery ◽  
Pterygium Surgery ◽  
The Mean ◽  
One Year ◽  
Retrospective Comparative Study ◽  
Single Suture

Purpose: To evaluate the efficacy of releasable single suture (RS) for conjunctival autograft (CAG) and to compare it with sutureless gluefree (SG) technique in pterygium surgery. Methods: We conducted a retrospective comparative study on patients with primary pterygium who underwent CAG. In 150 patients, CAG was additionally secured by a single 10-0 nylon releasable suture (RS) which was released on the first postoperative day. In 47 patients, no suture was applied, and CAG was allowed to stick to the scleral bed by autologous fibrin only (SG group). The duration of surgery and size of CAG (in mm2) was noted in both groups. All patients completed one year of follow-up. Factors that were studied included graft stability, patient comfort, complications, and recurrence. Results: The mean age of patients in RS and SG groups was 39.6 ± 11.8 and 47.3 ± 13.8 years, respectively. The mean duration of surgery was 4.84 ± 1.34 min in RS group and 4.90 ± 1.42 min in SG group (P = 0.001). The size of CAG used in both groups was comparable with more stability in RS group postoperatively. Graft retraction rate in RS group was 5.3% (1 mm retraction in CAG more than 36 mm2) with no event of graft loss. The graft loss occurred in 6.3% of eyes in SG group. The recurrence rate in RS group was 4%, while in SG group it was 6.3% (P = 0.4). Conclusion: RS, by augmenting the autologous blood mechanism, may offer an easy-to-learn option for pterygium surgery with good stability even in large-sized CAGs.

scholarly journals A CHANGE OF THE LENGTH OF THE ANTERO-POSTERIOR AXIS OF THE EYE IN THE CHILDREN PRESENTING WITH HYPEROPIA FOLLOWING FEMTOSECOND LASER-ASSISTED IN SITU KERATOMILEUSIS: 3 YEAR FOLLOW-UP

2018 ◽  
Vol 13 (1) ◽  
pp. 31-37
Author(s):  
I. L Kulikova ◽  
N. P Pashtaev ◽  
Anastasiya Vladimirovna Gagloeva ◽  
O. V Shlenskaya ◽  
N. V Chapurin
Keyword(s):  
Femtosecond Laser ◽  
Mean Value ◽  
Minimal Growth ◽  
The Mean ◽  
Group 2 ◽  
Contralateral Eye ◽  
High Degree ◽  
Positive Results

Aim. The objective of the present study was the analysis of the changes in the length of the antero-posterior axis of the eye (AL) in the children and adolescents presenting with hyperopia and anisometropia in 3 years after femtolaser-assisted in situ keratomileusis (FS-LASIK). Material and methods. The study included 33 patients at the age from 5 to 16 years divided into two groups. Group 1 was comprised of the patients having initially the mean spherical refractive equivalent (SE) +3.69 D. Those of group 2 had initial SE +5.88 D. In all the patients, FS-LASIK was carried out at the amblyopic eye in the absence of the positive results of the conventional conservative treatment. Results. During three years after FS-LASIK, AL of the treated patients in the first group increased by 0.41 mm and reached the mean value of 22.41 mm while the spherical refractive equivalent became equal to 0.25 D. During the same period, AL in the contralateral eye increased by 0.92 mm and became equal to 23.47 mm on the average with SE equaling +0.81 D. AL of the patients in the second group increased by 0.29 mm and reached the mean value of 21.59 mm while the spherical refractive equivalent became equal to 0.25 D. During the same period, AL in the contralateral eye increased by 0.97 mm and became equal to 23.32 mm on the average with SE equaling +0.62 D. Conclusion. During three years after hyperopic S-LASIK, the minimal growth of the antero-posterior axis of the eye was documented in the children presenting with hyperopia (+5 D) whereas its length increased by more than 0.29 mm. In the children with hyperopia of less than +5 D, it increased by 0.41 mm. It is concluded that prognosis of the results of femtosecond laser-assisted in situ keratomileusis leading to the alteration of the refraction in the amblyopic eye with the initially moderate or high-degree hyperopia should be made taking into consideration that AL continues to change in the cource of further growth of the child.

scholarly journals Performance of Three Multipurpose Disinfecting Solutions with a Silicone Hydrogel Contact Lens

2015 ◽  
Vol 2015 ◽  
pp. 1-13 ◽  
Author(s):  
Nery García-Porta ◽  
Laura Rico-del-Viejo ◽  
Helena Ferreira-Neves ◽  
Sofia C. Peixoto-de-Matos ◽  
Antonio Queirós ◽  
...  
Keyword(s):  
Contact Lens ◽  
Clinical Performance ◽  
The Other ◽  
Soft Contact ◽  
Silicone Hydrogel ◽  
Soft Contact Lens ◽  
Comfort Rating ◽  
Analogue Scales ◽  
Lens Wear

Purpose. To evaluate the clinical performance of a silicone hydrogel (Si-Hy) soft contact lens (CL) in combination with three different multipurpose disinfecting solutions (MPDSs).Methods. This was a prospective, randomized, single-masked, crossover, and comparative study in which 31 habitual soft CL wearers were randomly assigned to one of the three MPDSs (Synergi, COMPLETE RevitaLens, and OPTI-FREE PureMoist) for 1 month with a 1-week wash-out period between each exposure. All subjects were successfully refitted with a Si-Hy CL (Biofinity). Subjects were then scheduled for follow-up visits after 1 month of lens wear, being evaluated at 2 and 8 hours after lens insertion. Visual Analogue Scales (VAS) were used to gauge comfort rating.Results. The tarsal conjunctiva showed a significantly different degree of lid redness between the MPDSs at the 2-hour visit (P<0.05, Kruskal-Wallis test), being lower for COMPLETE RevitaLens compared to the other two MPDSs (Mann-WhitneyUtest). Furthermore, a significantly different degree of lid roughness at the 8-hour visit was seen (P<0.05, Kruskal-Wallis test), being higher for Synergi (Mann-WhitneyUtest). The subjective comfort was similar with the three MPDSs.Conclusion.Tarsal conjunctival response should be also considered in the context of the clinical performance of MPDs at the ocular surface.

Objective and subjective evaluation of the performance of medical contact lenses fitted using a contact lens selection algorithm

2016 ◽  
Vol 39 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Esther-Simone Visser ◽  
Robert P.L. Wisse ◽  
Nienke Soeters ◽  
Saskia M. Imhof ◽  
Allegonda Van der Lelij
Keyword(s):  
Contact Lens ◽  
Contact Lenses ◽  
Subjective Evaluation ◽  
Selection Algorithm ◽  
Objective And Subjective Evaluation

scholarly journals 427 The role of virtual visits in cardiology: from the pandemic era to future perspectives

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Mariachiara Mei ◽  
Martina Di Iorio ◽  
Alessia Bernardini ◽  
Michele Magnocavallo ◽  
Giampaolo Vetta ◽  
...  
Keyword(s):  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Cardiac Implantable Electronic Devices ◽  
Virtual Visits ◽  
Technical Issues ◽  
The Mean ◽  
A Prospective Study ◽  
High Degree

Abstract Aims During the Coronavirus Disease 2019 (COVID-19) pandemic in-person visits were reduced to prevent potential risk of exposure. Virtual visits (VVs) represent an innovative model to take care of patients with cardiac implantable electronic devices (CIEDs). The aim of this study is to evaluate the safety and feasibility of VV in the management of CIED patients. Methods and results We performed a prospective study including all CIED patients who received a VV from July 2020 to July 2021. Blood pressure, arterial oxygen saturation, heart rate, and body weight were registered by the patient. Moreover, we sent to the patient a questionnaire to evaluate the patients’ satisfaction about VV. We enrolled 182 patients in the study period. The mean age of patients was 70.2 ± 13.5 years-old and the majority (61.1%) was male. In two cases, VVs were not performed due to technical issues. Overall, 70.9% of patients utilized a smartphone, while 20.1% and 9% used, respectively, a tablet or a personal computer. The mean duration of VV was 27.8 ± 7.8 min. Patients helped by a caregiver were 64 (35.2%). One urgent/emergent in-person visit was performed in a patient with acute heart failure. Overall, VV was preferred to in-person evaluation. Conclusion VV is a safe and feasible approach to follow-up CIED patients. A high degree of patient satisfaction was reached after VV. The use of VV has promising potential and should be implemented beyond COVID-19 period and integrated in the healthcare system as a new model of care.

scholarly journals A Tertiary Cardiology Unit Perspective for Carotid Lesions: Which Lesion and When Intervention

2020 ◽  
Author(s):  
Emre Özdemir ◽  
Muhammed Mücahit Tiryaki ◽  
Nihan Kahya Eren ◽  
Cem Nazlı ◽  
Mehmet Tokaç
Keyword(s):  
Carotid Stenting ◽  
Treatment Modalities ◽  
Common Symptom ◽  
Carotid Angiography ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
Related Data ◽  
Tertiary Center ◽  
The Mean

INTRODUCTION: Stroke is one of the most common cause of mortality and morbidity all over the world, while atherosclerosis is the most common cause of its etiology. For this patients carotid endarterectomy (CEA) and carotid stenting (CAS) are two treatment modalities. In our study, carotid angiography in a tertiary center screened and treatment experiences, methods will present. METHODS: Carotid angiography performed in our hospital between June 2006 and 2018 in a single tertiary cardiology clinic was retrospectively screened and patients were included in the study including CAS, CAE and medical follow-up. The patient's clinical features and procedure-related data were obtained by scanning the patient files. RESULTS: A total of 905 carotid angiography were screened. Critical carotid artery lesions were detected in 476 patients. 49 patients were classified as CAS, 192 patients as CEA, and 235 as medical group. The mean age of the included patients was 66.08±10.53 and the patient population was 74.2% male. The most common comorbidity was coronary artery disease (81.6%) and arterial hypertension (63.3%). The most common symptom was stroke (73.3%). In the CAS group, the rate of stroke was 6.1% in the follow-up period, the rate of stroke in the medical follow-up group was 5.5%, and in the CEA group, the stroke rate was 3.6%. There was a 3.1% mortality in the CEA group. The procedure was completed without any complication in all CAS patients. The mean follow-up period was 1034 days. DISCUSSION AND CONCLUSION: Although CEA is still a class 1 indication despite the improvements in stent and protection devices, CAS can successfully perform in our center as well as in experienced centers.

scholarly journals Silicone Hydrogel Miniscleral Contact Lenses after Corneal Collagen Crosslinking for Post-LASIK Keratoectasia

2014 ◽  
Vol 3 (3) ◽  
pp. 127-129
Author(s):  
Boris Severinsky
Keyword(s):  
Contact Lens ◽  
Contact Lenses ◽  
Visual Outcome ◽  
Visual Rehabilitation ◽  
Collagen Crosslinking ◽  
Silicone Hydrogel ◽  
Corneal Collagen Crosslinking ◽  
Corneal Collagen

ABSTRACT Purpose To report successful visual rehabilitation of post refractive surgery keratoectasia shortly after corneal collage crosslinking (CXL) procedure achieved with silicone hydrogel mini-scleral (SHmS) contact lens. Materials and methods A 29-year-old woman attended to our clinic with complaints on decreased vision in her left eye. Twelve years earlier she underwent bilateral laser-assisted in situ keratomileusis (LASIK) procedure for myopia correction. Corneal topography revealed bilateral central keratoectasia with maximal keratometry values of 55.4 Diopter (D) for her right eye and 59.7 D for the left, corneal thicknesses were 422 and 443 respectively. The patient underwent an uneventful CXL procedure in her left eye and was fitted with SHmS lens 5 weeks later. The lens was designed to rest over the patients’ sclera and perilimbal cornea and vault the central cornea with minimal support over it. Results SHmS lens fitting resulted in significant subjective improvement in visual acuity (from 20/200, unaided to 20/25, contact lens corrected). The patient was able to wear the lens upto 10 hours a day with stable contact lens corrected vision. No contact lens related complications, such as edema or neovascularization were observed during 3 months follow-up period. As a result of successful restoration of vision in the CXL-treated eye, the patient was scheduled for the procedure in her other eye. Conclusion SHmS contact lens should be considered as an option for the visual rehabilitation of corneas shortly after collagen corneal crosslinking procedure. This novel contact lens modality made from flexible and highly gas permeable material minimizes contact lens influence on corneal recovery after CXL and provides an excellent visual outcome. How to cite this article Severinsky B. Silicone Hydrogel Mini-scleral Contact Lenses after Corneal Collagen Crosslinking for Post-LASIK Keratoectasia. Int J Kerat Ect Cor Dis 2014;3(3):127-129.

scholarly journals PO 18035 - Metatarsophalangeal arthrodesis for hallux valgus treatment

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 3S
Author(s):  
José Antônio Veiga Sanhudo ◽  
Luiza Barbosa Horta Barbosa
Keyword(s):  
Hallux Valgus ◽  
Union Rate ◽  
Kirschner Wires ◽  
Scale Scores ◽  
Degree Of Satisfaction ◽  
The Mean ◽  
The Right ◽  
High Degree ◽  
Radiological Union

Introduction: Hallux valgus is the most common deformity of the adult foot and is often highly debilitating, especially when severe. First metatarsophalangeal arthrodesis (FMTPA) is a reliable method of hallux valgus correction, with a high success rate and a low relapse rate. This study assesses the union rate and degree of satisfaction and compares the pre- and postoperative American Orthopedic Foot and Ankle Society (AOFAS) scale scores of patients subjected to FMTPA for hallux valgus treatment. This study is a retrospective review of 29 feet that underwent FMTPA fixed with crossed 1.5-mm Kirschner wires, with or without cerclage. Union was assessed radiologically and clinically. Methods: From March 2011 to April 2018, 23 patients diagnosed with hallux valgus underwent surgery using the FMTPA technique fixed with crossed Kirschner wires. One patient died of unrelated causes, and another was not located for the review, leaving a total of 21 patients for the analysis (29 feet). Eight patients were operated on bilaterally, 6 underwent operation of the right foot, and 7 underwent surgery of the left foot. The mean follow-up was 32 months (7-94 months), and the mean age at the time of surgery was 69 years (45-88). Results: The AOFAS score improved from a mean of 26.8 points before the surgery (10-55) to a mean of 77.6 points after (57-90). The patients were fully satisfied with 17 of the 29 procedures and satisfied with reservations in 12 cases. No patient was dissatisfied with the outcome. Clinical and radiological union was observed in all cases. The orthopedic hardware was removed due to pain or local discomfort in 18 feet (62% of cases). Conclusion: FMTPA fixed with crossed Kirschner wires for hallux valgus treatment is highly effective, with a high union rate and a high degree of patient satisfaction.

scholarly journals Mechanical Thrombectomy for M2 Occlusions: A Single-Centre Experience

2017 ◽  
Vol 6 (3-4) ◽  
pp. 117-125 ◽  
Author(s):  
Pervinder Bhogal ◽  
Philipp Bücke ◽  
Marta Aguilar Pérez ◽  
Oliver Ganslandt ◽  
Hansjörg Bäzner ◽  
...  
Keyword(s):  
Mechanical Thrombectomy ◽  
Outcome Data ◽  
National Institutes Of Health ◽  
Inclusion Criteria ◽  
Recent Success ◽  
Single Centre Experience ◽  
Male Patients ◽  
The Mean ◽  
High Degree

Background: The recent success of several mechanical thrombectomy trials has resulted in a significant change in the management of patients presenting with stroke. However, questions still remain as to whether certain groups will benefit from mechanical thrombectomy. In particular, it is still uncertain whether mechanical thrombectomy should be performed in the M2 branches and, more generally, in the distal vasculature. Methods: We retrospectively analysed our prospectively maintained database of all patients undergoing mechanical thrombectomy between January 2008 and August 2016. We collected demographic, radiological, procedural and outcome data. Results: We identified 106 patients that met our inclusion criteria. The mean age of the patients was 68 ± 13.8 years, and there were 58 (54.7%) male patients. Associated medical conditions were common with hypertension seen in 71% of the patients. The average Alberta Stroke Program Early CT (ASPECT) score on admission was 8.5 ± 1.7. The mean National Institutes of Health Stroke Scale score was 11.8 ± 7.02. The mean duration of the procedure was 103 ± 3.4 min, and the average number of thrombectomy attempts required was 1.8 (range 1-8). Angiographically, Thrombolysis in Cerebral Infarction Scale (TICI) ≥2b was obtained in 90.5% of the patients. Five patients (4.7%) had symptomatic intracranial haemorrhage on follow-up. At 90-day follow-up, 54.6% of the patients had a modified Rankin Scale (mRS) score 0-2, and 71.5% had an mRS score ≤3. There were 15 deaths at 90 days (14.1%). Conclusion: Mechanical thrombectomy in patients with solitary M2 clots is technically possible and carries a high degree of success with a good safety profile. Patients with confirmed M2 occlusion should be considered for mechanical thrombectomy.

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