Clinical experience with scleral lenses for correction of induced ametropia

The Eye ◽  
2020 ◽  
Vol 22 (130) ◽  
pp. 16-20
Author(s):  
Ludmila Stepanova ◽  
Maria Alekseeva
Keyword(s):  
Clinical Experience ◽  
Refractive Surgery ◽  
Functional Results ◽  
Correction Method ◽  
Optical Correction ◽  
Fitting In ◽  
Clinical Cases

We described clinical cases of scleral lenses fitting in patients with induced ametropia and have shown the efficiency of this optical correction. High functional results and comfortable use make scleral lenses the main optical correction method for patients with irregular corneas after refractive surgery procedures.

Clinical experience with scleral lenses for correction of induced ametropia

The Eye ◽  
2020 ◽  
Vol 22 (130) ◽  
pp. 16-21
Author(s):  
Ludmila Stepanova ◽  
Maria Alekseeva
Keyword(s):  
Clinical Experience ◽  
Refractive Surgery ◽  
Functional Results ◽  
Correction Method ◽  
Optical Correction ◽  
Fitting In ◽  
Clinical Cases

We described clinical cases of scleral lenses fitting in patients with induced ametropia and have shown the efficiency of this optical correction. High functional results and comfortable use make scleral lenses the main optical correction method for patients with irregular corneas after refractive surgery procedures.

Ortho-k lenses fitting in patients with “non-typical” corneas

The Eye ◽  
2020 ◽  
Vol 22 (129) ◽  
pp. 22-29
Author(s):  
Svetlana Kravchuk ◽  
Olga Zhabina
Keyword(s):  
Correction Method ◽  
Diameter Ratio ◽  
Corneal Curvature ◽  
Individual Approach ◽  
Fitting In ◽  
Corneal Diameter ◽  
Clinical Cases

We described two clinical cases of ortho-k lenses fitting in patients with “non-typical” corneal curvature/diameter ratio. The main goal was to acknowledge effective and safe use of this myopia correction method in patients with corneal diameter greater than 11 mm. Individual approach to each patient is the key to a successful and safe ortho-k lenses fitting.

scholarly journals Changes the Ocular Surface after Corneal Refractive Surgery. Review

2020 ◽  
Vol 17 (3) ◽  
pp. 344-350
Author(s):  
S. V. Trufanov ◽  
E. V. Sukhanova ◽  
A. A. Tyurina
Keyword(s):  
Dry Eye ◽  
Ocular Surface ◽  
Refractive Surgery ◽  
High Efficiency ◽  
High Specificity ◽  
Functional Results ◽  
Dry Eye Syndrome ◽  
Specificity And Sensitivity ◽  
Surgery Research ◽  
Corneal Refractive Surgery

Modern corneal refractive surgery provides high efficiency, safety, predictability and stability of the different ametropia kinds correction’s clinically-functional results. However, in overwhelming percentage of cases, having spent some time after surgery patients complain about discomfort, eyes dryness, burning, feel gritty, redness, blurred and vision instability. Complaints mentioned above are caused by the appearance of transitory dry eye syndrome. Main etiology and pathogenesis factors of this disease are presented in this review. The results of dry eye syndrome classical diagnosis methods have been analyzed, as well as modern techniques, characterized by high specificity and sensitivity, which allow to increase the dry eye’s diagnostics accuracy. The study of the dry syndrome after corneal refractive surgery is devoted to a huge number of works of domestic and foreign authors. However, at present time there is no unique algorithm for assessing the damage of the ocular surface before and after corneal refractive surgery, which would include a set of high-precision and specific techniques for quickly and reliably evaluate the severity of dry eye syndrome, allowing to develop preventive measures and pathogenetically oriented treatment and, thereby, accelerate rehabilitation of patients after surgery. Research continuation is needed in this direction.

scholarly journals Powerpoint as a Useful Tool in Corrective Osteotomies Calculation—Case Report and Presentation of the Method

2019 ◽  
Vol 47 (01) ◽  
pp. 048-055
Author(s):  
Daniela Pérez ◽  
Mariana da Rocha Sousa Camello Martins ◽  
Montserrat del Valle ◽  
Ángel Ferreres
Keyword(s):  
Case Report ◽  
3D Modeling ◽  
Traditional Method ◽  
Functional Results ◽  
Congenital Disorders ◽  
Easy Method ◽  
Clinical Cases

AbstractMalunion or congenital disorders of the forearm might lead to biomechanical alterations and change the pronosupination motion. Occasionally, an osteotomy should be performed to correct this malalignment. Several techniques have been reported, especially 3D modeling, which is not yet widely used due to its cost. The traditional method is still mostly performed, but sometimes it may be difficult to do the preplanning. In this paper, we explain an easy method, called “giro point” technique, to perform the calculation of osteotomies using commercially available software. We present six clinical cases with good functional results, in which the calculation was performed using this method. The method is easy to follow, with adequate surgical-radiological correlation.

Termino-lateral nerve suture in lesions of the digital nerves: clinical experience and literature review

2009 ◽  
Vol 35 (2) ◽  
pp. 109-114 ◽  
Author(s):  
S. Artiaco ◽  
P. Tos ◽  
L. G. Conforti ◽  
S. Geuna ◽  
B. Battiston
Keyword(s):  
Clinical Experience ◽  
Functional Results ◽  
Discrimination Test ◽  
Digital Nerve ◽  
Nerve Reconstruction ◽  
Nerve Lesions ◽  
Nerve Suture ◽  
Sensory Recovery ◽  
The Mean ◽  
The One

Documented experience of treatment of digital nerve lesions with the termino-lateral (end-to-side) nerve suture is limited. Our clinical experience of this technique is detailed here alongside a systematic review of the previous literature. We performed, from 2002 to 2008, seven termino-lateral sutures with epineural window opening for digital nerve lesions. Functional outcome was analysed using the two-point discrimination test and the Semmes–Weinstein monofilament test. The results showed a sensory recovery of S3+ in six cases and S3 in one case. The mean distance found in the two-point discrimination test was 12.7 mm (range 8–18 mm). After a review of the literature, we were able to obtain homogeneous data from 17 additional patients operated by termino-lateral coaptation. The overall number of cases included in our review was 24. A sensory recovery was observed in 23 out of 24 patients. The functional results were S0 in one case, S3 in one case, S3+ in twenty cases and S4 in two cases. Excluding the one unfavourable case, the mean distance in the two-point discrimination test was 9.7 mm (range 3–18 mm). It can thus be concluded that the treatment of digital nerve lesions with termino-lateral suture showed encouraging results. Based on the results obtained in this current study we believe that in case of loss of substance, end-to-side nerve coaptation may be an alternative to biological and synthetic tubulisation when a digital nerve reconstruction by means of nerve autograft is declined by the patient.

scholarly journals Twenty-year clinical experience with fixed functional appliances

2018 ◽  
Vol 23 (2) ◽  
pp. 87-109 ◽  
Author(s):  
Alexandre Moro ◽  
Suellen W. Borges ◽  
Paula Porto Spada ◽  
Nathaly D. Morais ◽  
Gisele Maria Correr ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Class Ii ◽  
Easy Task ◽  
Functional Appliances ◽  
Class Ii Elastics ◽  
Clinical Cases

ABSTRACT Introduction: Considering the large number of fixed functional appliances, choosing the best device for your patient is not an easy task. Objective: To describe the development of fixed functional appliances as well as our 20-year experience working with them. Methods: Fixed functional appliances are grouped into flexible, rigid and hybrid. They are different appliances, whose action is described here. Four clinical cases will be reported with a view to illustrating the different appliances. Conclusions: Rigid fixed functional appliances provide better skeletal results than flexible and hybrid ones. Flexible and hybrid appliances have similar effects to those produced by Class II elastics. They ultimately correct Class II with dentoalveolar changes. From a biomechanical standpoint, fixed functional appliances are more recommended to treat Class II in dolichofacial patients, in comparison to Class II elastics.

scholarly journals Knowledge and Preference for Refractive Surgery and Preferred Methods of Refractive Correction among Patients with Significant Refractive Errors Attending Bharatpur Eye Hospital, Nepal

2020 ◽  
Vol 9 (1) ◽  
pp. 32-35
Author(s):  
Puspa Giri ◽  
Gopal Bhandari ◽  
Ranjeet Sah
Keyword(s):  
Contact Lens ◽  
Refractive Surgery ◽  
Age Groups ◽  
Refractive Errors ◽  
Eye Care ◽  
Optical Correction ◽  
Refractive Correction ◽  
Age Range ◽  
Source Of Information ◽  
Defective Vision

Background: Refractive errors are a major cause of defective vision in all age groups. Although contact lens and refractive surgery are popular, still spectacles are the traditional and most widely used method of optical correction. The main objective of the study was to determine the knowledge and preference for refractive surgery and preference for refractive correction. Materials and Methods: Questionnaire based study was conducted among 252 participants aged between 22-40 years with significant refractive errors (>±1.00D) for a period of three months between June to August 2017. Participants who had prior refractive surgery and not willing to participate were excluded from the study. Results: One hundred and forty (55.6%) were males and majority (76.6%) of the participants were in the age range 22-30 years. Myopia (60%) was more prevalent followed by astigmatism (38%) and hypermetropia (2%) with refractive power between 1-3 D in 72.5% of participants. Only 61(24%) of the participants had knowledge about refractive surgery.  Forty three percentages of them knew from their friends, internet was source of information for 36% and only 19% of them knew from eye care professionals. Majority (87.3%) preferred spectacles 4.8% preferred contact lens and only 8% preferred refractive surgery as methods of refractive correction. Only 44% showed willingness for refractive surgery when available at Bharatpur Eye Hospital. Participants with prior knowledge (p=0.002), higher refractive error and longer duration of glass wear (P=0.005) had more preference for refractive surgery. Conclusion: The knowledge, preference and willingness for refractive surgery were less with spectacle being the most preferred methods of refractive correction.

Assessment of morbidity and functional results in bladder replacement with Hautmann ileal neobladder after radical cystectomy: a clinical experience in 55 highly selected patients

Urology ◽  
2001 ◽  
Vol 58 (5) ◽  
pp. 707-711 ◽  
Author(s):  
Michel Soulié ◽  
Philippe Seguin ◽  
Patrick Mouly ◽  
Mathieu Thoulouzan ◽  
Francis Pontonnier ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Clinical Experience ◽  
Functional Results ◽  
Ileal Neobladder ◽  
Bladder Replacement

Podiatric Medical Applications of Posterior Night Stretch Splinting

2001 ◽  
Vol 91 (7) ◽  
pp. 356-360 ◽  
Author(s):  
Angela Evans
Keyword(s):  
Clinical Experience ◽  
Sports Medicine ◽  
Plantar Fasciitis ◽  
Lower Leg ◽  
Medical Applications ◽  
Review Of The Literature ◽  
Effective Adjunct ◽  
Corticosteroid Injections ◽  
Clinical Cases

Podiatric physicians encounter many conditions, especially in sports medicine, that involve pain in the vicinity of the rearfoot or lower leg. These conditions are often associated with ankle equinus and may affect either child or adult sports participants. A review of the literature and clinical experience identify posterior night stretch splinting as an effective adjunct in the treatment of persistent symptomatic plantar fasciitis, negating the need for corticosteroid injections, further protracted pain, or surgery. This article reviews clinical cases in which night stretch splinting was used for a variety of diagnoses. Further research is needed into its efficacy for conditions other than plantar fasciitis. (J Am Podiatr Med Assoc 91(7): 356-360, 2001)

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