Background:To evaluate efficacy and safety of combined pars plana vitrectomy(PPV)and scleral fixated intraocular lens(SFIOL)surgery as a single procedure.Methods:Retrospective interventional case series done at a tert...Background:To evaluate efficacy and safety of combined pars plana vitrectomy(PPV)and scleral fixated intraocular lens(SFIOL)surgery as a single procedure.Methods:Retrospective interventional case series done at a tertiary eye care center in Northern India.Eleven patients who underwent combined PPV and SFIOL surgery were included and analyzed retrospectively.Results:Mean age of the patients was 43.36±15.12 years(range,22-64 years).Eight were male.Mean baseline best corrected visual acuity(BCVA)was 0.78±0.63 logMAR units while the mean post-operative BCVA at 6 months follow-up was 0.37±0.29 logMAR units,the visual gain being statistically significant(P=0.021).None of the patients had a drop in BCVA with nine patients having final BCVA better than 0.48 logMAR units.Choroidal detachment(CD)was the only notable complication,seen in three patients.Other complications included two cases of intraoperative retinal breaks,a case each of reversible corneal edema,ocular hypertension and cystoid macular edema.Conclusions:Combined PPV and SFIOL is an efficacious procedure for managing IOL/lens dislocation and aphakia in a single surgery.There may be short-term reversible complications with no impact on final visual gain.展开更多
Cataract surgery is the most performed surgery in ophthalmology and remains as the ultimate refractive surgery.It offers an opportunity to improve a patient’s visual acuity and target a degree of spectacle independen...Cataract surgery is the most performed surgery in ophthalmology and remains as the ultimate refractive surgery.It offers an opportunity to improve a patient’s visual acuity and target a degree of spectacle independence.The process of intraocular lens(IOL)calculations serves as a crucial element in achieving successful post-operative refractive outcomes.A modern-day surgeon has access to several IOL formulas to pick the most appropriate lens to achieve a desired target refraction.These formulas,however,have both advantages and limitations and therefore reach within 0.50 diopters of the target refraction only 70-80%of the time.There is a lack of a single,ideal formula that can simplify complexities of this process and achieve higher degrees of accuracy.The development of the IOL Ladas‘super formula’may provide a simplistic,accurate,and ever-evolving solution to improving outcomes.展开更多
文摘Background:To evaluate efficacy and safety of combined pars plana vitrectomy(PPV)and scleral fixated intraocular lens(SFIOL)surgery as a single procedure.Methods:Retrospective interventional case series done at a tertiary eye care center in Northern India.Eleven patients who underwent combined PPV and SFIOL surgery were included and analyzed retrospectively.Results:Mean age of the patients was 43.36±15.12 years(range,22-64 years).Eight were male.Mean baseline best corrected visual acuity(BCVA)was 0.78±0.63 logMAR units while the mean post-operative BCVA at 6 months follow-up was 0.37±0.29 logMAR units,the visual gain being statistically significant(P=0.021).None of the patients had a drop in BCVA with nine patients having final BCVA better than 0.48 logMAR units.Choroidal detachment(CD)was the only notable complication,seen in three patients.Other complications included two cases of intraoperative retinal breaks,a case each of reversible corneal edema,ocular hypertension and cystoid macular edema.Conclusions:Combined PPV and SFIOL is an efficacious procedure for managing IOL/lens dislocation and aphakia in a single surgery.There may be short-term reversible complications with no impact on final visual gain.
文摘Cataract surgery is the most performed surgery in ophthalmology and remains as the ultimate refractive surgery.It offers an opportunity to improve a patient’s visual acuity and target a degree of spectacle independence.The process of intraocular lens(IOL)calculations serves as a crucial element in achieving successful post-operative refractive outcomes.A modern-day surgeon has access to several IOL formulas to pick the most appropriate lens to achieve a desired target refraction.These formulas,however,have both advantages and limitations and therefore reach within 0.50 diopters of the target refraction only 70-80%of the time.There is a lack of a single,ideal formula that can simplify complexities of this process and achieve higher degrees of accuracy.The development of the IOL Ladas‘super formula’may provide a simplistic,accurate,and ever-evolving solution to improving outcomes.
