scholarly journals Double-Needle Yamane Repositioning of a Previous Yamane Fixation

2019 ◽  
Vol 10 (3) ◽  
pp. 431-437
Author(s):  
Sangeethabalasri Pugazhendhi ◽  
Balamurali Ambati ◽  
Allan A. Hunter
Keyword(s):  
Intraocular Pressure ◽  
Visual Impairment ◽  
Optic Disc ◽  
Surgical Techniques ◽  
Ultrasound Biomicroscopy ◽  
Fundus Examination ◽  
Antihypertensive Medications ◽  
Safety And Efficacy ◽  
Elevated Intraocular Pressure ◽  
Capsular Support

We describe a case of anteriorly dislocated, Yamane-fixated secondary intraocular lens (IOLs) with pigmentary dispersion syndrome. The patient presented with significant visual impairment and elevated intraocular pressure despite being maximally treated with all topical antihypertensive medications. The iris-IOL touch was confirmed by ultrasound biomicroscopy, and fundus examination revealed evidence of pigment granules on the optic disc. The previous Yamane-fixated secondary IOL was repositioned using a double-needle adaptation of Yamane technique and Kim’s modification of scleral-fixated IOLs. To our knowledge, this is the first ever documented case of double-needle Yamane technique of a previous Yamane-fixated eye. In cases of inadequate capsular support, the development of new surgical techniques for the fixation of IOL continues to improve the safety and efficacy of these complicated surgeries.

scholarly journals Iris-Occlusion of XEN Gel Stent following Ab Externo Transconjunctival Implantation Technique

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Sunil Ruparelia ◽  
Nir Shoham-Hazon
Keyword(s):  
Intraocular Pressure ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Stent Implantation ◽  
Rare Case ◽  
Surgical Techniques ◽  
Glaucoma Surgery ◽  
Implantation Technique ◽  
Xen Gel Stent ◽  
Elevated Intraocular Pressure

The use of minimally invasive glaucoma surgery (MIGS) devices has become increasingly common for the management of elevated intraocular pressure (IOP) in the context of glaucoma. These technologies have traditionally been associated with fewer postoperative complications than conventional surgical techniques. However, we report on a rare case of transient XEN occlusion associated with pupil dilation following XEN gel stent implantation. This case highlights that in future XEN implantations, it may be preferable to position the XEN at a lesser angle to the iris to prevent such an occlusion. The use of different positionings of XEN is performed to optimize outcomes. However, it is highlighted that complications may arise in certain circumstances.

scholarly journals Melanocytoma of the optic disc – a case report

2012 ◽  
Vol 4 (2) ◽  
pp. 323-325 ◽  
Author(s):  
H Sharma ◽  
L R Puri
Keyword(s):  
Case Report ◽  
Malignant Melanoma ◽  
Visual Impairment ◽  
Fluorescein Angiography ◽  
Optic Disc ◽  
Benign Lesion ◽  
Fundus Examination ◽  
The Right

Introduction: Melanocytoma of the optic disc is a benign lesion. Objective: To describe a case of optic disc melanocytoma Case: A 48-year old lady presented with gradual visual impairment associated with a floater. The right eye fundus examination showed a mass uniformly dark black in colour on the optic disc. The mass completely obscured the fluorescence on fluorescein angiography and was thus differentiated from malignant melanoma. Conclusion: Optic disc melanocytoma can present with visual impairment and a floater. Fluorescein angiography can be useful to differentiate between malignDOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6553 Nepal J Ophthalmol 2012; 4 (2): 323-325

scholarly journals Sutureless, Glueless, Scleral Fixation of Single-Piece and Toric Intraocular Lens: A Novel Technique

2015 ◽  
Vol 6 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Aditya Kelkar ◽  
Rachana Shah ◽  
Jai Kelkar ◽  
Shreekant Kelkar ◽  
Ekta Arora
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Pigment Dispersion ◽  
Toric Intraocular Lens ◽  
Scleral Fixation ◽  
Novel Technique ◽  
Single Piece ◽  
Intraocular Hemorrhage ◽  
Elevated Intraocular Pressure ◽  
Capsular Support

Sutureless, glueless, scleral fixation of an intraocular lens is a known technique of fixing a lens in the scleral pockets. However, this technique is applied to single-piece and toric lenses instead of 3-piece lenses, allowing the advantage of the use of premium lenses in patients with poor capsular support. Favourable results without complications of pigment dispersion, iris transillumination defects, dysphotopsia, elevated intraocular pressure, intraocular hemorrhage and cystoid macular edema with a well-centered, stable intraocular lens have been observed in the 3-month postoperative period in both cases.

Endoscopic Goniotomy

2012 ◽  
Vol 05 (01) ◽  
pp. 33
Author(s):  
Marc Töteberg-Harms ◽  
Peter P Ciechanowski ◽  
Jens Funk ◽  
◽  
◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Trabecular Meshwork ◽  
Surgical Techniques ◽  
Filtering Surgery ◽  
Selective Laser Trabeculoplasty ◽  
Laser Trabeculoplasty ◽  
Elevated Intraocular Pressure ◽  
Excimer Laser Trabeculotomy ◽  
Over Time

Usually an elevated drainage resistance is responsible for elevated intraocular pressure (IOP) in glaucoma, while aqueous humor production is still normal. Therefore, currently there are great efforts to develop surgical techniques that enhance the conventional outflow through the trabecular meshwork and Schlemm’s canal and into the episcleral veins. One of these techniques is excimer laser trabeculotomy (ELT). ELT is easy to perform at the end of cataract surgery. The duration of cataract surgery is only prolonged by 2–3 minutes. IOP can be reduced by up to 34.7 %. It is known that the effect of IOP reduction is constant over time, unlike argon or selective laser trabeculoplasty. The procedure is also very safe. If required later, filtering surgery is not compromised because there is no conjunctival touch during ELT and therefore no scarring of the conjunctiva is induced. For a selected cohort of glaucoma patients, this procedure may avoid the need for trabeculectomy.

scholarly journals Safety and efficacy of travoprost solution for the treatment of elevated intraocular pressure

2015 ◽  
pp. 633 ◽  
Author(s):  
Luciano Quaranta ◽  
Ivano Riva ◽  
Irene Floriani ◽  
Marco Centofanti ◽  
Anastasios-Georgios Konstas ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Safety And Efficacy ◽  
Elevated Intraocular Pressure
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