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pseudophakic cystoid macular edema is one of the complications of cataract surgery. Methods We conducted a retrospective cohort study of 1285 diabetes patients over the age 18 who underwent cataract surgery between January 2015 and January 2020. Results The patients with CME complications were younger, with longer duration diabetes, and higher incidences of type 1 diabetes and diabetic retinopathy. HbA1c is an independent risk for post-operative CME with a relative risk of 2. 01 if HBa1c is above 7 c, according to a multivariate analysis.
Source link: https://europepmc.org/article/MED/36599797
Objective: To determine factors that may influence the direction and extent of long-term refractive error after cataract surgery, a primary aim was to investigate factors that might influence the direction and extent of long-term refractive error. Patients who underwent cataract phacoemulsification surgery between January 1 and December 31, 2018 were included in the study population. Patients who had cataract surgery combined with another procedure were refused. compared to target refraction, a sharpened refraction was determined at 2 months and three years after surgery and compared with target refraction. Results This analysis included 221 eyes of 122 patients. Mean prediction error decreased by 2 months to 3 years after surgery, whether eyes were more myopic or more hypermetropic than anticipated. SEQ prediction error was strongly associated with pre-operative ACD and ACD-to-AL ratios. Conclusions Following cataract surgery and refractive outcomes can be influenced by the ACD and ACD-to-AL ratio. The pre-operative investigation of these risk factors may help to determine IOL selection in particular patients.
Source link: https://europepmc.org/article/MED/36592262
Purpose of the study The aim of the research was to determine the effects of cataract surgery in patients of the pediatric age group with systemic comorbidities. Methods were reviewed by the Medical records of 54 eyes of the pediatric age group with systemic comorbidities who had undergone cataract surgery in a tertiary-care center were reviewed. Multiple referrals due to a lack of general anesthesia services in 78% of cases, a long waiting list at the referral hospital in 35% of cases, and a lack of awareness at the primary-care physician level in 50% of cases. The most common cataract morphology was zonular cataracts. In 27. 7% and 33. 3% of eyes, respectively, eyes were tested for strain and abnormal eye movements. Around 80% of the parents reported improvement in their children's psychomotor skills.
Source link: https://europepmc.org/article/MED/36588222
In modulating postoperative inflammation after surgery, this review was conducted to determine the efficacy, safety, and compliance of postoperative topical steroids and adjunctive intracameral triamcinolone acetonide and posterior subcutaneous triamcinolone. Methods Forty-eight Eyes of children with pediatric cataract between the ages of 5 and ten years were randomly divided into three distinct groups before surgery, according to a research team. Group T received postoperative topical steroids without topical steroids for two weeks; Group I was given adjunctive intraoperative I/C 1. 2 mg/0. 03 ml tricort and topical 1% prednisolone for two weeks; and Group B received a single 0. 5 ml PST tricort without topical steroids; and Group B received postoperative topical steroids. In two eyes in group I and one eye in group S, who resolved, four eyes out of 16 were present in four eyes out of 16 in group T, and in one eye in group S, which dissolved. Conclusion With PST tricort and the adjunctive I/C tricort, as well as postoperative topical prednisolone, for decreasing postoperative inflammation, in pediatric cataracts, results were much better with PST tricort and the adjunctive I/C tricort.
Source link: https://europepmc.org/article/MED/36588220
Purpose: The aim was to determine the risk factors leading to posterior capsule rupture during mature cataract surgery. Methods In this retrospective review, a total of 1302 consecutive mature cataract cases were included. PCR cases during surgery were classified as difficult. For statistical analysis, a multivariate logistic regression model using a generalized estimation equations approach was used. Conclusions The overall rate of PCR was 7. 3 percent. Conclusion Strabismus, phacodonesis, history of injury, extracapsular cataract extraction technique, and pseudoexfoliation were all identified as key risk factors for developing PCR.
Source link: https://europepmc.org/article/MED/36588219
An underlying diagnosis of keratoconus can make cataract surgery more difficult. The results of a systematic review of the literature relating to cataract surgery in patients with KC are detailed in this article. When used in patients with KC, Then, the method, and approach to intraocular lens power estimation are explored, highlighting particulars and pitfalls of this experiment.
Source link: https://europepmc.org/article/MED/36194107
Purpose: To determine postenhancement visual acuity in patients who underwent postcataract laser in situ keratomileusis or photorefractive keratectomy, patients underwent postcataract laser in situ keratomileusis or photorefractive keratectomy. Patients who underwent postcataract extraction excimer laser refiner surgery for emmetropia were referred to for emmetropia. Compared to 142 PRK-enhanced patients, 330 LASIK-enhanced patients achieved 20/20 or better postenhancement UDVA, or better postenhancement UDVA. Except in those with pre-enhancement visions of 20/20 or higher, or those with pre-enhancement visions worse than 20/20/50, the pre-enhancement UDVA, LASIK-enhanced patients showed significant improvement in postenhancement UDVA, LASIK-enhancement UDVA, LASIK-enhancement UDVA, LASIK-enhancement UDVA, or those with pre-enhancement visions who are ad patients with pre-enhancement visions worse than 20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/20/enhancement UDVA, LASIK-enhancement UDVA, LASIK-enhancement UDVA, LASIK-enhancement RA, or those with In PRK-enhanced virgin cornea patients, 0. 05 0. 05 UDVA was the equivalent postenhancement of 0. 14 mm UDVA. Conclusions LASIK provides greater and more consistent outcomes in UDVA than PRK in postcataract enhancement patients, even when accounting for pre-enhancement visual acuity and prior ocular procedures.
Source link: https://europepmc.org/article/MED/36026691
Objectives: To determine the physical appearance and complication rate of manual small incision cataract surgery in hypermature morgagnian cataracts, the primary objective of this study. Methods of Data Collection Patients diagnosed with HMC and those who underwent MSICS from January to December 2019 were retrospectively collected. In 6 patients, phacolytic glaucoma in 7 patients, lens-induced uveitis in 5 patients, and phacodonesis in 30 patients, respectively, hypotheses were found in dense pseudoexfoliation. 7 patients did not receive intraocular lens implantation in primary surgery due to inadequate posterior capsular bag care. On the first postoperative day, 70 patients had a corrected distance visual acuity better than 20/40, and 98 patients had a CDVA of 20/60 or higher, with 89. 5% having CDVA of u226520/40. Conclusions: MSICS for hypermature cataract is relatively safe and yields a positive visual result, as shown by the following tables.
Source link: https://europepmc.org/article/MED/35971237
Background: To investigate the potential relationship between the anterior rotation of the ciliary process and crystalline lens, we need to investigate the anterior segment parameters before and after cataract surgery in open-angle eyes and some subtypes of primary angle-closure glaucoma eyes. Methods: An observational, prospective research was conducted on 66 patients who had cataract surgery, including 22 chronic PACG patients, 22 acute PACG patients, and 22 open-angle cataract patients. A natural anatomic abnormality may be a more significant contributing factor in PACG patients' anterior rotation of ciliary processes.
Source link: https://europepmc.org/article/MED/PMC9820897
Background: In open-angle eyes and several subtypes of primary angle-closure glaucoma eyes, we need to investigate the potential correlation between the anterior process and crystalline lens rotation, as well as the potential connection between the anterior segment parameters. Methods An observational, prospective research was conducted on 66 patients who underwent cataract surgery, including 22 chronic PACG patients, 22 acute PACG patients, and 22 open-angle cataract patients. A natural anatomic abnormality may be a more significant factor in PACG patients' anterior rotation of ciliary processes.
Source link: https://europepmc.org/article/MED/36615126
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