PURPOSE To evaluate efficacy, predictability, and safety of Artisan toric phakic intraocular lens (Ophtec, Groningen, The Netherlands) implantation for the correction of astigmatism higher than 2 diopters. DESIGN Interventional case series. METHODS This prospective study included 27 eyes of 16 patients with a mean preoperative spherical equivalent of -11.78 +/- 6.24 diopters and a mean preo...

BACKGROUND Improvement in surgical devices and intraocular lenses has made modern cataract surgery a safe procedure with decreasing complication rates. Intraocular lens dislocation is a serious complication after cataract surgery. Although most dislocations occur during the first week postoperative period, late intraocular lens dislocation occurring 3 months or later post-surgery has been repor...

BACKGROUND The purpose of this work is to report on the management of endophthalmitis in phakic eyes in which the crystalline lens was preserved. METHODS The current study is a noncomparative consecutive case series of patients who developed culture-proven endophthalmitis and were treated between January 1995 and June 2009. The study included only phakic patients whose infection was managed w...

Trabeculectomy for primary glaucoma was successfully combined with extracapsular lens extraction and insertion of a Pearce tripod posterior chamber lens in seven eyes of five patients. The results were similar to those expected from each component of the operation when performed alone, and all eyes achieved visual acuity of 6/9 or better with control of intraocular pressure below 22 mmHg withou...

PURPOSE To examine the efficacy, predictability, stability, and safety of posterior chamber phakic intraocular lens (IOL) implantation in eyes with high hyperopia. METHODS We analyzed the results of 24 eyes that received a posterior chamber hydrogel-collagen plate phakic IOL (Staar Collamer Implantable Contact Lens, ICL) for the correction of hyperopia with the goal of emmetropia. Mean follow...

OBJECTIVE To assess the safety and efficacy of combined cataract extraction, posterior chamber intraocular lens placement, pars plana vitrectomy, fluocinolone acetonide intravitreal implant (Retisert), and Ahmed valves with pars plana tube (CPR-PT) in eyes with chronic, posterior, noninfectious uveitis. METHODS Retrospective study of patients who underwent CPR-PT. Outcome measures included vi...

The patient presented herein is a 34-year-old woman with nanophthalmos and secondary glaucoma. Her mental ability is mildly impaired. She has no history of systemic disorders and is not receiving any systemic medications except acetazolamide 250 mg every 6 hours. She has history of bilateral peripheral laser iridectomies, phacoemulsification with implantation of a posterior chamber intraocular ...

A 9-year-old boy was referred to our service for the first time for an emergency consultation with worsening vision in his right eye for 2 days. He had a pencil injury to the right eye seven months prior with a ruptured globe repair and subsequent posterior chamber intraocular lens (PCIOL) surgery for a traumatic cataract six months after the injury; this repair was performed by another provide...

A thorough understanding of normal ocular anatomy is critical to define pathologic anatomic conditions, to delineate surgical goals, and to develop and utilize surgical tools to optimize patient outcomes. The anatomy of the eye and orbit can be broadly categorized as extraocular structures (including the eyelids, lacrimal gland, canalicular system, conjunctiva, and extraocular muscles) and intr...