PURPOSE To describe a new scleral fixation foldable intraocular lens (IOL): the Ultima. METHODS The novel IOL is a new scleral fixation acrylic hydrophilic foldable lens that offers a 360 degrees sulcus support due to its round geometry. It can be folded and inserted through a 4 mm clear cornea incision. Twenty-five eyes implanted with the Ultima lens were followed for 2 years. RESULTS Twen...

PURPOSE To report a case of inadvertent anterior chamber and cornea stromal injection with high dose antibiotics and steroids during cataract operation. METHODS During cataract operation on a 78 year-old female patient, high dose gentamicin (20 mg/0.5 ml) and dexamethasone (2 mg/0.5 ml) were inadvertently injected into the anterior chamber and cornea stroma when making cornea edema for sealin...

PURPOSE To evaluate clinical outcome of cataract surgery under systemic anticoagulant therapy using coumarin. METHODS This clinical interventional comparative nonrandomized study included 441 patients (441 eyes) consecutively undergoing standard phacoemulsification with clear cornea incision and topical anesthesia. The study group consisted of 21 (4.8%) patients for whom systemic coumarin the...

A 4-day-old baby girl had restricted movement of the left lower lid, giving the impression that the left eye was larger than the right. She was a full-term baby delivered by Caesarean section. Examination Movements of the left lower lid were restricted. There was a clear area of sclera between the cornea and lower lid and the lid seemed to be fixed to the orbital margin (Fig. i), and could not ...

Surgery to create eyelid folds accounts for the highest percentage of surgeries in Asians and Koreans who receive the surgery on the upper eyelid 2 to 3 times during their lifetimes for functional or cosmetic reasons. Patients are generally satisfied with the results-the eyes becoming brighter and bigger via the improvement of pseudoptosis by fold creation. The recent trend is to seek the "perf...

PURPOSE To compare the course and magnitude of change on the horizontal and vertical meridians of the cornea after 5 different incisions for cataract: extracapsular cataract extraction (ECCE), 6 mm superior scleral tunnel (6Sup), 3 mm superior scleral tunnel (3Sup), 3 mm temporal scleral tunnel (3Temp), and 3 mm temporal corneal incision (3Cor). METHODS Retrospective chart review of 665 cases...

To the Editor: Femtosecond laser platforms used for cataract surgery are integrated with anterior-segment optical coherence tomography (AS-OCT), allowing for real-time imaging and measurement of the cornea, possibly leading to more precise arcuate keratotomies.1 The femtosecond laser permits creation of either anterior penetrating incisions or intrastromal incisions. The advantages of intrastro...