Visual outcomes and operative complications following cataract surgery in Sorokdo Hansen patients / 나학회지

PURPOSE: To evaluate the visual outcomes and operative complications following cataract surgery in Sorokdo leprosy patients. METHODS: Forty three eyes of 35 leprosy patients with cataract underwent phacoemulsification and posterior chamber intraocular lens implantation surgeries. Eyes with small pupil and insufficient pupildilatation were treated with iris retractor and iris sphincterotmy. RESULTS: The mean age of patients was 71.0 +/- 8.2 years and the mean follow up was 4.5 +/- 2.0 months. The mean visual acuity significantly increased from 0.34 +/- 0.23 to 0.73 +/- 0.21 (p<0.05). Sixteen eyes (38%) gain 5 or more lines and 35 eyes (83%) gain 2 or more lines in corrected visual acuity. Common intraoperative events were 8 (19%) iris retractor use and 6 (14%) posterior capsular tear. CONCLUSIONS: Phacoemulsification and posterior chamber intraocular lens implantation surgeries in aged Sorokdo Hansen patients were safe and efficient to improve visual quality and life expectations.

Lateral tarsal strip operation for the correction of paralytic and involutional Ectropion in Sorokdo Leprosy Patients / 나학회지

PURPOSE: To evaluate the effect of the lateral tarsal strip for the correction of the paralytic and involutional ectropion in Sorokdo leprosy patients. METHODS: Lateral tarsal strip operations were performed in 23 Sorokdo leprosy patients with recurrent corneal erosion and exposure keratopathy due to ectropion. Preoperative and postoperative sclera show and lagophthalmos were measured with a slit lamp, and anterior segment findings were taken at 1 week, 2 weeks and last follow up after the surgery. Postoperative subjective functional improvements were assessed at the last follow up. RESULTS: There was significant reductions between preoperative and postoperative measurements for scleral show (from 2.19 +/- 0.22 mm to 0.37 +/- 0.11 mm) and lagophthalmos (from 4.51 +/- 0.38 mm to 2.07 +/- 0.24 mm) (p<0.05). Ocular irritation symptoms including pain and tearing, and cosmetic satisfaction significantly improved after the surgery. CONCLUSIONS: Lateral tarsal strip operation is an effective surgical option in the treatment of paralytic and involutional ectropion in leprosy patients.

Argon Laser Photocoagulation Combined With Subconjunctival and Intravitreal Bevacizumab Injections for a Retrocorneal Neovascular Membrane

PURPOSE: To report a case of retrocorneal membrane effectively treated with focal argon laser photocoagulation combined with subconjunctival and intravitreal bevacizumab injections. CASE SUMMARY: A 69-year-old female presented with persistent ocular pain and decreased visual acuity of the right eye following a complicated extracapsular cataract extraction performed nine months earliet. On examination, there was a neovascular retrocorneal membrane covering the superior one-third of the cornea with a sutured wound along the limbus. Following unresponsive conservative treatment, we performed focal argon laser photocoagulation followed by subconjunctival and intravitreal bevacizumab injections (1.25 mg). Two weeks later, markedly regressed neovascularization was noted. Additional argon laser photocoagulation, subconjunctival and intravitreal bavacizumab were performed six weeks later. Four months after the last treatment, the neovascular component substantially decreased and fibrous scar tissue replaced the neovascularization. The retrocorneal membrane showed no progression.