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Purpose: To compare the visual outcomes and residual astigmatism following implantation of Eyecryl toric versus Alcon AcrySof IQ toric intra?ocular lenses (IOLs). Methods: This retrospective, observational study included 143 eyes of 141 patients who underwent phaco?emulsification, followed by implantation of Eyecryl toric IOL (n = 83 eyes) or Alcon toric IOL (n = 60 eyes) in an eye hospital in South India from 2018 to 2021. At 1 month post?op, the uncorrected distance visual acuity (UCVA), best corrected distance visual acuity (BCVA), and residual astigmatism of the toric IOL were compared and analyzed. Results: The mean pre?op corneal astigmatism was 2.02 ± 0.81 D and 1.70 ± 0.68 D in the Alcon and Eyecryl groups, respectively (P = 0.005). The mean post?op corneal astigmatism at 1 month was 0.50 ± 0.51 D and 0.36 ± 0.42 D in the Alcon and Eyecryl groups, respectively, with no statistically significant difference between them (P = 0.87). The mean post?op UCVA in logarithm of minimum angle of resolution (logMAR) at 1 month was similar between the groups at 0.17 ± 0.18 and 0.17 ± 0.16 in the Alcon and Eyecryl groups, respectively (P = 0.98). The mean post?op BCVA in logMAR at 1 month was 0.06 ± 0.09 and 0.03 ± 0.10 in the Alcon and Eyecryl groups, respectively (P = 0.02). Conclusion: Both Eyecryl toric and Alcon AcrySof IQ toric IOLs showed comparable post?operative outcomes in terms of UCVA and residual astigmatism. The post?op BCVA was clinically similar between groups but statistically better in the Eyecryl toric group
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Purpose: To compare the short?term outcomes of combined phaco?emulsification with posterior chamber intra?ocular lens and mitomycin augmented trabeculectomy in patients with pseudo?exfoliation glaucoma (PXFG) versus primary open?angle glaucoma (POAG). Methods: A total of 144 eyes of 144 patients were enrolled in this prospective interventional comparative study, 72 each of which had PXFG and POAG, respectively. All patients underwent twin?site combined phaco?trabeculectomy at a tertiary eye center in India between December 2017 and December 2018 and were followed up for a period of 12 months. The main outcome measures were intra?ocular pressure (IOP), best corrected visual acuity (BCVA), total surgical time, rate of intra?operative and post?operative complications, and the number of ocular hypotensive medications needed. Success rates were determined via Kaplan–Meier survival analysis. Results: The mean age was 63.9 ± 7.9 years in the POAG group and 66.4 ± 6.8 years in the PXFG group (P ? 0.04). The baseline BCVA, IOP, and cup?disc ratio were comparable between two groups. Intra?operative complications and post?operative outcomes were comparable between the two groups. There was a significant drop in anti?glaucoma medications in both groups. Six patients, three (4.2%) in each group, were lost to follow?up after 6 months. Three patients (4.2%) in PXFG needed additional glaucoma intervention for controlling IOP, one patient needed a non?valved glaucoma drainage device, and two patients required diode cyclo?photocoagulation within the follow?up period. Conclusion: Patients with PXFG had a longer surgical time than POAG. Similar success and complication rates were observed following combined twin?site phaco?trabeculectomy in both POAG and PXFG at 1 year. Combined glaucoma surgery resulted in good IOP control, improvement in BCVA, and lower requirement of ocular hypotensives in both the groups.
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Background: “Dry eye” is a multifactorial disease of tears and ocular surface that can be result from aqueous deficiency ormay be evaporative in nature. Dry eye affects individuals worldwide. Long-term epidemiological studies have shown that theincidence rates among the population between ages 43 and 86 years at 5 and 10 years of follow-up to be 13.3% and 21.6%,respectively.Aim of the Study: The aim of the study was to assess the incidence and severity pattern of dry eye among patients who haveundergone phacoemulsification.Materials and Methods: A total of 152 patients undergoing phacoemulsification for matured cataracts in the Department ofOphthalmology of KMCT Hospital were included in this study. The incidence of dry eye on day 7 after phacoemulsificationwas assessed using the ocular surface disease index (OSDI) questionnaire. Tear breakup time (TBUT), fluorescein stainingwith Oxford Schema, and Schirmer I test without anesthesia were performed after the questionnaire. The TBUT measures theinterval between the last complete blink and the first appearance of a dry spot or disruption of the tear film.Observations and Results: Among 152 subjects, there were 97 male patients (63.81%) and 55 (36.18%) female patientswith a male to female ratio 1.76:1. The mean age was 57.13 ± 9.50 years. The eldest patient was aged 78 years. On day 7postoperatively, the mean scores of OSDI questionnaire (preoperatively vs. postoperatively was 12.57 vs. 35.10, respectively),TBUT (preoperatively vs. postoperatively was 15.85 ± 1.25 s vs. 13.9 ± 0.70 s), Oxford Schema (preoperatively vs. postoperativelywas Grades 1 vs. 2), and Schirmer I without anesthesia (preoperatively vs. postoperatively was 22.10 ± 5.44 mm at 5 min[15–35 mm] vs. 7.50 ± 2.20 in 55.30% [6.10–9.05], respectively) showed a trend toward dry eye syndrome during the 1st week.Conclusions: Dry eye symptoms can develop immediately after phacoemulsification and the severity can peak on day 7. Bothsymptoms and signs of dry eye can improve over time. However, it is important that ophthalmologists assess dry eye beforeand after phacoemulsification to ensure proper treatment, quality of vision, and quality of life for their patients
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Purpose: The purpose was to evaluate the results of modified sleeve in phacoemulsification of cataract in completely vitrectomised eyes, Materials and Methods: Twenty-five previously completely vitrectomized eyes of 23 patients having visually significant cataract were included. After through evaluation they underwent phaco-emulsification by phaco chop with a modified sleeve via temporal clear corneal incision. The modified sleeve was made by creating a small round port of approximate 1 × 1 mm size at the proximate end of the sleeve in line with the already existing ports. This port faced the posterior capsule while performing phacoemulsification. Patients were observed for any intraoperative complications. Result: The most common indication for pars plana vitrectomy in our study group was vitreous hemorrhage due to diabetic retinopathy [13 out of 25 eyes (52%)]. Intraoperative findings included miosis [seen in 3 (12%) eyes] and posterior capsular plaque [seen in 2(8%) eyes]. No other significant intraoperative complications (posterior capsular tear, dropped nucleus) were observed. Average effective phaco time was 33 sec. (±15.11). Conclusion: Though cataract surgery in postvitrectomized eyes is a challenging situation, modified sleeve prevents anterior chamber fluctuation and avoids complications arising out of it, making the surgery safe.