The Comparisons of Clincal Results of Ac rySof and PMMA Intraocular Lens Implantation in Diabetic Cataract: Six Months Follow-up

To compare the clinical results of AcrySof intraocular lens (IOL)and Polymethyl methacrylate(PMMA)IOL implantation in diabetic patients,a total of 58 eyes(48 patients)were analyzed.AcrySof IOL was implanted in 24 eyes with small incision technique,and PMMA IOL was implanted in 34 eyes with enlarged scleral wound.Posterior capsular opacity(PCO)developed in only 2 eyes in AcrySof group,while it occurred in 4 eyes in PMMA group.Anterior capsular fibrosis developed in 4 eyes and IOL-iris synechiae developed in 2 eyes in PMMA group after follow-up of 6 months.No statis-tically significant difference was found in the incidence of PCO between two groups(p>0.05). AcrySof IOL leads to faster visual rehabilitation than PMMA lens. Therefore,use of AcrySof IOL can be more beneficial in diabetic cataractpatients who might need laser photocoagulation or pars plana vitrectomy in the future.

Painful,Large Bleb after Glaucoma Filtering Surgery

An overhanging, large bleb after filtering surgery leads to various complications ranging from foreign-body sensation to endophthalmitis. Herein we report two case of large painful blebs in nasal area. Argon laser was initially used for its shrinkage. However, this procedure was not successful, requiring surgical excision of bleb. The tissue was then examined to evaluate the cause of failure with the argon laser treatment. On examination, the bleb showed a pseudocyst, and hyaline degeneration in the inner membrane of the bleb. Shrinkage of the large bleb resulted in resolution of the pain.