Long-term results of phacoemulsification combined with primary posterior curvilinear capsulorhexis in adults

To evaluate the 2-year outcomes of phacoemulsification combined with primary posterior curvilinear capsulorhexis [PPCC] in adults. In this retrospective case series, 93 eyes of 91 patients with bilateral age-related cataract who underwent phacoemulsification combined with PPCC were evaluated. The study included cases due to postoperative residual posterior capsule opacification despite careful polishing. Data were evaluated on preoperative and postoperative best corrected visual acuity [CDVA] [Snellen acuity], slit-lamp biomicroscopy and intraocular pressure [IOP] measurement. Perioperative and postoperative complications were also recorded. The mean follow-up was 24.9 +/- 13.5 months [range, 12-53 months]. At the last visit, 87.1% of the eyes had CDVA>/=20/40 and 58% had>/=20/25. Posterior capsular opacification [PCO] occurred in 2 [2.2%] of patients. No serious complications such as retinal detachment and endophthalmitis were observed during follow-up. Cataract surgery combined with PPCC is a safe procedure with a low rate of complications over the long term. This procedure reduced the necessity of Nd:YAG laser capsulotomy in adults with postoperative residual posterior capsule opacification despite careful polishing

Bilateral transient pupil closure after iris supported intraocular lens implantation in a case with Marfan syndrome

A 16-year-old woman presented with Marfan syndrome and bilateral ectopia lentis. The surgical treatment including removal of the crystalline lens and implantation of an iris-supported intraocular lens in both eyes at a week interval. Postoperatively, the biomicroscopic examination showed total pupil closure bilaterally. After the topical tropicamide treatment, the pupil returned to normal shape

Combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery in cases with cataract and posterior segment diseases

Combined cataract surgery and transconjunctival sutureless vitrectomy are a good option in patients with cataract and vitreoretinal diseases. To evaluate the effectiveness, outcomes, and complications of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery. A retrospective case series was conducted at the Beyoglu Eye Education and Research Hospital. In this study, 28 eyes of 28 patients underwent combined 23-gauge transconjunctival sutureless vitrectomy and phacoemulsification and IOL implantation for cataract and various posterior segment diseases. The outcome measures included, visual acuity, intraocular pressure changes, and anatomical success were evaluated. The mean follow-up was 4.8 months [range, 3-15 months]. Mean overall preoperative visual acuity was 20/333, and final acuity was 20/95 [P < 0.001]. Mean intraocular pressure [IOP] on the preoperative and first postoperative day was 15.6 +/- 7.5 and 13.8 +/- 3.3 mmHg, respectively [P > 0.05]. Three eyes [10.7%] had postoperative hypotony [<6 mmHg]that all recovered spontaneously within the first postoperative week. Three eyes [10.7%] required laser treatment for iatrogenic retinal tears. Anatomical success was obtained in all cases. No serious complications such as endophthalmitis were observed during the follow-up period. Combined transconjunctival sutureless vitrectomy and phacoemulsification was effective and safe in patients with significant lens opacities and vitreoretinal pathology. Although the anatomic and visual outcomes were satisfactory, the outcomes depended mainly on underlying vitreoretinal pathology