RESUMO
We evaluated the effectiveness of diode laser trans-scleral cyclophotocoagulation (TSCPC) on intraocular pressure (IOP) in nine patients having raised IOP following use of silicone oil (SO) for retinal detachment (RD) surgery in a retrospective observational case series. Diode laser TSCPC was applied at a power setting of 1.75 to 2.5 watts, for two sec with a maximum of 30 applications. The patients were followed up for 40 to 312 weeks. The mean pre-laser IOP was 32.06 mm Hg (SD 7.32). The mean post-laser IOP at one month, three months and six months was 17.89 mm Hg (SD 8.23), 21.89 mm Hg (SD 8.16) and 21.67 mm Hg (SD 7.55) respectively. The final IOP (at the last follow-up) was 19.56 mm Hg (SD 7.85) (P=0.021). Seven of them had undergone SO removal. In our observation, effectiveness of TSCPC in long-term control of SO-induced ocular hypertension was limited as compared to short-term control of IOP.
Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Povo Asiático , Feminino , Humanos , Pressão Intraocular , Fotocoagulação a Laser/métodos , Lasers Semicondutores/uso terapêutico , Masculino , Pessoa de Meia-Idade , Hipertensão Ocular/induzido quimicamente , Hipertensão Ocular/etnologia , Hipertensão Ocular/fisiopatologia , Hipertensão Ocular/cirurgia , Esclera/cirurgia , Óleos de Silicone/efeitos adversosRESUMO
In eyes with eccentric corneal opacities partially involving the pupillary area, using a rotational corneal autograft, can help restore vision without the immunological complications associated with allografts. In this report, we describe a simple intraoperative method for determining trephine size and placement for rotational corneal autografting. This surgical approach helps in the planning and execution of rotational corneal autografting, to obtain good outcomes.
Assuntos
Córnea/patologia , Opacidade da Córnea/fisiopatologia , Transplante de Córnea/métodos , Humanos , Pupila/fisiologia , Transplante Autólogo , Transtornos da Visão/fisiopatologiaRESUMO
PURPOSE: To study the safety and efficacy of intracameral lidocaine as anaesthesia in trabeculectomy for primary open-angle glaucoma. METHODS: Trabeculectomy under intracameral anaesthesia using 1% preservative-free lidocaine was performed in 10 patients with primary open-angle glaucoma. Intraoperative pain score, postoperative intraocular pressure (IOP) and endothelial cell count at 3 months were recorded. RESULTS: The mean pain score was 1.70 +/- 1.34. The mean IOP was lowered from 24.60 +/- 8.28 mmHg preoperatively to 14.1 +/- 3.11 mm Hg postoperatively. There was no significant decrease in the mean endothelial cell count 3 months after the surgery (P = 0.375). CONCLUSION: Intracameral lidocaine may be a safe and effective alternative anaesthesia method in trabeculectomy for uncomplicated primary open-angle glaucoma.
Assuntos
Idoso , Idoso de 80 Anos ou mais , Anestesia Local/métodos , Anestésicos Locais/administração & dosagem , Câmara Anterior/cirurgia , Avaliação de Medicamentos , Feminino , Glaucoma de Ângulo Aberto/cirurgia , Humanos , Pressão Intraocular , Período Intraoperatório , Lidocaína/administração & dosagem , Masculino , Pessoa de Meia-Idade , Medição da Dor , Estudos Prospectivos , Segurança , Trabeculectomia , Resultado do Tratamento , Acuidade VisualRESUMO
Argon laser suture lysis using the Ritch lens provides a safe and effective means for correction of post--ECCE suture--induced astigmatism.