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1.
Retina ; 43(10): 1802-1806, 2023 10 01.
Article in English | MEDLINE | ID: mdl-34050099

ABSTRACT

BACKGROUND/PURPOSE: To demonstrate possible complications of a new intraocular lens for sutureless secondary scleral implantation and modifications of the surgical technique to optimize outcomes. METHODS: A retrospective study of 16 eyes (16 patients) who underwent a secondary intraocular lens implantation using the Carlevale intraocular lens (Soleko, Italy) with two anchor haptics for intrascleral implantation (mean follow-up 2.2 months). RESULTS: The visual acuity did not improve statistically significantly postoperatively ( P = 0.601). Seven (44%) patients suffered from postoperative hypotonia (intraocular pressure <5 mmHg) during the first three postoperative days. CONCLUSION: Owing to the early postoperative hypotony, we decided to modify the surgical technique. We present several suggestions to optimize the technique and outcome such as positioning the sclerotomies at the 2 and 8 o'clock positions, using 27 G trocars alone and suturing the frown incisions using self-resorbing sutures.


Subject(s)
Lens Implantation, Intraocular , Lenses, Intraocular , Humans , Lens Implantation, Intraocular/methods , Pilot Projects , Retrospective Studies , Postoperative Complications/surgery , Sclera/surgery
3.
Ophthalmologe ; 117(8): 791-797, 2020 Aug.
Article in German | MEDLINE | ID: mdl-31562562

ABSTRACT

Acute macular neuroretinopathy (AMN) is a rare disease that causes sudden onset of paracentral scotomas. The current case report describes a 13-year-old girl with AMN adjacent to a focal choroidal excavation (FCE) with pachychoroidal features. The patient was followed for 20 months and examined with multimodal imaging. During follow-up the AMN area showed an incomplete atrophy of the outer nuclear layer, while the FCE changed along with decreasing choroidal thickness from a non-conforming into a conforming type. This case provides an interesting association of AMN, FCE and pachychoroid disease.


Subject(s)
White Dot Syndromes , Acute Disease , Adolescent , Choroid , Female , Fluorescein Angiography , Humans , Tomography, Optical Coherence , Visual Acuity
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