ABSTRACT
The use of femtosecond laser during cataract surgery is increasing, as it may potentially improve accuracy, safety and refractive outcomes. However, posterior capsule rupture with retained lens material can occur, necessitating vitreoretinal intervention. The authors report the first videographically documented case of removal of retained lens material after femtosecond laser-assisted cataract surgery.
Subject(s)
Cataract Extraction , Intraoperative Complications , Laser Therapy , Lens Cortex, Crystalline/surgery , Vitrectomy/methods , Aged , Female , Humans , Lens Cortex, Crystalline/pathology , Reoperation , Visual AcuityABSTRACT
To describe an unusual anterior chamber lesion found on routine eye examination of a 71 year-old Hispanic gentleman who presented for cataract evaluation. The lesion was biopsied at the time of cataract surgery and its pathology presented.A 71 year-old Hispanic gentleman presented for routine cataract evaluation. We found an unusual lesion in the anterior chamber of the right eye. The patient underwent uneventful phacoemulsification surgery. The lesion was biopsied at the time of cataract surgery and sent for pathology. Clinical photos and its pathology are presented in this article.Despite biopsy and several ancillary testings, the nature of this lesion remains unknown. Only long-term follow-up of the left eye might reveal clues as to the origins of this unusual lesion.
ABSTRACT
A patient experienced recurrent postural headache, transient visual obscurations, and papilledema. The patient initially presented with papilledema without cerebral venous sinus thrombosis (pseudotumor cerebri, idiopathic intracranial hypertension). One year later she had the similar symptoms and a recurrence of papilledema but now had obvious venous sinus thrombosis.
Subject(s)
Antiphospholipid Syndrome/diagnosis , Papilledema/etiology , Pseudotumor Cerebri/diagnosis , Sinus Thrombosis, Intracranial/diagnosis , Vision Disorders/etiology , Adult , Female , Headache/complications , Humans , Intracranial Pressure , Magnetic Resonance Imaging , Obesity/complications , Phlebography , Visual FieldsABSTRACT
Advances in cataract surgery techniques have presented surgeons with new options for ocular anesthesia. As cataract removal has become faster, safer, and less traumatic, the need for akinesia and anesthesia has declined significantly. General anesthesia or retrobulbar block have largely been replaced with other safer and equally effective means of local anesthesia. These newer and less invasive methods have reduced the potential for catastrophic surgical complications, increased the efficiency of cataract surgery, and hastened the process of visual rehabilitation. Today there are numerous modes of anesthesia from which a surgeon can choose. This article reviews the current choices for ocular anesthesia, compares their efficacies, and provides a framework, helping to select the most appropriate type of anesthesia for each patient.
Subject(s)
Anesthesia/methods , Cataract Extraction/methods , Decision Making , HumansABSTRACT
A man with orbital myositis and optic neuritis tested positive serologically for multiple tick-borne diseases. Erlichiosis, babesiosis, and Lyme disease may occur together and affect the eye or orbit.
