This Issue at a Glance

Abstract

Combined Ahmed Valve and Type I KPro Surgery Found Safe Lenis et al (p. 12) evaluated concurrent implantation with the type I Boston Keratoprosthesis (KPro) and the Ahmed glaucoma valve (AGV) and compared it with KPro implantation alone. They found no increase in postoperative complications in those who received both devices. For this single-surgeon retrospective study, the researchers evaluated 137 KPro procedures (129 patients), 46 of which (33.6%) involved both devices. Pre-, intra-, and postoperative data were collected for each procedure, and patients were followed for up to 10 years, with a mean follow-up of 44 months. No significant differences emerged between patient cohorts regarding vision-threatening postoperative complications, including hypotony maculopathy, suprachoroidal hemorrhage, retinal detachment, or infectious keratitis. In addition, none of the 46 AGVs became exposed during follow-up.

From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome

“…Halos and glare, also known as dysphotopsias, are intrinsically associated to the monofocal [ 103 ] or multifocal IOL technologies [ 98 , 99 , 104 ], resulting in one of the most important complains [ 99 , 103 ]. However, despite being intrinsically associated to the technology, not all the patients refer disturbances associated to dysphotopsias, probably because these phenomena are only perceived under certain conditions, such as driving at night looking at a bright light source against a dark background [ 104 ] due to neural adaptation [ 105 ] or due to patients' personality [ 100 ]. On the contrast, it is also important to note that some adverse effects produced by MIOLs, such as glare or contrast sensitivity reduction, also appear during cataract development.…”

Effects of Topical Prostaglandin Analog on Macular Thickness Following Cataract Surgery with Postoperative Topical Bromfenac Treatment

“…Because of their ability to inhibit COX, other indications have been explored, including prevention and treatment of pseudophakic CME. There is evidence that perioperative use of NSAIDs, alone or in combination with topical corticosteroids, reduces the likelihood of pseudophakic CME [ 4 , 52 , 53 , 54 , 55 , 56 ]. Modjtahedi et al [ 57 ].…”

Characteristic Manifestations regarding Ultrasound Biomicroscopy Morphological Data in the Diagnosis of Acute Angle Closure Secondary to Lens Subluxation

“…The patient should not have any history of ocular trauma in either eyeOphthalmic examination does not reveal any ophthalmic diseases affecting the chamber angle like iris root detachment, anterior chamber angle recession, space occupying lesions in the anterior and posterior ocular segments, suprachoroidal effusion (ciliary body or choroidal detachment), retinal detachment, acute or old uveitis, etc.Typical characteristics of AACC [8] are present during disease onset, such asPresence of at least one of the following symptoms: periocular pain, headache, nausea and/or vomiting, decreased visual acuity, and/or a history of intermittent iridization attacksIOP ≥ 21 mmHg (measured by Goldmann applanation tonometer);The contact range of angle trabecular observed under gonioscope exceeding 180Presence of at least four abnormal eye signs observed under slit lamp: ciliary congestion, corneal endothelial edema, fixed medium-sized pupil, glaucomatous fleck, and shallow peripheral anterior chamberThe clinical features of the enrolled patients suggest the possibility of lens-induced acute angle closure (lens dilation, advancement of iris diaphragm in the lens, lens shaking, iridodonesis, etc. ), mild or higher degree of clouding in the lens [21, 22], and the patients' strong desire to improve visual functionCataract lens extraction was performed for all patients enrolled. Extracapsular lens extraction (ECCE), phacoemulsification (Phaco), and posterior-approach lensectomy were selected according to the preoperative examinations and intraoperative conditions.…”

“…The clinical features of the enrolled patients suggest the possibility of lens-induced acute angle closure (lens dilation, advancement of iris diaphragm in the lens, lens shaking, iridodonesis, etc. ), mild or higher degree of clouding in the lens [21, 22], and the patients' strong desire to improve visual function…”