Corneal endothelial trauma after Descemet's membranotomy with the neodymium-YAG laser.
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Corneal Diseases↗
Biomedical subjects
A R Slomovic
Publications and source records attributed to A R Slomovic.
Acute elevations of intraocular pressure following Nd:YAG laser posterior capsulotomy.
We performed applanation tonometry preoperatively, hourly for the first four postoperative hours and on the first postoperative day in 66 eyes after Nd:YAG laser posterior capsulotomy in order to determine the nature of the acute intraocular pressure (IOP) elevation and the risk factors involved. Forty-one percent of eyes developed an intraocular pressure greater than 30 mmHg and 14% greater than 40 mmHg. The IOP spike occurred on the second postoperative hour in 35% of eyes. Patients with controlled glaucoma prior to capsulotomy had a significantly lower mean IOP rise than patients without glaucoma. Eyes with posterior chamber IOLs were less likely to develop an IOP greater than 30 mmHg than were aphakic eyes without IOLs. There was no correlation between the laser energy or the size of the capsulotomy and the IOP rise.
Cataract Extraction↗
Neodymium: YAG laser posterior capsulotomy: visual acuity outcome and intraocular pressure elevation.
A Q-switched neodymium: YAG laser was used to perform 67 posterior capsulotomies in 67 patients. A clear visual axis was produced in all the eyes. The visual acuity improved by one or more Snellen lines in 90% of the eyes, and the final visual acuity was 20/40 (6/12) or better in 78% of the eyes. Cystoid macular edema developed in two patients after capsulotomy. Increases in intraocular pressure were most prevalent in the early postoperative period. No significant correlation was found between the acute pressure rise and the laser energy used, a previous history of glaucoma or the presence of an intraocular lens. After 6 months of follow-up none of the eyes showed a permanent pressure elevation.
Aphakia, Postcataract↗
Lasiodiplodia theobromae panophthalmitis.
Lasiodiplodia theobromae is a rare ocular pathogen. We report a case of panophthalmitis caused by this fungus. The patient was a healthy 62-year-old janitor with no history of ocular trauma in whom keratitis developed. Cultures of corneal scrapings identified the fungus. Despite treatment with appropriate antimycotics the keratitis progressed to infectious scleritis and then spontaneous perforation of the globe, which necessitated enucleation. The ultrasonographic, microbiologic and histologic findings are discussed and the results of in-vitro sensitivity testing presented.
Bacteriological Techniques↗
Disposable contact lenses vs. contact lens maintenance for extended wear.
We compared a disposable extended wear contact lens modality with conventional extended wear over a 6-week period. To do so, we refit 31 patients who had successfully worn conventional extended wear contact lenses for more than 1 year. One eye was fit with the AcuvueR disposable contact lens, and a new extended wear lens of the type the patient had been wearing was placed on the other eye. At weekly intervals the disposable lens was discarded and a new disposable lens inserted. At the same time, the conventional lens on the fellow eye was cleaned, disinfected, and reinserted. After 6 weeks the ocular response, subjective impressions, and condition of the lenses in the two eyes were compared. Both lenses were then cultured. Three subjects had to discontinue disposable lens wear because of adverse reactions to trapped cellular debris and corneal microcysts. Although the results were not statistically significant, the Acuvue lens appeared to perform better than or equal to the conventional lens in biomicroscopic observation, visual acuity measurement, and subjective patient preference. Eighty-seven percent of patients preferred to continue with the disposable system. There were no differences found in the type or degree of microbial contamination of the lenses.
Bacteria↗