Search PubMed⌕ Search

Biomedical subjects

Robert H Osher

Publications and source records attributed to Robert H Osher.

6 recordsLinked to original sources
PubMed2003

Thinning of the anterior capsule associated with congenital aniridia.

PURPOSE: To report the unusual finding of intraoperative fragility of the anterior capsule in some patients with congenital aniridia and determine the histopathologic etiology of this finding. SETTING: Cincinnati Eye Institute, Cincinnati, Ohio, USA. METHODS: Anterior lens capsule specimens were obtained from aniridic and nonaniridic patients during cataract surgery. The intraoperative behavior of each capsule was noted, after which the specimens were submitted for histopathologic evaluation. RESULTS: All anterior capsule specimens from the nonaniridic patients were of normal thickness. Some, but not all, anterior capsule specimens from the aniridic patients were remarkably thin. Thin capsules were associated with extreme intraoperative fragility. CONCLUSIONS: Greater awareness of anterior capsule fragility in some aniridic patients may reduce the risk of capsule complications and lead to safer surgical outcomes.

Adult↗
PubMed2003

Posterior capsule tear resulting from faulty instrumentation.

Three eyes having cataract surgery with intraocular lens (IOL) implantation developed a torn posterior capsule. The defective bend of a damaged Y-hook used for insertion and rotation of the IOL was identified. In 1 case, a new IOL design with a thinner edge may have contributed to the capsule tear. Surgeons must remain vigilant to the possibility that any instrument can be inadvertently damaged, which can result in intraoperative complications.

Aged↗
PubMed2003

Techniques for managing common complications of cataract surgery.

Cataract surgery has evolved dramatically over the last two decades, largely as a result of technological advances. As a result, visual outcomes and patient convalescence have improved significantly. A second consequence of increased instrumentation and technology, however, is increased complexity of cataract surgery and the advent of complications unique to these advances. Cataract surgeons must be aware and capable of managing the many possible adverse events that can occur during cataract surgery. This review identifies many of the common complications of cataract surgery, describes methods to avoid these complications and discusses techniques to address complications that do occur. It is the ability to avoid, quickly identify, and properly manage complications that defines the accomplished cataract surgeon.

Cataract Extraction↗
PubMed2002

Phakic posterior chamber intraocular lens pupillary block.

A 49-year-old woman developed bilateral pupillary block after implantation of a phakic posterior chamber intraocular lens despite patent-appearing but nonfunctional peripheral iridotomies. This case serves as a basis to identify clinical signs that distinguish this diagnosis from other causes of elevated intraocular pressure and types of pupillary block.

Critical Pathways↗