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Mashup Score: 3Sensitivity and specificity of SS-OCT for detecting macular ... : Journal of Cataract & Refractive Surgery - 3 day(s) ago
essee, Crossville, TN. Design: Prospective, cross-sectional, observational, examiner-masked. Methods: The study included 132 participants aged 50 years and older, who underwent precataract surgery work-up. All participants underwent fixation check retinal scans using SS-OCT biometer (IOLMaster 700) as well as full macular scans using Cirrus SD-OCT. 3 independent masked examiners evaluated the scans if they were normal or had a suspected pathology. Different measures of diagnostic accuracy were calculated for 3 examiners. Results: True positive rate (sensitivity) ranged from 71.1% (32/45) to 79.2% (42/53), and false negative rate was between 20.8% (11/53) and 28.9% (13/45) for the 3 examiners. True negative rate (specificity) ranged from 86.8% (59/68) to 94.1% (64/68), and false positive rate was between 5.9 (4/68) and 13.2% (9/68). The fitted receiver operating characteristic area ranged from 0.83 to 0.95. Conclusions: Using retinal SS-OCT biometer scans as a replacement of the dedicat
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Mashup Score: 2Light as a drug: prospective randomized evaluation and... : Journal of Cataract & Refractive Surgery - 5 day(s) ago
: Ambulatory surgery center, New York. Design: Prospective, randomized, consecutive, single-surgeon series. Methods: Patients undergoing routine cataract surgery were randomized into either (1) visualization through the binoculars of a standard operating microscope (“traditional group”) or (2) visualization through a 3D digital visualization system affixed to the same operating microscope (“digital group”). Note was made in each case of light intensity used, light exposure time, cumulative dissipated energy (CDE), femtosecond laser use, preoperative medical and ocular conditions, intraoperative and/or postoperative complications, and preoperative and postoperative visual acuities and optical coherence tomography confirmed CME. Results: The study comprised 118 eyes in the traditional group and 96 eyes in the digital group. There were no differences in preoperative visual acuity, light exposure time, CDE, or femtosecond laser use between groups, but the light intensity used in the digita
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Mashup Score: 1
, but to the best of the authors’ knowledge, it has yet to be analyzed using confocal microscopy. Patient and Clinical Findings: 3 patients who underwent cataract surgery through phacoemulsification with intraocular lens implant were found to have snailtracks on the corneal endothelium during postoperative day 1 examination. Diagnosis, Intervention, and Outcomes: The corneal endothelium of the 3 identified patients underwent SLE and in vivo confocal microscopy on postoperative day 1 and postoperative week 1. On day 1, linear opacities were visible on the corneal endothelia and confocal microscopy revealed disruptions of the regular polygonal endothelial pattern with cell aggregation. At 1 week, opacities had resolved and confocal microscopy demonstrated reorganization of the endothelia and appearance of hyperreflective nuclei. Conclusions: Confocal microscopy of postcataract surgery snailtracks supports the hypothesis that such endothelial opacification is secondary to trauma to the en
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#CataractSurgery rarely causes 1-day postoperative corneal endothelial changes visibly seen as patches or linear streaks. In this #JCRO case report, these changes have been analysed using confocal microscopy: https://t.co/B1jKPvc7vI #Ophthalmology #Ophthalmologist #EyeSurgery https://t.co/qqElLbNeSE
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Mashup Score: 1Journal of Cataract & Refractive Surgery - 11 day(s) ago
The Journal of Cataract & Refractive Surgery® (JCRS) publishes monthly in its current form since 1996, the JCRS is a preeminent peer-reviewed monthly ophthalmology journal that publishes high-quality articles on all aspects of anterior segment surgery. The JCRS publishes Full-length articles that are reports of completed clinical research, Laboratory Science articles that report on completed laboratory studies, Technique articles that describe innovative surgical approaches to cataract and refractive surgery, and Review/Update, Case Report, and short report Correspondence articles, and Letters to the Editors.
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Mashup Score: 2Relaxing descemetotomy: microscope-integrated OCT-guided... : JCRS Online Case Reports - 13 day(s) ago
) demonstrated taut DM detachments and hydrops was refractory to conservative medical management and intracameral air injection. Diagnosis, Intervention, and Outcomes: To facilitate the reapproximation of DM and potentiate corneal deturgescence, intraoperative OCT-guided descemetotomy was performed with bent surgical scissors and a bent 30-gauge needle. Subsequent air descemetopexy was successful, and DM reattachment was maintained postoperatively. Corneal edema improved in all patients relatively rapidly postoperatively. Conclusions: Relaxing descemetotomy with air descemetopexy may be useful in cases of acute corneal hydrops with taut DM detachments that are unresponsive to air tamponade alone….
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This #JCRO case report discusses the technique of Descemet membrane relaxing incisions followed by air descemetopexy for the management of patients with acute corneal hydrops. Read the full report: https://t.co/G8Nc3PnpTi #Ophthalmology #Ophthalmologist #EyeSurgeon #EyeSurgery https://t.co/KdA58juSc3
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Mashup Score: 1Glaucoma secondary to cosmetic iris implants in congenital... : JCRS Online Case Reports - 16 day(s) ago
a history of bilateral congenital coloboma presented to the emergency department with reduced visual acuity to count fingers and moderate pain in the left eye 4 months after bilateral BrightOcular iris implant surgery in Mexico. Intraocular pressure (IOP) was 70 mm Hg with little response to maximal medical therapy. Gonioscopy revealed dense pigment obstructing angle inferiorly. Diagnosis, Interventions, and Outcomes: The patient was diagnosed with angle closure, pigment dispersion syndrome, and corneal decompensation secondary to bilateral cosmetic iris implants. IOP stabilized after emergency Ahmed valve and Baerveldt shunt placement. Corneal decompensation addressed first with endothelial keratoplasty, however ultimately failed leading to penetrating keratoplasty in the left eye. Fellow eye required glaucoma shunt placement 4 years after initial presentation due to persistent glaucoma not controlled with laser and medical therapy. Conclusions: The use of iris implants for cosmetic r
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This #JCRO report describes a case of angle closure & corneal decompensation requiring surgical intervention secondary to BrightOcular cosmetic iris implantation in a patient with a history of congenital bilateral iris coloboma. Read more: https://t.co/RSVNMi3ACn #Ophthalmology https://t.co/TlhVn20Ah0
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Mashup Score: 0Performance of ChatGPT in cataract surgery counseling : Journal of Cataract & Refractive Surgery - 18 day(s) ago
An abstract is unavailable.
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Mashup Score: 0Characterizing glare effects associated with diffractive... : Journal of Cataract & Refractive Surgery - 20 day(s) ago
n. Methods: Glare was assessed by means of a straylight parameter with a standard C-Quant intended for 7 degrees. In addition, 2 C-Quant modifications were used to test lower angles (ie, 2.5 degrees and 3.5 degrees). The following IOL models were assessed: PanOptix, AT Lisa Tri, Synergy, and Triumf, the latter 2 with chromatic aberration correction at distance. Straylight from trifocal IOLs was compared against a monofocal W-60R lens. The C-Quant test was performed through the studied IOLs by using additional optical components attached to their ocular. Results: Straylight (deg2sr−1) of the control was <1 at all tested angles, with the trifocal models showing comparable straylight at 7 degrees. At 3.5 degrees, Triumf's straylight increased to 15.5 ± 0.6, followed by Synergy (6.2 ± 1.1), PanOptix (4.1 ± 0.3), and AT Lisa Tri (2.0 ± 0.8). The chromatic aberration–correcting models demonstrated correspondingly higher straylight (Synergy: 18.8 ± 1.3; Triumf: 17.3 ± 0.5) at 2.5 degrees comp
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Mashup Score: 0Traumatic flap dehiscence 15 years after LASIK: case report ... : JCRS Online Case Reports - 23 day(s) ago
outcomes of similar cases occurring at least 6 years postoperatively. Patient and Clinical Findings: A 55-year-old man with a history of LASIK surgery 15 years prior presented with flap dehiscence after trauma with a tree branch. His right eye uncorrected distance visual acuity (UDVA) at presentation was counting fingers. On slitlamp examination, the medial flap edge was folded underneath the temporal aspect. Diagnosis, Intervention, and Outcomes: The flap was unfolded, irrigated, repositioned, and instilled with topical antibiotics. The patient was started on prednisolone acetate 1% and moxifloxacin. On postoperative day 1, his UDVA improved to 20/50 and the flap remained centered and clear. His vision stabilized at 20/30 after 7 months. Peripheral epithelial ingrowth was noted without visual axis obscuration. Conclusions: This case, along with 20 reported instances of late traumatic flap dehiscence, highlights that early recognition with prompt intervention can optimize visual outcom
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Mashup Score: 0Corneal endothelial safety profile in minimally invasive... : Journal of Cataract & Refractive Surgery - 25 day(s) ago
rials. Methods: Mild to moderate open-angle glaucoma subjects received a MIGS implant with phacoemulsification (implant + phaco) or phaco alone (control). In addition, 5-year end points comparing the implant and control groups included proportion of eyes with significant endothelial cell loss (ECL) (>30% or ≥30% vs baseline) and mean endothelial cell density (ECD). Results: Comparable proportions of eyes in the iStent inject + phaco and control groups had significant 60-month ECL (9.4% vs 6.3%, respectively, diff: 3.2%, 95% CI, −5.0% to 11.3%, P = .77). Hydrus (20.8% vs 10.6%, diff: 10.2%, 95% CI, 3.2% to 17.2%, P = .01) and CyPass (27.2% vs 10.0%, diff: 17.2%, 95% CI, 5.6% to 28.7%, P = .02) had more eyes with ECL vs controls (iStent inject 1.49X, Hydrus 1.96X, CyPass 2.72X vs controls). Mean ECD over 60 months for iStent inject was indistinguishable vs control, whereas greater ECL was observed primarily 3 months postoperative (Hydrus) or accelerated after 2 years (CyPass). No iStent
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This open article evaluates the sensitivity and specificity of swept-source optical coherence tomography biometer compared with the gold standard spectral-domain optical coherence tomography for detecting macular pathology in patients with #cataract. https://t.co/VY4CSiQtNh https://t.co/MB6PEKiWKX