Pub Date : 2024-07-19DOI: 10.15406/aovs.2024.14.00465
Pragati Garg, Parul Sinha
Gestational diabetes mellitus (GDM) is a condition characterized by glucose intolerance that is first recognized during pregnancy. This condition affects a significant number of pregnancies worldwide, with an estimated prevalence ranging from 1% to 14% depending on the population and diagnostic criteria used.1,2 GDM accounts for 90% of diabetes mellitus cases in pregnancy, while pre-existing type 2 diabetes accounts for 8% of such cases.2 While gestational diabetes often resolves after childbirth, it can have profound short- and long-term implications for both the mother and the baby. One of the critical areas of concern is the impact of gestational diabetes on ocular health. This article is based on the effects of gestational diabetes on the eyes, the mechanisms involved, potential complications, and management strategies.
{"title":"Effect of gestational diabetes on the eye: a mini review","authors":"Pragati Garg, Parul Sinha","doi":"10.15406/aovs.2024.14.00465","DOIUrl":"https://doi.org/10.15406/aovs.2024.14.00465","url":null,"abstract":"Gestational diabetes mellitus (GDM) is a condition characterized by glucose intolerance that is first recognized during pregnancy. This condition affects a significant number of pregnancies worldwide, with an estimated prevalence ranging from 1% to 14% depending on the population and diagnostic criteria used.1,2 GDM accounts for 90% of diabetes mellitus cases in pregnancy, while pre-existing type 2 diabetes accounts for 8% of such cases.2 While gestational diabetes often resolves after childbirth, it can have profound short- and long-term implications for both the mother and the baby. One of the critical areas of concern is the impact of gestational diabetes on ocular health. This article is based on the effects of gestational diabetes on the eyes, the mechanisms involved, potential complications, and management strategies.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141823034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-11DOI: 10.15406/aovs.2024.14.00464
Leticia Aranha Williams de Castro, Rodney Williams de Castro, Amanda Aranha Williams de Castro, Renato Silva Filho
After the significant decision by the Federal Council of Medicine to veto the prescription of testosterone by doctors for aesthetic purposes, the major discussion revolves around the competence of users and other healthcare professionals regarding the monitoring of side effects that impact the patients' quality of life. This is because these individuals may potentially seek other ways to use the anabolic agent. In this case report, we present the case of a young, healthy patient without previous comorbidities, who exhibited significant ophthalmological changes during a routine check-up, consistent with systemic arterial hypertension, which had not been identified during their follow-up consultations with an endocrinologist.
{"title":"Case report: Retinal alterations in a young patient without comorbidities using injectable testosterone for aesthetic purposes","authors":"Leticia Aranha Williams de Castro, Rodney Williams de Castro, Amanda Aranha Williams de Castro, Renato Silva Filho","doi":"10.15406/aovs.2024.14.00464","DOIUrl":"https://doi.org/10.15406/aovs.2024.14.00464","url":null,"abstract":"After the significant decision by the Federal Council of Medicine to veto the prescription of testosterone by doctors for aesthetic purposes, the major discussion revolves around the competence of users and other healthcare professionals regarding the monitoring of side effects that impact the patients' quality of life. This is because these individuals may potentially seek other ways to use the anabolic agent. In this case report, we present the case of a young, healthy patient without previous comorbidities, who exhibited significant ophthalmological changes during a routine check-up, consistent with systemic arterial hypertension, which had not been identified during their follow-up consultations with an endocrinologist.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"82 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-11DOI: 10.15406/aovs.2024.12.00463
Rudkovska Oksana
At present, the etiopathogenesis of autoimmune scleritis is not fully understood, the trigger of the disease is unknown, and treatment is ineffective. The author's hypothesis: the trigger of scleritis may be a weakness of accommodation caused by genetic ("tight" anterior segment of the eye) and epigenetic (chronic stress) factors. In order to restore accommodation, it is proposed to: a). form rounded non-penetrating supraciliary sclerectomies in the upper half of the eyeball (imitation of anterior scleral staphyloma); b).to form simple myopic astigmatism in the cornea up to 1.5 diopters, which gives the maximum amount of pseudo-accommodation (imitation of the effect of peripheral ulcerative keratitis on the refraction of the eye). c). if necessary, to form laser mydriasis. The parameters of operations should be established experimentally. This surgical approach can be applied to the treatment of systemic autoimmune diseases, which are often associated with scleritis and may have a common trigger - poor accommodation.
{"title":"Autoimmune scleritis: A new look at etiopathogenesis and treatment","authors":"Rudkovska Oksana","doi":"10.15406/aovs.2024.12.00463","DOIUrl":"https://doi.org/10.15406/aovs.2024.12.00463","url":null,"abstract":"At present, the etiopathogenesis of autoimmune scleritis is not fully understood, the trigger of the disease is unknown, and treatment is ineffective. The author's hypothesis: the trigger of scleritis may be a weakness of accommodation caused by genetic (\"tight\" anterior segment of the eye) and epigenetic (chronic stress) factors. In order to restore accommodation, it is proposed to: a). form rounded non-penetrating supraciliary sclerectomies in the upper half of the eyeball (imitation of anterior scleral staphyloma); b).to form simple myopic astigmatism in the cornea up to 1.5 diopters, which gives the maximum amount of pseudo-accommodation (imitation of the effect of peripheral ulcerative keratitis on the refraction of the eye). c). if necessary, to form laser mydriasis. The parameters of operations should be established experimentally. This surgical approach can be applied to the treatment of systemic autoimmune diseases, which are often associated with scleritis and may have a common trigger - poor accommodation.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141356061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-10DOI: 10.15406/aovs.2024.14.00459
Trung Thanh Bui, Ericka J Garcia, Jennifer L Kim
Introduction: Anterior capsular phimosis is a rare complication after cataract extraction with intraocular lens implantation. Patient and clinical findings: An 85-year-old female underwent manual phacoemulsification with toric intraocular lens implantation in the right eye (OD) without any post-operative complications. Approximately 1.5 weeks later, she had the same procedure in the left eye (OS) with similar success. At post-operative week 6 OD and week 4 OS, distance visual acuity without correction was 20/400 OD and hand motion (HM) OS. Anterior segment examination revealed intraocular lens implants with a significant fibrotic anterior capsule in both eyes. Posterior segment examination showed pigmentary macular changes in both eyes that were unchanged from the pre-operative evaluation. Diagnosis, intervention, and outcomes: The patient was diagnosed with bilateral anterior capsular phimosis. She underwent Nd:YAG laser capsulotomy in the left eye, then in the right eye 1 week later. At Nd: YAG laser capsulotomy post-operative day 4 OD and week 2 OS, distance visual acuity without correction was 20/40 OD, OS with best corrected visual acuity 20/30 OD, OS. Conclusions: Anterior capsular phimosis can occur in both eyes sooner than 4 weeks after cataract extraction with intraocular lens implantation in a patient with no risk factors.
{"title":"Bilateral anterior capsular phimosis in an 85-year-old female patient after stand-alone cataract extraction with intraocular lens implantation","authors":"Trung Thanh Bui, Ericka J Garcia, Jennifer L Kim","doi":"10.15406/aovs.2024.14.00459","DOIUrl":"https://doi.org/10.15406/aovs.2024.14.00459","url":null,"abstract":"Introduction: Anterior capsular phimosis is a rare complication after cataract extraction with intraocular lens implantation. Patient and clinical findings: An 85-year-old female underwent manual phacoemulsification with toric intraocular lens implantation in the right eye (OD) without any post-operative complications. Approximately 1.5 weeks later, she had the same procedure in the left eye (OS) with similar success. At post-operative week 6 OD and week 4 OS, distance visual acuity without correction was 20/400 OD and hand motion (HM) OS. Anterior segment examination revealed intraocular lens implants with a significant fibrotic anterior capsule in both eyes. Posterior segment examination showed pigmentary macular changes in both eyes that were unchanged from the pre-operative evaluation. Diagnosis, intervention, and outcomes: The patient was diagnosed with bilateral anterior capsular phimosis. She underwent Nd:YAG laser capsulotomy in the left eye, then in the right eye 1 week later. At Nd: YAG laser capsulotomy post-operative day 4 OD and week 2 OS, distance visual acuity without correction was 20/40 OD, OS with best corrected visual acuity 20/30 OD, OS. Conclusions: Anterior capsular phimosis can occur in both eyes sooner than 4 weeks after cataract extraction with intraocular lens implantation in a patient with no risk factors.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"204 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140719872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-27DOI: 10.15406/aovs.2024.14.00458
M. P. González, Piero Barrera Arshavin, C. M. Sanguesa, G. E. Torres, J. H. Zech
Objectives: To determine whether there is a correlation between the degree of hyperopia and the presence of a narrow iridocorneal angle (ICA) in the general population. Methods: Cross-sectional study, period December 2022 - June 2023 at the Instituto de la Visión, Chile. Sample size of 177 patients (353 eyes). Hyperopes are classified as mild (less than 3 dioptres), moderate (3 to 6 dioptres), or high (greater than 6 dioptres). The AIC, assessed by gonioscopy (4-mirror gonioscope), according to Shaffer in 4 degrees, dichotomised from 0 to 2 as narrow angle, and 3 to 4 as open. An emmetropic "control" group was maintained, with a range of +/- 0.5 spherical dioptres. Statistical analysis: The chi-square test was used for the association between the two variables. Results: Of the total number of patients, 65% had mild hyperopia (n=229), 13% moderate (n=47), 0.6% high, while 21% corresponded to the "control" group (n=75). Of the total, 41% had narrow angle (n=146) and 59% open (n=207). In the analysis by group, mild hypermetropes showed 46% (n=105) of narrow angles compared to 27% (n=20) of the 'control' group. This difference was statistically significant (p<0.05). When comparing the moderate hyperopia group, which had 40.4% (n=19) of narrow angles, significant differences were observed compared to the 'control group', but not compared to the mild hyperopia group (p=0.2). Conclusion: There is a significant association between hyperopia and narrow AIC measured by gonioscopy, independent of the degree of severity of hyperopia. It is therefore advisable to screen for narrow angles in these patient groups.
{"title":"Comparison between degree of hyperopia and iridocorneal angle, cross-sectional study","authors":"M. P. González, Piero Barrera Arshavin, C. M. Sanguesa, G. E. Torres, J. H. Zech","doi":"10.15406/aovs.2024.14.00458","DOIUrl":"https://doi.org/10.15406/aovs.2024.14.00458","url":null,"abstract":"Objectives: To determine whether there is a correlation between the degree of hyperopia and the presence of a narrow iridocorneal angle (ICA) in the general population. Methods: Cross-sectional study, period December 2022 - June 2023 at the Instituto de la Visión, Chile. Sample size of 177 patients (353 eyes). Hyperopes are classified as mild (less than 3 dioptres), moderate (3 to 6 dioptres), or high (greater than 6 dioptres). The AIC, assessed by gonioscopy (4-mirror gonioscope), according to Shaffer in 4 degrees, dichotomised from 0 to 2 as narrow angle, and 3 to 4 as open. An emmetropic \"control\" group was maintained, with a range of +/- 0.5 spherical dioptres. Statistical analysis: The chi-square test was used for the association between the two variables. Results: Of the total number of patients, 65% had mild hyperopia (n=229), 13% moderate (n=47), 0.6% high, while 21% corresponded to the \"control\" group (n=75). Of the total, 41% had narrow angle (n=146) and 59% open (n=207). In the analysis by group, mild hypermetropes showed 46% (n=105) of narrow angles compared to 27% (n=20) of the 'control' group. This difference was statistically significant (p<0.05). When comparing the moderate hyperopia group, which had 40.4% (n=19) of narrow angles, significant differences were observed compared to the 'control group', but not compared to the mild hyperopia group (p=0.2). Conclusion: There is a significant association between hyperopia and narrow AIC measured by gonioscopy, independent of the degree of severity of hyperopia. It is therefore advisable to screen for narrow angles in these patient groups.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Strategies for indirectly assessing the iridocorneal angle aim to be reproducible, reliable, and comparable to gonioscopy for screening in cases of narrow angles and their clinical spectrum. Objectives: The objective of this study is to determine which of the indirect estimation methods of the iridocorneal angle, either the "Van Herick" method or the "Borrone" method, exhibits a higher correlation with gonioscopy in detecting narrow iridocorneal angles in patients at the Ophthalmology outpatient clinic of the Hospital San Borja Arriarán. Materials and methods: A cross-sectional study was conducted with a sample of 32 patients (64 eyes) who met the inclusion and exclusion criteria. Results were obtained through gonioscopy, identifying narrow angles in 16 eyes and open angles in 48 eyes. Sensitivity and specificity of both methods (Borrone and Van Herick) were calculated in comparison to gonioscopy, using a selected cutoff point. Results: The Borrone method showed a sensitivity of 96% and a specificity of 91%, with a 95% confidence interval, compared to gonioscopy. In contrast, the Van Herick method demonstrated a sensitivity of 77% and a specificity of 82% in relation to gonioscopy. Discussion: The high sensitivity and specificity of the “Borrone” method are attributed to its technical details and its dichotomous nature, making it easier for the operator to determine and interpret. This reduces variability and provides a high correlation with gonioscopy. Conclusions: In this study, the “Borrone” method was found to have a more significant correlation with gonioscopy compared to the “Van Herick” method. Therefore, the “Borrone” method is considered more reliable and reproducible for detecting possible narrow iridocorneal angles, especially in high patient volume settings, such as ophthalmology outpatient clinics.
{"title":"Comparison of “Van Herick’s” method versus “Borrone’s” method for estimating narrow angles","authors":"Perez Mauricio, Barrera Piero, Basso Gigliola, Perez Matías","doi":"10.15406/aovs.2024.14.00455","DOIUrl":"https://doi.org/10.15406/aovs.2024.14.00455","url":null,"abstract":"Background: Strategies for indirectly assessing the iridocorneal angle aim to be reproducible, reliable, and comparable to gonioscopy for screening in cases of narrow angles and their clinical spectrum. Objectives: The objective of this study is to determine which of the indirect estimation methods of the iridocorneal angle, either the \"Van Herick\" method or the \"Borrone\" method, exhibits a higher correlation with gonioscopy in detecting narrow iridocorneal angles in patients at the Ophthalmology outpatient clinic of the Hospital San Borja Arriarán. Materials and methods: A cross-sectional study was conducted with a sample of 32 patients (64 eyes) who met the inclusion and exclusion criteria. Results were obtained through gonioscopy, identifying narrow angles in 16 eyes and open angles in 48 eyes. Sensitivity and specificity of both methods (Borrone and Van Herick) were calculated in comparison to gonioscopy, using a selected cutoff point. Results: The Borrone method showed a sensitivity of 96% and a specificity of 91%, with a 95% confidence interval, compared to gonioscopy. In contrast, the Van Herick method demonstrated a sensitivity of 77% and a specificity of 82% in relation to gonioscopy. Discussion: The high sensitivity and specificity of the “Borrone” method are attributed to its technical details and its dichotomous nature, making it easier for the operator to determine and interpret. This reduces variability and provides a high correlation with gonioscopy. Conclusions: In this study, the “Borrone” method was found to have a more significant correlation with gonioscopy compared to the “Van Herick” method. Therefore, the “Borrone” method is considered more reliable and reproducible for detecting possible narrow iridocorneal angles, especially in high patient volume settings, such as ophthalmology outpatient clinics.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"283 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140462271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Glaucoma is the second cause of blindness worldwide, being the first cause of irreversible blindness. It is estimated that in 2040 there will be around 111.8 million patients with glaucoma, reaching a 3.5% prevalence in patients between 40 and 80 years old; This situation can be preventable if we can identify early the cases at risk of developing the disease, who correspond to the suspected diagnosis of glaucoma.
{"title":"Suspected glaucoma: who is who?","authors":"Mauricio Pérez González, Marcelo Vega Codd, Matías Perez Miranda, Gabriel Espinoza Torres","doi":"10.15406/aovs.2024.14.00453","DOIUrl":"https://doi.org/10.15406/aovs.2024.14.00453","url":null,"abstract":"Glaucoma is the second cause of blindness worldwide, being the first cause of irreversible blindness. It is estimated that in 2040 there will be around 111.8 million patients with glaucoma, reaching a 3.5% prevalence in patients between 40 and 80 years old; This situation can be preventable if we can identify early the cases at risk of developing the disease, who correspond to the suspected diagnosis of glaucoma.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140512347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-26DOI: 10.15406/aovs.2023.13.00445
John Olkowski MD
{"title":"Evaluation of microsplatter produced during mechanical in-office lid hygiene treatments","authors":"John Olkowski MD","doi":"10.15406/aovs.2023.13.00445","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00445","url":null,"abstract":"","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"310 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115913368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-28DOI: 10.15406/aovs.2023.13.00444
Rudkovska Oksana Dmytrivna
Currently, the cause of uveopathies is unknown, there is no radical treatment. The final of these diseases is blindness from glaucoma. The author developed a hypothesis of the etiopathogenesis of uveopathies, according to which the trigger of these diseases is the weakness of accommodation caused by the genetically determined excessively small distance between the ciliary body and the equator of the lens. The following approaches to solving the problem of uveopathies are proposed: a). formation of laser mydriasis (at the initial stages of the process); b). surgical expansion of the ring of the ciliary body - the formation of supraciliary non-penetrating sclerectomies (imitation of anterior staphyloma of the sclera in neglected myopia and glaucoma); in). phacoemulsification of the lens with IOL implantation (optimal final refraction of the artificial eye - simple myopic direct type astigmatism up to 1.5 diopters). It is assumed that these operations will affect the trigger of uveopathy - a genetically determined weakness of accommodation, Uveopathies (Fuchs' syndrome, essential mesodermal progressive dystrophy of the iris, glaucoma-cyclitic crisis) are not fully understood diseases.
{"title":"Uveopathies: a new look at etiopathogenesis and treatment","authors":"Rudkovska Oksana Dmytrivna","doi":"10.15406/aovs.2023.13.00444","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00444","url":null,"abstract":"Currently, the cause of uveopathies is unknown, there is no radical treatment. The final of these diseases is blindness from glaucoma. The author developed a hypothesis of the etiopathogenesis of uveopathies, according to which the trigger of these diseases is the weakness of accommodation caused by the genetically determined excessively small distance between the ciliary body and the equator of the lens. The following approaches to solving the problem of uveopathies are proposed: a). formation of laser mydriasis (at the initial stages of the process); b). surgical expansion of the ring of the ciliary body - the formation of supraciliary non-penetrating sclerectomies (imitation of anterior staphyloma of the sclera in neglected myopia and glaucoma); in). phacoemulsification of the lens with IOL implantation (optimal final refraction of the artificial eye - simple myopic direct type astigmatism up to 1.5 diopters). It is assumed that these operations will affect the trigger of uveopathy - a genetically determined weakness of accommodation, Uveopathies (Fuchs' syndrome, essential mesodermal progressive dystrophy of the iris, glaucoma-cyclitic crisis) are not fully understood diseases.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131979589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-27DOI: 10.15406/aovs.2023.13.00443
Nicholas J Bruns
The Light Adjustable Lens is a newly approved lens that can be altered in-vivo after cataract surgery to address residual refractive error. This is done through highly specific ultraviolet light applications two weeks post-operatively. Patients require 2-5 total light adjustments. The ability to adjust the lens allows patients to more confidently participate in the surgical process while customizing their refractive status. Patients who have previously undergone corneal refractive surgery can provide an added challenge to cataract surgeons. Because of induced changes in corneal structure, intraocular lens calculations can be more difficult, ultimately leading to variability in refractive outcome. The light adjustable lens is sure to change how surgeons and optometrists counsel and manage patients pre- and post-operatively. The case described below details the structure and functionality of the light adjustable lens as well as a clinical application in a post-LASIK patient.
{"title":"Light adjustable lens in a post-lasik patient","authors":"Nicholas J Bruns","doi":"10.15406/aovs.2023.13.00443","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00443","url":null,"abstract":"The Light Adjustable Lens is a newly approved lens that can be altered in-vivo after cataract surgery to address residual refractive error. This is done through highly specific ultraviolet light applications two weeks post-operatively. Patients require 2-5 total light adjustments. The ability to adjust the lens allows patients to more confidently participate in the surgical process while customizing their refractive status. Patients who have previously undergone corneal refractive surgery can provide an added challenge to cataract surgeons. Because of induced changes in corneal structure, intraocular lens calculations can be more difficult, ultimately leading to variability in refractive outcome. The light adjustable lens is sure to change how surgeons and optometrists counsel and manage patients pre- and post-operatively. The case described below details the structure and functionality of the light adjustable lens as well as a clinical application in a post-LASIK patient.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"176 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132301513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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