Ophthal Surg Las Im
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Ophthal Surg Las Im · May 2010
Case ReportsGonioaspiration for refractory glaucoma secondary to traumatic hyphema in patients with sickle cell trait.
The authors describe a new surgical method for treating disproportionately high intraocular pressures secondary to small traumatic hyphemas in three patients with the sickle cell trait. A novel technique was performed in all three cases to clear the hyphema from the anterior chamber angle. A Lewicky anterior chamber maintainer cannula was placed at the superior limbus to maintain infusion into the anterior chamber. ⋯ Measurements of intraocular pressure were normal 2 hours after the procedure and at every subsequent visit. There was an improvement in visual acuity to 6/9 or better in all three of the cases. Therefore, gonioaspiration is an effective treatment of persistently raised intraocular pressures in patients with sickle cell trait.
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Ophthal Surg Las Im · Jan 2010
Comparative StudyOcular and systemic morbidity profile in mass formic acid injuries.
A report on formic acid-induced ocular and systemic injuries. ⋯ Formic acid injuries can lead to a significant ocular and systemic morbidity. Immediate ocular and systemic management is necessary to reduce morbidity and mortality. Strict regulations are needed for the transportation of dangerous chemicals to prevent accidental chemical injuries.
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Selective laser trabeculoplasty is an effective means of lowering intraocular pressure in patients with open-angle glaucoma with a low risk of complications. The authors report a case of hyphema noted 3 days after selective laser trabeculoplasty in a 77-year-old woman with primary open-angle glaucoma. Her intermittent use of oral nonsteroidal anti-inflammatory medications and chronic topical nonsteroidal anti-inflammatory use may have been a contributing risk factor.
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Ophthal Surg Las Im · Sep 2008
Intraoperative adjustable suture strabismus surgery under topical and subconjunctival anesthesia.
To assess the postoperative surgical results of intraoperative adjustable suture strabismus surgery under topical and subconjunctival anesthesia. ⋯ Intraoperative adjustable suture strabismus surgery under topical and subconjunctival anesthesia is the recommended surgical technique due to the successful results and various advantages compared with non-adjustable surgery, including the decreased rates of overcorrection or undercorrection that appear immediately after surgery and reoperation. Postoperative "drift" toward the original deviation was observed under longer follow-up periods than other studies.