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Sample records for acremonium intraocular infection

  1. Recurrent Acremonium infection in a kidney transplant patient treated with voriconazole: a case report Infecção recidivante por Acremonium em paciente transplantado renal tratado com voriconazol: relato de caso

    Felipe Francisco Tuon; Carolina Pozzi; Sergio Ricardo Penteado-Filho; Ricardo Benvenutti; Fabiana Loss de Carvalho Contieri

    2010-01-01

    Acremonium infection is rare and associated with immunosuppression. A case of recurrent cutaneous Acremonium infection after short term voriconazole use is described. Surgical resection was the definitive therapy. Oral voriconazole was used in the treatment of Acremonium infection, but recurrence was associated with short therapy. Prolonged antifungal therapy and surgical resection are discussed for the treatment of localized lesions.Infecção por Acremonium é rara e pode estar associada com i...

  2. Recurrent Acremonium infection in a kidney transplant patient treated with voriconazole: a case report Infecção recidivante por Acremonium em paciente transplantado renal tratado com voriconazol: relato de caso

    Felipe Francisco Tuon

    2010-08-01

    Full Text Available Acremonium infection is rare and associated with immunosuppression. A case of recurrent cutaneous Acremonium infection after short term voriconazole use is described. Surgical resection was the definitive therapy. Oral voriconazole was used in the treatment of Acremonium infection, but recurrence was associated with short therapy. Prolonged antifungal therapy and surgical resection are discussed for the treatment of localized lesions.Infecção por Acremonium é rara e pode estar associada com imunossupressão. Descrevemos um caso de infecção recorrente de pele por Acremonium após tratamento breve com voriconazol. Ressecção cirúrgica foi o tratamento definitivo. Terapia prolongada com antifúngicos e ressecção cirúrgica são discutidas para o tratamento de doenças fúngicas localizadas.

  3. Voriconazole curative treatment for Acremonium species keratitis developed in a patient with concomitant Staphylococcus aureus corneal infection: a case report.

    Cretì, Anna; Esposito, Vincenzo; Bocchetti, Maria; Baldi, Gianluca; De Rosa, Pasquale; Parrella, Roberto; Chirianni, Antonio

    2006-01-01

    The case of a 49-year-old male Caucasian, with more than a 3-year history of recurrent keratoconjunctivitis treated with steroids, antibiotics and midriatics, is reported. A combined Acremonium spp. and S. aureus infection was detected. After unsuccessful therapy with fluconazole, the Acremonium spp. infection was eradicated by voriconazole treatment. To our knowledge, this is the first case report of complete regression of this kind of infection by the use of voriconazole. Therefore, we strongly recommend, in the event of a compatible clinical picture, laboratory testing for mycetes even in the absence of traumatic events, and the use of the new generation azoles, in order avoid a keratoplasty intervention and disease progression to severe endophthalmitis. PMID:16433048

  4. Intraocular inflammation as the main manifestation of Rickettsia conorii infection

    Orduña A

    2011-09-01

    Full Text Available Archimedes LD Agahan1,3, Jenice Torres1, Graciana Fuentes-Páez1, Hernan Martínez-Osorio1, Antonio Orduña2, Margarita Calonge11Ocular Immunology and Uveitis Unit, Institute of Applied Ophthalmobiology (IOBA, 2Microbiology Department, University of Valladolid, Valladolid, Spain; 3Department of Ophthalmology and Visual Sciences, University of the Philippines, Philippine General Hospital, Manila, PhilippinesObjective: To report the clinical features and management of seven cases of intraocular inflammation caused by Rickettsia infection and review published literature.Methods: Rickettsia conorii or Rickettsia spp. infection was diagnosed based on the following criteria: (1 positive serology according to the European Guidelines, (2 titer normalization after specific treatment, and (3 complete resolution of ophthalmic disease and accompanying symptoms after antibiotic therapy.Results: Seven patients were referred for uveitis of unknown etiology. All came from regions where Mediterranean spotted fever is prevalent. One patient met the European guidelines criteria for Rickettsia spp. infection, while the other six cases met the criteria for R. conorii infection. The main symptoms were visual loss, floaters, eye redness, photophobia, and ocular pain. Predominant ophthalmic signs included vasculitis, choroiditis, vitritis, and macular edema. All patients required antibiotic treatment that resulted in the remission of the infection. Doxycycline was the first choice and the only antibiotic used to treat four patients. One patient needed ciprofloxacin as a second antibiotic after not responding to doxycycline. Two patients had doxycycline as a second antibiotic after not responding primarily to sulfonamides (which had been given after 2–3 days of doxycycline gastric intolerance; one of these patients needed ciprofloxacin as a third antibiotic.Conclusion: Intraocular inflammation can occur as the main manifestation of Rickettsia conorii or Rickettsia spp

  5. Experimental intraocular infection of exotic cockerels with field strain of velogenic Newcastle disease virus in Nigeria

    Samaila Jonathan Badau; Shehu Usman Hassan; Abdul-Dahiru El-Yuguda; Ikechukwu Onyebuchi Igbokwe

    2015-01-01

    Experimental intraocular (conjunctival) infection of exotic cockerels with a new field strain of viscerotropic velogenic Newcastle Disease Virus (NDV) was conducted to explore the concurrence of some pathological changes with humoral immune responses. After the NDV infection of 4-week-old cockerels, pathologic changes and antibody responses were observed. The clinical signs observed after the artificial inoculation included inappetence, depression, diarrhea, dyspnea, wing and leg paralysis, t...

  6. Intraocular infections in the neonatal intensive care unit

    Sisk RA

    2012-05-01

    Full Text Available Hassan A Aziz1, Audina M Berrocal1,2, Robert A Sisk1, Kristin Hartley1, Magaly Diaz-Barbosa2, Rose A Johnson2, Ditte Hess1, Sander R Dubovy1, Timothy G Murray1, Harry W Flynn Jr11Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 2Jackson Memorial Hospital, Miami, FL, USABackground: The purpose of this study was to report on the incidence and treatment outcomes of endogenous endophthalmitis among newborns in the neonatal intensive care unit (NICU of a single medical center.Methods: This was a noncomparative, retrospective case series of endogenous endophthalmitis among infants at the Jackson Memorial Hospital NICU treated between March 1, 2002 and March 1, 2007.Results: Of 4323 infants admitted to the NICU, seven eyes of six (0.139% infants (two males, four females were diagnosed with endophthalmitis during the study period. Four patients were born prematurely with a mean gestational age of 27.5 weeks and a mean birth weight of 1153 g. Retinopathy of prematurity was reported in two of the six patients. Mean follow-up was 3.5 years. The diagnosis was confirmed by positive cultures or polymerase chain reaction testing at a median age of 34 postnatal days. Positive cultures included Candida albicans (n = 4, Pseudomonas aeruginosa (n = 1, and Herpes simplex type 2 (n = 1. All patients received systemic treatment and five received adjunctive ophthalmic interventions, including intravitreal antibiotics in five eyes of four patients and vitrectomy with pars plana lensectomy in three eyes. One patient underwent primary enucleation and another had delayed evisceration. In the remaining five eyes, there was a normal appearing posterior segment and normal intraocular pressures at last follow-up.Conclusion: Endogenous endophthalmitis is a rare complication in infants in the NICU, but may occur in patients with candidemia, bacteremia, retinopathy of prematurity, and low birth weight. Despite early and

  7. Onicomicosis por Acremonium Kiliense Onychomycosis by Acremonium Kiliense

    M C Albrecht

    2007-03-01

    Full Text Available El rol de los hongos filamentosos hilalinos no dermatofitos, como agentes causales de onicomicosis, ha sido documentado en las últimas tres décadas por diferentes autores y son considerados oportunistas emergentes. El objetivo de este trabajo es presentar un caso de onicomicosis producido por Acremonium kiliense, cuya evolución fue estudiada. Se presentó al laboratorio de micología un paciente de 18 años de edad de sexo femenino con traumatismo en la uña del primer dedo del pie derecho. Se tomaron muestras seriadas de la lesión para la observación microscópica directa con OHK 40% p/v y para cultivos en Agar Sabouraud, Agar Lactrimel y DTM (medio selectivo para dermatofitos y con las colonias recuperadas se efectuaron microcultivos. Se implementó tratamiento con ciclopirox laca al 8% combinado al principio con Itraconazol vía oral (100 mg/día, con buena evolución. Es importante tener en cuenta a estos hongos oportunistas como agentes etiológicos potenciales de micosis ungueales, en especial en pacientes inmunodeprimidos, ya que la afección ungueal puede ser la puerta de entrada para la diseminación de la infección.The role of non-dermatophytic hyaline filamentous fungi as agents of onychomycosis has been documented in the last three decades by different authors, who have considered these fungi emerging opportunists. A 18-year-old female patient with trauma to the first toenail of the right foot came to the mycology laboratory. Serial samples of the lesion were collected for direct microscopic observation using 40% (w/v potassium hydroxide (KOH and for culture in Sabouraud agar, Lactrimel agar and DTM (dermatophyte selective medium. Microcultures were grown from the colonies recovered. Treatment with 8% ciclopirox nail lacquer, combined at the beginning with oral administration of itraconazole (100 mg a day, was implemented with good evolution. It is important to consider these opportunist fungi as potential etiological agents

  8. Role of intraocular Leptospira infections in the pathogenesis of Equine Recurrent Uveitis in the Southern United States

    To investigate the role of intraocular leptospiral infections in horses with Equine Recurrent Uveitis (ERU) in the southern United States, blood and ocular fluid samples were collected from horses with a history and ocular findings consistent with ERU. Samples were also obtained from control horses ...

  9. Experimental intraocular infection of exotic cockerels with field strain of velogenic Newcastle disease virus in Nigeria

    Samaila Jonathan Badau

    2015-12-01

    Full Text Available Experimental intraocular (conjunctival infection of exotic cockerels with a new field strain of viscerotropic velogenic Newcastle Disease Virus (NDV was conducted to explore the concurrence of some pathological changes with humoral immune responses. After the NDV infection of 4-week-old cockerels, pathologic changes and antibody responses were observed. The clinical signs observed after the artificial inoculation included inappetence, depression, diarrhea, dyspnea, wing and leg paralysis, torticollis and weight loss. Morbidity due to the NDV was 100%, but mortality was 80% by day 18-21 post-infection. Early hyperthermia followed by terminal hypothermia, decreased packed cell volume (PCV, and 231.4 folds peak-antibody response were observed. Necrotic and/or inflammatory lesions were present in the proventriculus, intestine, liver, spleen, kidney and brain. Neurologic and digestive tract perturbations occurred in 10% and 85% of cases, respectively. The disease consistently caused stunted growth, decreased PCV, and necro-inflammatroy lesions concurrent with antibody response, suggesting probable involvement of immune-mediated mechanisms and cell membrane desialylation by viral neuraminidase in the pathogenesis.

  10. Prevalence and factors predictive of intraocular fungal infection in patients with fungemia at an academic urban tertiary care center

    Geraymovych E

    2015-09-01

    Full Text Available Elena Geraymovych,1 Joseph H Conduff,2 Puneet S Braich,3 Christopher T Leffler,3 Vikram S Brar3 1Department of Ophthalmology, University of Texas Health Science Center at San Antonio, San Antonio, TX, 2Virginia Commonwealth University School of Medicine, 3Department of Ophthalmology, Virginia Commonwealth University, Richmond, VA, USA Objective: To report the prevalence and to identify factors predictive of intraocular infection in patients with fungemia receiving prophylactic antifungal therapy. Methods: A retrospective review of patients who received prophylactic antifungal therapy and a dilated fundus examination at an academic urban tertiary care center from 2000 to 2007. Basic demographic information, fungal species grown, antifungal agent(s used, number of positive blood culture specimens, visual acuity, visual symptoms, and known risks of disseminated candidiasis were noted. Logistic regression analysis was used to determine the factors significantly associated with intraocular fungal infection. Results: A total of 132 patients with positive fungemia culture were requested to have ophthalmology consults. The prevalence of ocular infection was 6.9% (N=9. All nine patients were infected with Candida species. Undergoing gastrointestinal (GI surgery within the prior 6 months was significantly related to developing intraocular infection, with an odds ratio of 18.5 (95% confidence interval, 15.1–24.3; P=0.002. Having ≥3 positive fungal blood cultures was also a significant risk factor, with an odds ratio of 2.6 (95% confidence interval, 1.8–3.7; P=0.03. Among 40 patients having GI surgery, eight (20.0% had intraocular fungal disease, compared with one of 92 patients (1.1% not having GI surgery. Among 125 patients with a negative baseline examination result, two of 32 patients (6.3%, who had recent GI surgery, subsequently developed fungal ocular disease, compared with 0 of 93 patients (0%, who did not have recent GI surgery. Conclusion

  11. Bacterial endophthalmitis in the age of outpatient intravitreal therapies and cataract surgeries: host-microbe interactions in intraocular infection.

    Sadaka, Ama; Durand, Marlene L; Gilmore, Michael S

    2012-07-01

    Bacterial endophthalmitis is a sight threatening infection of the interior structures of the eye. Incidence in the US has increased in recent years, which appears to be related to procedures being performed on an aging population. The advent of outpatient intravitreal therapy for management of age-related macular degeneration raises yet additional risks. Compounding the problem is the continuing progression of antibiotic resistance. Visual prognosis for endophthalmitis depends on the virulence of the causative organism, the severity of intraocular inflammation, and the timeliness of effective therapy. We review the current understanding of the pathogenesis of bacterial endophthalmitis, highlighting opportunities for the development of improved therapeutics and preventive strategies. PMID:22521570

  12. Acremonium phylogenetic overview and revision of Gliomastix, Sarocladium, and Trichothecium.

    2011-01-01

    Over 200 new sequences are generated for members of the genus Acremonium and related taxa including ribosomal small subunit sequences (SSU) for phylogenetic analysis and large subunit (LSU) sequences for phylogeny and DNA-based identification. Phylogenetic analysis reveals that within the Hypocreales, there are two major clusters containing multiple Acremonium species. One clade contains Acremonium sclerotigenum, the genus Emericellopsis, and the genus Geosmithia as prominent elements. The se...

  13. Acremonium phylogenetic overview and revision of Gliomastix, Sarocladium, and Trichothecium.

    Summerbell, R C; Gueidan, C; Schroers, H-J; de Hoog, G S; Starink, M; Rosete, Y Arocha; Guarro, J; Scott, J A

    2011-01-01

    Over 200 new sequences are generated for members of the genus Acremonium and related taxa including ribosomal small subunit sequences (SSU) for phylogenetic analysis and large subunit (LSU) sequences for phylogeny and DNA-based identification. Phylogenetic analysis reveals that within the Hypocreales, there are two major clusters containing multiple Acremonium species. One clade contains Acremonium sclerotigenum, the genus Emericellopsis, and the genus Geosmithia as prominent elements. The second clade contains the genera Gliomastixsensu stricto and Bionectria. In addition, there are numerous smaller clades plus two multi-species clades, one containing Acremonium strictum and the type species of the genus Sarocladium, and, as seen in the combined SSU/LSU analysis, one associated subclade containing Acremonium breve and related species plus Acremonium curvulum and related species. This sequence information allows the revision of three genera. Gliomastix is revived for five species, G. murorum, G. polychroma, G. tumulicola, G. roseogrisea, and G. masseei. Sarocladium is extended to include all members of the phylogenetically distinct A. strictum clade including the medically important A. kiliense and the protective maize endophyte A. zeae. Also included in Sarocladium are members of the phylogenetically delimited Acremonium bacillisporum clade, closely linked to the A. strictum clade. The genus Trichothecium is revised following the principles of unitary nomenclature based on the oldest valid anamorph or teleomorph name, and new combinations are made in Trichothecium for the tightly interrelated Acremonium crotocinigenum, Spicellum roseum, and teleomorph Leucosphaerinaindica. Outside the Hypocreales, numerous Acremonium-like species fall into the Plectosphaerellaceae, and A. atrogriseum falls into the Cephalothecaceae. PMID:21523192

  14. [Tropical ophthalmology : Intraocular inflammation caused by "new" infectious pathogens and travel-related infections].

    Pleyer, U; Klauß, V; Wilking, H; Nentwich, M M

    2016-01-01

    A number of "new" (emerging) infections that can also cause inflammatory eye changes are appearing and becoming increasingly important. In the past, diseases such as chikungunya, dengue fever or West Nile virus infections were endemic in tropical regions, but are now expanding worldwide and causing significant morbidity and even mortality. "Globalization" and human migration are important factors leading to the import of these infections. Climate changes are probably even more important. Increasing temperatures provide suitable conditions for new vectors, and may lead to autochthonous transmission of infectious pathogens. Diagnosis of these diseases requires not only careful assessment of medical and travel history, but also the application of specific laboratory diagnostic tests. A broad spectrum of ocular involvement has been reported, with frequent posterior segment involvement. Emerging infections should therefore be considered in the differential diagnosis of retinitis, chorioretinitis, retinal vasculitis and optic neuropathy in a patient living in or traveling back from an endemic area. Since these infections are often vector (insect) borne and effective treatments are almost uniformly lacking, prevention is at least as important as prompt diagnosis and initiation of supportive care. Here, we focus on Chikungunya, Dengue fever, Ebola fever, the West Nile virus and Rickettsioses, which frequently demonstrate ocular involvement. PMID:26649438

  15. Characterization of Acremonium and Isaria ice nuclei

    Pummer, Bernhard G.; Pöschl, Ulrich; Fröhlich-Nowoisky, Janine

    2014-05-01

    Until recently, the only known fungal ice nuclei (IN) were a few exponents of lichen mycobionts and Fusarium spp. [Kieft and Ruscetti 1990, Pouleur et al. 1992, Hasegawa et al. 1994, Tsumuki et al. 1995], as well as two strains of mold [Jayaweera and Flanagan 1982]. Other investigated species did not show any IN activity [Pouleur et al. 1992, Iannone et al. 2011, Pummer et al. 2013]. In the last few years, IN-activity has been discovered in some rust and smut fungi [Morris et al. 2013, Haga et al. 2013], Acremonium implicatum (Acr.) and Isaria farinosa (Isa.) [Huffman et al. 2013] and a handful of other airborne and soil fungi [unpublished data]. We started characterizing the IN of Acr. and Isa.: Like other non-bacterial biological IN, they can be easily separated from the cells in aqueous suspension, and keep their activity. The IN-active aqueous suspensions were processed by filtration (5 μm, 0.1 μm, 300 kDa, 100 kDa) and exposure to heat (60° C) or guanidinium chloride (6 M). The IN activity of the processed samples was measured by a freezing assay of droplets, as described by Pummer et al. [2013]. Via the Vali formula, we calculated the amount of IN per gram of mycelium, which is higher than 105 g-1. The initial freezing temperature was -4° C for Isaria and -8° C for Acremonium IN. Both were completely knocked out by 60° C or guanidinium chloride. The Acremonium IN are in a mass range between 100 and 300 kDa. The Isaria IN seem to be either a bit larger, or more attached to larger particles, since not all of them pass through the 300-kDa-filter. It is likely that both of these new IN are proteinaceous like the IN of Fusarium spp. and lichen mycobionts, which belong to the Ascomycota phylum. Since the Isaria IN show a high onset freezing temperature and are rather large for single molecules, they might be agglomerates. Haga D.I. et al. (2013) J. Geophys. Res.: Atm. 118, 7260-7272 Hasegawa Y. et al. (1994) Biosci. Biotech. Biochem. 58, 2273-2274 Huffman A

  16. Cellulases and hemicellulases from endophytic Acremonium species and its application on sugarcane bagasse hydrolysis

    The aim of this work was to have cellulase activity and hemicellulase activity screenings of endophyte Acremonium species (Acremonium zeae EA0802 and Acremonium sp. EA0810). Both fungi were cultivated in submerged culture (SC) containing L-arabinose, D-xylose, oat spelt xylan, sugarcane bagasse, or...

  17. A protective endophyte of maize: Acremonium zeae antibiotics inhibitory to Aspergillus flavus and Fusarium verticillioides.

    Wicklow, Donald T; Roth, Shoshannah; Deyrup, Stephen T; Gloer, James B

    2005-05-01

    The maize endophyte Acremonium zeae is antagonistic to kernel rotting and mycotoxin producing fungi Aspergillus flavus and Fusarium verticillioides in cultural tests for antagonism, and interferes with A. flavus infection and aflatoxin contamination of preharvest maize kernels. Chemical studies of an organic extract from maize kernel fermentations of Acremonium zeae (NRRL 13540), which displayed significant antifungal activity against Aspergillus flavus and F. verticillioides, revealed that the metabolites accounting for this activity were two newly reported antibiotics pyrrocidines A and B. Pyrrocidines were detected in fermentation extracts for 12 NRRL cultures of Acremonium zeae isolated from maize kernels harvested in Illinois (4/4 cultures), North Carolina (5/5), Georgia (1/2) and unrecorded locations within the USA (2/2). Pyrrocidine B was detected by LCMSMS in whole symptomatic maize kernels removed at harvest from ears of a commercial hybrid that were wound-inoculated in the milk stage with A. zeae (NRRL 13540) or (NRRL 13541). The pyrrocidines were first reported from the fermentation broth of an unidentified filamentous fungus LL-Cyan426, isolated from a mixed Douglas Fir hardwood forest on Crane Island Preserve, Washington, in 1993. Pyrrocidine A exhibited potent activity against most Gram-positive bacteria, including drug-resistant strains, and was also active against the yeast Candida albicans. In an evaluation of cultural antagonism between 13 isolates of A. zeae in pairings with A. flavus (NRRL 6541) and F. verticillioides (NRRL 25457), A. zeae (NRRL 6415) and (NRRL 34556) produced the strongest reaction, inhibiting both organisms at a distance while continuing to grow through the resulting clear zone at an unchanged rate. Maximum colony diameters for A. zeae (NRRL 6415) and (NRRL 13540), on potato dextrose agar after 14 d, were attained within the range of 25-30 degrees C, with less growth recorded at 15 degrees and 37.5 degrees and no growth at 5

  18. Extracellular Hemicellulolytic Enzymes from the Maize Endophyte Acremonium zeae

    The maize endophyte Acremonium zeae was examined for production of extracellular enzymes that hydrolyze cellulose and hemicellulose. The most prominent enzyme activity in cell-free culture media from A. zeae NRRL 6415 was xylanase, with a specific activity of 60 U/mg from cultures grown on crude co...

  19. Transmissibilidade e efeito de Acremonium strictum em sementes de milho Transmissibility and effect of Acremonium strictum in maize seeds

    Hudson Teixeira

    2003-10-01

    Full Text Available Acremonium strictum é patogênico ao milho e a outras culturas, podendo causar podridão de sementes, podridão de colmos e a morte de plântulas. Trata-se de um fungo que pode interferir no vigor, estande e produtividade final das plantas. Além disso, pode ser disseminado e transmitido à progênie via sementes, ainda que não sejam conhecidas as proporções reais em que isso ocorre. Neste trabalho, avaliou-se o efeito de A. strictum nas qualidades fisiológica e sanitária de sementes e plântulas, no crescimento vegetativo e na sanidade (taxas de infecção e de transmissão de plantas de milho em seu estádio inicial de desenvolvimento. As taxas de infecção e de transmissão do fungo foram avaliadas usando-se a técnica da restrição hídrica, previamente desenvolvida para infectar as sementes. O meio MA (extrato de malte-ágar, suplementado com manitol para obter o potencial de água de -1,4 MPa, foi o substrato utilizado na inoculação das sementes. Observou-se que a germinação das sementes de milho foi reduzida por A. strictum em períodos de contato com a colônia fúngica acima de 72 horas. O vigor e a viabilidade potenciais das sementes de milho não foram afetados pela presença de A. strictum. Após 28 dias da semeadura, a incidência de A. strictum reduziu o crescimento vegetativo de plantas de milho. O fungo A. strictum, oriundo de sementes inoculadas, foi transmitido às plantas jovens de milho.Acremonium strictum is pathogenic to seeds, stalk and seedlings of maize. It is a fungus that can interfere in the vigor, stand and final productivity of plants. In addition, it can be disseminated and transmitted through seeds to the progeny, although the real proportions of that are not well known. This study reports the effects of A. strictum on maize seeds and seedlings quality (germination, vigor, healthness, some vegetative growth parameters and also sanity (infection and transmission rates of young maize plants. The

  20. Identification of Acremonium isolates from grapevines and evaluation of their antagonism towards Plasmopara viticola

    Lo Piccolo, Sandra; Alfonzo, Antonio; Giambra, Selene; Conigliaro, Gaetano; López Llorca, Luis Vicente; Burruano, Santella

    2015-01-01

    Some endophytic fungal genera in Vitis vinifera, including Acremonium, have been reported as antagonists of Plasmopara viticola. Endophytic Acremonium isolates from an asymptomatic grapevine cultivar Inzolia from Italy were identified by morphological features and multigene phylogenies of ITS, 18S and 28S genes, and their intra-specific genomic diversity was analyzed by RAPD analysis. Culture filtrates (CFs) obtained from Acremonium isolates were tested in vitro for their inhibitory activity ...

  1. The complete mitochondrial genome of the nematophagous fungus Acremonium implicatum.

    Yao, Yurong; Lin, Runmao; Tian, Xueliang; Shen, Baoming; Mao, Zhenchuan; Xie, Bingyan

    2016-09-01

    The complete mitochondrial genome of the nematophagous fungus Acremonium implicatum is reported for the first time. The genome is concatenated with 22,367 bp in length, encoding 13 protein-coding genes, 2 ribosomal RNA genes and a set of 17 transfer RNA genes. The synteny analysis reveals that 50.35% of A. implicatum mitochondrial sequences matched to 48.21% of Acremonium chrysogenum mitochondrial sequences with 85.68% identity. Two proteins of cox3 and nad6, as well as seven tRNAs are lost in A. implicatum mitogenome compared to A. chrysogenum mitogenome. The gene orders in A. implicatum and A. chrysogenum mitogenome is different, which is mainly due to the location of nad4 and cox2. In addition, one transposition event related to tRNAs is identified in these two mitogenomes. This study may provide valuable mitochondrial information for research on A. implicatum and facilitate the study of mitochondrial evolution. PMID:25630733

  2. Effects of the fungal endophyte Acremonium coenophialum on nitrogen accumulation and metabolism in tall fescue

    Infection by the fungal endophyte Acremonium coenophialum affected the accumulation of inorganic and organic N in leaf blades and leaf sheaths of KY31 tall fescue (Festuca arundinacea Schreb.) grown under greenhouse conditions. Total soluble amino acid concentrations were increased in either the blade or sheath of the leaf from infected plants. A number of amino acids were significantly increased in the sheath, but only asparagine increased in the blade. Infection resulted in higher sheath NH4+ concentrations, whereas NO3- concentrations decreased in both leaf parts. The effects on amino acid, NO3-, and NH4+ concentrations were dependent upon the level of N fertilization and were usually apparent only at the high rate (10 millimolar) of application. Administration of 14CO2 to the leaf blades increased the accumulation of 14C in their amino acid fraction but not in the sheaths of infected plants. This may indicate that infection increased amino acid synthesis in the blade but that translocation to the sheath, which is the site of fungal colonization, was not affected. Glutamine synthetase activity was greater in leaf blades of infected plants at high and low N rates of fertilization, but nitrate reductase activity was not affected in either part of the leaf. Increased activities of glutamine synthetase together with the other observed changes in N accumulation and metabolism in endophyte-infected tall fescue suggest that NH4+ reassimilation could also be affected in the leaf blade

  3. Interference by methionine on valine uptake in Acremonium chrysogenum.

    Alonso, M J; Luengo, J M

    1987-01-01

    The incorporation of L-[U-14C]valine into delta-(L-alpha-aminoadipyl)-L-cysteinyl-D-valine (ACV), a direct biosynthetic precursor of penicillins and cephalosporins, was studied. When DL-methionine was added to Acremonium chrysogenum culture broths, no labeled ACV was found, while a large amount of radioactive ACV was detected when methionine was not present. DL-Norleucine, a nonsulfur analog of methionine, also inhibited the synthesis of radioactive ACV to some degree. This effect was due to ...

  4. Bacterial endophthalmitis in the age of outpatient intravitreal therapies and cataract surgeries: Host-microbe interactions in intraocular infection

    Sadaka, Ama; Durand, Marlene L.; Gilmore, Michael S.

    2012-01-01

    Bacterial endophthalmitis is a sight threatening infection of the interior structures of the eye. Incidence in the US has increased in recent years, which appears to be related to procedures being performed on an aging population. The advent of outpatient intravitreal therapy for management of age-related macular degeneration raises yet additional risks. Compounding the problem is the continuing progression of antibiotic resistance. Visual prognosis for endophthalmitis depends on the virulenc...

  5. Cellulases and hemicellulases from endophytic Acremonium species and its application on sugarcane bagasse hydrolysis.

    de Almeida, Maíra Nicolau; Guimarães, Valéria Monteze; Bischoff, Kenneth M; Falkoski, Daniel Luciano; Pereira, Olinto Liparini; Gonçalves, Dayelle S P O; de Rezende, Sebastião Tavares

    2011-09-01

    The aim of this work was to have cellulase activity and hemicellulase activity screenings of endophyte Acremonium species (Acremonium zeae EA0802 and Acremonium sp. EA0810). Both fungi were cultivated in submerged culture (SC) containing L -arabinose, D -xylose, oat spelt xylan, sugarcane bagasse, or corn straw as carbon source. In solid-state fermentation, it was tested as carbon source sugarcane bagasse or corn straw. The highest FPase, endoglucanase, and xylanase activities were produced by Acremonium sp. EA0810 cultivated in SC containing sugarcane bagasse as a carbon source. The highest β-glucosidase activity was produced by Acremonium sp. EA0810 cultivated in SC using D -xylose as carbon source. A. zeae EA0802 has highest α-arabinofuranosidase and α-galactosidase activities in SC using xylan as a carbon source. FPase, endoglucanase, β-glucosidase, and xylanase from Acremonium sp. EA0810 has optimum pH and temperatures of 6.0, 55 °C; 5.0, 70 °C; 4.5, 60 °C; and 6.5, 50 °C, respectively. α-Arabinofuranosidase and α-galactosidase from A. zeae EA0802 has optimum pH and temperatures of 5.0, 60 °C and 4.5, 45 °C, respectively. It was analyzed the application of Acremonium sp. EA0810 to hydrolyze sugarcane bagasse, and it was achieved 63% of conversion into reducing sugar and 42% of conversion into glucose. PMID:21573756

  6. Effects of the fungal endophyte Acremonium coenophialum on nitrogen accumulation and metabolism in tall fescue

    Lyons, P.C. (Univ. of Georgia, Athens (USA)); Evans, J.J.; Bacon, C.W. (Department of Agriculture, Athens, GA (USA))

    1990-03-01

    Infection by the fungal endophyte Acremonium coenophialum affected the accumulation of inorganic and organic N in leaf blades and leaf sheaths of KY31 tall fescue (Festuca arundinacea Schreb.) grown under greenhouse conditions. Total soluble amino acid concentrations were increased in either the blade or sheath of the leaf from infected plants. A number of amino acids were significantly increased in the sheath, but only asparagine increased in the blade. Infection resulted in higher sheath NH{sub 4}{sup +} concentrations, whereas NO{sub 3}{sup {minus}} concentrations decreased in both leaf parts. The effects on amino acid, NO{sub 3}{sup {minus}}, and NH{sub 4}{sup +} concentrations were dependent upon the level of N fertilization and were usually apparent only at the high rate (10 millimolar) of application. Administration of {sup 14}CO{sub 2} to the leaf blades increased the accumulation of {sup 14}C in their amino acid fraction but not in the sheaths of infected plants. This may indicate that infection increased amino acid synthesis in the blade but that translocation to the sheath, which is the site of fungal colonization, was not affected. Glutamine synthetase activity was greater in leaf blades of infected plants at high and low N rates of fertilization, but nitrate reductase activity was not affected in either part of the leaf. Increased activities of glutamine synthetase together with the other observed changes in N accumulation and metabolism in endophyte-infected tall fescue suggest that NH{sub 4}{sup +} reassimilation could also be affected in the leaf blade.

  7. Bilateral Primary Intraocular Lymphoma

    Mehrdad Karimi

    2011-01-01

    Full Text Available Purpose: To report a case of bilateral primary intraocular lymphoma. Case report: A 33-year-old man presented with bilateral blurred vision since two years ago. Examination revealed large keratic precipitates, anterior chamber reaction, posterior subcapsular cataracts, and vitreous infiltration. After a short trial of topical and periocular steroids, diagnostic 25-gauge pars plana vitrectomy was performed and cytologic evaluation of the aspirate confirmed a diagnosis of intraocular lymphoma. The patient was subsequently managed with intravitreal methotrexate in both eyes and responded favorably. Central nervous system workup for lymphoma was negative. Conclusion: Primary intraocular lymphoma should be considered in young adults suffering from chronic recalcitrant panuveitis.

  8. Lactose enhances cellulase production by the filamentous fungus Acremonium cellulolyticus.

    Fang, Xu; Yano, Shinichi; Inoue, Hiroyuki; Sawayama, Shigeki

    2008-08-01

    Acremonium cellulolyticus is a fungus that produces cellulase and has been exploited by enzyme industry. To promote cellulase production by A. cellulolyticus strain C-1, we evaluated the effects of the saccharides: Solka Floc (cellulose), soluble soybean polysaccharide (SSPS), pullulan, lactose, trehalose, sophorose, cellobiose, galactose, sorbose, lactobionic acid, and mixtures as carbon sources for cellulase production. Solka Floc with SSPS enhanced cellulase production. Lactose as the sole carbon source induced cellulase synthesis in this fungus, and the synergistic effects between lactose and Solka Floc was observed. Various enzyme activities and the protein composition of crude enzyme produced by cultures with or without addition of lactose were analyzed. The results showed that lactose addition greatly improves the production of various proteins with cellulase activity by A. cellulolyticus. To our knowledge, this is the first report on production of cellulases by lactose in the A. cellulolyticus. PMID:18804052

  9. Bilateral intraocular dirofilariasis

    Viney Gupta

    2014-01-01

    Full Text Available Ocular dirofilariasis mostly presents as a subconjunctival or eyelid lesion. [1] Intraocular dirofilarial infestation is rare. [2],[3] We report a case of a young woman who was accidentally detected to have a live motile worm in the anterior segment in one eye and a cystic lesion on the optic disc in the other eye. To our knowledge, bilateral intraocular dirofilariasis has never been reported.

  10. Bilateral Primary Intraocular Lymphoma

    Mehrdad Karimi; Masoud Soheilian; Mozhgan Rezaei Kanavi

    2011-01-01

    Purpose: To report a case of bilateral primary intraocular lymphoma. Case report: A 33-year-old man presented with bilateral blurred vision since two years ago. Examination revealed large keratic precipitates, anterior chamber reaction, posterior subcapsular cataracts, and vitreous infiltration. After a short trial of topical and periocular steroids, diagnostic 25-gauge pars plana vitrectomy was performed and cytologic evaluation of the aspirate confirmed a diagnosis of intraocular lympho...

  11. Antimicrobial activity of pyrrocidines from Acremonium zeae against endophytes and pathogens of maize.

    Wicklow, Donald T; Poling, Stephen M

    2009-01-01

    Acremonium zeae produces pyrrocidines A and B, which are polyketide-amino acid-derived antibiotics, and is recognized as a seedborne protective endophyte of maize which augments host defenses against microbial pathogens causing seedling blights and stalk rots. Pyrrocidine A displayed significant in vitro activity against Aspergillus flavus and Fusarium verticillioides in assays performed using conidia as inoculum, with pyrrocidine A being more active than B. In equivalent assays performed with conidia or hyphal cells as inoculum, pyrrocidine A revealed potent activity against major stalk and ear rot pathogens of maize, including F. graminearum, Nigrospora oryzae, Stenocarpella (Diplodia) maydis, and Rhizoctonia zeae. Pyrrocidine A displayed significant activity against seed-rotting saprophytes A. flavus and Eupenicillium ochrosalmoneum, as well as seed-infecting colonists of the phylloplane Alternaria alternata, Cladosporium cladosporioides, and Curvularia lunata, which produces a damaging leaf spot disease. Protective endophytes, including mycoparasites which grow asymptomatically within healthy maize tissues, show little sensitivity to pyrrocidines. Pyrrocidine A also exhibited potent activity against Clavibacter michiganense subsp. nebraskense, causal agent of Goss's bacterial wilt of maize, and Bacillus mojaviense and Pseudomonas fluorescens, maize endophytes applied as biocontrol agents, but were ineffective against the wilt-producing bacterium Pantoea stewartii. PMID:19055442

  12. Effects of the endophyte Acremonium alternatum on oilseed rape (Brassica napus development and clubroot progression

    SUSANN AUER

    2014-06-01

    Full Text Available The clubroot pathogen Plasmodiophora brassicae infects economically important Brassica crops such as oilseed rape and vegetable brassicas. Clubroot results in abnormally growing roots and restricts the flow of water and nutrients to the upper plant parts, thereby inducing wilting. Yield loss affects about half the percentage of infected plants. Due to its complex and well-adapted life cycle the pathogen is difficult to control by chemical and cultural means and therefore continues to spread around the globe. Infested fields can no longer be used effectively for cultivation of crop plants for at least the next ten years. Despite costly breeding of resistant cultivars, recent research leans towards alternative, low-impact and environmentally friendly methods to control clubroot. To this end we have previously identified the endophyte Acremonium alternatum, a known biological control agent in several countries, to show promising antagonistic effects in clubroot-infected A. thaliana and Chinese cabbage (Brassica rapa. Here, we will describe its effect on the growth, development and clubroot control of oilseed rape (Brassica napus. While the clubroot symptoms were not clearly reduced after co-inoculation with A. alternatum and P. brassicae on oilseed rape roots, the aboveground plant parts were delayed in senescence and produced more seeds, which is indicative of an increase in yield after A. alternatum treatment. The long-term goal of this work is to contribute to a fundamental understanding of endophyte-plant interactions and an effective reduction of clubroot to be used in integrated pest management for oilseed rape and other cabbage varieties.

  13. Intraocular Gnathostomiasis: Report of a Case and Review of Literature

    Pillai, Gopal S.; Kumar, Anil; Radhakrishnan, Natasha; Maniyelil, Jayasree; Shafi, Tufela; Dinesh, Kavitha R.; Karim, Shamsul

    2012-01-01

    Intraocular gnathostomiasis is a rare parasitic infection caused by the third-stage larvae of spiruroid nematode Gnanthostoma spp. seen mostly in tropical and subtropical regions. It is a food-borne zoonosis caused by ingestion of raw or undercooked freshwater fish, amphibians, reptiles, birds, and mammals, all of which are known to harbor advanced third-stage larvae of Gnanthostoma spp. To date, 74 cases of intraocular gnathostomiasis have been reported from 12 different countries. Only four...

  14. Extracellular hemicellulolytic enzymes from the maize endophyte Acremonium zeae.

    Bischoff, Kenneth M; Wicklow, Donald T; Jordan, Douglas B; de Rezende, Sebastiao T; Liu, Siqing; Hughes, Stephen R; Rich, Joseph O

    2009-05-01

    Microorganisms that colonize plants require a number of hydrolytic enzymes to help degrade the cell wall. The maize endophyte Acremonium zeae was surveyed for production of extracellular enzymes that hydrolyze cellulose and hemicellulose. The most prominent enzyme activity in cell-free culture medium from A. zeae NRRL 6415 was xylanase, with a specific activity of 60 U/mg from cultures grown on crude corn fiber. Zymogram analysis following SDS-PAGE indicated six functional xylanase polypeptides of the following masses: 51, 44, 34, 29, 23, and 20 kDa. Xylosidase (0.39 U/mg), arabinofuranosidase (1.2 U/mg), endoglucanase (2.3 U/mg), cellobiohydrolase (1.3 U/mg), and beta-glucosidase (0.85 U/mg) activities were also detected. Although apparently possessing a full complement of hemicellulolytic activities, cell-free culture supernatants prepared from A. zeae required an exogenously added xylosidase to release more than 90% of the xylose and 80% of the arabinose from corn cob and wheat arabinoxylans. The hydrolytic enzymes from A. zeae may be suitable for application in the bioconversion of lignocellulosic biomass into fermentable sugars. PMID:19184610

  15. Enzymatic hydrolyzing performance of Acremonium cellulolyticus and Trichoderma reesei against three lignocellulosic materials

    Murakami Katsuji

    2009-10-01

    Full Text Available Abstract Background Bioethanol isolated from lignocellulosic biomass represents one of the most promising renewable and carbon neutral alternative liquid fuel sources. Enzymatic saccharification using cellulase has proven to be a useful method in the production of bioethanol. The filamentous fungi Acremonium cellulolyticus and Trichoderma reesei are known to be potential cellulase producers. In this study, we aimed to reveal the advantages and disadvantages of the cellulase enzymes derived from these fungi. Results We compared A. cellulolyticus and T. reesei cellulase activity against the three lignocellulosic materials: eucalyptus, Douglas fir and rice straw. Saccharification analysis using the supernatant from each culture demonstrated that the enzyme mixture derived from A. cellulolyticus exhibited 2-fold and 16-fold increases in Filter Paper enzyme and β-glucosidase specific activities, respectively, compared with that derived from T. reesei. In addition, culture supernatant from A. cellulolyticus produced glucose more rapidly from the lignocellulosic materials. Meanwhile, culture supernatant derived from T. reesei exhibited a 2-fold higher xylan-hydrolyzing activity and produced more xylose from eucalyptus (72% yield and rice straw (43% yield. Although the commercial enzymes Acremonium cellulase (derived from A. cellulolyticus, Meiji Seika Co. demonstrated a slightly lower cellulase specific activity than Accellerase 1000 (derived from T. reesei, Genencor, the glucose yield (over 65% from lignocellulosic materials by Acremonium cellulase was higher than that of Accellerase 1000 (less than 60%. In addition, the mannan-hydrolyzing activity of Acremonium cellulase was 16-fold higher than that of Accellerase 1000, and the conversion of mannan to mannobiose and mannose by Acremonium cellulase was more efficient. Conclusion We investigated the hydrolysis of lignocellulosic materials by cellulase derived from two types of filamentous fungi. We

  16. Efficient cellulase production by the filamentous fungus Acremonium cellulolyticus.

    Ikeda, Yuko; Hayashi, Hiroyuki; Okuda, Naoyuki; Park, Enock Y

    2007-01-01

    Cellulase production was investigated in a culture of a strain of Acremonium cellulolyticus. The medium components were optimized for the improvement of cellulase production. The maximum production of cellulolytic enzymes was obtained in a medium containing (grams per liter) 50 Solka Floc, 5 (NH4)2SO4, 24 KH2PO4, 4.7 potassium tartrate hemihydrate, 1.2 MgSO4.7H2O, 1 Tween 80, 4 urea, 0.01 ZnSO4.7H2O, 0.01 MnSO4.6H2O, and 0.01 CuSO4.7H2O, with a pH of 4.0. In the flask culture, 15.5 filter paper units (FPU)/mL of maximum cellulase activity was obtained, 17.42 FPU/mL in a 7-L bioreactor, and 13.08 FPU/mL in a 50-L scale bioreactor for 4-8 d at 30 degrees C. Average production rates were 1.94 FPU/mL.d in flasks, 2.86 FPU/mL.d in the 7-L bioreactor, and 2.56 FPU/mL.d in the 50-L bioreactor. Cellulase production on a small scale was successfully reproduced in the 50-L pilot scale bioreactor. Saccharification activity from A. cellulolyticus was compared with cellulolytic enzymes produced by other strains. The A. cellulolyticus culture broth had a comparable saccharification yield in comparison with those of other Trichoderma enzymes (GC220 or Cellulosin T2) under the same total cellulase activity. Its saccharification yield (percent of released reducing sugar to used dried substrate) was 60%, and its glucose content was 83%. PMID:17253723

  17. Effect of simulated acid rain on the mutualism between tall fescue (Festuca arundinacea) and an endophytic fungus (Acremonium coenophialum)

    Cheplick, G.P. (Univ. of Wisconsin, Whitewater (United States))

    1993-03-01

    Biotic interactions between plants and microorganisms have the potential to be affected by acidic precipitation. I examined the effect of simulated sulfuric acid rain on the mutualism between a perennial forage grass (Festuca arundinacea) and a fungal endophyte (Acremonium coenophialum). Acid water was supplied as mists sprayed onto leaf surfaces or as water added to the soil for two groups in a greenhouse: one group had high levels of endophyte infection, while the other was predominantly noninfected. Control plants received distilled water (pH 6), while others received sulfuric acid water at pH 4.5 or pH 3. Plants were harvested after 4, 6, 8, and 23 wk. Leaf endophyte infection intensity as measured by hyphal counts was not affected by acid water treatment. Root mass and root: shoot ratios generally decreased with increasing acidity of both foliar sprays and soil water, but shoot mass was mostly not affected. There was a significant pH x infection interaction for plants exposed to acidic foliar sprays for 4 wk; root and shoot mass decreased with acidity, but only for infected plants. It was found that acid rain may be deleterious to tall fescue growth at specific stages of development, but biomass production in response to acid rain is not likely to be influenced by fungal endophytes within mature plants. 55 refs., 2 figs., 3 tabs.

  18. Regulation of the Cyanide-Resistant Alternative Respiratory Pathway in the Fungus Acremonium chrysogenum

    Sándor, Erzsébet; Fekete, Erzsébet; Karaffa, Levente

    2003-01-01

    This review summarises the current knowledge on the biochemical and physiological events that directly or indirectly alter the engagement of the cyanide-resistant alternative respiratory pathway in the cephalosporin C producer filamentous fungus Acremonium chrysogenum. Particular emphasis is placed on the role this activity plays in the overproduction of antibiotic, and also on the critical fermentation technology background that supports its operation.

  19. Viabilidade, confirmação taxonômica e detecção enzimática de espécies de Acremonium preservadas sob óleo mineral na Coleção de Culturas University Recife Mycology Viability, taxonomic confirmation and enzymatic detection of Acremonium species preserved under mineral oil in the URM Culture Collection

    Suellen Carvalho de Moura Braz

    2009-02-01

    Full Text Available Enzimas hidrolíticas secretadas por fungos têm um papel importante na patogenicidade das infecções. Objetivando avaliar a atividade enzimática foram testados 31 isolados de Acremonium mantidos na Coleção de Culturas University Recife Mycology. Fragmentos das culturas foram transferidos para caldo glicosado para reativação e posterior crescimento em meio ágar batata dextrose, para verificar viabilidade, pureza e confirmação taxonômica pela observação das características macroscópicas e microscópicas. Para detecção enzimática foram utilizados substratos de caseína do leite e gelatina para protease, amido para amilase e lecitina de soja para fosfolipase. Das 31 culturas, 26 (83,9% mantiveram-se viáveis e 24 (92,3% foram confirmadas taxonomicamente. Das 24 culturas, 12 (50% apresentaram atividade proteásica, duas (16,7% em caseína do leite, uma (8,3% em gelatina e nove (75% em ambos os substratos; 16 (66,7% degradaram amido. Nenhuma cultura apresentou atividade fosfolipásica. Conclui-se que espécies de Acremonium são capazes de produzir enzimas envolvidas na patogenicidade das infecções fúngicas.Hydrolytic enzymes secreted by fungi play an important role in the pathogenesis of infection. With the aim of evaluating the enzymatic activity, 31 isolates of Acremonium stored in the University of Recife Mycology (URM Culture Collection were tested. Culture fragments were transferred to glycoside broth for reactivation and further growth in potato dextrose agar medium in order to investigate viability and purity and to confirm the taxonomy through observing the macroscopic and microscopic characteristics. To detect enzymes, milk casein and gelatin were used as substrates for proteinase, starch for amylase and soy lecithin for phospholipase. Among the 31 cultures, 26 (83.9% remained viable and 24 (92.3% were confirmed taxonomically. Out of these 24 cultures, 12 (50% presented proteinase activity, of which two (16.7% were on

  20. Malignant intraocular tumors

    The role of the radiation therapist in the management of malignant intraocular tumors is changing. With more active identification of malignant intraocular tumors, and a better recognization of the manner in which one can deal with problems of radiation sensitivity, radiation techniques of all sorts will be more actively employed in the treatment of these tumors. Special techniques must be selected for appropriate circumstances of management in order to diminish to an absolute minimum the impact upon the lens, the impact upon visual acuity and the impact upon the cornea. Cobalt-60 plaques are being used more commonly in the treatment of melanomas of the choroid, and the role for radiation therapy in the management of retinoblastoma is changing markably to where it may be used as the primary treatment program rather than enucleation. In metastatic disease involving the uveal tract, radiation therapy has assumed the most important role for management. Chemotherapy should be considered as an active adjuvant in the management of not only those individuals with retinoblastoma but also in those identified circumstances where metastases to the uveal tract are being treated. The role for chemotherapy or immunotherapy in malignant melanoma is unclear

  1. Marcadores RAPD na análise da diversidade genética de isolados de Acremonium strictum RAPD markers in the genetic diversity analysis of Acremonium strictum isolates

    Hudson Teixeira

    2004-12-01

    Full Text Available Os fungos Acremonium strictum e Fusarium verticillioides normalmente apresentam algumas similaridades morfológicas, o que dificulta sua diferenciação em sementes de milho (Zea mays, particularmente quando ocorrem simultaneamente. Técnicas moleculares de análise do DNA têm possibilitado o desenvolvimento de métodos rápidos, sensíveis eespecíficos no diagnóstico de fitopatógenos, em complemento à análise morfológica. Este trabalho objetivou caracterizar e dimensionar a diversidade genética de dez isolados de A. strictum obtidos de sementes de milho, provenientes de diferentes regiões produtoras brasileiras, por meio da análise do DNA genômico (RAPD. Objetivou-se ainda, diferenciar os isolados de A. strictum de F. verticillioides por meio da técnica citada. Pela análise do DNA, 25 primers Operon geraram polimorfismos, os quais tornaram possível e seguro o agrupamento de isolados de A. strictum e sua diferenciação de F. verticillioides. Os isolados de A. strictum apresentaram variabilidade intraespecífica entre 3,4% e 44,4%. Para a maioria dos casos não foi possível correlacionar a similaridade genotípica e a origem geográfica dos isolados de A. strictum.Differentiation between Acremonium strictum and Fusarium verticillioides infecting corn (Zea mays seeds is difficult because they present some morphological similarities. Molecular techniques have been applied with success, allowing the development of fast, sensible and specific diagnostic methods for plant pathogens in complement to morphological analysis. The objectives of this work were to characterize and measure the genetic diversity of ten isolates of A. strictum associated with maize (Zea mays seeds from different brazilian regions, using DNA analysis (RAPD in comparison with one isolate of F. verticillioides. Twenty-five Operon primers generated polymorphisms that were efficient in grouping A. strictum isolates and in distinguishing them from F. verticillioides

  2. Comportamento de cultivares de meloeiro e melancia inoculados com Acremonium cucurbitacearum e Monosporascus cannonballus Behaviour of melon and watermelon cultivars inoculated with Acremonium cucurbitacearum and Monosporascus cannonballus

    RUI SALES JÚNIOR; ANTONIO VICENT; JOSEP ARMENGOL; JOSÉ GARCÍA-JIMÉNEZ; RÔMULO F. KOBORI

    2002-01-01

    O colapso em cucurbitáceas é uma síndrome complexa na qual podem estar envolvidos numerosos agentes fitopatógenos, sendo bastante freqüente o ataque associado de vários deles. No presente trabalho é apresentado o comportamento de 19 cultivares de meloeiro (Cucumis melo) e duas de melancia (Citrullus lanatus), cultivadas no Brasil, frente a Acremonium cucurbitacearum e Monosporascus cannonballus, dois dos patógenos fúngicos associados a esta síndrome em diversos países. Todas as cultivares de ...

  3. Drug-Eluting Intraocular Lenses

    Angel Concheiro

    2011-11-01

    Full Text Available Notable advances in materials science and in surgical techniques make the management of cataract by replacement of the opaque crystalline with an intraocular lens (IOL, one of the most cost-effective interventions in current healthcare. The usefulness and safety of IOLs can be enhanced if they are endowed with the ability to load and to sustain drug release in the implantation site. Drug-eluting IOLs can prevent infections and untoward reactions of eye tissues (which lead to opacification and also can act as drug depots for treatment of several other ocular pathologies. Such a myriad of therapeutic possibilities has prompted the design of drug-IOL combination products. Several approaches are under study, namely combination of the IOL with an insert in a single device, soaking in drug solutions, impregnation using supercritical fluids, coating with drug/polymer layers, and covalent grafting of the drug. The advantages/limitations of each technique are discussed in the present review on selected examples. Although more in vivo data are required, the information already available proves the interest of some approaches in ocular therapeutics.

  4. Cyclosporin C is the main antifungal compound produced by Acremonium luzulae.

    Moussaïf, M; Jacques, P.; Schaarwächter, P; Budzikiewicz, H.; Thonart, P.

    1997-01-01

    A strain of Acremonium luzulae (Fuckel) W. Gams was selected in screening new microorganisms for biological control of fruit postharvest diseases, especially gray and blue mold diseases on apples and strawberries. This strain manifests a very strong activity against a large number of phytopathogenic fungi. In this work, the product responsible for this antifungal activity was isolated from modified Sabouraud dextrose broth cultures of A. luzulae. It was purified to homogeneity by reverse-phas...

  5. Crystal Structure of Talaromyces cellulolyticus (Formerly Known as Acremonium cellulolyticus) GH Family 11 Xylanase

    Kataoka, Misumi; Akita, Fusamichi; Maeno, Yuka; Inoue, Benchaporn; Inoue, Hiroyuki; Ishikawa, Kazuhiko

    2014-01-01

    Talaromyces cellulolyticus (formerly known as Acremonium cellulolyticus) is one of the mesophilic fungi that can produce high levels of cellulose-related enzymes and are expected to be used for the degradation of polysaccharide biomass. In silico analysis of the genome sequence of T. cellulolyticus detected seven open reading frames (ORFs) showing homology to xylanases from glycoside hydrolase (GH) family 11. The gene encoding the GH11 xylanase C (TcXylC) with the highest activity was used fo...

  6. Enzymatic hydrolyzing performance of Acremonium cellulolyticus and Trichoderma reesei against three lignocellulosic materials

    Murakami Katsuji; Inoue Hiroyuki; Fang Xu; Fujii Tatsuya; Sawayama Shigeki

    2009-01-01

    Abstract Background Bioethanol isolated from lignocellulosic biomass represents one of the most promising renewable and carbon neutral alternative liquid fuel sources. Enzymatic saccharification using cellulase has proven to be a useful method in the production of bioethanol. The filamentous fungi Acremonium cellulolyticus and Trichoderma reesei are known to be potential cellulase producers. In this study, we aimed to reveal the advantages and disadvantages of the cellulase enzymes derived fr...

  7. Intraocular coenurosis: a case report.

    Ibechukwu, B. I.; Onwukeme, K. E.

    1991-01-01

    A case of intraocular coenurosis was clinically diagnosed and treated with praziquantel. The drug destroyed the coenurus, but vision was lost through toxic endophthalmitis and retinal detachment. There were no systemic side effects.

  8. Cataract surgery to lower intraocular pressure

    Berdahl John

    2009-01-01

    Full Text Available Cataract and glaucoma are common co morbidities. Cataract surgery is frequently performed in patients with glaucoma. In this study, a review of literature with search terms of cataract, glaucoma and intraocular pressure is followed by evaluation and synthesis of data to determine the effect of cataract surgery on intraocular pressure. Cataract surgery seems to lower intraocular pressure on a sustained basis, especially in patients with higher preoperative intraocular pressure. The mechanism of action of these finds remains speculative.

  9. Comportamento de cultivares de meloeiro e melancia inoculados com Acremonium cucurbitacearum e Monosporascus cannonballus Behaviour of melon and watermelon cultivars inoculated with Acremonium cucurbitacearum and Monosporascus cannonballus

    RUI SALES JÚNIOR

    2002-04-01

    Full Text Available O colapso em cucurbitáceas é uma síndrome complexa na qual podem estar envolvidos numerosos agentes fitopatógenos, sendo bastante freqüente o ataque associado de vários deles. No presente trabalho é apresentado o comportamento de 19 cultivares de meloeiro (Cucumis melo e duas de melancia (Citrullus lanatus, cultivadas no Brasil, frente a Acremonium cucurbitacearum e Monosporascus cannonballus, dois dos patógenos fúngicos associados a esta síndrome em diversos países. Todas as cultivares de meloiro e melancia mostraram-se susceptíveis a estes patógenos, obtendo-se valores de 2,2 até 4,4 de índice geral de doença (IGD para as cultivares de melão inoculadas com ambos os fungos e 2,4 até 2,5 para as cultivares de melancia inoculadas com A. cucurbitacearum. As cultivares de melancia mostraram resistência na combinação com M. cannonballus. A conveniência de efetuar estudos com outras cultivares utilizando a metodologia desenvolvida neste trabalho é discutida.Vine decline or collapse on cucurbits is a syndrome that can be caused by several phytopathogenic agents and is frequently associated with the attack of several of them. Acremonium cucurbitacearum and Monosporascus cannonballus are two of the main fungal pathogens associated with this syndrome. The pathogenicity of these fungi was evaluated for 19 muskmelon (Cucumis melo and two watermelon (Citrullus lanatus cultivars usually cultivated in Brazil. All cultivars tested were highly susceptible to these pathogens except for the combination watermelon-M. cannonballus. The importance of continuing the study with other cultivars using the methodology described is discussed.

  10. Isolation of Antioxidant Compound from Endophytic Fungi Acremonium sp. from the Twigs of Kandis Gajah

    Rizki

    2012-04-01

    Full Text Available The endophytic fungi Chrisonilia sitophila, Acremonium sp., and Penicillium sp. have been isolated from the tissues ofthe twigs of kandis gajah. All of the fungi strains were grown in 3 L potatoe dextrose broth medium (PDB at a roomtemperature for 28 days. To extract the antioxidant compounds, the culture broth were filtered for mycelia removalfollowed by extraction and evaporation. All of the extracts were evaluated for their antioxidant activities by using 1,1-diphenyl-2-picrylhydrazyl (DPPH radical scavenging activity. The extract of Acremonium sp. have strong activity withIC50 value of 10.3 μg/mL, which is equivalent to ascorbic acid activity with IC50 value of 9.8 μg/mL. The extract wassubjected to column chromatography on Si gel twice to obtain a high purity antioxidant compound in the form of yellowoil. The molecular structure was determined based on spectroscopic data, including 1H-NMR, 13C-NMR, HMQC,HMBC, and COSY. The compound was determined as sesquiterpene 3,5-dihydroxy-2,5-dimethyltrideca-2,9,11-triene-4,8-dione.

  11. A Battle in a Kernel: Molecular Exploration of Antagonisms between Two Maize Endophytes, Fusarium verticillioides and Acremonium zeae

    Fusarium verticillioides (Fv) is a prevalent seed-borne maize endophyte capable of causing severe kernel rot and fumonisin mycotoxin contamination. Within maize kernels, Fv is primarily confined to the pedicel, while another seed-borne fungal endophyte, Acremonium zeae (Az), is observed in embryos. ...

  12. Uveitis in Thailand : emphasis on clinical patterns and novel developments in diagnostics using intraocular fluid analysis

    Pathanapitoon, K.

    2010-01-01

    In this thesis, we report on the so far unknown causes of uveitis in Thailand and describe their clinical manifestations. We found out that intraocular infections were the second most common cause of blindness and low vision in a tertiary center in northern Thailand. These infections predominantly c

  13. Analytical design of intraocular lenses

    Barbero Briones, Sergio; Marcos Celestino, Susana; Dorronsoro Díaz, Carlos

    2008-01-01

    The invention relates to a method for designing intraocular lenses, comprising: the definition of a pseudoaphakic eye model; the definition of a merit function in multiple dimensions, which analytically connects the quality of the image on the retina to the optical and geometric parameters of the pseudoaphakic eye model; and the algorithm optimisation of the previous merit function using analytical and numerical methods in order to obtain one or more minimum globals which provide the optimal ...

  14. Acremonium zeae, a protective endophyte of maize, produces dihydroresorcylide and 7-hydroxydihydroresorcylides.

    Poling, Stephen M; Wicklow, Donald T; Rogers, Kristina D; Gloer, James B

    2008-05-14

    Acremonium zeae has been characterized as a protective endophyte of maize and displays antifungal activity against other fungi. Pyrrocidines A and B were discovered to be the metabolites accounting for this activity. During a population survey of A. zeae isolates from maize seeds produced in nine states to determine their ability to produce pyrrocidines, another metabolite of A. zeae, unrelated to the pyrrocidines, was found to have widespread occurrence (105 of 154 isolates) and to be produced in amounts comparable to the pyrrocidines. Further chemical studies of fermentation extracts of an A. zeae isolate (NRRL 45893) from maize led to the identification of a new compound, dihydroresorcylide, the saturated analogue of cis-resorcylide. Also identified were the two diastereomers of 7-hydroxydihydroresorcylide. Dihydroresorcylide and pyrrocidines A and B were detected by LC-APCI-MS in symptomatic maize kernels from ears that were wound-inoculated in the milk stage with A. zeae NRRL 34559. PMID:18416554

  15. 21 CFR 886.3600 - Intraocular lens.

    2010-04-01

    ... the natural lens of an eye. (b) Classification. Class III. (c) Date PMA or notice of completion of a... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraocular lens. 886.3600 Section 886.3600 Food... DEVICES OPHTHALMIC DEVICES Prosthetic Devices § 886.3600 Intraocular lens. (a) Identification....

  16. Cataract surgery and intraocular pressure.

    Melancia, Diana; Abegão Pinto, Luis; Marques-Neves, Carlos

    2015-01-01

    Cataract surgery is one of the most performed surgeries in the developed world. In addition to its significant impact on visual acuity, phacoemulsification has been hailed as a potential intraocular pressure (IOP)-lowering procedure. While current evidence suggests an overall significant and sustained decrease in IOP to exist after cataract surgery, the specific ocular characteristics that could help predict which patients are likely to benefit from this IOP-lowering effect remain unclear. This definition is important in glaucoma patients if this surgery is to be used in the treatment for this disease. Our review aims to summarize the literature on the subject, depicting possible mechanisms behind this IOP decrease, which type of patients are more likely to benefit from this surgery for IOP-lowering purposes and ultimately help optimizing disease management for the increasing number of patients with concomitant glaucoma and cataract. PMID:25765255

  17. Cytomegalovirus retinitis mimicking intraocular lymphoma

    Patrick Gooi

    2008-12-01

    Full Text Available Patrick Gooi1, James Farmer2, Bernard Hurley3, Elliott Brodbaker41Department of Ophthalmology, University of Calgary, Calgary, Alberta, Canada; 2Department of Pathology and Lab Medicine University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada; 3Department of Ophthalmology, University of Ottawa Eye Institute and The Ottawa Hospital, Ottawa, Ontario, Canada; 4Faculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaAbstract: We present a case of an unusual retinal infiltrate requiring retinal biopsy for definitive diagnosis. A 62-year-old man with treated lymphoma presented with decreased vision in the right eye associated with a white retinal lesion, which extended inferonasally from an edematous disc. Intraocular lymphoma was considered as a diagnosis; thus, the patient was managed with vitrectomy and retinal biopsy. Cytological analysis of the vitreous aspirate could not rule out a lymphoproliferative disorder. The microbial analysis was negative. Histology of the lesion showed extensive necrosis and large cells with prominent nucleoli. To rule out lymphoma, a battery of immunostains was performed and all were negative. However the limited amount of tissue was exhausted in the process. Subsequently, a hematoxylin and eosin (H/E slide was destained, on which a CMV immunostain was performed. This revealed positivity in the nuclei and intranuclear inclusions within the large atypical cells. A diagnosis of CMV retinitis was made. Retinal biopsy may provide a definitive diagnosis and direct patient care toward intravenous gancyclovir in the case of CMV or toward radiation and chemotherapy for intraocular lymphoma. When faced with a limited amount of tissue, destaining regular H/E slides is a possible avenue to performing additional immunohistochemical studies.Keywords: CMV retinitis, retinal biopsy, immunohistochemistry, destaining

  18. Purification and characterization of arabinofuranosidase from the corn endophyte Acremonium zeae.

    Bischoff, Kenneth M; de Rezende, Sebastiao T; Larson, Troy M; Liu, Siqing; Hughes, Stephen R; Rich, Joseph O

    2011-10-01

    Acremonium zeae, one of the most prevalent fungal colonists of preharvest corn, possesses a suite of hemicellulolytic activities including xylanase, xylosidase, and arabinofuranosidase. Two enzymes with arabinofuranosidase activity were purified from cell-free culture supernatants of A. zeae grown on oat spelt xylan. A 47 kDa enzyme (AF47) was optimally active at 37 °C and pH 6.0, and had a specific activity for 4-nitrophenyl-α-L-arabinofuranoside (4NPA) of 6.2 U/mg. A 30 kDa enzyme (AF30) was optimally active at 50 °C and pH 4.5, and had a specific activity for 4NPA of 12.4 U/mg. AF47 hydrolyzed 4-nitrophenyl-β-D-xylopyranoside, 4-nitrophenyl-β-D-glucopyranoside, and 4-nitrophenyl-β-D-cellobioside, as well as producing reducing sugars from corn fiber, wheat, and oat spelt arabinoxylan. AF30 had little detectable activity on the 4-nitrophenyl substrates, except for 4NPA, but activity on arabinoxylans from corn fiber, wheat, and oat spelt was at least 7-fold higher than AF47, with specific activities of 109, 358, and 153 U/mg, respectively. A combination of the two enzymes released 61 and 88% of the total arabinose from corn fiber and wheat arabinoxylans. The arabinofuranosidases produced by A. zeae may have industrial application for the enzymatic hydrolysis of recalcitrant lignocellulosic feedstocks such as corn fiber and wheat straw. PMID:21671092

  19. DECOLOURIZATION OF SELECTED PROCION DYE USING FUNGI, ACREMONIUM CHRYSOGENUM A COMPARISON WITH PHYSICAL ADSORBENTS

    M.Prasad Naidu

    2015-12-01

    Full Text Available Azo dyes, based on aromatic amines, may contain these amines as impurities introduced during the manufacturing process. Aromatic amines may also be present as a result of thermal or photochemical degradation of azo dyes. The more stable derivatives contain two aryl groups. As a consequence of ?-delocalization, aryl azo compounds have vivid colors, especially reds, oranges, and yellows. Therefore, they are used as dyes, and are commonly known as azo dyes, an example of which is Disperse Orange. Some azo compounds, eg. methyl orange, are used as acid-base indicators due to the different colors of their acid and salt forms. The development of azo dyes was an important step in the development of the chemi azo colorants range in shade from greenish yellow to orange, red, violet and brown. The colours depend largely on the chemical constitution, whereas different shades rather depend on the physical properties. However, the important disadvantage limiting their commercial application is that most of them are red and none are green. The inoculum was prepared by adding 10ml of saline to the culture tube, which contain the Acremoniumchrysogenum. The present study designed to study the degradation of common laboratory dyes using fungi, acremonium chrysogenum. The dye selected was procion red. The selected dye procion red can be toxic in its secondary reactive form so there is a great need of them to be removed from the environment.

  20. Crystal structure of Talaromyces cellulolyticus (formerly known as Acremonium cellulolyticus) GH family 11 xylanase.

    Kataoka, Misumi; Akita, Fusamichi; Maeno, Yuka; Inoue, Benchaporn; Inoue, Hiroyuki; Ishikawa, Kazuhiko

    2014-10-01

    Talaromyces cellulolyticus (formerly known as Acremonium cellulolyticus) is one of the mesophilic fungi that can produce high levels of cellulose-related enzymes and are expected to be used for the degradation of polysaccharide biomass. In silico analysis of the genome sequence of T. cellulolyticus detected seven open reading frames (ORFs) showing homology to xylanases from glycoside hydrolase (GH) family 11. The gene encoding the GH11 xylanase C (TcXylC) with the highest activity was used for overproduction and purification of the recombinant enzyme, permitting solving of the crystal structure to a resolution of 1.98 Å. In the asymmetric unit, two kinds of the crystal structures of the xylanase were identified. The main structure of the protein showed a β-jelly roll structure. We hypothesize that one of the two structures represents the open form and the other shows the close form. The changing of the flexible region between the two structures is presumed to induce and accelerate the enzyme reaction. The specificity of xylanase toward the branched xylan is discussed in the context of this structural data and by comparison with the other published structures of xylanases. PMID:25138599

  1. Efficient production of cellulase in the culture of Acremonium cellulolyticus using untreated waste paper sludge.

    Prasetyo, Joni; Zhu, Jing; Kato, Tatsuya; Park, Enoch Y

    2011-01-01

    Cellulase was produced by Acremonium cellulolyticus using untreated waste paper sludge (PS) as the carbon source. The clay present in PS did not show any inhibitory effect on cellulase production but did alter the pH during fermentation. On the flask scale, the maleate buffer concentration and pH were key factors that affected the efficiency of cellulase production from PS cellulose. Optimum cellulase production in a 3-L fermentor of working volume 1.5 L was achieved by controlling the pH value at 6.0 using 2 M NaOH and 2 M maleic acid, and the productivity reached 8.18 FPU/mL. When 40.89 g/L PS cellulose, 2.2 g/L (NH(4) )(2) SO(4) , and 4.4 g/L urea were added to a 48-h culture, the cellulase activity was 9.31 FPU/mL at the flask scale and 10.96 FPU/mL in the 3-L fermentor. These values are ∼80% of those obtained when pure cellulose is used as the carbon source. The method developed here presents a new route for the utilization of PS. PMID:21312360

  2. Periocular migration of an intraocular lens.

    Jenkins, C.

    1992-01-01

    A woman presented with a painful eye 6 weeks after cataract extraction and intraocular lens implantation. In the past she had had a sector iridectomy for iris bombé caused by chronic anterior uveitis. On examination the three central corneal sutures were absent, whilst the medial and lateral sutures had broken and were protruding from the section. The eye was quiet and the section intact. Combined clinical and ultrasound examination failed to locate the intraocular lens. Four months postopera...

  3. Intraocular cilia associated with perforating injury

    Gopal Lingam

    2000-01-01

    Full Text Available Purpose: To report a case series of penetrating injury complicated by occurrence of intraocular cilia. Methods: Retrospective analysis of charts of 11 eyes of 11 patients with penetrating injury and intraocular cilia, presenting between September 1978 and November 1998. Ten eyes underwent surgery for trauma-related problems such as cataract, vitritis, retinal detachment etc., at which time intraocular cilia were removed. One eye did not have surgery and continues to harbour cilia at the posterior perforation site. Results: Metallic wire was responsible for injury in 6 of 11 eyes with intraocular cilia. Five eyes had significant intraocular inflammation. The cilia were located in the anterior segment in 4 eyes; in the posterior segment in 6 eyes and in both in one eye. At the last follow up, 72.7% had 6/18 or better vision. Poor vision in the rest was due to recurrent retinal detachment (2 eyes and macular scarring (1 eye. Conclusion: Intraocular cilia are more commonly associated with injury by a metallic wire. The presentation and management of an injured eye does not seem to be influenced by the presence of cilia in the eye.

  4. Marcadores RAPD na análise da diversidade genética de isolados de Acremonium strictum RAPD markers in the genetic diversity analysis of Acremonium strictum isolates

    Hudson Teixeira; Maria das Graças G. C. Vieira; José C. Machado

    2004-01-01

    Os fungos Acremonium strictum e Fusarium verticillioides normalmente apresentam algumas similaridades morfológicas, o que dificulta sua diferenciação em sementes de milho (Zea mays), particularmente quando ocorrem simultaneamente. Técnicas moleculares de análise do DNA têm possibilitado o desenvolvimento de métodos rápidos, sensíveis eespecíficos no diagnóstico de fitopatógenos, em complemento à análise morfológica. Este trabalho objetivou caracterizar e dimensionar a diversidade genética de ...

  5. Developments in Accommodating Intraocular Lenses

    Zeki Tunç

    2012-07-01

    Full Text Available Technical progress in cataract surgery has decreased the incidence of severe complications in this type of surgery. The introduction of micro incision cataract surgery (MICS (sub- 2.0 mm incision allow the surgeon to achieve better postoperative control of astigmatism and higherorder aberration (HOAs with minimum induction of both. It is believed that multifocal lenses provide very successful results, however, there are limitations to these. Implantation of accommodating intraocular lenses (IOLs is an option to treat presbyopia. The IOLs work by using the continued functionality of the ciliary muscle after cataract removal. Accommodating IOLs were designed to avoid the optical side effects of multifocal IOLs. Two main design concepts exist. First, axial shift concepts rely on anterior axial movement of one or two optics creating accommodative ability. Second, curvature change designs are designed to provide significant amplitudes of accommodation with little physical displacement. Accommodative IOLs to correct astigmatism and HOAs in the future are needed. (Turk J Ophthalmol 2012; 42: 288-93

  6. Biopsy techniques for intraocular tumors.

    Rishi, Pukhraj; Dhami, Abhinav; Biswas, Jyotirmay

    2016-06-01

    Biopsy involves the surgical removal of a tissue specimen for histopathologic evaluation. Most intraocular tumors are reliably diagnosed based on the clinical evaluation or with noninvasive diagnostic techniques. However, accurately diagnosing a small percentage of tumors can be challenging. A tissue biopsy is thus needed to establish a definitive diagnosis and plan the requisite treatment. From fine-needle aspiration biopsy (FNAB) to surgical excision, all tissue collection techniques have been studied in the literature. Each technique has its indications and limitations. FNAB has been reported to provide for 88-95% reliable and safe ophthalmic tumor diagnosis and has gained popularity for prognostic purposes and providing eye conserving treatment surgeries. The technique and instrumentation for biopsy vary depending upon the tissue involved (retina, choroid, subretinal space, vitreous, and aqueous), suspected diagnosis, size, location, associated retinal detachment, and clarity of the media. The cytopathologist confers a very important role in diagnosis and their assistance plays a key role in managing and planning the treatment for malignancies. PMID:27488148

  7. Biopsy techniques for intraocular tumors

    Pukhraj Rishi

    2016-01-01

    Full Text Available Biopsy involves the surgical removal of a tissue specimen for histopathologic evaluation. Most intraocular tumors are reliably diagnosed based on the clinical evaluation or with noninvasive diagnostic techniques. However, accurately diagnosing a small percentage of tumors can be challenging. A tissue biopsy is thus needed to establish a definitive diagnosis and plan the requisite treatment. From fine-needle aspiration biopsy (FNAB to surgical excision, all tissue collection techniques have been studied in the literature. Each technique has its indications and limitations. FNAB has been reported to provide for 88-95% reliable and safe ophthalmic tumor diagnosis and has gained popularity for prognostic purposes and providing eye conserving treatment surgeries. The technique and instrumentation for biopsy vary depending upon the tissue involved (retina, choroid, subretinal space, vitreous, and aqueous, suspected diagnosis, size, location, associated retinal detachment, and clarity of the media. The cytopathologist confers a very important role in diagnosis and their assistance plays a key role in managing and planning the treatment for malignancies.

  8. Surface Modification of Intraocular Lenses

    Qi Huang

    2016-01-01

    Full Text Available Objective: This paper aimed to review the current literature on the surface modification of intraocular lenses (IOLs. Data Sources: All articles about surface modification of IOLs published up to 2015 were identified through a literature search on both PubMed and ScienceDirect. Study Selection: The articles on the surface modification of IOLs were included, but those on design modification and surface coating were excluded. Results: Technology of surface modification included plasma, ion beam, layer-by-layer self-assembly, ultraviolet radiation, and ozone. The main molecules introduced into IOLs surface were poly (ethylene glycol, polyhedral oligomeric silsesquioxane, 2-methacryloyloxyethyl phosphorylcholine, TiO 2 , heparin, F-heparin, titanium, titanium nitride, vinyl pyrrolidone, and inhibitors of cytokines. The surface modification either resulted in a more hydrophobic lens, a more hydrophilic lens, or a lens with a hydrophilic anterior and hydrophobic posterior surface. Advances in research regarding surface modification of IOLs had led to a better biocompatibility in both in vitro and animal experiments. Conclusion: The surface modification is an efficient, convenient, economic and promising method to improve the biocompatibility of IOLs.

  9. Surface Modification of Intraocular Lenses

    Qi Huang; George Pak-Man Cheng; Kin Chiu; Gui-Qin Wang

    2016-01-01

    Objective:This paper aimed to review the current literature on the surface modification of intraocular lenses (IOLs).Data Sources:All articles about surface modification of IOLs published up to 2015 were identified through a literature search on both PubMed and ScienceDirect.Study Selection:The articles on the surface modification of IOLs were included,but those on design modification and surface coating were excluded.Results:Technology of surface modification included plasma,ion beam,layer-by-layer self-assembly,ultraviolet radiation,and ozone.The main molecules introduced into IOLs surface were poly (ethylene glycol),polyhedral oligomeric silsesquioxane,2-methacryloyloxyethyl phosphorylcholine,TiO2,heparin,F-heparin,titanium,titanium nitride,vinyl pyrrolidone,and inhibitors of cytokines.The surface modification either resulted in a more hydrophobic lens,a more hydrophilic lens,or a lens with a hydrophilic anterior and hydrophobic posterior surface.Advances in research regarding surface modification of IOLs had led to a better biocompatibility in both in vitro and animal experiments.Conclusion:The surface modification is an efficient,convenient,economic and promising method to improve the biocompatibility ofIOLs.

  10. Gliotoxin-producing endophytic Acremonium sp. from Zingiber officinale found antagonistic to soft rot pathogen Pythium myriotylum.

    Anisha, C; Radhakrishnan, E K

    2015-04-01

    Soft rot caused by Pythium sp. is a major cause of economic loss in ginger cultivation. Endophytic fungi isolated from Zingiber officinale were screened for its activity against the soft rot pathogen Pythium myriotylum. Among the isolates screened, an endophytic fungus which was identified as Acremonium sp. showed promising activity against the phytopathogen in dual culture. The selected fungus was cultured in large scale on solid rice media and was extracted with ethyl acetate. The crude extract was subjected to column chromatography and preparative HPLC to obtain the fraction with the antifungal activity. LC-QTOF-MS/MS analysis of this fraction done using water-acetonitrile gradient identified a mass of m/z 327 (M + H) corresponding to gliotoxin with specific fragments m/z 263, 245, 227, and 111. The result was reconfirmed in negative mode ionization. Gliotoxin is the major antagonistic peptide produced by the commercially used biocontrol agent, Trichoderma sp., which shows high antagonism against Pythium sp. The gliotoxin production by the isolated endophytic Acremonium sp. of Z. officinale shows the possible natural biocontrol potential of this endophytic fungus. PMID:25820297

  11. Soluble inhibitors generated during hydrothermal pretreatment of oil palm mesocarp fiber suppressed the catalytic activity of Acremonium cellulase.

    Zakaria, Mohd Rafein; Hirata, Satoshi; Fujimoto, Shinji; Ibrahim, Izzudin; Hassan, Mohd Ali

    2016-01-01

    Oil palm mesocarp fiber was subjected to hydrothermal pretreatment under isothermal and non-isothermal conditions. The pretreated slurries were separated by filtration, pretreated liquids and solids were characterized. An enzymatic digestibility study was performed for both pretreated slurries and solids to understand the effect of soluble inhibitors generated during the pretreatment process. The highest glucose yield obtained from pretreated slurries was 70.1%, and gradually decreased with higher pretreatment severities. The highest glucose yield obtained in pretreated solids was 100%, after pretreatment at 210°C for 20min. In order to study the inhibitory effects of compounds generated during pretreatment with cellulase, technical grade solutions that mimic the pretreated liquid were prepared and their effect on Acremonium cellulase activity was monitored using Avicel. Xylo-oligomers and tannic acid were identified as powerful inhibitors of Acremonium cellulase, and the lowest hydrolysis rate of Avicel of 0.18g/g-glucose released/L/h was obtained from tannic acid. PMID:26524253

  12. Late opacification of a hydrophilic acrylic intraocular lens

    Al-Bdour Muawyah

    2008-01-01

    Full Text Available Cataract extraction and intraocular lens implantation is considered to be a safe procedure in most cases. However, the new advances in the surgical technique namely phacoemulsification and hence the increased use of foldable intraocular lenses have given rise to new complications including late opacification of intraocular lenses. In this case we report late opacification of a foldable hydrophilic acrylic intraocular lens and the surgical technique for its exchange.

  13. 21 CFR 886.4300 - Intraocular lens guide.

    2010-04-01

    ...) MEDICAL DEVICES OPHTHALMIC DEVICES Surgical Devices § 886.4300 Intraocular lens guide. (a) Identification. An intraocular lens guide is a device intended to be inserted into the eye during surgery to direct... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraocular lens guide. 886.4300 Section...

  14. Feline intraocular sarcoma associated with phthisis bulbi

    E. Perlmann

    2011-06-01

    Full Text Available Two cases of feline intraocular sarcoma were reported in stray cats that presented blindness and hypotonia of the affected eye for years before the tumor development. Phthisis bulbi, a final stage of a severe inflammation of the eye, is frequently unmonitored because eyes are blind, small, opaque, and not painful. Yet, this report shows that monitoring and early enucleation of eyes of cats with phthisis bulbi are important and should be considered as a treatment option, because feline intraocular sarcoma is an aggressive tumor that significantly decreases live expectancy.

  15. DESIGN OF THE MULTIORDER INTRAOCULAR LENSES

    V. G. Kolobrodov

    2015-12-01

    Full Text Available Intraocular lenses (IOLs are used to replace the natural crystalline lens of the eye. Just few basic designs of IOLs are used clinically. Multiorder diffractive lenses (MODL which operate simultaneously in several diffractive orders were proposed to decrease the chromatic aberration. Properties analysis of MODL showed a possibility to use them to develop new designs of IOLs. The purpose of this paper was to develop a new method of designing of multiorder intraocular lenses with decreased chromatic aberration. The theoretical research of the lens properties was carried out. The diffraction efficiency dependence with the change of wavelength was studied. A computer simulation of MODL in a schematic model of the human eye was carried out. It is found the capability of the multiorder diffractive lenses to focus polychromatic light into a segment on the optical axis with high diffraction efficiency. At each point of the segment is present each component of the spectral range, which will build a color image in combination. The paper describes the new design method of intraocular lenses with reduced chromaticism and with endless adaptation. An optical system of an eye with an intraocular lens that provides sharp vision of objects located at a distance of 700 mm to infinity is modeled.

  16. Significance of intraocular lens power calculation.

    M. Singh; Dahalan, A

    1987-01-01

    A total of 94 patients underwent extracapsular cataract extraction and insertion of Sinsky style two-loop posterior chamber intraocular lenses. Forty-six eyes received a standard power IOL and 48 eyes were given a preoperatively calculated IOL. A significant difference was found in the two groups with regard to the postoperative refractive error and uncorrected visual acuity.

  17. Characterizing intraocular tumors with photoacoustic imaging

    Xu, Guan; Xue, Yafang; Gursel, Zeynep; Slimani, Naziha; Wang, Xueding; Demirci, Hakan

    2016-03-01

    Intraocular tumors are life-threatening conditions. Long-term mortality from uveal melanoma, which accounts for 80% of primary intraocular tumors, could be as high as 25% depending on the size, ciliary body involvement and extraocular extension. The treatments of intraocular tumors include eye-sparing approaches such as radiotherapy and thermotherapy, and the more aggressive enucleation. The accurate diagnosis of intraocular tumors is thereby critical in the management and follow-up of the patients. The diagnosis of intraocular tumors is usually based on clinical examination with acoustic backscattering based ultrasonography. By analyzing the high frequency fluctuations within the ultrasound (US) signals, microarchitecture information inside the tumor can be characterized. However, US cannot interrogate the histochemical components formulating the microarchitecture. One representative example is the inability of US imaging (and other contemporary imaging modalities as well) in differentiating nevoid and melanoma cells as the two types of cells possesses similar acoustic backscattering properties. Combining optical and US imaging, photoacoustic (PA) measurements encode both the microarchitecture and histochemical component information in biological tissue. This study attempts to characterize ocular tumors by analyzing the high frequency signal components in the multispectral PA images. Ex vivo human eye globes with melanoma and retinoblastoma tumors were scanned using less than 6 mJ per square centimeters laser energy with tunable range of 600-1700 nm. A PA-US parallel imaging system with US probes CL15-7 and L22-14 were used to acquire the high frequency PA signals in real time. Preliminary results show that the proposed method can identify uveal melanoma against retinoblastoma tumors.

  18. Management of dislocated intraocular implants.

    Chan, C K; Agarwal, A; Agarwal, S; Agarwal, A

    2001-12-01

    Implant dislocation may occur in the absence of appropriate capsular or zonular support (PCIOL) (11,35,53) or following traumatic injury to anterior ocular tissues (ACIOL). (11,19,20) Other factors (e.g., advanced patient age, high myopia, previous vitrectomy, pseudoexfoliation syndrome, and certain connective tissue disorders) also may predispose implant dislocation. (9,52) Although reported for all types of IOLs, implant dislocation is becoming more manageable because of the advancement of surgical techniques. A dislocated ACIOL or PCIOL may be explanted, exchanged, or repositioned. (11,48,71) Repositioning the dislocated PCIOL in the ciliary sulcus with modern vitreoretinal techniques provides an optimal environment for visual recovery. (11,71) Implant repositioning techniques generally may be categorized into the external or the internal approaches. (8,11) The former involves external suturing methods for a primary or secondary implant in the absence of adequate capsular or zonular support (15,16,31,42,56,60,61,64,66,73,76) and the latter is achieved through modern pars plana techniques. 8,11,62,69) Recently, several implant repositioning methods gaining increasing acceptance include the scleral loop fixation, (45) the snare approach, (43) the use of the 25-gauge implant forceps, (13) temporary haptic externalization, (8,11,36,71) and the use of perfluorocarbon liquids. (1,28,40,41,44) The temporary haptic externalization method combines the best features of the external and the internal approaches, avoids complex intraocular maneuvers, and allows precise scleral fixation of the dislocated IOL on a consistent basis. (8,11,71) Endoscopy provides the surgeon with optimal viewing of the anterior retropupillary anatomy that is often difficult to appreciate (e.g., capsular-zonular complex, ciliary sulcus, anterior retina, and vitreous base). (6,11) As a result, precise haptic placement is possible during the repositioning process. (6,11) However, a three

  19. Humoral immunity resulted from vaccination with Brucella melitensis Rev. 1 vaccine given subcutaneously and intraocularly in goats

    I. I. Aldabagh

    2011-01-01

    Full Text Available The aim of this study was to evaluate the humeral immune response induced by administration of smooth strain of B. melitensis Rev. 1 vaccine (1-2× 109 viable organism per dose given by subcutaneous and intraocular routes in goats. Rose Bengal test was done to ensure the absence of Brucella infection in experimental animals and the 2- ME agglutination test was used to evaluate the antibody titers. The results showed that subcutaneous group showed positive results in 80% of animals whereas 38.5% of intraocular group showed positive results.

  20. The Visual Effects of Intraocular Colored Filters

    Billy R. Hammond

    2012-01-01

    Full Text Available Modern life is associated with a myriad of visual problems, most notably refractive conditions such as myopia. Human ingenuity has addressed such problems using strategies such as spectacle lenses or surgical correction. There are other visual problems, however, that have been present throughout our evolutionary history and are not as easily solved by simply correcting refractive error. These problems include issues like glare disability and discomfort arising from intraocular scatter, photostress with the associated transient loss in vision that arises from short intense light exposures, or the ability to see objects in the distance through a veil of atmospheric haze. One likely biological solution to these more long-standing problems has been the use of colored intraocular filters. Many species, especially diurnal, incorporate chromophores from numerous sources (e.g., often plant pigments called carotenoids into ocular tissues to improve visual performance outdoors. This review summarizes information on the utility of such filters focusing on chromatic filtering by humans.

  1. Intraocular pressure in Japanese diabetic patients

    Matsuoka M; Ogata N.; Matsuyama K; Yoshikawa T.; Takahashi K.

    2012-01-01

    Masato Matsuoka,1 Nahoko Ogata,2 Kayako Matsuyama,1 Tadanobu Yoshikawa,1 Kanji Takahashi31Department of Ophthalmology, Kansai Medical University, Takii Hospital, Osaka, 2Department of Ophthalmology, Nara Medical University, Nara, 3Department of Ophthalmology, Kansai Medical University, Hirakata Hospital, Osaka, JapanBackground: To determine whether the intraocular pressure (IOP) in diabetic patients is significantly different from that in nondiabetic patients.Methods: The medical records of a...

  2. Adherence of Staphylococcus epidermidis to intraocular lenses.

    Griffiths, P G; Elliot, T. S.; McTaggart, L

    1989-01-01

    We have demonstrated, with an in vitro model, that Staphylococcus epidermidis is able to colonise intraocular lenses. Adherent organisms were quantitated by light microscopy, scanning electron microscopy, and viable counting. Bacterial adherence was associated with production of a polysaccharide glycocalyx. Organisms which were attached to the lenses were resistant to apparently bactericidal concentrations of antibiotics, as determined by conventional testing. We speculate on the role of colo...

  3. Intraocular eyelash after uneventful cataract surgery

    Knyazer, Boris

    2010-01-01

    Boris Knyazer, Jaime Levy, Itamar Klemperer, Tova LifshitzDepartment of Ophthalmology, Soroka University Medical Center, Ben-Gurion, University of the Negev, Beer-Sheva, IsraelIntroduction: Intraocular eyelash is an uncommon complication after cataract surgery. We report a very rare case of corneal foreign body after uneventful phacoemulsification surgery. Methods: A 66-year-old man referred to our outpatient ophthalmology clinic for routine examination one week after uneventful phacoemulsifi...

  4. Effect of a tight necktie on intraocular pressure

    Božić Marija; Hentova-Senćanin Paraskeva; Branković Aleksandra; Marjanović Ivan; Jocić Đorđević Jasmina; Senćanin Ivan

    2012-01-01

    Introduction. Any factor causing constriction of the neck may lead to an increase in intraocular pressure. A tight necktie may result in increasing intraocular pressure, which could lead to an erroneous diagnosis and treatment of ocular hypertension or even glaucoma. This study was aimed at evaluating the effect of a tight necktie on intraocular pressure measurement using Goldmann applanation tonometry. Material and Methods. This study included forty eyes of 20 patients with primary ope...

  5. Quality of vision through diffractive bifocal intraocular lenses.

    Jay, J L; Chakrabarti, H S; Morrison, J D

    1991-01-01

    Two elderly women have each received a monofocal intraocular lens in one eye and a 3M diffractive bifocal intraocular lens in the other eye. Both eyes were shown to have equivalent retinal/neural function by measuring contrast sensitivity to laser interference fringes which bypassed refractive and other defects of the ocular media. The eyes with a bifocal intraocular lens displayed a much greater depth of focus, though at the expense of diminished contrast sensitivity compared with the normal...

  6. Evaluating the method increasing of toric intraocular lenses rotational stability

    G. A. Fedjashev

    2015-01-01

    Purpose. To suggest a safe and effective way to improve the rotational stability of the position of toric the intraocular lenses in the capsular bag.Patients and methods.86 patients (97 eyes) with corneal astigmatism undergoing cataract surgery and Acrysof Toric (Alcon, USA) intraocular lens implantation. In 42 patients (47 eyes), the intraocular lens (IOL) were implanted in accordance with the proposed invention.Results. Average rotation angle IOL implanted by traditional technology was 2,2±...

  7. File list: DNS.Oth.05.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available DNS.Oth.05.AllAg.Lenses,_Intraocular mm9 DNase-seq Others Lenses, Intraocular http:...//dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/DNS.Oth.05.AllAg.Lenses,_Intraocular.bed ...

  8. File list: DNS.Oth.10.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available DNS.Oth.10.AllAg.Lenses,_Intraocular mm9 DNase-seq Others Lenses, Intraocular http:...//dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/DNS.Oth.10.AllAg.Lenses,_Intraocular.bed ...

  9. File list: DNS.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available DNS.Oth.20.AllAg.Lenses,_Intraocular mm9 DNase-seq Others Lenses, Intraocular http:...//dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/DNS.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  10. File list: DNS.Oth.50.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available DNS.Oth.50.AllAg.Lenses,_Intraocular mm9 DNase-seq Others Lenses, Intraocular http:...//dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/DNS.Oth.50.AllAg.Lenses,_Intraocular.bed ...

  11. Infection

    ... Potential Hazards Exposure of employees to community and nosocomial infections, e.g., Methicillin-resistant Staphylococcus aureus (MRSA) . Nosocomial infections are infections that occur from exposure to infectious ...

  12. A CLINICAL STUDY OF INTRAOCULAR PRESSURE CHANGES WITH VECURONIUM BROMIDE AND PANCURONIUM BROMIDE

    Nagaraja; Nagesha

    2014-01-01

    BACKGROUND: The maintenance of intraocular pressure forms the mainstay of anesthetic management of intraocular surgery. It is desirable to achieve a normal or reduced intraocular pressure before the eye is opened to avoid expulsive hemorrhage and ocular disruption at the time of incision. Therefore the ideal anesthetic technique for intraocular surgery should produce a moderate reduction in intraocular pressure, or maintain intraocular pressure at near normal values and av...

  13. Infections caused by rare mold fungi in hematology

    I. I. Kalinina

    2014-07-01

    Full Text Available Worldwide distribution of mold fungi and their extremely danger for immune compromise patients makes this issue one of the unsolved problems in modern oncology. Three cases of rare fungal infections in children with hematological malignancies are described. In the first case infection caused by Acremonium spp. in AML patients was controlled after voriconazole therapy and granulocytes recovery. The second patients with aplastic anemia died as a result of invasive fungal infection caused by Fusarium spp. despite of combined antifungal therapy and granulocytes transfusions. In the third case diagnosis of Mucor mycosis was made only at autopsy

  14. Intraocular lymphoma after cardiac transplantation: Magnetic resonance imaging findings

    We report a case of intraocular lymphoma in a 65-year-old man, 15 months after cardiac transplantation. On Magnetic Resonance (MR) images, the iris and the anterior chamber of the right eye were found to be involved with an enhancing soft-tissue lesion. To our knowledge, this is the first case of post-transplantation intraocular lymphoma evaluated with MR imaging.

  15. Intraocular lymphoma after cardiac transplantation: Magnetic resonance imaging findings

    Kim, Yi Kyung; Kim, Hyung Jin; Woo, Kyung In; Kim, Yoon Duck [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2013-01-15

    We report a case of intraocular lymphoma in a 65-year-old man, 15 months after cardiac transplantation. On Magnetic Resonance (MR) images, the iris and the anterior chamber of the right eye were found to be involved with an enhancing soft-tissue lesion. To our knowledge, this is the first case of post-transplantation intraocular lymphoma evaluated with MR imaging.

  16. Implantable intraocular pressure monitoring systems: Design considerations

    Arsalan, Muhammad

    2013-12-01

    Design considerations and limitations of implantable Intraocular Pressure Monitoring (IOPM) systems are presented in this paper. Detailed comparison with the state of the art is performed to highlight the benefits and challenges of the proposed design. The system-on-chip, presented here, is battery free and harvests energy from incoming RF signals. This low-cost design, in standard CMOS process, does not require any external components or bond wires to function. This paper provides useful insights to the designers of implantable wireless sensors in terms of design choices and associated tradeoffs. © 2013 IEEE.

  17. Pseudoexfoliation material on posterior chamber intraocular lenses

    Rocha-Bastos RA; Silva SE; Prézia F; Falcão-Reis F; Melo AB

    2014-01-01

    Ricardo António da Rocha-Bastos,1 Sérgio Estrela Silva,1 Flávio Prézia,1 Fernando Falcão-Reis,1,2 António B Melo11Department of Ophthalmology, Hospital São João, Alameda Prof Hernâni Monteiro, Porto, Portugal; 2Department of Sense Organs, Faculty of Medicine, University of Porto, Alameda Prof Hernâni Monteiro, Porto, PortugalAbstract: The presence of pseudoexfoliation material on the surface of an intraocular lens (IOL) is a ...

  18. How to measure intraocular pressure: applanation tonometry

    Nick Astbury

    2012-01-01

    Full Text Available Unless there is a contraindication (e.g. trauma or corneal ulcer, all adults attending an eye unit should have their intraocular pressure (IOP measured. Many people with glaucoma have no symptoms and do not know they have the condition. All children who have had cataract surgery should also have their IOP measured at every follow-up visit, if possible. Finding glaucoma early allows treatment to be given which will preserve sight. Although elevated IOP is not the only sign of glaucoma, measuring it is simple and quick to do. Applanation tonometry, using a Goldmann tonometer at a slit lamp, is the preferred method (the ‘gold standard’.

  19. Softec HD hydrophilic acrylic intraocular lens: biocompatibility and precision

    Ladan Espandar

    2011-01-01

    Full Text Available Ladan Espandar1, Shameema Sikder2, Majid Moshirfar31Department of Ophthalmology, Tulane University, New Orleans, LA, USA; 2Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA; 3John A Moran Eye Center, University of Utah, Salt Lake City, UT, USAAbstract: Intraocular lens development is driven by higher patient expectations for ideal visual outcomes. The recently US Food and Drug Administration-approved Softec HD™ lens is an aspheric, hydrophilic acrylic intraocular lens (IOL. The hydrophilic design of the lens is optimized to address dysphotopsia while maintaining biocompatibility, optical clarity, resistance to damage, and resistance to biocontamination. Aspheric lenses decrease postoperative spherical aberration. The addition of the Softec lens provides clinicians with another option for IOL placement; however, randomized comparative studies of this lens to others already on the market remain to be completed.Keywords: hydrophilic acrylic intraocular lens, Softec HD intraocular lens, aspheric intraocular lens, IOL

  20. Pseudoexfoliation material on posterior chamber intraocular lenses

    Rocha-Bastos RA

    2014-08-01

    Full Text Available Ricardo António da Rocha-Bastos,1 Sérgio Estrela Silva,1 Flávio Prézia,1 Fernando Falcão-Reis,1,2 António B Melo11Department of Ophthalmology, Hospital São João, Alameda Prof Hernâni Monteiro, Porto, Portugal; 2Department of Sense Organs, Faculty of Medicine, University of Porto, Alameda Prof Hernâni Monteiro, Porto, PortugalAbstract: The presence of pseudoexfoliation material on the surface of an intraocular lens (IOL is a rare finding. We report a series of seven cases with different patterns of pseudoexfoliation material deposition on the posterior chamber IOLs, recognized 2–20 years after cataract surgery. Six patients had an IOL implanted in the capsular bag and one in the ciliary sulcus. Two patients had undergone posterior capsulotomy. Although the pathophysiological mechanisms and clinical significance of this finding remain unknown, the careful follow-up of pseudophakic patients with known or suspected pseudoexfoliation syndrome is essential to monitor the development or progression of glaucoma, since deposition of pseudoexfoliation material continues even after cataract surgery.Keywords: intraocular lens, glaucoma, exfoliation syndrome, cataract

  1. Effect of a tight necktie on intraocular pressure

    Božić Marija

    2012-01-01

    Full Text Available Introduction. Any factor causing constriction of the neck may lead to an increase in intraocular pressure. A tight necktie may result in increasing intraocular pressure, which could lead to an erroneous diagnosis and treatment of ocular hypertension or even glaucoma. This study was aimed at evaluating the effect of a tight necktie on intraocular pressure measurement using Goldmann applanation tonometry. Material and Methods. This study included forty eyes of 20 patients with primary open angle glaucoma and 20 healthy controls (all male. Intraocular pressure was measured without a necktie, 3 minutes after placing a tight necktie and 3 minutes after loosening it. Student’s t-test was used to analyze the data between two groups. The intraocular pressure measurements were subjected to paired t - test. The value p < 0.05 was considered statistically significant. A possible correlation between the age of subjects and intraocular pressure values was analyzed using linear regression (Pearson′. Results. A statistically significant difference was found in intraocular pressure readings in all three measurements between two tested groups (p<0.05. When analyzed within groups, statistical significance in intraocular pressure readings was found after loosening the necktie (<0.05. No correlation between the age of subjects and increased intraocular pressure was found in either tested group of subjects after the necktie had been tightened (r2=0.006, p=0.70 for primary open angle patients, r2=0.07, p=0.22 for healthy controls. Conclusion. Wearing a tight necktie for a limited period of time during the day could be considered as a possible risk factor for glaucoma development.

  2. MicroRNA profiling in intraocular medulloepitheliomas.

    Deepak P Edward

    Full Text Available To study the differential expression of microRNA (miRNA profiles between intraocular medulloepithelioma (ME and normal control tissue (CT.Total RNA was extracted from formalin fixed paraffin embedded (FFPE intraocular ME (n=7 and from age matched ciliary body controls (n=8. The clinical history and phenotype was recorded. MiRNA profiles were determined using the Affymetrix GeneChip miRNA Arrays analyzed using expression console 1.3 software. Validation of significantly dysregulated miRNA was confirmed by quantitative real-time PCR. The web-based DNA Intelligent Analysis (DIANA-miRPath v2.0 was used to perform enrichment analysis of differentially expressed (DE miRNA gene targets in Kyoto Encyclopedia of Genes and Genomes (KEGG pathway.The pathologic evaluation revealed one benign (benign non-teratoid, n=1 and six malignant tumors (malignant teratoid, n=2; malignant non-teratoid, n = 4. A total of 88 miRNAs were upregulated and 43 miRNAs were downregulated significantly (P<0.05 in the tumor specimens. Many of these significantly dysregulated miRNAs were known to play various roles in carcinogenesis and tumor behavior. RT-PCR validated three significantly upregulated miRNAs and three significantly downregulated miRNAs namely miR-217, miR-216a, miR-216b, miR-146a, miR-509-3p and miR-211. Many DE miRNAs that were significant in ME tumors showed dysregulation in retinoblastoma, glioblastoma, and precursor, normal and reactive human cartilage. Enriched pathway analysis suggested a significant association of upregulated miRNAs with 15 pathways involved in prion disease and several types of cancer. The pathways involving significantly downregulated miRNAs included the toll-like receptor (TLR (p<4.36E-16 and Nuclear Factor kappa B (NF-κB signaling pathways (p<9.00E-06.We report significantly dysregulated miRNAs in intraocular ME tumors, which exhibited abnormal profiles in other cancers as well such as retinoblastoma and glioblastoma. Pathway analysis

  3. Lente intra-ocular multifocal difrativa apodizada: resultados Diffractive apodized multifocal intraocular lens: results

    Virgilio Centurion

    2007-12-01

    Full Text Available OBJETIVO: Mostrar os resultados visuais e refracionais com lente intra-ocular multifocal difrativa apodizada. MÉTODOS: Estudo de 100 olhos de 50 pacientes com catarata, submetidos à facoemulsificação com implante bilateral de lente intra-ocular (LIO multifocal difrativa apodizada. Foi avaliada a acuidade visual binocular sem e com correção para longe e perto, a previsibilidade refracional e a freqüência de uso de óculos. RESULTADOS: A acuidade visual sem correção para longe foi de e " 20/30 em 97,56% dos olhos operados e e" J2 em 100%, sendo que 82% dos pacientes nunca usam óculos e 16% usam de forma esporádica. CONCLUSÃO: A LIO multifocal difrativa apodizada mostrou ser uma opção previsível, reproduzível e segura na correção dos vícios de refração para longe e perto durante a cirurgia da catarata, permitindo elevado índice de independência ao uso de óculos.OBJECTIVE: To show visual and refraction results using multifocal diffractive apodized intraocular lens. METHODS: The study of 100 eyes of 50 patients with cataract, submitted to phacoemulsification with bilateral implant of multifocal diffractive apodized intraocular lens (IOL. Binocular visual acuity was evaluated with and without correction for near and distance, and refraction previsibility and frequency of wearing glasses. RESULTS: Visual acuity without correction for distance was e" 20/30 in 97.56% of eyes operated on and e" J2 in 100%, of these 82% of patients never wear glasses and 16% wear glasses sporadically. CONCLUSION: Multifocal diffractive apodized IOL proved to be a foreseeable option, reproducible and safe in the correction of refraction errors for distance and near during cataract surgery, enabling a high rate of independence from the use of glasses.

  4. Intraocular infections in the neonatal intensive care unit

    Sisk RA; Berrocal AM; Aziz HA; Flynn HW Jr; Murray TG; Dubovy SR; Hess D; Johnson RA; Hartley K; Diaz-Barbosa M

    2012-01-01

    Hassan A Aziz1, Audina M Berrocal1,2, Robert A Sisk1, Kristin Hartley1, Magaly Diaz-Barbosa2, Rose A Johnson2, Ditte Hess1, Sander R Dubovy1, Timothy G Murray1, Harry W Flynn Jr11Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 2Jackson Memorial Hospital, Miami, FL, USABackground: The purpose of this study was to report on the incidence and treatment outcomes of endogenous endophthalmitis among newborns in the neonatal intensive care uni...

  5. Intraocular lens employed for cataract surgery

    Roszkowska, A. M.; Torrisi, L.

    2014-04-01

    The aim of this paper is to illustrate the techniques of cataract surgery with implantation of intraocular lenses and some physical properties of the used materials. The new technology, coupled with extensive experience and the studied cases, permits to increase the standardization and accuracy of the engravings, by reducing the use and handling of surgical instruments inside the eye. At present it is possible to replace the cataract with crystalline lenses based on biopolymers such as PMMA, silicone, acrylic hydrophilic and hydrophobic acrylic. These materials are increasingly able to replace the natural lens and to ensure the fully functional of the eye. The role of femtosecond lasers in cataract surgery, to assist or replace several aspects of the manual cataract surgery, are discussed.

  6. Intraocular lens employed for cataract surgery

    The aim of this paper is to illustrate the techniques of cataract surgery with implantation of intraocular lenses and some physical properties of the used materials. The new technology, coupled with extensive experience and the studied cases, permits to increase the standardization and accuracy of the engravings, by reducing the use and handling of surgical instruments inside the eye. At present it is possible to replace the cataract with crystalline lenses based on biopolymers such as PMMA, silicone, acrylic hydrophilic and hydrophobic acrylic. These materials are increasingly able to replace the natural lens and to ensure the fully functional of the eye. The role of femtosecond lasers in cataract surgery, to assist or replace several aspects of the manual cataract surgery, are discussed.

  7. Intraocular pressure in Japanese diabetic patients

    Matsuoka M

    2012-07-01

    Full Text Available Masato Matsuoka,1 Nahoko Ogata,2 Kayako Matsuyama,1 Tadanobu Yoshikawa,1 Kanji Takahashi31Department of Ophthalmology, Kansai Medical University, Takii Hospital, Osaka, 2Department of Ophthalmology, Nara Medical University, Nara, 3Department of Ophthalmology, Kansai Medical University, Hirakata Hospital, Osaka, JapanBackground: To determine whether the intraocular pressure (IOP in diabetic patients is significantly different from that in nondiabetic patients.Methods: The medical records of all patients who were initially examined in the Department of Ophthalmology, Kansai Medical University, Takii Hospital were reviewed. At the initial examination, patients had a detailed interview and underwent a comprehensive ophthalmic examinations. All patients were over 20 years of age and did not have glaucoma.Results: A total of 703 patients were evaluated. The mean (±standard error IOP of the diabetic patients was 15.5 ± 0.2 mmHg (n = 206, and was significantly higher than the 14.0 ± 0.1 mmHg (n = 497 in the nondiabetic patients (P < 0.0001. The IOP was negatively correlated with age (r = –0.202; P = 0.024 in the diabetic patients and was weakly but significantly correlated with the glycosylated hemoglobin (HbA1c level (r = 0.240; P = 0.015 in the group with diabetic retinopathy.Conclusion: The significantly higher IOP in diabetic patients and positive correlation of IOP with HbA1c levels in patients with diabetic retinopathy indicate that IOP in diabetic patients is higher, especially in those with poor control of diabetes.Keywords: diabetes mellitus, diabetic retinopathy, intraocular pressure, open-angle glaucoma

  8. Computational modeling of intraocular gas dynamics

    Noohi, P.; Abdekhodaie, M. J.; Cheng, Y. L.

    2015-12-01

    The purpose of this study was to develop a computational model to simulate the dynamics of intraocular gas behavior in pneumatic retinopexy (PR) procedure. The presented model predicted intraocular gas volume at any time and determined the tolerance angle within which a patient can maneuver and still gas completely covers the tear(s). Computational fluid dynamics calculations were conducted to describe PR procedure. The geometrical model was constructed based on the rabbit and human eye dimensions. SF6 in the form of pure and diluted with air was considered as the injected gas. The presented results indicated that the composition of the injected gas affected the gas absorption rate and gas volume. After injection of pure SF6, the bubble expanded to 2.3 times of its initial volume during the first 23 h, but when diluted SF6 was used, no significant expansion was observed. Also, head positioning for the treatment of retinal tear influenced the rate of gas absorption. Moreover, the determined tolerance angle depended on the bubble and tear size. More bubble expansion and smaller retinal tear caused greater tolerance angle. For example, after 23 h, for the tear size of 2 mm the tolerance angle of using pure SF6 is 1.4 times more than that of using diluted SF6 with 80% air. Composition of the injected gas and conditions of the tear in PR may dramatically affect the gas absorption rate and gas volume. Quantifying these effects helps to predict the tolerance angle and improve treatment efficiency.

  9. Patient acceptability of the Tecnis® multifocal intraocular lens

    Sood P

    2011-03-01

    Full Text Available Priyanka Sood1, Maria A Woodward21Emory Eye Center, Atlanta, GA, USA; 2Kellogg Eye Center, Ann Arbor, MI, USAAbstract: Cataract surgery has evolved. The goal of the surgeon includes both restoration of vision and refinement of vision. Patients' desire for spectacle independence has driven the market for presbyopia-correcting cataract surgery and development of novel intraocular lens (IOL designs. The Tecnis® Multifocal Intraocular Lens incorporates an aspheric, modified anterior prolate IOL with a diffractive multifocal lens design. The design aims to minimize spherical aberration and improve range of focus. The purpose of this review is to assess patient acceptability of the Tecnis® multifocal intraocular lens.Keywords: Tecnis®, intraocular lens, multifocal, presbyopia 

  10. [The neuroanatomical and physiological bases of variations in intraocular pressure].

    Chiquet, C; Denis, P

    2004-09-01

    Intraocular pressure displays a distinct circadian rhythm in animals and humans, with an increase at night and a decrease during the daytime. In animals, the IOP rhythm has been reported to be synchronized by environmental light and to persist in constant darkness, demonstrating a circadian component controlled by an endogenous pacemaker. The structures involved in the rhythmic regulation of intraocular pressure include the suprachiasmatic nucleus, which controls the activity of sympathetic and parasympathetic ocular innervation. These effectors are responsible for controlling the production (beta-adrenergic system) and the outflow (alpha1-adrenergic, parasympathetic system, prostaglandin) of aqueous humor. The production of aqueous humor is under adrenergic control (alpha1- and beta-receptors). Many neuropeptides such as vasoactive intestinal peptide, substance P, and the atrial natriuretic peptide are also involved in the regulation of intraocular pressure. A better understanding of the circadian regulation of intraocular pressure is needed for an appropriate treatment of ocular hypertension and glaucoma. PMID:15314570

  11. Softec HD hydrophilic acrylic intraocular lens: biocompatibility and precision

    Ladan Espandar; Shameema Sikder; Majid Moshirfar

    2011-01-01

    Ladan Espandar1, Shameema Sikder2, Majid Moshirfar31Department of Ophthalmology, Tulane University, New Orleans, LA, USA; 2Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA; 3John A Moran Eye Center, University of Utah, Salt Lake City, UT, USAAbstract: Intraocular lens development is driven by higher patient expectations for ideal visual outcomes. The recently US Food and Drug Administration-approved Softec HD™ lens is an aspheric, hydrophilic acrylic intraocular le...

  12. Patient acceptability of the Tecnis® multifocal intraocular lens

    Woodward, Maria

    2011-01-01

    Priyanka Sood1, Maria A Woodward21Emory Eye Center, Atlanta, GA, USA; 2Kellogg Eye Center, Ann Arbor, MI, USAAbstract: Cataract surgery has evolved. The goal of the surgeon includes both restoration of vision and refinement of vision. Patients' desire for spectacle independence has driven the market for presbyopia-correcting cataract surgery and development of novel intraocular lens (IOL) designs. The Tecnis® Multifocal Intraocular Lens incorporates an aspheric, modified anter...

  13. Patient acceptability of the Tecnis® multifocal intraocular lens

    Sood, Priyanka; Woodward, Maria A.

    2011-01-01

    Cataract surgery has evolved. The goal of the surgeon includes both restoration of vision and refinement of vision. Patients’ desire for spectacle independence has driven the market for presbyopia-correcting cataract surgery and development of novel intraocular lens (IOL) designs. The Tecnis® Multifocal Intraocular Lens incorporates an aspheric, modified anterior prolate IOL with a diffractive multifocal lens design. The design aims to minimize spherical aberration and improve range of focus....

  14. Effects of phacoemulsification on intraocular pressure and anterior chamber depth

    LIU, XIN-QUAN; ZHU, HUA-YING; Su, Jing; HAO, XIAO-JUN

    2012-01-01

    The aim of this study was to investigate the effects of phacoemulsification with intraocular lens (IOL) implantation on intraocular pressure (IOP) and anterior chamber depth (ACD) in patients with cataract or cataract associated with primary angle closure (PAC). A total of 361 patients (481 affected eyes) with senile cataract (cataract group) and 44 patients (52 affected eyes) with cataract associated with PAC (cataract with PAC group) underwent phacoemulsification with IOL implantation from ...

  15. Metabolic Syndrome as a Risk Factor for Elevated Intraocular Pressure

    Sahinoglu-Keskek, Nedime; Keskek, Sakir Ozgur; Cevher, Selim; Kirim, Sinan; Kayiklik, Asim; Ortoglu, Gulay; Saler, Tayyibe

    2014-01-01

    Objective: The aim of this study was to investigate the association between intraocular pressure and metabolic syndrome by comparing central corneal thicknesses. Methods: One hundred sixty-two subjects were enrolled in this cross-sectional study, with 89 subjects in a metabolic syndrome group and 73 subjects in a control group. Ophthalmological examinations, including intraocular pressure and central corneal thickness measurements, were performed on each subject. Serum fasting glucose, trigly...

  16. Relation between intraocular pressure and size of transverse sinuses

    There are asymmetries in the sizes of transverse sinus and intraocular pressure. The purpose of this study was to investigate possible relationships between the asymmetry of transverse sinuses in TOF MR venography and intraocular pressures of right and left eyes. In this study, subjects were 63 male and 42 female medical school students, aged 18-21 years (mean±SD; 19.72±0.67 years). Subjects with neurological and ophthalmologic disease, particularly dural sinus thrombosis, myopia, trauma and glaucoma, were excluded the study. Subjects were divided into five groups according to the magnitudes of the right- and left-transverse sinuses in MR venography results. There is a functional relation between intraocular pressures of the right and left eyes and asymmetry of the transverse sinus. If the transverse sinus on one side is larger and its venous drainage is greater, the intraocular pressure of the eye on this side is lower. It can be speculated that the transverse sinus size may be associated with pathogenesis of diseases with increased intraocular pressure such as glaucoma. We aim to determine the relation between the size and drainage of transverse sinuses in TOF MR venography and intraocular pressure in patients with open-angle glaucoma in our next study. (orig.)

  17. Relation between intraocular pressure and size of transverse sinuses

    Kantarci, Mecit; Onbas, Omer; Alper, Fatih; Okur, Adnan [Atatuerk University, Department of Radiology, Medical Faculty, Erzurum (Turkey); Dane, Senol; Gumustekin, Kenan [Atatuerk University, Department of Physiology, Medical Faculty, Erzurum (Turkey); Aslankurt, Murat [Atatuerk University, Department of Ophtalmatology, Medical Faculty, Erzurum (Turkey); Yazici, Ahmet Taylan [Beyoglu Goez Egitim ve Arastirma Hastanesi, Istanbul (Turkey)

    2005-01-01

    There are asymmetries in the sizes of transverse sinus and intraocular pressure. The purpose of this study was to investigate possible relationships between the asymmetry of transverse sinuses in TOF MR venography and intraocular pressures of right and left eyes. In this study, subjects were 63 male and 42 female medical school students, aged 18-21 years (mean{+-}SD; 19.72{+-}0.67 years). Subjects with neurological and ophthalmologic disease, particularly dural sinus thrombosis, myopia, trauma and glaucoma, were excluded the study. Subjects were divided into five groups according to the magnitudes of the right- and left-transverse sinuses in MR venography results. There is a functional relation between intraocular pressures of the right and left eyes and asymmetry of the transverse sinus. If the transverse sinus on one side is larger and its venous drainage is greater, the intraocular pressure of the eye on this side is lower. It can be speculated that the transverse sinus size may be associated with pathogenesis of diseases with increased intraocular pressure such as glaucoma. We aim to determine the relation between the size and drainage of transverse sinuses in TOF MR venography and intraocular pressure in patients with open-angle glaucoma in our next study. (orig.)

  18. A study of brachytherapy for intraocular tumor

    Our purpose of this study is to perform brachytherapy for intraocular tumor. The result were as followed. 1. Eye model was determined as a 25 mm diameter sphere. Ir-192 was considered the most appropriate as radioisotope for brachytherapy, because of the size, half, energy and availability. 2. Considering the biological response with human tissue and protection of exposed dose, we made the plaques with gold, of which size were 15 mm, 17 mm and 20 mm in diameter, and 1.5 mm in thickness. 3. Transmission factor of plaques are all 0.71 with TLD and film dosimetry at the surface of plaques and 0.45, 0.49 at 1.5 mm distance of surface, respectively. 4. As compared the measured data for the plaque with Ir-192 seeds to results of computer dose calculation model by Gary Luxton et al. and CAP-PLAN (Radiation Treatment Planning System), absorbed doses are within ±10% and distance deviations are within 0.4 mm. Maximum error is -11.3% and 0.8 mm, respectively. 7 figs, 2 tabs, 28 refs. (Author)

  19. [Intraocular Pressure Sensor Based on a Contact Lens].

    Guo, Xuhong; Pet, Weihua; Yao, Zhaolin; Chen, Yuanfang; Hu, Xiaohui; Chen, Hongda; Zhu, Jingyuan; Wu, Huijuan

    2016-02-01

    Intraocular pressure detection has a great significance for understanding the status of eye health, prevention and treatment of diseases such as glaucoma. Traditional intraocular pressure detection needs to be held in the hospital. It is not only time-consuming to doctors and patients, but also difficult to achieve 24 hour-continuous detection. Microminiaturization of the intraocular pressure sensor and wearing it as a contact lens, which is convenient, comfortable and noninvasive, can solve this problem because the soft contact lens with an embedded micro fabricated strain gauge allows the measurement of changes in corneal curvature to correlate to variations of intraocular pressure. We fabricated a strain gauge using micro-electron mechanical systems, and integrated with the contact lens made of polydimethylsiloxane (PDMS) using injection molding. The experimental results showed that the sensitivity was 100. 7 µV/µm. When attached to the corneal surface, the average sensitivity of sensor response of intraocular pressure can be 125.8 µV/mm Hg under the ideal condition. PMID:27382734

  20. Effects of 2-alkynyladenosine derivatives on intraocular pressure in rabbits.

    Konno, Takashi; Ohnuma, Shin-ya; Uemoto, Kazuhiro; Uchibori, Takehiro; Nagai, Akihiko; Kogi, Kentaro; Endo, Kazuki; Hosokawa, Tomokazu; Nakahata, Norimichi

    2004-02-23

    We evaluated the activities of 2-alkynyladenosine derivatives, relatively selective adenosine A2 receptor agonists, in the intraocular pressure regulation in rabbits. An adenosine A2 receptor agonist 2-[p-(2-carboxyethyl)phenylethylamino]-5'-N-ethylcarboxamidoadenosine (CGS-21680) decreased intraocular pressure, while another A2 receptor agonist 2-(phenylamino)adenosine transiently increased it. The first group of 2-alkynyladenosine derivatives (1-hexyn-1-yl derivatives) caused a transient increase followed by decrease in intraocular pressure, while the second group (1-octyn-1-yl and 6-cyano-1-hexyn-1-yl derivatives) only decreased it. The second group is also effective in the ocular hypertensive models induced by water-loading and alpha-chymotrypsin. The outflow facility was increased by a 1-octyn-1-yl derivative. Both increase and decrease in intraocular pressure induced by 2-alkynyladenosine derivatives were inhibited by an adenosine A2 receptor antagonist 3,7-dimethyl-1-propargylxanthine, but not by an adenosine A1 receptor antagonist 8-cyclopentyl-1,3-dipropyl xanthine. These findings suggest that 2-alkynyladenosine derivatives may affect intraocular pressure via adenosine A2 receptor, and 2-alkynyladenosine derivative-induced ocular hypotension is due to the increase of outflow facility. PMID:14985053

  1. Evaluation of the motion of surgical instruments during intraocular surgery

    Hubschman, J-P; Son, J; Allen, B; Schwartz, S D; Bourges, J-L

    2011-01-01

    Purpose Robot assistance in ocular microsurgery could improve precision, dexterity, save time or prevent complications by task automation, and provide access to ocular surgery in undeserved countries by teleoperation. However, to design robotic devices, the range of motion of surgical instruments needs to be precisely quantified. Methods An electromagnetic tracking system was developed for intraocular surgery in order to quantify the movements of ophthalmic surgeons. Kinematics of surgical steps during phacoemulsification and pars plana vitrectomy procedures were determined by measuring the maximum translation and angular range of motion of intraocular surgical tools in the three planes. Conclusion Important variations in amplitudes of rotation and translation were measured between both hands and between surgical tasks. These parameters may be used to develop a robotic intraocular surgical system or to improve training. PMID:21527954

  2. Epithelial Downgrowth after Intraocular Surgery Treated with Intracameral 5-Fluorouracil

    Nina Ni

    2015-01-01

    Full Text Available Purpose. To present the clinical and histopathologic correlation of two cases of epithelial downgrowth (EDG after prior intraocular surgery. Methods. Observational case reports. Results. We present two cases of EDG occurring after intraocular surgery. In both cases, after two anterior chamber injections of 5-fluorouracil (5FU, the area of EDG initially regressed. In Case 1, a limited area of EDG eventually recurred, and penetrating keratoplasty with cryotherapy was curative. In Case 2, subsequent corneal edema required Descemet-stripping automated endothelial keratoplasty, and the patient remained clinically free of EDG without further treatment. Conclusion. Intracameral 5FU may have a role in the treatment of EDG after intraocular surgery, though its precise utilization and impact remain to be defined.

  3. Recent decreasing frequency of enucleation for intraocular retinoblastoma in Upper Egypt

    and required EBRT, enucleation, or both (5 eyes in group IV and 9 eyes in group V). Toxicities from chemotherapy were mild and included cytopenias (84%), fever and neutropenia (32%), infection (11%), and gastrointestinal symptoms, dehydration, and dehydration, and vincristine neurotoxicity (39%). No patients developed a second malignancy, metastatic disease or ototoxicity. The author concludes that in appropriately selected patients with RE groups I, II, and III intraocular retinoblastoma, chemoreduction and local ophthalmic therapy are effective and carry little morbidity. However, other treatment options need to be developed for group IV and group V patients. (author)

  4. File list: Pol.Oth.50.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Pol.Oth.50.AllAg.Lenses,_Intraocular mm9 RNA polymerase Others Lenses, Intraocular ...SRX957689 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Pol.Oth.50.AllAg.Lenses,_Intraocular.bed ...

  5. File list: InP.Oth.05.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

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  6. File list: Oth.Oth.50.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Oth.Oth.50.AllAg.Lenses,_Intraocular mm9 TFs and others Others Lenses, Intraocular ...SRX957680 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Oth.Oth.50.AllAg.Lenses,_Intraocular.bed ...

  7. File list: Unc.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Unc.Oth.20.AllAg.Lenses,_Intraocular mm9 Unclassified Others Lenses, Intraocular SR...X1127448 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Unc.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  8. File list: His.Oth.50.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available His.Oth.50.AllAg.Lenses,_Intraocular mm9 Histone Others Lenses, Intraocular SRX9576...85,SRX957687,SRX957683,SRX957695 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/His.Oth.50.AllAg.Lenses,_Intraocular.bed ...

  9. File list: Pol.Oth.05.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

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  10. File list: InP.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available InP.Oth.20.AllAg.Lenses,_Intraocular mm9 Input control Others Lenses, Intraocular S...RX957681,SRX957691,SRX957693 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/InP.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  11. File list: NoD.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available NoD.Oth.20.AllAg.Lenses,_Intraocular mm9 No description Others Lenses, Intraocular ...http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/NoD.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  12. File list: His.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available His.Oth.20.AllAg.Lenses,_Intraocular mm9 Histone Others Lenses, Intraocular SRX9576...85,SRX957687,SRX957695,SRX957683 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/His.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  13. File list: Unc.Oth.50.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Unc.Oth.50.AllAg.Lenses,_Intraocular mm9 Unclassified Others Lenses, Intraocular SR...X1127448 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Unc.Oth.50.AllAg.Lenses,_Intraocular.bed ...

  14. File list: Unc.Oth.05.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Unc.Oth.05.AllAg.Lenses,_Intraocular mm9 Unclassified Others Lenses, Intraocular SR...X1127448 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Unc.Oth.05.AllAg.Lenses,_Intraocular.bed ...

  15. File list: InP.Oth.10.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available InP.Oth.10.AllAg.Lenses,_Intraocular mm9 Input control Others Lenses, Intraocular S...RX957681,SRX957691,SRX957693 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/InP.Oth.10.AllAg.Lenses,_Intraocular.bed ...

  16. File list: Oth.Oth.10.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Oth.Oth.10.AllAg.Lenses,_Intraocular mm9 TFs and others Others Lenses, Intraocular ...SRX957680 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Oth.Oth.10.AllAg.Lenses,_Intraocular.bed ...

  17. File list: NoD.Oth.10.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available NoD.Oth.10.AllAg.Lenses,_Intraocular mm9 No description Others Lenses, Intraocular ...http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/NoD.Oth.10.AllAg.Lenses,_Intraocular.bed ...

  18. File list: NoD.Oth.05.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available NoD.Oth.05.AllAg.Lenses,_Intraocular mm9 No description Others Lenses, Intraocular ...http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/NoD.Oth.05.AllAg.Lenses,_Intraocular.bed ...

  19. File list: NoD.Oth.50.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available NoD.Oth.50.AllAg.Lenses,_Intraocular mm9 No description Others Lenses, Intraocular ...http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/NoD.Oth.50.AllAg.Lenses,_Intraocular.bed ...

  20. File list: Pol.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Pol.Oth.20.AllAg.Lenses,_Intraocular mm9 RNA polymerase Others Lenses, Intraocular ...SRX957689 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Pol.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  1. File list: Pol.Oth.10.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Pol.Oth.10.AllAg.Lenses,_Intraocular mm9 RNA polymerase Others Lenses, Intraocular ...SRX957689 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Pol.Oth.10.AllAg.Lenses,_Intraocular.bed ...

  2. File list: Oth.Oth.20.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Oth.Oth.20.AllAg.Lenses,_Intraocular mm9 TFs and others Others Lenses, Intraocular ...SRX957680 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Oth.Oth.20.AllAg.Lenses,_Intraocular.bed ...

  3. File list: Oth.Oth.05.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available Oth.Oth.05.AllAg.Lenses,_Intraocular mm9 TFs and others Others Lenses, Intraocular ...SRX957680 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/Oth.Oth.05.AllAg.Lenses,_Intraocular.bed ...

  4. File list: His.Oth.10.AllAg.Lenses,_Intraocular [Chip-atlas[Archive

    Full Text Available His.Oth.10.AllAg.Lenses,_Intraocular mm9 Histone Others Lenses, Intraocular SRX9576...85,SRX957687,SRX957695,SRX957683 http://dbarchive.biosciencedbc.jp/kyushu-u/mm9/assembled/His.Oth.10.AllAg.Lenses,_Intraocular.bed ...

  5. Development and experimental verification of an intraocular scattering model

    Jiang, Chong-Jhih; Jhong, Tian-Siang; Chen, Yi-Chun; Sun, Ching-Cherng

    2011-10-01

    An intraocular scattering model was constructed in human eye model and experimentally verified. According to the biometric data, the volumetric scattering in crystalline lens and diffusion at retina fundus were developed. The scattering parameters of cornea, including particle size and obscuration ratio, were varied to make the veiling luminance of the eye model matching the CIE disability glare general formula. By replacing the transparent lens with a cataractous lens, the disability glare curve of cataracts was generated and compared with that of transparent lenses. The MTF of the intraocular scattering model showed nice correspondence with the data measured by a double-pass experiment.

  6. Corrigendum: Softec HD hydrophilic acrylic intraocular lens: biocompatibility and precision

    Espandar L

    2011-02-01

    Full Text Available Espandar L, Sikder S, Moshirfar M. Softec HD hydrophilic acrylic intraocular lens: biocompatibility and precision. Clin Ophthalmol. 2011;5:65–70.There was an error in the reported optic size of Lenstec’s Softec HD intraocular lens, which was reported to be 5.5 mm in Espandar et al’s work, but is 5.75 mm.Please see the specifications on Lenstec’s Web site for further details (see http://www.lenstec.com/lenstec/hd_specs.html.Read the original article

  7. Immediate intraocular pressure response to selective laser trabeculoplasty

    Lanzetta, P; Menchini, U; Virgili, G

    1999-01-01

    BACKGROUND/AIMS—Selective laser trabeculoplasty targets the pigmented trabecular meshwork cells without damage to the trabecular meshwork architecture in vitro. A study was conducted in vivo of eight eyes with uncontrolled open angle glaucoma to ascertain the immediate intraocular response to selective laser trabeculoplasty.
METHODS—The trabecular meshwork of each eye was treated 360° with a frequency doubled Q-switched Nd:YAG laser. Intraocular pressure was measured 1, 2, 24 hours and 1, 4, ...

  8. Impact factors on intraocular pressure measurements in healthy subjects.

    Theelen, T.; Meulendijks, C.F.M.; Geurts, D.; Leeuwen, A.M. van; Voet, N.B.; Deutman, A.F.

    2004-01-01

    AIM: To evaluate whether intraocular pressure (IOP) calculation by applanation tonometry is determined more essentially by the subject's neck position or by neck constriction. METHODS: 23 right eyes of 23 healthy subjects (12 male, 11 female) were included. IOP was measured by applanation tonometry

  9. Implantable parylene-based wireless intraocular pressure sensor

    Chen, Po-Jui; Rodger, Damien C.; Saati, Saloomeh; Humayun, Mark S.; Tai, Yu-Chong

    2008-01-01

    This paper presents a novel implantable, wireless, passive pressure sensor for ophthalmic applications. Two sensor designs incorporating surface-micromachined variable capacitor and variable capacitor/inductor are implemented to realize the pressure sensitive components. The sensor is monolithically microfabricated using parylene as a biocompatible structural material in a suitable form factor for increased ease of intraocular implantation. Pressure responses of the mi...

  10. Combined aniridic intraocular lens implantation and vitreoretinal surgery

    Mehta, Hijab; Jayadev, Chaitra; Natarajan, S

    2007-01-01

    A 45-year-old man presented with post-traumatic aniridia. We describe the combined surgery done to treat both aniridia and epiretinal membrane simultaneously. A combined aniridia intraocular lens and vitreoretinal surgery was done. The case report highlights the advantage of combined surgery in terms of cost factor and surgical time. PMID:17699956

  11. Combined aniridic intraocular lens implantation and vitreoretinal surgery

    Mehta Hitendra; Mehta Hijab; Jayadev Chaitra; Natarajan S

    2007-01-01

    A 45-year-old man presented with post-traumatic aniridia. We describe the combined surgery done to treat both aniridia and epiretinal membrane simultaneously. A combined aniridia intraocular lens and vitreoretinal surgery was done. The case report highlights the advantage of combined surgery in terms of cost factor and surgical time.

  12. Combined aniridic intraocular lens implantation and vitreoretinal surgery

    Mehta Hitendra

    2007-01-01

    Full Text Available A 45-year-old man presented with post-traumatic aniridia. We describe the combined surgery done to treat both aniridia and epiretinal membrane simultaneously. A combined aniridia intraocular lens and vitreoretinal surgery was done. The case report highlights the advantage of combined surgery in terms of cost factor and surgical time.

  13. Telemedicine in the control of intra-ocular pressure.

    Michelson, G; Striebel, W; Prihoda, W; Schmidt, V

    2000-01-01

    Glaucoma is one of the most common causes of blindness in the Western world and a major risk factor is increased intra-ocular pressure. We therefore used telemedicine in its control. Patients measured their intra-ocular pressure several times a day with a portable instrument and the values were then entered into a portable digital assistant. These data were transmitted by a modem to a central server. If the intra-ocular pressure was pathologically high, an email message was automatically sent to the ophthalmologist. The pressure curve, including a statistical analysis, was displayed in an easily readable chart format. Ten patients with glaucoma participated in a trial. Self-tonometry with telemedicine enabled continuous evaluation of the patient by the ophthalmologist. This approach offered the advantage of controlling the treatment remotely. Advantages for the patient were that the measurements were easily done at home under normal conditions, and the patient could control when the measurement and data transmission would be performed. Telemedicine is a cost-effective technique enabling the early diagnosis of pathologically increased intra-ocular pressure. PMID:10793996

  14. Effect of chymase on intraocular pressure in rabbits.

    Konno, Takashi; Maruichi, Midori; Takai, Shinji; Oku, Hidehiro; Sugiyama, Tetsuya; Uchibori, Takehiro; Nagai, Akihiko; Kogi, Kentaro; Ikeda, Tsunehiko; Miyazaki, Mizuo

    2005-11-01

    Chymase is a chymotrypsin-like serine protease that is stored exclusively in the secretory granules of mast cells and converts big endothelins to endothelin-1 (1-31). The aim of this study was to evaluate the effect of chymase on intraocular pressure in rabbits. Chymase injection (3 and 10 mU) resulted in a trend toward increased intraocular pressure and a significant increase in intraocular pressure at a dose of 10 mU compared with the control. A specific chymase inhibitor, Suc-Val-Pro-Phe(P)(OPh)(2), attenuated the ocular hypertension induced by chymase. Endothelin-1 (1-31) also caused ocular hypertension, which was inhibited by a selective endothelin ET(A) receptor antagonist, cyclo(D-Asp-Pro-D-Val-Leu-D-Trp) (BQ-123). Moreover, chymase-induced ocular hypertension was inhibited by BQ-123. These results suggest that chymase influences the regulation of intraocular pressure, and it is likely that the formation of endothelin-1 (1-31) and subsequent activation of endothelin ET(A) receptors are involved in the development of ocular hypertension induced by chymase. PMID:16253233

  15. Intraocular pressure and tear production in five herbivorous wildlife species.

    Ofri, R; Horowitz, I H; Raz, D; Shvartsman, E; Kass, P H

    2002-08-31

    The intraocular pressure and rate of tear production were measured in 18 addax antelopes (Addax nasomaculatus), four impalas (Aepyceros melampus), 11 wide-lipped rhinoceroses (Ceratotherium simum), 10 white-tailed wildebeests (Connochaetes gnou) and seven scimitar-horned oryxes (Oryx dammah). The animals were anaesthetised with an intramuscular injection of etorphine hydrochloride and acepromazine maleate, and the Schirmer tear test I was used to evaluate tear production, and applanation tonometry was used to evaluate the intraocular pressure. The mean (sd) rate of tear production ranged from 17.6 (3.1) mm/minute in the rhinoceros to 28.8 (8.3) mm/minute in the addax. The intraocular pressure ranged from 8.0 (1.2) mmHg in the impala to 32.1 (10.4) mmHg in the rhinoceros. The rate of tear production in the addax and the intraocular pressure in the rhinoceros appear to be the highest values of these variables to have been reported in any species. PMID:12233828

  16. Microscopic and spectroscopic investigation of an explanted opacified intraocular lens

    Simon, V., E-mail: viosimon@phys.ubbcluj.ro [Babeş-Bolyai University, Faculty of Physics and Interdisciplinary Research Institute on Bio-Nano-Sciences, 400084 Cluj-Napoca (Romania); Radu, T.; Vulpoi, A. [Babeş-Bolyai University, Faculty of Physics and Interdisciplinary Research Institute on Bio-Nano-Sciences, 400084 Cluj-Napoca (Romania); Rosca, C. [Optilens Clinic of Ophthalmology, 400604 Cluj-Napoca (Romania); Eniu, D. [Iuliu Haţieganu University of Medicine and Pharmacy, Department of Molecular Sciences, 400349 Cluj-Napoca (Romania)

    2015-01-15

    Highlights: • Changes on intraocular lens (IOL) surface after implantation. • Partial opacification of IOL central area. • Elemental composition on IOL surface prior to and after implantation. • First XPS depth profiling examination of the opacifying deposits. • Cell-mediated hydroxyapatite structuring. - Abstract: The investigated polymethylmethacrylate intraocular lens explanted an year after implantation presented a fine granularity consisting of ring-like grains of about 15 μm in diameter. In order to evidence the changes occurred on intraocular lens relative to morphology, elemental composition and atomic environments, microscopic and spectroscopic analyses were carried out using scanning electron microscopy (SEM), Fourier transform infrared (FTIR), energy-dispersive X-ray (EDS), and X-ray photoelectron (XPS) spectroscopies. The results revealed that the grains contain hydroxyapatite mineral phase. A protein layer covers the lens both in opacified and transparent zones. The amide II band is like in basal epithelial cells. The shape and size of the grains, and the XPS depth profiling results indicate the possibility of a cell-mediated process involving lens epithelial cells which fagocitated apoptotic epithelial cells, and in which the debris derived from cell necrosis were calcified. To the best of our knowledge, this is the first investigation on explanted intraocular lenses using XPS depth profiling in order to examine the inside of the opacifying deposits.

  17. Controversies in intraocular lens implantation in pediatric uveitis.

    Phatak, Sumita; Lowder, Careen; Pavesio, Carlos

    2016-12-01

    Cataract is one of the most common and visually debilitating complications of pediatric uveitis. It develops as a consequence of chronic inflammation and steroid use and is seen most often in juvenile idiopathic arthritis (JIA)-associated uveitis. Cataract extraction with intraocular lens (IOL) insertion has been carried out with a measure of success in non-uveitic pediatric eyes, but in cases of uveitis, multiple factors affect the final outcome. Chronic inflammation and its sequelae such as band keratopathy, posterior synechiae, and cyclitic membranes make surgical intervention more challenging and outcome less certain. Postoperative complications like increased inflammation, glaucoma, posterior capsular opacification, retrolental membranes, and hypotony may compromise the visual outcome. Early refractive correction is imperative in pediatric eyes to prevent amblyopia. The use of contact lenses and intraocular lenses in pediatric uveitic eyes were fraught with complications in the past. Surgical interventions such as vitreo-lensectomy followed by contact lens fitting and small incision cataract surgery followed by different types of intraocular lenses have been utilized, and many reports have been published, albeit in small patient groups. This review analyzes and discusses the existing literature on intraocular lens implantation in cases of pediatric uveitic cataract surgery. PMID:27009616

  18. Unilateral phacoemulsification and intraocular lens implantation in a dachshund

    Kopala, Robyn L.

    2008-01-01

    A 1.5-year-old, spayed, female dachshund was presented with a cataract and lens-induced uveitis in the left eye. The cataract progressed from immature to hypermature in 4 months. Phacoemulsification and intraocular lens implantation was performed and the dog remains visual in the left eye 1 year post-surgery.

  19. Intraocular inflammation following endotamponade with high-density silicone oil.

    Theelen, T.; Tilanus, M.A.D.; Klevering, B.J.

    2004-01-01

    BACKGROUND: The use of a mixture of silicone oil and partially fluorinated alkanes (high-density silicone oil) has recently been suggested as intraocular tamponade in complicated retinal detachment of the inferior quadrants. We describe a series of patients who developed a clinical picture resemblin

  20. Hematoporphyrin derivative photoradiation therapy for the treatment of intraocular tumors

    Hematoporphyrin derivative (HpD) photoradiation therapy (PRT) is currently being examined for the treatment of intraocular tumors (retinoblastoma and uveal melanoma). HpD is preferentially retained in malignant tissue and tumorcidal action can be induced when HpD is activated with visible red light. Preclinical studies have been conducted using pigmented rabbits having transplanted intraocular tumors. A dye laser system has been used to generate red light (630 nm) for localized irradiation of ocular tissue following I.V. administration of HpD. The authors have previously reported that acute toxicity to normal retina (in the form of retinal necrosis) can be induced by HpD PRT, and that this damage can be limited to the treatment field. The results of current preclinical studies related to long term ocular toxicity, HpD distribution in ocular tissue and intraocular tumor tissue response following HpD PRT are presented. In addition, initial clinical results of intraocular HpD PRT are described

  1. Antireflection coatings for intraocular lenses of sapphire and fianite

    Broadband antireflection coatings for intraocular lenses of sapphire and fianite are calculated and implemented practically. Their residual reflectance in the liquid with a refracting index of 1.336 is below 0.2% from each face virtually over the entire visible region. 7 refs., 2 figs., 2 tabs

  2. An ultralow power wireless intraocular pressure monitoring system

    This paper describes an ultralow power wireless intraocular pressure (IOP) monitoring system that is dedicated to sensing and transferring intraocular pressure of glaucoma patients. Our system is comprised of a capacitive pressure sensor, an application-specific integrated circuit, which is designed on the SMIC 180 nm process, and a dipole antenna. The system is wirelessly powered and demonstrates a power consumption of 7.56 μW at 1.24 V during continuous monitoring, a significant reduction in active power dissipation compared to existing work. The input RF sensitivity is −13 dBm. A significant reduction in input RF sensitivity results from the reduction of mismatch time of the ASK modulation caused by FM0 encoding. The system exhibits an average error of ± 1.5 mmHg in measured pressure. Finally, a complete IOP system is demonstrated in the real biological environment, showing a successful reading of the pressure of an eye. (semiconductor integrated circuits)

  3. Determination of heparin on intraocular lens surfaces by ion chromatography.

    Ander, B; Karlsson, A; Ohrlund, A

    2001-05-11

    A sensitive and selective method has been developed for the determination of heparin on heparin coated PMMA, poly(methyl methacrylate), intraocular lenses. Heparin was hydrolysed to glucosamine and glucuronic acid, and the content of glucosamine was determined using ion chromatography with pulsed amperometric detection. In order to verify that a complete hydrolysis was obtained for the heparin on the coated intraocular lenses, electron spectroscopy for chemical analysis (ESCA) was used for analysing traces of sulphur on the lens surfaces. The sensitivity of the method allows quantitative determination of 150 ng of heparin on one individual lens. The new method was compared to a standard spectrophotometric method, measuring the colour intensity of a heparin toluidine blue complex. Correlation between the methods was shown for samples prepared from PMMA lenses coated with different amounts of heparin. PMID:11403462

  4. PSYCHOLOGICAL REACTIONS TO CATARACT SURGERY WITH INTRAOCULAR LENS IMPLANTATION

    Chaudhury, S.; Chakraborty, P.K.; Gurunadh, V.S.; Ratha, P.

    1995-01-01

    A prospective study of fifty patients who underwent cataract surgery with intraocular lens (IOL) implantation was undertaken. Factors aggravating and allaying pre-operative, intra-operative and post-operative anxiety were studied A good doctor-patient relations/lip, confidence in the ophthalmologist, and knowledge of successful surgery with IOL implantation in an acquaintance were the major anxiety relieving factors. The main anxiety provoking factors were concerns about the success of surger...

  5. Intraocular Pressure Following Intravitreal Injection of Triamcinolone Acetonide§

    Ansari, Ejaz A; Ali, N

    2008-01-01

    Background: To investigate the intraocular pressure (IOP) response following intravitreal injection of triamcinolone acetonide. Methods: This retrospective consecutive non-comparative case series study included 41 patients (52 eyes) (19 male, 22 female, mean age 64.1 ± 13.44; range 22 – 85 years) with progressive exudative ARMD (n = 10 eyes) or diffuse diabetic macular oedema (42 eyes), who received one or more intravitreal injection(s) of 4 mg triamcinolone acetonide. Results: IOP increased ...

  6. Surgical management of astigmatism with toric intraocular lenses

    Ventura, Bruna V.; Li Wang; Weikert, Mitchell P.; Shaun B. Robinson; Koch, Douglas D.

    2014-01-01

    Correction of corneal astigmatism is a key element of cataract surgery, since post-surgical residual astigmatism can compromise the patient's uncorrected visual acuity. Toric intraocular lenses (IOLs) compensate for corneal astigmatism at the time of surgery, correcting ocular astigmatism. They are a predictable treatment. However, accurate measurement of corneal astigmatism is mandatory for choosing the correct toric IOL power and for planning optimal alignment. When calculating the power of...

  7. Intraocular Pressure And Its Determinants In Tehran Population

    Kashi AH; Fotouhil A; Hashemi H.; Mohammadl K

    2005-01-01

    Background: The aim of this study was to provide data, on the distribution or intraocular pressure (IOP) in Tehran population. Materials and Methods: Through a population-based, cross-sectional study, a total of 4565 Tehran citizens were studied in the Tehran Eye Study. The findings of the participants (n=3834) 10 years and older free of glaucoma diagnosis or suspicion who had undergone applanation tonometry examination are presented. All participants received a standardized protocol included...

  8. Black intraocular lens: another cosmetic approach to leukocoria

    Pedrosa, C; Pina, S.; Azevedo, A.; Pêgo, P; Feijóo, B; Prieto, I

    2012-01-01

    Purpose – To present a case report of a black intraocular lens implantation for cosmetic improvement of a blind eye with leukocoria. Setting – Ophthalmology Department - Professor Dr. Fernando Fonseca Hospital, EPE - Amadora, Lisboa, Portugal Methods – We report a 32-year-old woman who was evaluated because of the undesired cosmetic appearance of her amblyopic left eye with exotropia and leukocoria due to traumatic cataract and total retinal detachment during childhood. The Examination ...

  9. Increased Intraocular Pressure after Extensive Conjunctival Removal: A Case Report

    Lee, Young Rok; Na, Jung Hwa; Kim, Jae Yong; Sung, Kyung Rim

    2013-01-01

    A 50-year-old woman, who had undergone extensive removal of conjunctiva on the right eye for cosmetic purposes at a local clinic 8 months prior to presentation, was referred for uncontrolled intraocular pressure (IOP) elevation (up to 38 mmHg) despite maximal medical treatment. The superior and inferior conjunctival and episcleral vessels were severely engorged and the nasal and temporal bulbar conjunctival areas were covered with an avascular epithelium. Gonioscopic examination revealed an o...

  10. Single-optic positional accommodating intraocular lenses: a review

    Tomás Juan, Javier; Piñero Llorens, David Pablo; Larrañaga Murueta-Goyena, Ane

    2014-01-01

    Presbyopia is an age-related physiological condition that causes a gradual loss in the ability to focus on near objects, secondary to changes in zonular fibers, ciliary muscle and crystalline lens. Different surgical approaches are being pursued to surgically compensate presbyopia, such as corneal techniques or implantation of multifocal intraocular lenses (IOLs); however, their inability to restore accommodation has led to the development of single-optic positional accommodative IOLs. The ax...

  11. Visual functional changes during acute elevation of intraocular pressure

    Tian-De SHOU

    2006-01-01

    Glaucoma is closely related to elevation of intraocular pressure (IOP). Many studies have done on the effect of chronic elevation of IOP on the retina and optic nerve, but less attention was paid to the effect of acute elevated IOP. Here we briefly review experimental studies on functional changes of the visual system from the retina to the visual cortex under acute elevated IOP condition, which is similar to that of acute primary angle-closure glaucoma.

  12. Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation

    Márcio Augusto Nogueira Costa

    2013-02-01

    Full Text Available PURPOSE: To investigate the reliability of ultrasound in determining the size and identify the sonographic features and artifacts generated by intraocular foreign bodies of different materials. METHODS: Experimental study using 36 enucleated porcine eyes. Fragments of nine different compositions (wood, glass, plastic, cardboard, iron, aluminum, lead, powder and concrete and similar dimensions (4 mm were implanted via scleral incision into the vitreous cavity of 36 porcine eyes, four eyes were used for each material. Ultrasound examination was performed in all eyes using the contact technique, conductive gel and 10-MHz transducer (EZScan, Sonomed. RESULTS: Considering the material fragments of gunpowder, lead, concrete, aluminum, wood and glass, the size determined by ultrasound was considered statistically similar to the actual size. The material iron presented ultrasound-determined dimension statistically smaller than its actual size. Cardboard and plastic materials showed ultrasound-determined measurements far greater than the actual. All fragments of intraocular foreign bodies demonstrated hyper-reflective interfaces, irrespective of their composition. Whereas the artifacts generated by different materials, it was found that the materials iron, aluminum and lead showed reverberation of great extent. The material wood showed no reverberation. The length of the reverberation artifact for the materials iron, glass, aluminum and cardboard was lower when compared to other materials. All materials presented posterior shadowing artifact, with the exception of aluminum. CONCLUSION: Ultrasonography was considered a reliable technique to determine the size of intraocular foreign bodies in pigs, with little influence caused by its composition. Ultrasound artifacts generated were considered material-dependent and can assist the examiner to identify the nature of a foreign body of unknown etiology. Ultrasonography aided the surgeon to identify, locate and

  13. The dangers of metal-loop intraocular lenses.

    Shepard, D D

    1977-10-01

    The author implanted 500 intraocular lenses (IOLs) during intracapsular surgery. Data from the 60 lenses with metal posterior loops showed a markedly high incidence of complication compared to plastic loops: twice as many overall complications, three times the cystoid mascular edema, three times the rate for subsequent corrective surgical procedures, and 30 times more IOLs had to be removed. IOL manufacturers are advised to abandon metal loops for intracapsular implantation. Polypropylene is suggested as the apparent ideal loop material. PMID:304550

  14. An Unusual Case of Marble Intraocular Foreign Body

    Omoti Afekhide; Dawodu Oseluese; Ogbeide Osesogie

    2008-01-01

    This report presents a case of marble intraocular foreign body that developed toxic complications during surgery. The patient is a 25 years old male who presented to the University of Benin Teaching Hospital with a history of trauma to the right eye while cutting marble. He was examined, had an ocular ultrasound scan and subsequently had an extracapsular cataract extraction. His visual acuity in the right eye was light perception. There was an entry point on the cornea, the lens was opaque, t...

  15. Intravitreal triamcinolone for intraocular inflammation and associated macular edema

    Steven M Couch

    2008-11-01

    Full Text Available Steven M Couch, Sophie J BakriMayo Clinic Department of Ophthalmology, Mayo Clinic, Rochester, MN, USAAbstract: Triamcinolone acetonide (TA is a corticosteroid that has many uses in the treatment of ocular diseases because of its potent anti-inflammatory and anti-permeability actions. Intraocular inflammation broadly referred to as uveitis can result from several causes, including the immune system and after ophthalmic surgery. One of the most common reasons for vision loss with uveitis is macular edema. TA has been used for many years as an intravitreal injection for the treatment of ocular diseases. Several case control studies have been reported showing the efficacy of TA in the treatment of intraocular inflammation and associated macular edema caused by Behcet’s disease, Vogt-Koyanagi-Harada syndrome, sympathetic ophthalmia and white dot syndromes. It has also been shown efficacious in cases of pars planitis and idiopathic posterior uveitis. Some authors have reported its use in postoperative cystoid macular edema. Many of the studies on the use of TA in controlling intraocular inflammation and concomitant macular edema showed its effect to be transient in many patients requiring reinjection. Complications can arise from intravitreal injection of TA including elevated intraocular pressure and cataract. Rarely, it can be associated with infectious and non-infectious endophthalmitis. TA may be useful as an adjuvant in the treatment of uveitis and its associated macular edema, especially in patients resistant or intolerant to standard treatment.Keywords: triamcinolone acetonide, Behcet’s disease, sympathetic ophthalmia, Vogt-Koyanagi-Harada syndrome, white dot syndromes, uveitis, cataract surgery, macular edema, endophthalmitis

  16. Intraocular lens exchange through a 3.2-mm corneal incision for opacified intraocular lenses

    Kubaloglu Anil

    2011-01-01

    Full Text Available Aim: The aim was to evaluate visual and refractive results and complications of intraocular lens (IOL exchange through a 3.2 mm corneal incision for opacified IOLs. Materials and Methods: This retrospective study comprised 33 eyes of 32 patients with IOL opacification requiring an IOL exchange between July 2003 and March 2007. Exchange surgery was performed through a 3.2-mm temporal clear corneal incision followed by implantation of a new foldable hydrophobic IOL. Uncorrected visual acuity (UCVA, best spectacle-corrected visual acuity (BSCVA, topographical astigmatism, and refractive cylinder were evaluated. Surgically induced astigmatism (SIA was calculated and complications were recorded. Results: Opacification was observed in 25 eyes (76% with Aqua-Sense, 3 eyes (9% with Hydroview, 3 eyes (9% with MemoryLens IOLs, and 2 eyes (6% with DgR. The mean follow-up period was 36.54 months. An uneventful IOL exchange was achieved in 18 eyes (55%. Zonular dehiscence occurred in 9 eyes (27%, and posterior capsule tear developed in 4 eyes (12%. The mean preoperative BSCVA (mean ± standard deviation, decimal scale was 0.13 ± 0.08 (mean: 20/150, range 20/2000 to 20/60 and improved to 0.63 ± 0.18 (mean: 20/32, range 20/60 to 20/20, P < 0.001. The mean SIA was 0.70 D. Seven eyes (21% had 0.5 D or lower SIA. Conclusion: IOL exchange is a technically challenging procedure with potential risks of reversing the advantages of a prior small-incision cataract surgery. The use of a small corneal incision for IOL exchange could preserve the advantages of modern phacoemulsification surgery with acceptable SIA related to the procedure.

  17. Causes of elevated intraocular pressure following implantation of phakic intraocular lenses for myopia.

    Almalki, Salem; Abubaker, Abdullah; Alsabaani, Nasser A; Edward, Deepak P

    2016-04-01

    The purpose of this study is to present the causes and visual acuity outcomes in patients with elevated intraocular pressure (IOP) following implantable collamer lens (ICL) implantation. A chart review identified patients who developed high IOP at any postoperative examination and a minimum follow-up period of 3 months after ICL implantation. Data are reported out to 6 months postoperatively. Outcome measures included causes of elevated IOP, best-corrected visual acuity (BCVA) at last visit, number of glaucoma medications, other interventions, and glaucomatous damage. Elevated IOP occurred in 58 (10.8 %) of 534 eyes that received ICL. The mean age was 28 ± 7.2 years. The preoperative IOP was 16.3 ± 1.2 mmHg. Elevated IOP most commonly occurred on the first postoperative day (23/58 (39.7 %) eyes) due to retained viscoelastic. This was followed by steroid response in 22/58 (37.9 %) eyes at 2-4 weeks postoperatively. IOP elevation in 6 (10.3 %) eyes was related to high ICL vault and pupillary block, and in 4 (6.9 %) eyes due to synechial angle closure. At last visit, BCVA was 20/40 or better in 56/58 (96.6 %) eyes, and 5/58 (8.6 %) eyes remained on glaucoma medications due to persistent steroid response (2 eyes), synechial angle closure glaucoma (1 eye), and other causes (2 eyes). One eye showed glaucomatous damage. Two eyes with high vault and elevated IOP underwent ICL explantation. There is a moderate risk of transiently developing elevated IOP after ICL implantation. Thorough removal of viscoelastic and use of anti-glaucoma medications during steroid use will reduce the majority of cases with postoperative IOP elevation. PMID:26265323

  18. Sunlight exposure as risk factor for intraocular malignant melanoma

    In a case-control study, the authors compared 444 patients with intraocular malignant melanoma with matched controls to evaluate the role of exposure to ultraviolet radiation and other risk factors in the pathogenesis of this tumor. Persons born in the southern United States had a relative risk of 2.7 (95 per cent confidence interval, 1.3 to 5.9) as compared with those born in the North. Subjects with brown eyes were protected as compared with those with blue eyes (relative risk, 0.6; 95 per cent confidence interval, 0.4 to 0.8), but complexion and hair color were not important risk factors. Patients with intraocular malignant melanoma were also more likely to have spent time outdoors in their gardens, to have sunbathed, and to have used sunlamps. Rarely wearing hats, visors, or sunglasses while in the sun was a risk factor for the disease (relative risk, 1.9; 95 per cent confidence interval, 1.6 to 2.2). These data suggest that sunlight exposure is an important risk factor for intraocular melanoma

  19. Intraocular nematode with diffuse unilateral subacute neuroretinitis: case report

    Zakariah Sakinah

    2011-06-01

    Full Text Available Abstract Background Live intraocular nematode is a rare occurrence. Nematode can migrate actively within the eye, creating visual symptoms and damaging ocular tissue. Case presentation A 26-year old man presented with painless reduced vision of the left eye for one week duration. It was associated with floaters. Visual acuity on the left eye was hand movement. Anterior segment examination was normal with normal intra-ocular pressure. Fundus examination showed a live nematode lying subretinally at the macular area with macular oedema and multifocal chorioretinal lesions at peripheral retina. There was no vitritis, vasculitis or any retinal hemorrhage. Systemic examination revealed normal findings and laboratory studies only showed leucocytosis with normal eosinophil count and negative serum toxocara antibody. The diagnosis of introcular nematode with diffuse unilateral subacute neuroretinitis was made. He was treated with oral anti-helminths and a course of oral steroid at a reducing dose. The nematode had died evidenced by its immobility during the treatment and finally disintegrated, leaving macular oedema with mottling appearance and mild hyperpigmentation. Multifocal chorioretinal lesions had also resolved. However despite treatment his visual acuity during follow-up had remained poor. Conclusions Cases of intraocular nematode, though not commonly encountered, continue to present the ophthalmologist with the problem of diagnosis and management and hence poorer prognosis to the patient.

  20. Evaluating the method increasing of toric intraocular lenses rotational stability

    G. A. Fedjashev

    2015-10-01

    Full Text Available Purpose. To suggest a safe and effective way to improve the rotational stability of the position of toric the intraocular lenses in the capsular bag.Patients and methods.86 patients (97 eyes with corneal astigmatism undergoing cataract surgery and Acrysof Toric (Alcon, USA intraocular lens implantation. In 42 patients (47 eyes, the intraocular lens (IOL were implanted in accordance with the proposed invention.Results. Average rotation angle IOL implanted by traditional technology was 2,2±2,0 degrees during 12 months. In patients with IOL implanted by the proposed method, the average angle of rotation of the IOL in all operated eyes was significantly lower and amounted to 0,8±1,2 degrees (p <0,05. Сonclusion. The proposed method of fixing the toric IOL provides for prevention the IOL rotation and decentration relative to the eye optical axis, take steps to prevent phimosis anterior lens capsule, maintaining high visual function for a long time, and as there is no need for repeated surgery.

  1. An unusual case of marble intraocular foreign body

    Omoti Afekhide

    2008-01-01

    Full Text Available This report presents a case of marble intraocular foreign body that developed toxic complications during surgery. The patient is a 25 years old male who presented to the University of Benin Teaching Hospital with a history of trauma to the right eye while cutting marble. He was examined, had an ocular ultrasound scan and subsequently had an extracapsular cataract extraction. His visual acuity in the right eye was light perception. There was an entry point on the cornea, the lens was opaque, there was vitreous haemorrhage and the intraocular foreign body was localized in the posterior part of the posterior segment by ultrasound scan. He had extracapsular cataract extraction. During anterior capsulotomy, the cornea suddenly and rapidly became cloudy with a brownish tinge and the corneal epithelium started desquamating.Marble on its own may not be toxic but the other chemicals including cement, used in the processing of the marble were responsible for this delayed toxicity. Ultrasound scan is valuable in localisation of intraocular foreign bodies.

  2. Effects of Mirtogenol® on ocular blood flow and intraocular hypertension in asymptomatic subjects

    Steigerwalt, Robert D; Gianni, Belcaro; Paolo, Morazzoni; Bombardelli, Ezio; Burki, Carolina; Schönlau, Frank

    2008-01-01

    Purpose The most important variable risk factor for developing glaucoma is intraocular hypertension. Timely lowering of high intraocular pressure (IOP) significantly lowers the likelihood of developing glaucoma. The aim of this study was to evaluate the effects of the food supplement Mirtogenol® (Mirtoselect® and Pycnogenol®) on IOP and ocular blood flow in a product evaluation study. Methods Thirty-eight asymptomatic subjects with intraocular hypertension were either given Mirtogenol® (20 su...

  3. Successful Removal of Large Intraocular Foreign Body by 25-Gauge Microincision Vitrectomy Surgery

    Hiroshi Kunikata; Megumi Uematsu; Toru Nakazawa; Nobuo Fuse

    2011-01-01

    We describe a new technique for removing a large intraocular foreign body by 25-gauge microincision vitrectomy surgery (25G-MIVS). Noncomparative interventional case series were performed at a single centre. Two patients with a long smooth intraocular vitreal foreign body underwent phacoemulsification and aspiration, intraocular lens implantation, 25G-MIVS, and extraction of the foreign body. The foreign body was removed through a posterior capsulorhexis, anterior continuous curvilinear capsu...

  4. Bilateral spontaneous dislocation of posterior chamber intraocular lens in a patient with gyrate atrophy

    Michael Kinori

    2012-01-01

    Full Text Available We report a patient with gyrate atrophy, a rare metabolic disease, who had bilateral late spontaneous posterior dislocation of in-the-bag posterior chamber intraocular lens (PCIOL. He underwent pars plana vitrectomy, PCIOL retrieval and anterior chamber intraocular lens implantation in both eyes. This report may imply that patients with gyrate atrophy are at risk for spontaneous dislocation of intraocular lenses.

  5. Extracapsular cataract extraction : the fate of retained lens material and intraocular lenses

    Kappelhof, Johan

    1987-01-01

    textabstractThe aim of this study was to examine the fate of the lens material that remains in the eye after an extracapsular cataract extraction both with and without insertion of an intraocular lens. Apart from this, the development of precipitates on the intraocular lenses was morphologically investigated in order to get a better understanding of the interactions between eye and intraocular lens. This thesis is divided into a first part covering animal experiments and a second part about m...

  6. Keeping an eye on dialysis: the association of hemodialysis with intraocular hypertension.

    William, Jeffrey H; Gilbert, Aubrey L; Rosas, Sylvia E

    2015-11-01

    Intraocular hypertension is common during hemodialysis. Dialysis disequilibrium syndrome and intraocular hypertension occur via similar pathophysiologic mechanisms. These mechanisms may contribute to the development of glaucoma and cataracts in a patient population already at high risk for ocular abnormalities, given the common risk factors for chronic kidney disease and impaired aqueous humor outflow. We describe a patient with complicated diabetes mellitus, end-stage renal disease, and recent cataract surgery who developed severe intraocular hypertension during hemodialysis. We recommend increased awareness of the symptoms of intraocular hypertension and subsequent ophthalmologic surveillance in order to prevent long-term visual complications. PMID:26042412

  7. Ocular features of hantavirus infection

    Mehta Salil

    2007-01-01

    Full Text Available Hantavirus infections are an emerging infectious disease that is beginning to be recognized both worldwide and in India as a cause of hemorrhagic fever that may present as a pulmonary syndrome or as a renal syndrome. Reports of ocular involvement are rare and include transient myopia, low intraocular pressure, conjunctival hemorrhages and changes of intraocular dimensions. Eleven patients (10 males, one female, mean age 37.6 years were admitted to the intensive care unit for pyrexia of unknown origin or hemorrhagic fever following exposure to flood waters. Five male patients (mean age 31.6 years were identified as suffering from hantavirus infection. In one patient, dot and blot intraretinal hemorrhages were seen in the macula of one eye and streak hemorrhages of the disc in the other. In the remaining four, no fundus abnormalities were seen. Ophthalmologists should be aware of these features.

  8. Effect of osteotomies during rhinoplasty on intraocular pressure

    Amr N. Rabie

    2016-07-01

    Full Text Available Objective: To investigate whether rhinoplasty with osteotomies for the treatment of deformed nose induces changes in intraocular pressure (IOP. Design: Prospective, nonrandomized study. Setting: University-affiliated medical center. Patients: Thirty patients who underwent rhinoplasty with osteotomies for the nose were prospectively enrolled in this study. Fifteen patients had lateral osteotomies with the external perforating technique, and fifteen with an internal continuous technique with periosteal elevation. We excluded patients with diabetes mellitus, hypertension, glaucoma, previous ocular trauma, history of ocular surgery, and previous use of topical corticosteroid eye drops. Main outcome measures: The intraocular pressure (IOP in each patient was measured by Goldmann tonometry preoperatively and postoperatively on days 1, 2, and 7. Results: 23 women and 7 men with a mean age of 27 years were enrolled in the study. The mean ± SD IOP of the eye was 15.69 ± 2.37 mmHg preoperatively. Postoperatively, the mean ± SD IOPs were 15.96 ± 1.92 mmHg on day 1, 15.45 ± 2.55 mmHg on day 2, and 15.72 ± 2.86 mmHg on day 7 (P = .863. Conclusions: Although osteotomes during rhinoplasty caused variations in the IOP compartment, the changes in IOP were not statistically significant. Therefore, rhinoplasty should be a safe surgical procedure with respect to ocular physiological function, however monitoring IOP peri-operatively is advised. To our best knowledge, this is the first clinical trial to determine the effect of rhinoplasty with osteotomy on intraocular pressure.

  9. INTRAOCULAR AND SERUM LEVELS OF VASCULAR ENDOTHELIAL GROWTH FACTOR IN ACUTE RETINAL NECROSIS AND OCULAR TOXOPLASMOSIS

    Wiertz, Karin; De Visser, Lenneke; Rijkers, Ger; De Groot-Mijnes, Jolanda; Los, Leonie; Rothova, Aniki

    2010-01-01

    Purpose: To determine the intraocular and serum vascular endothelial growth factor (VEGF) levels in patients with acute retinal necrosis (ARN) and compare those with VEGF levels found in patients with ocular toxoplasmosis (OT). Methods: Paired intraocular fluid and serum samples of 17 patients with

  10. Silicone oil-intraocular lens interaction: which lens to use?

    McLoone, E; Mahon, G; Archer, D.; Best, R

    2001-01-01

    AIM—To determine a suitable intraocular lens for implantation in patients at high risk of lens exposure to silicone oil in their lifetime.
METHODS—PMMA, AcrySof, AR40, AQUA-Sense, and Raysoft lenses were examined. Each lens was immersed for 5 minute intervals in balanced salt solution (BSS), in stained silicone oil, and again in BSS before being photographed in air and in BSS. Percentage silicone oil coverage of the lens optic was determined.
RESULTS—The mean percentage coating (MPC) for the ...

  11. Astigmatism correction in cataract surgery with Rayner toric intraocular lenses

    Painter, Sally

    2010-01-01

    Sally L Painter, Kikkeri S Arun, Jonathan K Kam, CK PatelOxford Eye Hospital, John Radcliffe Hospital, Headley Way, Headington, Oxford, United KingdomBackground: Cataract surgery is increasingly regarded as a refractive procedure. Corneal astigmatism can be reduced by the insertion of a toric intraocular lens (T-IOL). Rayner T-flex T-IOLs are licensed for the correction of astigmatism.Methods: In this retrospective study, 46 eyes from 34 patients, in whom T-IOLs were inserted, have been exami...

  12. Intraocular implants for the surgical correction of presbyopia

    Parel, Jean-Marie A.; Rol, Pascal O.; Tahi, Hassan; Manns, Fabrice; Milne, Peter J.; Hamaoui, Marie; Ho, Arthur; Holden, Brien

    2000-06-01

    The surgical techniques proposed to restore accommodation past the onset of presbyopia can be categorized in two classes, those based of scleral expansion and those based on intraocular lens implantation and lens capsule refilling. This paper describes and discusses the different techniques and summarizes the results of clinical and experimental animal trials. Restoration of accommodation has been demonstrated by at least two different teams in non-human senile primates using modifications of the lens capsule refilling technique originally described by Julius Kessler in the late fifties. The advent of recent advances in microsurgery, devices, and injectable polymers are very promising and human clinical trials may soon be envisaged.

  13. Unilateral Crystalline Vitreoretinopathy: A Rare Entity Associated with Intraocular Inflammation

    Kaustubh B. Harshey

    2015-01-01

    Full Text Available A 31-year-old Indian male presented with floaters and diminution of vision in the right eye. Ocular examination showed features of old anterior uveitis with posterior subcapsular cataract and fine, refractile crystals in the vitreous cavity and on the retinal surface. A thorough workup for all known causes of crystalline retinopathy was inconclusive. Unilateral crystalline retinopathy has been sparingly reported. This is the first report of unilateral, crystalline vitreoretinopathy in the absence of any demonstrable and known cause for intraocular crystals.

  14. Probable edge defect in Acrysof single-piece intraocular lens

    Shah Urmi

    2006-01-01

    Full Text Available The purpose of this article is to report an edge defect in single-piece hydrophobic acrylic intraocular lens (IOL observed during a routine phacoemulsification procedure. The chip was successfully removed intraoperatively with a McPherson′s forceps. However, six months postoperatively patient complained of a disturbing glare due to posterior capsular folds originating from the site of IOL defect. Patient was advised, however refused to undergo Nd:Yag laser capsulotomy to relieve the symptoms. This case highlights the necessity to check each foldable IOL under the microscope before loading it into the cartridge, for possible edge defects.

  15. Persistently raised intraocular pressure following extracapsular cataract extraction.

    David, R; Tessler, Z.; Yagev, R.; BRISCOE, D; Biedner, B. Z.; Gilad, E.; YASSUR;, Y.

    1990-01-01

    In this population based study we have reviewed the files of all patients who underwent an extracapsular cataract extraction (ECCE) between 1984 and 1987, were normotensives prior to surgery, and were followed up for at least 10 months after the ECCE. From a total of 1047 operations 746 qualified for the inclusion criteria; of these, 16 (2.1%) were found to have a consistently raised intraocular pressure (greater than 21 mmHg) on more than two occasions) at four months or later after surgery ...

  16. Successful toric intraocular lens implantation in a patient with induced cataract and astigmatism after posterior chamber toric phakic intraocular lens implantation: a case report

    Kamiya Kazutaka; Nakamura Akio; Miyake Hideyuki; Nishimoto Hiroyuki; Shimizu Kimiya

    2012-01-01

    Abstract Introduction We report the case of a patient in whom simultaneous toric phakic intraocular lens removal and phacoemulsification with toric intraocular lens implantation were beneficial for reducing pre-existing astigmatism and acquiring good visual outcomes in eyes with implantable collamer lens-induced cataract and astigmatism. Case presentation A 53-year-old woman had undergone toric implantable collamer lens implantation three years earlier. After informed consent was obtained, we...

  17. Intraocular pressure in very low birth weight preterm infants and its association with postconceptional age

    Rodrigo L. Lindenmeyer

    2012-11-01

    Full Text Available OBJECTIVE: To evaluate intraocular pressure in very low birth weight preterm infants and correlate it with postconceptional age. METHODS: The intraocular pressure in a prospective cohort of very low birth weight premature infants (defined as a birth weight <1,500 g and gestational age <32 weeks admitted to Hospital de Clínicas de Porto Alegre , Brazil was evaluated weekly. The evaluated outcome was the variation in the intraocular pressure following changes in the postconceptional age (defined as the gestational age at birth plus the age in weeks at the time of examination in the weeks following preterm birth. Mixed-effects models were used for the statistical analysis to determine the intraocular pressure variation according to postconceptional age, and means and 10th and 90th percentiles were calculated for the intraocular pressure values. RESULTS: Fifty preterm infants with a mean gestational age of 29.7 ± 1.6 weeks and a mean birth weight of 1,127.7 ± 222.7 g were evaluated. The mean intraocular pressure for the entire cohort considering both eyes was 14.9 ± 4.5 mmHg, and 13.5% of all recorded intraocular pressure values were greater than 20 mmHg. The analysis revealed a mean reduction in the intraocular pressure of 0.29 mmHg for each increase in postconceptional age (p = 0.047; 95% CI: -0.58 to -0.0035. The mean intraocular pressure (P10-P90 decreased from 16.3 mmHg (10.5222.16 at 26.3 weeks to 13.1 mmHg (7.28-18.92 at 37.6 weeks of postconceptional age. CONCLUSIONS: The mean intraocular pressure in very low birth weight preterm infants was 14.9 ± 4.5 mmHg. This value decreased 0.29 mmHg per week as the postconceptional age increased.

  18. Standardized methods for assessing the imaging quality of intraocular lenses

    Norrby, N. E. Sverker

    1995-11-01

    The relative merits of three standardized methods for assessing the imaging quality of intraocular lenses are discussed based on theoretical modulation-transfer-function calculations. The standards are ANSI Z80.7 1984 from the American National Standards Institute, now superseded by ANSI Z80.7 1994, and the proposed ISO 11979-2 from the International Organization for Standardization. They entail different test 60% resolution efficiency in air, 70% resolutionefficiency in aqueous humor, and 0.43 modulation at 100 line pairs/mm in a model eye. The ISO working group found that the latter corresponds to 60% resolution efficiency in air in a ring test among eight laboratories on a sample of 39 poly(methyl) methacrylate lenses and four silicone lenses spanning the power (in aqueous humor) range of 10-30 D. In both ANSI Z80.7 1994 and ISO 11979-2, a 60% resolution efficiency in air remains an optional approval limit. It is concluded that the ISO configuration is preferred, because it puts the intraocular lens into the context of the optics of the eye. Note that the ISO standard is tentative and is currently being voted on.

  19. Analyses of ERG in a patient with intraocular lymphoma

    Chieko Yasuda

    2010-04-01

    Full Text Available Chieko Yasuda, Shinji Ueno, Mineo Kondo, Nagako Kondo, Chang-Hua Piao, Hiroko TerasakiDepartment of Ophthalmology, Nagoya University School of Medicine, Nagoya, JapanPurpose: To follow the changes in the electroretinograms (ERGs in a patient with primary intraocular lymphoma (PIOL who had a complete remission after chemotherapy. Methods: ERGs were recorded in a 41-year-old woman with PIOL during and after complete remission with chemotherapy. The patient was diagnosed with PIOL from both the ocular signs and the medical history of cranial lymphoma.Results: The ERGs were depressed in the subject. The amplitudes of the bright white flash b-waves were smaller than the a-waves, resulting in a “negative type” ERG. Six weeks after the beginning of chemotherapy, the ocular changes had resolved, and the ERGs, although not of the “negative type”, still showed signs that the amplitude had not returned to normal levels.Conclusion: The negative type ERGs indicated that the inner retina had been damaged to a greater extent than the outer retina. In the convalescent stage, when the ocular manifestations were resolved, the ERGs were still not fully recovered. Although only one case was studied, we suggest that ERGs can be used to evaluate and follow patients with a PIOL.Keywords: electroretinogram, primary intraocular lymphoma, uveitis masquerade syndrome

  20. Effect of hemodialysis on intraocular lens power calculation.

    Çalışkan, Sinan; Çelikay, Osman; Biçer, Tolga; Aylı, Mehmet Deniz; Gürdal, Canan

    2016-03-01

    Background To evaluate changes in ocular biometric parameters after hemodialysis (HD) in patients with end-stage renal disease (ESRD). Methods Forty eyes of 40 patients undergoing HD were included in this cross-sectional study. Keratometry (K) readings, white-to-white (WTW) distance, central corneal thickness (CCT), anterior chamber depth (ACD), pupil diameter, lens thickness (LT), axial length (AL), and intraocular lens (IOL) power calculation were measured with Lenstar LS 900 (Haag Streit AG, Koeniz, Switzerland) before and after hemodialysis. Intraocular pressure (IOP) was measured with a non-contact tonometer (Tonopachy NT-530P, Nidek Co., LTD, Tokyo, Japan). Main outcomes were changes in biometric parameters after HD. Reliability of the measurements (intraclass correlation coefficients (ICCs)) and the effect size (Cohen's d) were also calculated. Results Mean difference in AL before and after HD was -0.041 ± 0.022 mm with ICCs > 0.90 (p  0.90 (p = 0.041 and Cohen's d = 0.20). Hemodialysis had no significant effect on K readings, WTW distance, CCT, ACD, LT, or IOP. Conclusion Axial length and pupil diameter increase after HD with small effect size, while HD does not significantly affect IOL power calculations. PMID:26707804

  1. Intraocular lenses and clinical treatment in paediatric cataract

    Camila Ribeiro Koch Pena

    2015-06-01

    Full Text Available Pediatric cataract is the most common treatable cause of blindness in children. Prevalence, etiology and morphology vary with the socioeconomic development. The treatment goal is to reduce amblyopia, being difficult management especially in unilateral cases. The decision on aphakia or primary intraocular lens should be individualized as well as correction with contact lens or spectacles. The intraocular lens single-piece hydrophobic acrylic are the most implanted in children and the preferably is in the capsular bag. The Sanders-Retzlaff-Kraff theoretic (SRK/T stressing that is described as more predictable, following Holladay I and SRK II and the recommendation is to under correction +6.0 or +8.0 dioptrias expecting the growth of the eye. The posterior capsule opacity is the most frequent complication and varies with the material choice of the lens. Glaucoma is the most serious postoperative complication and depends on the timing of the surgery, primary lens implantation and time of post surgical follow-up. The adherence to occlusion therapy with patching is critical to the visual prognosis and is determined by the child’s age and laterality of the cataract. There was significant improvement in the surgery and in IOLs, however the final visual prognosis is still not desirable.

  2. Role of cataract surgery in lowering intraocular pressure

    To study the effects of cataract surgery in lowering of intraocular pressure (IOP). Study Design: Retrospective study. Place and Duration of Study: The Department of Ophthalmology, Combined Military Hospital, Rawalpindi from January 2011 to December 2013. Patients and Methods: The study included a total of 250 patients; of which 100 cases had simple cataract with no coexisting disease, 100 cases had cataract with primary open angle glaucoma and 50 cases of cataract had accompanying pseudoexfoliation glaucoma. All patients were assessed and recorded preoperatively for their IOP, vision, depth of anterior chamber (ACD), angle of anterior chamber by gonioscopy and glaucoma medications being used. Cataract surgery was performed by phacoemulsification and IOL implantations in all cases. These patients were followed up for a period of six months. Results: The intraocular ressure of all these patients was recorded at monthly interval for six months. The IOP showed a significant decrease in all cases and remained constant till the end of the study. A marked improvement of vision was noted in all cases. The depth of the anterior chamber increased and the angle also widened in all cases. Discussion: Cataract surgery has been found to reduce IOP along with improvement in vision. Patients with glaucoma have a dual benefit of reduced IOP and visual improvement after cataract surgery. (author)

  3. Epidermoid carcinomas of the conjunctive with intraorbital and intraocular invasion

    The epidermoid carcinomas of the conjunctive are tumors in general of low incidence with a range between 0.13 and 1.9 cases for 100,000 inhabitants; this incidence is superior however in tropical countries. The incidences reported for intra orbital and intraocular invasive forms have a range between 2 and 12% which demonstrates the aggressive character of this tumor. The handling of epidermoid carcinoma of the conjunctive in initial stages is very conservative, but in their natural history this tumor can invade the ocular globe, orbit, neighboring regions and distant organs, thereby of importance an early diagnosis and an appropriate treatment. Our objective was to know the incidence of epidermoid carcinoma of the conjunctiva with intraocular and intra orbital invasion in the Havana National Oncology Institute. We carry out a retrospective and descriptive study of 18 patients with clinical diagnoses and histology of epidermoid carcinoma of the conjunctiva with orbit infiltration assisted from January of 1995 until December 2003 classified as T4 NO MO. The evaluated parameters were: age, sex, initial treatment and evolution. Middle aged of our serie it was 58.7 years, excisional surgery and deep radiotherapy was the initial treatment applied in 83.33% of the cases. In its evolution eight cases (44.44%) of the patients had unfavorable result and radical surgery was carried out in 50% of the patients. (The author)

  4. Survey of Intraocular Antibiotics Prophylaxis Practice after Open Globe Injury in China.

    Bingsheng Lou

    Full Text Available To elucidate the Chinese practice of intraocular antibiotics administration for prophylaxis after open globe injury.A cross-sectional questionnaire survey was performed online by scanning a Quickmark (QR code with smartphones at the 20th Chinese National Conference of Ocular Trauma in November 2014.A total of 153 (30.6% of all participators at the conference responded. Of the respondents, 20.9% were routinely administered with prophylactic intraocular injection of antibiotics at the conclusion of the primary eye repair, and 56.9% were used only in cases with high risk of endophthalmitis development. The intraocular route of delivery was mainly included with intracameral injection (47.9% and intravitreal injection (42.0%. Cephalosporins (53.8% and vancomycin (42.0% were the main choices of antibiotic agents, followed by fluoroquinolones (24.3%, and aminoglycosides (13.4%. Only 21.9% preferred a combination of two or more two drugs routinely. In addition, significantly more respondents from the referral eye hospital (92.7% replied using intraocular antibiotics injection for prophylaxis compared to those respondents from the primary hospital (69.4% (p = 0.001, Fisher's exact test.Intraocular antibiotics injection for post-traumatic endophthalmitis prophylaxis is widely used in China. However, the choice of antibiotic agents and the intraocular route of delivery vary. A well-designed clinical trial is needed to establish a standardized protocol of intraocular antibiotics administration for post-traumatic endophthalmitis prophylaxis.

  5. Survey of Intraocular Antibiotics Prophylaxis Practice after Open Globe Injury in China

    Tan, Junlian; Yang, Yao; Yuan, Zhaohui; Lin, Xiaofeng

    2016-01-01

    Purpose To elucidate the Chinese practice of intraocular antibiotics administration for prophylaxis after open globe injury. Methods A cross-sectional questionnaire survey was performed online by scanning a Quickmark (QR) code with smartphones at the 20th Chinese National Conference of Ocular Trauma in November 2014. Results A total of 153 (30.6%) of all participators at the conference responded. Of the respondents, 20.9% were routinely administered with prophylactic intraocular injection of antibiotics at the conclusion of the primary eye repair, and 56.9% were used only in cases with high risk of endophthalmitis development. The intraocular route of delivery was mainly included with intracameral injection (47.9%) and intravitreal injection (42.0%). Cephalosporins (53.8%) and vancomycin (42.0%) were the main choices of antibiotic agents, followed by fluoroquinolones (24.3%), and aminoglycosides (13.4%). Only 21.9% preferred a combination of two or more two drugs routinely. In addition, significantly more respondents from the referral eye hospital (92.7%) replied using intraocular antibiotics injection for prophylaxis compared to those respondents from the primary hospital (69.4%) (p = 0.001, Fisher’s exact test). Conclusions Intraocular antibiotics injection for post-traumatic endophthalmitis prophylaxis is widely used in China. However, the choice of antibiotic agents and the intraocular route of delivery vary. A well-designed clinical trial is needed to establish a standardized protocol of intraocular antibiotics administration for post-traumatic endophthalmitis prophylaxis. PMID:27275777

  6. A new device to noninvasively estimate the intraocular pressure produced during ocular compression

    Korenfeld MS

    2016-01-01

    Full Text Available Michael S Korenfeld,1,2 David K Dueker3 1Comprehensive Eye Care, Ltd., 2Department of Ophthalmology and Visual Sciences, Washington University, Washington, MO, USA; 3Hamad Medical Corporation, Doha, Qatar Purpose: To describe a noninvasive instrument that estimates intraocular pressure during episodes of external globe compression and to demonstrate the accuracy and reliability of this device by comparing it to the intraocular pressures simultaneously and manometrically measured in cannulated eyes. Methods: A thin fluid-filled bladder was constructed from flexible and inelastic plastic sheeting and was connected to a pressure transducer with high pressure tubing. The output of the pressure transducer was sent to an amplifier and recorded. This device was validated by measuring induced pressure in the fluid-filled bladder while digital pressure was applied to one surface, and the other surface was placed directly against a human cadaver eye or in vivo pig eye. The human cadaver and in vivo pig eyes were each cannulated to provide a manometric intraocular pressure control. Results: The measurements obtained with the newly described device were within ~5% of simultaneously measured manometric intraocular pressures in both a human cadaver and in vivo pig eye model for a pressure range of ~15–100 mmHg. Conclusion: This novel noninvasive device is useful for estimating the intraocular pressure transients induced during any form of external globe compression; this is a clinical setting where no other devices can be used to estimate intraocular pressure. Keywords: glaucoma, intraocular pressure, tonometer, ocular compression

  7. Two cases of intraocular lymphoma diagnosed by analyses of vitreous and infusion fluid

    Matsuoka M

    2013-04-01

    Full Text Available Masato Matsuoka,1 Hideyuki Yoshida,1 Yuichi Kinoshita,2 Tetsuya Nishimura11Department of Ophthalmology, 2Department of Histopathology, Kansai Medical University, Takii Hospital, Osaka, JapanPurpose: Intraocular lymphomas are rare, and they have poor prognosis. Thus, early diagnosis and treatment are needed. A definitive diagnosis of a lymphoma is based on cytological analysis of the intraocular fluids or tissues. We report two cases of intraocular lymphoma diagnosed by the analyses of vitreous and infusion fluid.Patients: Case 1 was a 66-year-old woman who complained of eye floaters and was found to have diffuse vitreous opacification bilaterally. She received corticosteroid therapy, however the vitreous opacification was not resolved, and her visual acuity (VA remained reduced. She underwent pars plana vitrectomy (PPV, and vitreous and infusion fluid were collected to determine the cause of the reduced VA. The undiluted vitreous obtained from core PPV was submitted for cytokine analysis, and infusion fluid was obtained from the machine cassette after full PPV and used for cytological analysis. Case 2 was a 62-year-old man referred with low vision and was found to have diffuse vitreous opacification in the right eye and dot hemorrhages in both eyes. Four years earlier, he had been diagnosed with diffuse large B-cell lymphoma of the paranasal sinuses and was in remission after chemotherapy. Because metastasis of the lymphoma was suspected, he underwent PPV, and intraocular samples were collected as in Case 1.Results: Atypical lymphoid cells were detected from the infusion fluid in both cases. The ratio of interleukin (IL-10 to IL-6 was greater than 1.0 in both cases. These results allowed us to make a diagnosis of intraocular lymphoma: primary intraocular lymphoma in Case 1 and metastatic intraocular lymphoma in Case 2.Conclusion: Vitreous and infusion fluid collected during PPV can be used for diagnosing an intraocular lymphoma

  8. Associations with Intraocular Pressure in a Large Cohort

    Chan, Michelle P.Y.; Grossi, Carlota M.; Khawaja, Anthony P.; Yip, Jennifer L.Y.; Khaw, Kay-Tee; Patel, Praveen J.; Khaw, Peng T.; Morgan, James E.; Vernon, Stephen A.; Foster, Paul J.

    2016-01-01

    Purpose To describe the associations of physical and demographic factors with Goldmann-correlated intraocular pressure (IOPg) and corneal-compensated intraocular pressure (IOPcc) in a British cohort. Design Cross-sectional study within the UK Biobank, a large-scale multisite cohort study in the United Kingdom. Participants We included 110 573 participants from the UK Biobank with intraocular pressure (IOP) measurements available. Their mean age was 57 years (range, 40–69 years); 54% were women, and 90% were white. Methods Participants had 1 IOP measurement made on each eye using the Ocular Response Analyzer noncontact tonometer. Linear regression models were used to assess the associations of IOP with physical and demographic factors. Main Outcome Measures The IOPg and IOPcc. Results The mean IOPg was 15.72 mmHg (95% confidence interval [CI], 15.70–15.74 mmHg), and the mean IOPcc was 15.95 mmHg (15.92–15.97 mmHg). After adjusting for covariates, IOPg and IOPcc were both significantly associated with older age, male sex, higher systolic blood pressure (SBP), faster heart rate, greater myopia, self-reported glaucoma, and colder season (all P < 0.001). The strongest determinants of both IOPg and IOPcc were SBP (partial R2: IOPg 2.30%, IOPcc 2.26%), followed by refractive error (IOPg 0.60%, IOPcc 1.04%). The following variables had different directions of association with IOPg and IOPcc: height (−0.77 mmHg/m IOPg; 1.03 mmHg/m IOPcc), smoking (0.19 mmHg IOPg, −0.35 mmHg IOPcc), self-reported diabetes (0.41 mmHg IOPg, −0.05 mmHg IOPcc), and black ethnicity (−0.80 mmHg IOPg, 0.77 mmHg IOPcc). This suggests that height, smoking, diabetes, and ethnicity are related to corneal biomechanical properties. The increase in both IOPg and IOPcc with age was greatest among those of mixed ethnicities, followed by blacks and whites. The same set of covariates explained 7.4% of the variability of IOPcc but only 5.3% of the variability of IOPg. Conclusions This analysis

  9. Change in Intraocular Pressure During Point-of-Care Ultrasound

    Berg, Cameron

    2015-03-01

    Full Text Available Introduction: Point-of-care ocular ultrasound (US is a valuable tool for the evaluation of traumatic ocular injuries. Conventionally, any maneuver that may increase intraocular pressure (IOP is relatively contraindicated in the setting of globe rupture. Some authors have cautioned against the use of US in these scenarios because of a theoretical concern that an US examination may cause or exacerbate the extrusion of intraocular contents. This study set out to investigate whether ocular US affects IOP. The secondary objective was to validate the intraocular pressure measurements obtained with the Diaton® as compared with standard applanation techniques (the Tono-Pen®.   Methods: We enrolled a convenience sample of healthy adult volunteers. We obtained the baseline IOP for each patient by using a transpalpebral tonometer. Ocular US was then performed on each subject using a high-frequency linear array transducer, and a second IOP was obtained during the US examination. A third IOP measurement was obtained following the completion of the US examination. To validate transpalpebral measurement, a subset of subjects also underwent traditional transcorneal applanation tonometry prior to the US examination as a baseline measurement. In a subset of 10 patients, we obtained baseline pre-ultrasound IOP measurements with the Diaton® and Tono-Pen®, and then compared them.   Results: The study included 40 subjects. IOP values during ocular US examination were slightly greater than baseline (average +1.8mmHg, p=0.01. Post-US examination IOP values were not significantly different than baseline (average -0.15mmHg, p=0.42. In a subset of 10 subjects, IOP values were not significantly different between transpalpebral and transcorneal tonometry (average +0.03mmHg, p=0.07.   Conclusion: In healthy volunteer subjects, point-of-care ocular US causes a small and transient increase in IOP. We also showed no difference between the Diaton® and Tono-Pen® methods

  10. The accute effects of resistance exercise on intraocular pressure

    Vieira Geraldo Magela

    2003-01-01

    Full Text Available PURPOSE: To study intraocular pressure (IOP variations in healthy volunteers after weight lifting, in the supine position. METHODS: A descriptive study was designed. Thirty-four individuals were preselected for this study, and a group of 25 volunteers fulfilled the inclusion criteria for joining the initial phase of this research. All of them were healthy without glaucoma. They were asked to lift an 85% top load in the supine position for 8 times. IOP was measured before and after the exercise. Student's t test was used to analyze the IOP variations. RESULTS: A small, but significant IOP decrease (1.61 mmHg was obtained after exposing 25 individuals (49 eyes to a specific physical effort. CONCLUSIONS: After a session of weight lifting in the supine position with 85% top load for 8 repetitions, there is a small, but significant IOP decrease.

  11. Laboratory analyses of two explanted hydrophobic acrylic intraocular lenses

    Yunhai Dai

    2014-01-01

    Full Text Available Two three-piece hydrophobic acrylic intraocular lenses (IOLs were explanted from two patients at 7 and 9 years, respectively, after implantation, because of poor fundus visualisation and/or a clinically significant decrease in visual acuity related to their opacified IOLs. In addition to light microscopy, scanning electron microscopy and energy dispersive X-ray spectroscopy, confocal laser scanning microscopy was used for the first time to observe the explanted IOLs. The clinical aspect seemed to correspond to the phenomenon of surface light scattering, while laboratory analyses showed dense glistenings in the central layer of the IOL optic, which had no change next to the surface. Further studies on these phenomena are needed.

  12. Ectopic intraocular lens: An unusual complication of cataract surgery

    Mehul A Shah

    2014-01-01

    Full Text Available We wish to report an unusual complication of intraocular lens (IOL insertion following uneventful phacoemulsification. After successful phacoemulsification surgery, a hydrophobic acrylic IOL was loaded in the injector for insertion into the capsular bag. During insertion, the IOL inadvertently extended into the corneal stromal lamella. The complication was recognized at a late stage, and the foldable acrylic lens was retrieved and reinserted correctly in the bag. The anterior chamber was made viscoelastically taut and was maintained in this state for 10 min, followed by a routine viscoelastic wash and air bubble injection. Cornea was slightly edematous with stromal haze, and the corneal thickness was 908 μm. At the 1-month follow-up visit, the patient′s vision was 20/40, the stromal haze had subsided, the corneal thickness was 572 μm, and the patient was comfortable. Though it was unknown complication, following proper management patient recovered satisfactorily.

  13. Central corneal thickness and intraocular pressure in premature infants.

    Sekeroglu, Mehmet Ali; Hekimoglu, Emre; Petricli, İkbal Seza; Karakaya, Jale; Ozcan, Beyza; Yucel, Husniye; Kavurt, Aysen Sumru; Bas, Ahmet Yagmur

    2015-12-01

    To evaluate the central corneal thickness (CCT) and intraocular pressure (IOP) of premature infants and to document correlation of them with gestational age, chronological age, and birth weight of infants. Using a hand-held applanation tonometer and a portable pachymeter, IOP and CCT of 170 premature infants were measured just before initial retinopathy of prematurity screening examination and re-measured 4 weeks after the first visit. The CCT and IOP were positively correlated during the first (r = 0.616, p premature infants with a smaller gestational age were found to be higher (p Premature infants with smaller gestational age have higher CCT and IOP values when compared to older infants. These values tend to become lower 4 weeks after the first examination as infants become older. The CCT and IOP were positively correlated with each other and both were negatively correlated with gestational age, chronological age, and birth weight during first and second visits. PMID:26286757

  14. Bionic intraocular lens with variable focus and integrated structure

    Liang, Dan; Wang, Xuan-Yin; Du, Jia-Wei; Xiang, Ke

    2015-10-01

    This paper proposes a bionic accommodating intraocular lens (IOL) for ophthalmic surgery. The designed lens has a solid-liquid mixed integrated structure, which mainly consists of a support ring, elastic membrane, rigid lens, and optical liquid. The lens focus can be adjusted through the deformation of the lens front surface when compressed. The integrated structure of the IOL is presented, as well as a detailed description of the lens materials and fabrication process. Images under different radial pressures are captured, and the lens deformation process, accommodating range, density, and optical property are analyzed. The designed lens achieves a 14.6 D accommodating range under a radial pressure of 51.4 mN and a 0.24 mm alteration of the lens outer radius. The deformation property of the lens matches well with the characteristic of the eye and shows the potential to help patients fully recover their vision accommodation ability after the cataract surgery.

  15. Intraocular electro-optic lens with ciliary muscle controlled accommodation.

    Doornaert, Dries; Glorieux, Christ; De Gersem, Herbert; Puers, Robert; Spileers, Werner; Blanckaert, Johan

    2013-01-01

    In this paper a concept is proposed of an intraocular lens implant with electro-optic accommodation of a variable-focus hybrid liquid-crystal-based lens. The dioptric strength of the lens is electronically controlled by a signal that is derived from the change of inductance of a sensing coil due to a marker implanted in the nearby contracting or decontracting ciliary muscle. Analytical, numerical and experimental results are reported on the dependency of the frequency of a Colpitts oscillator circuit on the location of a nearby conductive marker. A concept is also reported on the use as an electro-optic lens of a device based on a liquid crystal in planar alignment, which is held between a flat and a curved window coated with optically transparent and electrically conductive layers. PMID:24110406

  16. [To guard against mistakes in selection of intraocular lenses].

    He, Shou-zhi

    2008-04-01

    Development of different kinds of new intraocular lenses (IOL) provide more selections to meet various clinical requirements, which may plays an active role in making cataract surgery more perfectible. But there are many misunderstandings about how to select the proper IOL. For example, "the expensive one is the best one", "new product is absolutely perfect", and so on. Some surgeons prefer more practice and ignore the summary of the experiences. Someone unilaterally exaggerates some special function of IOL When selecting the IOL, it is a common challenge for us to fully consider the patients needs, and properly manage the relationship between the basic need and special need, and to avoid fanaticism, and provide the best benefits to the patients. PMID:18844010

  17. A specific Ce oxidation process during sorption of rare earth elements on biogenic Mn oxide produced by Acremonium sp. strain KR21-2

    Tanaka, Kazuya; Tani, Yukinori; Takahashi, Yoshio; Tanimizu, Masaharu; Suzuki, Yoshinori; Kozai, Naofumi; Ohnuki, Toshihiko

    2010-10-01

    Sorption of rare earth elements (REEs) and Ce oxidation on natural and synthetic Mn oxides have been investigated by many researchers. Although Mn(II)-oxidizing microorganisms are thought to play an important role in the formation of Mn oxides in most natural environments, Ce oxidation by biogenic Mn oxide and the relevance of microorganisms to the Ce oxidation process have not been well understood. Therefore, in this study, we conducted sorption experiments of REEs on biogenic Mn oxide produced by Acremonium sp. strain KR21-2. The distribution coefficients, Kd(REE), between biogenic Mn oxide (plus hyphae) and 10 mmol/L NaCl solution showed a large positive Ce anomaly and convex tetrad effect variations at pH 3.8, which was consistent with previous works using synthetic Mn oxide. The positive Ce anomaly was caused by oxidation of Ce(III) to Ce(IV) by the biogenic Mn oxide, which was confirmed by analysis of the Ce L III-edge XANES spectra. With increasing pH, the positive Ce anomaly and convex tetrad effects became less pronounced. Furthermore, negative Ce anomalies were observed at a pH of more than 6.5, suggesting that Ce(IV) was stabilized in the solution (HPLC-ICP-MS showed that some fractions of REEs in the filtrates (<0.2 μm) after sorption experiments were bound to organic molecules (40 and <670 kDa fractions), which were possibly released from hyphae. A line of our data indicates that the negative Ce anomalies under circumneutral pH conditions arose from Ce(III) oxidation on the biogenic Mn oxide and subsequent complexation of Ce(IV) with organic ligands. The suppression of tetrad effects is also explained by the complexation of REEs with organic ligands. The results of this study demonstrate that the coexistence of the biogenic Mn oxide and hyphae of strain KR21-2 produces a specific redox chemistry which cannot be explained by inorganic species.

  18. Intraocular penetration of sequentially instilled topical moxifloxacin, gatifloxacin, and levofloxacin

    Koji Sugioka

    2009-10-01

    Full Text Available Koji Sugioka1, Masahiko Fukuda1, Shohei Komoto1, Motoki Itahashi1, Masakazu Yamada2, Yoshikazu Shimomura11Department of Ophthalmology, Kinki University School of Medicine, Osaka-Sayama City, Osaka, Japan; 2Division for Vision Research, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, JapanPurpose: The objective of the study was to compare the intraocular penetration levels of the newer fluoroquinolones, moxifloxacin, gatifloxacin, and levofloxacin in the rabbit’s cornea, aqueous humor, and conjunctiva after topical instillation.Methods: 0.5% moxifloxacin, 0.3% gatifloxacin, and 0.5% levofloxacin were instilled in random sequence in both eyes of nine New Zealand White rabbits at two-minute intervals. Instillation was repeated every 15 minutes for a total of three drops of each fluoroquinolone per eye. Three additional animals had only moxifloxacin instilled bilaterally using the same schedule. Sixty minutes after the final instillation, the rabbits were sacrificed for determination of corneal, aqueous humor, and conjunctival fluoroquinolone concentrations using highperformance liquid chromatography.Results: Moxifloxacin achieved significantly higher concentrations than levofloxacin and gatifloxacin in the cornea (P = 0.0102 and P = 0.0006, respectively, aqueous humor (P = 0.0015 and P < 0.0001, respectively, and conjunctiva (P = 0.0191 and P = 0.0236, respectively. Conclusions: 0.5% moxifloxacin eyedrops provided superior intraocular penetration in rabbits’ eyes compared with the two other fluoroquinolones, 0.5% levofloxacin and 0.3% gatifloxacin.Keywords: fluoroquinolone, gatifloxacin, levofloxacin, moxifloxacin, penetration, rabbit

  19. Design of a Test Bench for Intraocular Lens Optical Characterization

    Alba-Bueno, Francisco; Vega, Fidel; Millán, María S.

    2011-01-01

    The crystalline lens is the responsible for focusing at different distances (accommodation) in the human eye. This organ grows throughout life increasing in size and rigidity. Moreover, due this growth it loses transparency through life, and becomes gradually opacified causing what is known as cataracts. Cataract is the most common cause of visual loss in the world. At present, this visual loss is recoverable by surgery in which the opacified lens is destroyed (phacoemulsification) and replaced by the implantation of an intraocular lens (IOL). If the IOL implanted is mono-focal the patient loses its natural capacity of accommodation, and as a consequence they would depend on an external optic correction to focus at different distances. In order to avoid this dependency, multifocal IOLs designs have been developed. The multi-focality can be achieved by using either, a refractive surface with different radii of curvature (refractive IOLs) or incorporating a diffractive surface (diffractive IOLs). To analyze the optical quality of IOLs it is necessary to test them in an optical bench that agrees with the ISO119679-2 1999 standard (Ophthalmic implants. Intraocular lenses. Part 2. Optical Properties and Test Methods). In addition to analyze the IOLs according to the ISO standard, we have designed an optical bench that allows us to simulate the conditions of a real human eye. To do that, we will use artificial corneas with different amounts of optical aberrations and several illumination sources with different spectral distributions. Moreover, the design of the test bench includes the possibility of testing the IOLs under off-axis conditions as well as in the presence of decentration and/or tilt. Finally, the optical imaging quality of the IOLs is assessed by using common metrics like the Modulation Transfer Function (MTF), the Point Spread Function (PSF) and/or the Strehl ratio (SR), or via registration of the IOL's wavefront with a Hartmann-Shack sensor and its

  20. Design of a Test Bench for Intraocular Lens Optical Characterization

    The crystalline lens is the responsible for focusing at different distances (accommodation) in the human eye. This organ grows throughout life increasing in size and rigidity. Moreover, due this growth it loses transparency through life, and becomes gradually opacified causing what is known as cataracts. Cataract is the most common cause of visual loss in the world. At present, this visual loss is recoverable by surgery in which the opacified lens is destroyed (phacoemulsification) and replaced by the implantation of an intraocular lens (IOL). If the IOL implanted is mono-focal the patient loses its natural capacity of accommodation, and as a consequence they would depend on an external optic correction to focus at different distances. In order to avoid this dependency, multifocal IOLs designs have been developed. The multi-focality can be achieved by using either, a refractive surface with different radii of curvature (refractive IOLs) or incorporating a diffractive surface (diffractive IOLs). To analyze the optical quality of IOLs it is necessary to test them in an optical bench that agrees with the ISO119679-2 1999 standard (Ophthalmic implants. Intraocular lenses. Part 2. Optical Properties and Test Methods). In addition to analyze the IOLs according to the ISO standard, we have designed an optical bench that allows us to simulate the conditions of a real human eye. To do that, we will use artificial corneas with different amounts of optical aberrations and several illumination sources with different spectral distributions. Moreover, the design of the test bench includes the possibility of testing the IOLs under off-axis conditions as well as in the presence of decentration and/or tilt. Finally, the optical imaging quality of the IOLs is assessed by using common metrics like the Modulation Transfer Function (MTF), the Point Spread Function (PSF) and/or the Strehl ratio (SR), or via registration of the IOL's wavefront with a Hartmann-Shack sensor and its

  1. Design of a Test Bench for Intraocular Lens Optical Characterization

    Alba-Bueno, Francisco; Vega, Fidel; Millan, Maria S, E-mail: francisco.alba-bueno@upc.edu, E-mail: fvega@oo.upc.edu, E-mail: millan@oo.upc.edu [Departamento de Optica y Optometria, Universidad Politecnica de Cataluna, C/ Violinista Vellsola 37, 08222 Terrassa (Spain)

    2011-01-01

    The crystalline lens is the responsible for focusing at different distances (accommodation) in the human eye. This organ grows throughout life increasing in size and rigidity. Moreover, due this growth it loses transparency through life, and becomes gradually opacified causing what is known as cataracts. Cataract is the most common cause of visual loss in the world. At present, this visual loss is recoverable by surgery in which the opacified lens is destroyed (phacoemulsification) and replaced by the implantation of an intraocular lens (IOL). If the IOL implanted is mono-focal the patient loses its natural capacity of accommodation, and as a consequence they would depend on an external optic correction to focus at different distances. In order to avoid this dependency, multifocal IOLs designs have been developed. The multi-focality can be achieved by using either, a refractive surface with different radii of curvature (refractive IOLs) or incorporating a diffractive surface (diffractive IOLs). To analyze the optical quality of IOLs it is necessary to test them in an optical bench that agrees with the ISO119679-2 1999 standard (Ophthalmic implants. Intraocular lenses. Part 2. Optical Properties and Test Methods). In addition to analyze the IOLs according to the ISO standard, we have designed an optical bench that allows us to simulate the conditions of a real human eye. To do that, we will use artificial corneas with different amounts of optical aberrations and several illumination sources with different spectral distributions. Moreover, the design of the test bench includes the possibility of testing the IOLs under off-axis conditions as well as in the presence of decentration and/or tilt. Finally, the optical imaging quality of the IOLs is assessed by using common metrics like the Modulation Transfer Function (MTF), the Point Spread Function (PSF) and/or the Strehl ratio (SR), or via registration of the IOL's wavefront with a Hartmann-Shack sensor and its

  2. [The progress of studies on intraocular lens implantation in cataract with high myopia].

    Liu, Xue; Wan, Xiuhua

    2015-07-01

    With development of the technology of cataract surgery, combined phacoemulsification and intraocular lens implantation in cataract with high myopia has been widely carried out in clinical treatment. Due to the particularity of high myopia, phacoemulsification in patients with cataract and high myopia is difficult and has recently received a lot of attentions. In this paper, preoperative examinations, the selection of intraocular lenses, surgery methods and surgical complications of cataract surgery in patients with cataract and high myopia are briefly reviewed. PMID:26310259

  3. Primary Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure

    Su, Wei-Wen; Chen, Phil Yeong-Fung; Hsiao, Ching-Hsi; Chen, Henry Shen-Lih

    2011-01-01

    Background To investigate the effect of primary phacoemulsification on intraocular pressure (IOP) in patients with acute primary angle-closure (PAC) and coexisting cataract. Methodology Sixteen eyes of 14 patients with acute PAC received phacoemulsification and intraocular lens implantation as initial management for medically uncontrolled IOP in a retrospective chart review. The effects on IOP, vision, anterior chamber depth (ACD), and number of antiglaucoma medications were evaluated. Princi...

  4. Dosimetry and treatment planning of Occu-Prosta I-125 seeds for intraocular lesions

    Chaudhari Suresh; Deshpande Sudesh; Anand Vivek; Sandeep; Saxena Sanjay; Dash A; Basu Mahua; Samant Preetam; Kannan V

    2008-01-01

    Intraocular malignant lesions are frequently encountered in clinical practice. Plaque brachytherapy represents an effective means of treatment for intraocular lesions. Recently Radiopharmaceutical Division, BARC, Mumbai, has indigenously fabricated reasonable-cost I-125 sources. Here we are presenting the preliminary experience of dosimetry of sources, configuration of treatment planning system (TPS) and quality assurance (QA) for eye plaque therapy with Occu-Prosta I-125 seeds, treated in ou...

  5. Intraocular pressure-lowering effect of oral paracetamol and its in vitro corneal penetration properties

    Mohamed N; Meyer D

    2013-01-01

    Nabiel Mohamed, David MeyerDivision of Ophthalmology, Faculty of Medicine and Health Sciences, University of Stellenbosch, Cape Town, South AfricaBackground: Several studies have confirmed the ability of cannabinoids to reduce intraocular pressure. Experimental data recently demonstrated unequivocally that the analgesic effect of paracetamol is due to its indirect action on cannabinoid receptors. The question then arises as to whether paracetamol can reduce intraocular pressure via its effect...

  6. Intraocular pressure in postmenopausal Nigerian women with and without systemic hypertension

    J. A. Ebeigbe

    2011-12-01

    Full Text Available Background: Mean intraocular pressure (IOP in postmenopausal women has been reported higher than that in menstruating women. Also, intraocular pressure is said to be positively correlated with systemic blood pressure. No previous study in Nigeria has compared intraocular pressure in postmenopausal women with and without systemic hypertension. Purpose: To investigate the effects of menopause on intraocular pressure in subjects with and without high blood pressure. Methods: Normotensive and hypertensive premenopausal and postmenopausal subjects in the   same agerange of 45 to 55 years were studied. Intraocular pressure was measured with the hand-held Kowa applanation tonometer.  Blood pressure was taken in the sitting position at the right upper arm using a manual mercury sphygmomanometer with the right cuff size. The average of two readings was recorded. Results: Mean IOP for premenopausal normotensive women was 14.58 ± 2.56 mmHg whilethat of postmenopausal normotensive women was16.15 ± 1.80 mmHg (p<0.05.  Also, the difference in mean IOP between premenopausal hypertensive (16.58 ± 3.23 mmHg and postmenopausal hypertensive women (18.24 ± 3.89 mmHgwas statistically significant (p<0.05. A statistically significant and positive correlation was observed between IOP and systemic blood pressure in postmenopausal hypertensive women, p<0.05.Conclusion: Menopause significantly increases intraocular pressure. Mean intraocular pressure of hypertensive postmenopausal women was significantly higher than that of normotensive post-menopausal women, (p<0.05. Knowledge of the normal level of intraocular pressure during various stages of the female reproductive cycle may help during glaucoma screening. (S Afr Optom 2011 70(3 117-122

  7. Short-term intraocular pressure changes after intravitreal injection of bevacizumab in diabetic retinopathy patients

    Farhood, Qasim

    2014-01-01

    Qasim Kadhim Farhood,1 Sinan Mohammad Twfeeq21College of Medicine, Babylon University, Babylon; 2Al-Jumhori teaching hospital, Mosul, IraqBackground: This study examined the changes in short-term intraocular pressure (IOP) in a prospective series of patients undergoing intravitreal bevacizumab injection. The aim was to evaluate the frequency and predictive factors related to intraocular pressure (IOP) elevation in patients receiving intravitreal bevacizumab.Patients and methods: This study in...

  8. A new device to noninvasively estimate the intraocular pressure produced during ocular compression

    Korenfeld MS; Dueker DK

    2016-01-01

    Michael S Korenfeld,1,2 David K Dueker3 1Comprehensive Eye Care, Ltd., 2Department of Ophthalmology and Visual Sciences, Washington University, Washington, MO, USA; 3Hamad Medical Corporation, Doha, Qatar Purpose: To describe a noninvasive instrument that estimates intraocular pressure during episodes of external globe compression and to demonstrate the accuracy and reliability of this device by comparing it to the intraocular pressures simultaneously and manometrically measured in cannulat...

  9. MRt in the recurrent retinal detachment diagnosis after intraocular tamponade media injection: state of the art

    Inraocular Silicon (SO), Fluorosilicon (FSO) oil or Perfluorocarbon fluid (PFCL) injection is a new succesfull surgical technique in the treatment detachment. After personal casu istic review, we report our experience in 37 patients, who underwent pars plana vitrectomy with intraocular SO, FSO or PFCL in injection for retinal detachment, monitored with Magnetic Resonance Imaging controls. MRI, showing no significant oil-related artifcats, revealed as a confident, non-invasive imaging modality in evaluating patient undergone tamponade media intraocular injection

  10. Phacolytic glaucoma-its treatment by planned extracapsular cataract extraction with posterior chamber intraocular lens implantation

    Singh Gurdeep; Kaur Jagmeet; Mall Sanjay

    1994-01-01

    Phacolytic glaucoma has traditionally been treated with intracapsular lens extraction to avoid any anaphylaxis. Various mechanisms have been described for the rise of intraocular pressure in these cases. The present study was undertaken to evaluate the response of extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens implantation (PC IOL) in five cases of phacolytic glaucoma that occurred between March 1989 and August 1990. A planned extracapsular cataract extractio...

  11. Inflammation after cataract extraction and intraocular lens implantation in patients with rheumatoid arthritis.

    Matsuo, T; Fujiwara, M.; Matsuo, N

    1995-01-01

    AIMS--The purpose of this study was to examine whether preoperative activity of rheumatoid arthritis influences the extent of anterior chamber inflammation after cataract extraction and intraocular lens implantation. METHODS--The medical records of 23 consecutive patients (33 eyes) with rheumatoid arthritis, who underwent cataract extraction with intraocular lens implantation, were reviewed during a 4 year period from April 1990 to March 1994. RESULTS--Eleven patients who still showed a 1+ le...

  12. Audit of outcome of an extracapsular cataract extraction and posterior chamber intraocular lens training course

    Alhassan, M; Kyari, F.; Achi, I.; Ozemela, C.; Abiose, A

    2000-01-01

    BACKGROUND—A training course for cataract surgery with intraocular lens implantation was organised in April 1997 at the National Eye Centre, Kaduna, Nigeria. Operations were performed by six Nigerian consultant ophthalmologists under the supervision of two surgeons from Aravind Eye Hospital, India.
METHODS—A total of 175 eyes with uncomplicated cataracts were operated on after careful selection. All but six patients had extracapsular cataract extraction with posterior chamber intraocular lens...

  13. The Effect of Swimming Goggles on Intraocular Pressure and Blood Flow within the Optic Nerve Head

    Ma, Kyoung Tak; Chung, Woo Suk; Seo, Kyoung Yul; Seong, Gong Je; Kim, Chan Yun

    2007-01-01

    Purpose Goggles are frequently worn in the sport of swimming and are designed to form a seal around the periorbital tissue orbit. The resultant pressure on the eye may have the potential to affect intraocular pressure and blood flow of the optic nerve head. This study evaluates the influence of wearing swimming goggles on intraocular pressure (IOP) and blood flow of the ocular nerve head (ONH) in normal subjects. Materials and Methods Thirty healthy participants took part in this study. The I...

  14. Followup of a Dog with an Intraocular Silicone Prosthesis Combined with an Extraocular Glass Prosthesis

    Gwendolyna Romkes; Johanna Corinna Eule

    2012-01-01

    Because of unpredictable corneal changes, evisceration and implantation of a silicone prosthesis does not always lead to a satisfying cosmetic result. This paper describes the use of an intraocular silicone prosthesis in combination with an extraocular glass prosthesis and shows a followup of two and a half years in a nonexperimental study. An intraocular silicone prosthesis was implanted after evisceration of the left eye in a five-month-old Bernese mountain dog. A glass prosthesis was fitte...

  15. Intraocular pressure variations during zygomatic fracture reduction and fixation: a clinical study.

    Murray, Dylan J

    2012-02-03

    BACKGROUND: The reduction of midface fractures has been associated with the rare but devastating complication of blindness. An increase in intraocular pressure is important in the mechanism of blindness in this setting. In this study, the authors assessed the intraocular pressure in patients who underwent zygomatic fracture reduction (with or without fixation). METHODS: Using applanation tonometry, 29 patients underwent intraocular pressure measurements before, during, and after fracture fixation. The contralateral pressures were measured and used as the control. RESULTS: There were 29 patients with a mean age of 35 years, and the mean time to surgery was 5 days. Preoperatively, all patients had normal intraocular pressures and normal visual acuity. All patients underwent a Gillies lift and 18 patients required open reduction and fixation of the frontozygomatic suture (n = 4) or the infraorbital margin (n = 2), and the remainder (n = 12) required fixation of both points. There was no statistically significant increase in the intraocular pressures following the reduction of uncomplicated zygomatic fractures. Statistically significant pressure reductions were noted immediately after reduction and fixation. CONCLUSIONS: The surgical reduction of uncomplicated zygomatic fractures has no adverse effect on the intraocular pressure. It is the authors\\' opinion that adjunctive measures to reduce the pressures are unnecessary.

  16. A case of Alagille syndrome complicated by intraocular lens subluxation and rhegmatogenous retinal detachment

    Fukumoto M

    2013-07-01

    Full Text Available Masanori Fukumoto, Tsunehiko Ikeda, Tetsuya Sugiyama, Mari Ueki, Takaki Sato, Eisuke Ishizaki Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan Abstract: This case report describes a case of Alagille syndrome with developing intraocular lens subluxation and rhegmatogenous retinal detachment 4 years after cataract surgery. A 15-year-old female patient with Alagille syndrome-associated cataracts in both eyes underwent phacoemulsification aspiration and intraocular lens implantation. Four years postoperative, intraocular lens subluxation developed in her left eye. For treatment, extraction of the dislocated intraocular lens, anterior vitrectomy, and intraocular lens fixation was performed. Three weeks later, the patient developed rhegmatogenous retinal detachment, which was well-treated by pars plana vitrectomy. Cataract surgery needs to be performed carefully in patients with Alagille syndrome due to the weakness of the zonule of Zinn. Careful postoperative observation is necessary for patients with Alagille syndrome who have undergone intraocular surgery in order to facilitate early detection of a possible rhegmatogenous retinal detachment. Keywords: Alagille syndrome, cataract, retina, surgery

  17. Pigment dispersion syndrome associated with intraocular lens implantation: a new surgical technique

    M Isabel Canut Jordana

    2010-11-01

    Full Text Available M Isabel Canut Jordana1, Daniel Pérez Formigó1, Rodrigo Abreu González2, Jeroni Nadal Reus11Barraquer Ophthalmology Centre, Barcelona, Spain; 2University Hospital of La Candelaria, Tenerife, SpainAims: We report the case of a myopic patient who, after intraocular lens transplant in the posterior chamber, suffered elevated intraocular pressure due to pigment dispersion, with recurrent episodes of blurred vision. The patient was treated with a new surgical technique that can avoid potential iridolenticular contact.Methods: Complete ophthalmologic examination and optical coherence tomography (OCT of the anterior segment were performed.Results: Contact between the pigmentary epithelium and the iris with an intraocular lens was revealed by utrasound biomicroscopy and OCT. In this case, Nd:YAG laser iridotomy and laser iridoplasty were not effective for iridolenticular separation and control of the pigment dispersion. We propose a new technique: stitches on the surface of the iris to obtain good iridolenticular separation and good intraocular pressure control.Conclusion: Stitches on the iris surface should be considered as optional therapy in pigmentary glaucoma secondary to intraocular lens implantation. This surgical technique can avoid potential iridolenticular contacts more definitively.Keywords: pigmentary glaucoma, intraocular lens, optical coherence tomography, laser

  18. A possible coincidence of cytomegalovirus retinitis and intraocular lymphoma in a patient with systemic non-Hodgkin’s lymphoma

    Svozílková Petra

    2013-01-01

    Full Text Available Abstract Purpose To present a possible coincidence of cytomegalovirus retinitis and intraocular lymphoma in a patient with systemic non-Hodgkin’s lymphoma. Case presentation A 47-year-old woman presented with decreased visual acuity associated with white retinal lesions in both eyes. A history of pneumonia of unknown aetiology closely preceded the deterioration of vision. Five years previously the patient was diagnosed with follicular non-Hodgkin’s lymphoma. She was treated with a chemotherapy regimen comprised of cyclophosphamide, adriamycin, vincristin, and prednisone with later addition of the anti-CD20 antibody rituximab. She experienced a relapse 19 months later with involvement of the retroperitoneal lymph nodes, and commenced treatment with rituximab and 90Y-ibritumomab tiuxetan. A second relapse occurred 22 months after radioimmunotherapy and was treated with a combination of fludarabine, cyclophosphamide, and mitoxantrone followed by rituximab. The patient experienced no further relapses until the current presentation (April, 2010. Pars plana vitrectomy with vitreous fluid analysis was performed in the right eye. PCR testing confirmed the presence of cytomegalovirus in the vitreous. Atypical lymphoid elements, highly suspicious of malignancy were also found on cytologic examination. Intravenous foscarnet was administered continually for three weeks, followed by oral valganciclovir given in a dose of 900 mg twice per day. In addition, the rituximab therapy continued at three monthly intervals. Nevertheless, cessation of foscarnet therapy was followed by a recurrence of retinitis on three separate occasions during a 3-month period instigating its reinduction to the treatment regime after each recurrence. Conclusions Cytomegalovirus retinitis is an opportunistic infection found in AIDS patients as well as in bone marrow and solid organ transplant recipients being treated with systemic immunosuppressive drugs. This case presents a less

  19. Comparison of dose calculation methods for brachytherapy of intraocular tumors

    Rivard, Mark J.; Chiu-Tsao, Sou-Tung; Finger, Paul T.; Meigooni, Ali S.; Melhus, Christopher S.; Mourtada, Firas; Napolitano, Mary E.; Rogers, D. W. O.; Thomson, Rowan M.; Nath, Ravinder [Department of Radiation Oncology, Tufts University School of Medicine, Boston, Massachusetts 02111 (United States); Quality MediPhys LLC, Denville, New Jersey 07834 (United States); New York Eye Cancer Center, New York, New York 10065 (United States); Department of Radiation Oncology, Comprehensive Cancer Center of Nevada, Las Vegas, Nevada 89169 (United States); Department of Radiation Oncology, Tufts University School of Medicine, Boston, Massachusetts 02111 (United States); Department of Radiation Physics, University of Texas, M.D. Anderson Cancer Center, Houston, Texas 77030 (United States) and Department of Experimental Diagnostic Imaging, University of Texas, M.D. Anderson Cancer Center, Houston, Texas 77030 (United States); Physics, Elekta Inc., Norcross, Georgia 30092 (United States); Department of Physics, Carleton University, Ottawa, Ontario K1S 5B6 (Canada); Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut 06520 (United States)

    2011-01-15

    Purpose: To investigate dosimetric differences among several clinical treatment planning systems (TPS) and Monte Carlo (MC) codes for brachytherapy of intraocular tumors using {sup 125}I or {sup 103}Pd plaques, and to evaluate the impact on the prescription dose of the adoption of MC codes and certain versions of a TPS (Plaque Simulator with optional modules). Methods: Three clinical brachytherapy TPS capable of intraocular brachytherapy treatment planning and two MC codes were compared. The TPS investigated were Pinnacle v8.0dp1, BrachyVision v8.1, and Plaque Simulator v5.3.9, all of which use the AAPM TG-43 formalism in water. The Plaque Simulator software can also handle some correction factors from MC simulations. The MC codes used are MCNP5 v1.40 and BrachyDose/EGSnrc. Using these TPS and MC codes, three types of calculations were performed: homogeneous medium with point sources (for the TPS only, using the 1D TG-43 dose calculation formalism); homogeneous medium with line sources (TPS with 2D TG-43 dose calculation formalism and MC codes); and plaque heterogeneity-corrected line sources (Plaque Simulator with modified 2D TG-43 dose calculation formalism and MC codes). Comparisons were made of doses calculated at points-of-interest on the plaque central-axis and at off-axis points of clinical interest within a standardized model of the right eye. Results: For the homogeneous water medium case, agreement was within {approx}2% for the point- and line-source models when comparing between TPS and between TPS and MC codes, respectively. For the heterogeneous medium case, dose differences (as calculated using the MC codes and Plaque Simulator) differ by up to 37% on the central-axis in comparison to the homogeneous water calculations. A prescription dose of 85 Gy at 5 mm depth based on calculations in a homogeneous medium delivers 76 Gy and 67 Gy for specific {sup 125}I and {sup 103}Pd sources, respectively, when accounting for COMS-plaque heterogeneities. For off

  20. Mechanisms for vasopressin effects on intraocular pressure in anesthetized rats

    Balaban, C. D.; Palm, D. E.; Shikher, V.; Searles, R. V.; Keil, L. C.; Severs, W. B.

    1997-01-01

    Continuous intracameral infusions of a balanced salt solution (0.175 microliter min-1) have been reported to raise intraocular pressure (IOP) in anesthetized rats. Palm et al. (1995) previously reported that this effect was attenuated significantly by inclusion of arginine-vasopressin (AVP, 10 ng 0.175 microliter-1) in the infusate. This study used experimental and computer simulation methods to investigate factors underlying these changes in IOP. First, constant intracameral infusions of artificial cerebrospinal fluid (aCSF) at different fixed rates (0.049-0.35 microliter min-1) were used to estimate the outflow resistance. Secondly, IOP responses were measured during an 2 hr intracameral infusion of either aCSF or AVP that was the sum of a small constant component (0.05 microliter min-1) and a larger periodic component (0.25 microliter min-1, cycling for 4 min on, then 4 min off); the mean infusion rate was 0.175 microliter min-1. As shown previously for 0.175 microliter min-1 constant infusions, the periodic aCSF infusion induced a significant rise in IOP that was attenuated by AVP administration. Complex demodulation analysis and the estimated gain parameter of a second order transfer function fit to the periodic responses indicated that outflow resistance increased significantly during the infusions in both aCSF and AVP groups, but that the indices of resistance did not differ significantly between aCSF and AVP infused eyes. This finding implies that changes in outflow resistance do not explain the difference in IOP responses to intracameral aCSF and AVP. The two responses differed significantly, though, in damping factors, such that the aCSF responses were considerably more underdamped than the AVP responses. It is hypothesized that aCSF-induced increase in IOP reflects both (1) a small component reflecting increased outflow resistance and (2) a larger non-resistive component. Since the non-resistive component is insensitive to pretreatment with acetazolamide

  1. Accuracy of Intraocular Lens Power Formulas Involving 148 Eyes with Long Axial Lengths: A Retrospective Chart-Review Study

    Chong Chen; Xian Xu; Yuyu Miao; Gaoxin Zheng; Yong Sun; Xun Xu

    2015-01-01

    Purpose. This study aims to compare the accuracy of intraocular lens power calculation formulas in eyes with long axial lengths from Chinese patients subjected to cataract surgery. Methods. A total of 148 eyes with an axial length of >26 mm from 148 patients who underwent phacoemulsification with intraocular lens implantation were included. The Haigis, Hoffer Q, Holladay 1, and SRK/T formulas were used to calculate the refractive power of the intraocular lenses and the postoperative estimated...

  2. Sensitivity of the corneal-plane refractive compensation to change in power and axial position of an intraocular lens

    W. F. Harris

    2009-01-01

    If an intraocular lens is displaced or if its power is changed what are the consequences for the refractive compensation of the eye?  Gaussian optics is used to obtain explicit formulae for the sensitivityof the corneal-plane refractive compensation (also called the refraction, refractive state, etc) to change in power and axial displacement of a thin intraocular lens implanted in a simple eye.  In particular, for a pseudophakic Gullstrand simplified eye with intraocular lens placed 5 mm behi...

  3. Cuerpo extraño intraocular en el segmento posterior Intraocular foreign bodies in the posterior segment

    Diley Pérez García

    2012-01-01

    Full Text Available El trauma causado por cuerpo extraño intraocular es una de las principales causas de pérdida visual severa. Técnicamente es un trauma penetrante con permanencia del agente agresor dentro del globo ocular. Constituye una verdadera emergencia oftalmológica, pues puede ocasionar ceguera aún cuando se realiza un diagnóstico y tratamiento adecuados. Se realizó esta revisión para proponer un algoritmo de trabajo con el propósito de maximizar la recuperación anatómica y funcional después de una lesión de este tipo. La conducta a seguir ante este paciente requiere un tratamiento guiado por la apreciación del mecanismo del daño, naturaleza, localización y tamaño del cuerpo extraño; los conocimientos y la disposición del equipamiento necesario para el tratamiento quirúrgico y los cuidados posoperatorios. Existe controversia en cuanto al momento de extracción del cuerpo extraño; sin embargo, se debe realizar una conducta. La profilaxis de la endoftalmitis con antibióticos sistémicos es recomendada y la intravítrea de antibiótico debe ser considerada en los pacientes de alto riesgo. Se debe realizar el diagnóstico precoz o detección posoperatoria temprana de complicaciones como el desprendimiento de retina, endoftalmitis y la proliferación vítreorretiniana, que se han asociado con un pobre pronóstico visual.Intraocular foreign bodies are a major cause for severe visual loss. By technical definition, it consists of a form of penetrating ocular trauma, characterized by the persistence of the traumatic agent inside the eye, and is considered an ophthalmic emergency, since it may cause blindness even if good diagnosis and treatment are followed. This review was made to submit a management algorithm that can maximize the anatomical and functional outcomes after this type of injury. The management of these patients requires taking into account the mechanism of eye injury, the nature, the location and the size of the foreign body

  4. Successful toric intraocular lens implantation in a patient with induced cataract and astigmatism after posterior chamber toric phakic intraocular lens implantation: a case report

    Kamiya Kazutaka

    2012-04-01

    Full Text Available Abstract Introduction We report the case of a patient in whom simultaneous toric phakic intraocular lens removal and phacoemulsification with toric intraocular lens implantation were beneficial for reducing pre-existing astigmatism and acquiring good visual outcomes in eyes with implantable collamer lens-induced cataract and astigmatism. Case presentation A 53-year-old woman had undergone toric implantable collamer lens implantation three years earlier. After informed consent was obtained, we performed simultaneous toric implantable collamer lens removal and phacoemulsification with toric intraocular lens implantation. Preoperatively, the manifest refraction was 0, -0.5 × 15, with an uncorrected visual acuity of 0.7 and a best spectacle-corrected visual acuity of 0.8. Postoperatively, the manifest refraction was improved to 0, -0.5 × 180, with an uncorrected visual acuity of 1.2 and a best spectacle-corrected visual acuity of 1.5. No vision-threatening complications were observed. Conclusion Toric intraocular lens implantation may be a good surgical option for the correction of spherical and cylindrical errors in eyes with implantable collamer lens-induced cataract and astigmatism.

  5. Experiment design for through-focus testing of intraocular lenses

    Millán, María. S.; Alba-Bueno, Francisco; Vega, Fidel

    2013-11-01

    Eye models to test intraocular lenses (IOLs) in an optical bench are commonly designed in agreement with the ISO 11979-2 and 11979-9 standard requirements. However, modifications to the ISO eye model have been proposed to test IOLs in conditions closer to real human eye. Wavefront analysis and aberration characterization, wavelength dependence, efficiency, off-axis performance and imaging degradation under certain amount of misalignment can thus be measured in vitro. The main parts of the system to test IOLs are: the illumination system and object test, the eye model including the IOL immersed in a wet cell and a microscope assembled to a sensor that magnifies and captures the aerial image of the object formed by the eye model. A problem concerning the simultaneous variation of defocus and magnification arises when using the microscope to capture out-of-focus images in a through-focus study. Using the eye model, we study the problem of implementing a through-focus measurement of the imaging quality of an IOL. We find a solution based on geometrical optics and compare it with other proposals reported in the literature. The effects on the measurement of the Modulation Transfer Function and the Point Spread Function are predicted. Experimental results are obtained and discussed.

  6. Measurement of Intraocular Pressure after LASIK by Dynamic Contour Tonometry

    LIU Lei; LEI Cheng; LI Xinyu; Dong Jieyu

    2006-01-01

    Changes of corneal properties induced by laser in situ keratomileusis (LASIK) results in low inaccurate intraocular pressure (IOP) readings by Goldmann applanation tonometry (GAT).Before and after LASIK, the applied value of IOP, measured by dynamic contour tonometry (DCT)in comparison to GAT, was evaluated. Before and 1, 4 weeks after LASIK, the IOP in 30 cases (60 eyes) was measured by GAT and DCT respectively. The obtained results were statistically processed by SPSS11. 5 statistical software. The results showed that central corneal thickness (CCT)could affect GAT measurements but not DCT measurements. The comparison of IOP one and 4 weeks after LASIK revealed that the readings from GAT was separately decreased by 5.00±1.12 and 5.45±1. 13 mmHg as compared with those before LASIK, while those from DCT had no significant difference. It was concluded that LASIK-induced changes of CCT could influence the accuracy of GAT measurements, but had no influence on those from DCT. DCT was more beneficial to the measurements of IOP in normal eyes and those subject to LASIK surgery.

  7. Intraocular camera for retinal prostheses: Refractive and diffractive lens systems

    Hauer, Michelle Christine

    The focus of this thesis is on the design and analysis of refractive, diffractive, and hybrid refractive/diffractive lens systems for a miniaturized camera that can be surgically implanted in the crystalline lens sac and is designed to work in conjunction with current and future generation retinal prostheses. The development of such an intraocular camera (IOC) would eliminate the need for an external head-mounted or eyeglass-mounted camera. Placing the camera inside the eye would allow subjects to use their natural eye movements for foveation (attention) instead of more cumbersome head tracking, would notably aid in personal navigation and mobility, and would also be significantly more psychologically appealing from the standpoint of personal appearances. The capability for accommodation with no moving parts or feedback control is incorporated by employing camera designs that exhibit nearly infinite depth of field. Such an ultracompact optical imaging system requires a unique combination of refractive and diffractive optical elements and relaxed system constraints derived from human psychophysics. This configuration necessitates an extremely compact, short focal-length lens system with an f-number close to unity. Initially, these constraints appear highly aggressive from an optical design perspective. However, after careful analysis of the unique imaging requirements of a camera intended to work in conjunction with the relatively low pixellation levels of a retinal microstimulator array, it becomes clear that such a design is not only feasible, but could possibly be implemented with a single lens system.

  8. Stem Cells in the Trabecular Meshwork for Regulating Intraocular Pressure.

    Yun, Hongmin; Zhou, Yi; Wills, Andrew; Du, Yiqin

    2016-06-01

    Intraocular pressure (IOP) is still the main treatment target for glaucoma. Outflow resistance mainly exists at the trabecular meshwork (TM) outflow pathway, which is responsible for IOP regulation. Changes of TM cellularity and TM extracellular matrix turnover may play important roles in IOP regulation. In this article, we review basic anatomy and physiology of the outflow pathway and TM stem cell characteristics regarding the location, isolation, identification and function. TM stem cells are localized at the insert region of the TM and are label-retaining in vivo. They can be isolated by side-population cell sorting, cloning culture, or sphere culture. TM stem cells are multipotent with the ability to home to the TM region and differentiate into TM cells in vivo. Other stem cell types, such as adipose-derived stem cells, mesenchymal stem cells and induced pluripotent stem cells have been discovered for TM cell differentiation and TM regeneration. We also review glaucomatous animal models, which are suitable to study stem cell-based therapies for TM regeneration. PMID:27183473

  9. Aerobic exercise and intraocular pressure in normotensive and glaucoma patients

    Chatzibalis Theodosios

    2009-08-01

    Full Text Available Abstract Background With the increasing number of people participating in physical aerobic exercise, jogging in particular, we considered that it would be worth knowing if there are should be limits to the exercise with regard to the intraocular pressure (IOP of the eyes. The purpose of this study is to check IOP in healthy and primary glaucoma patients after aerobic exercise. Methods 145 individuals were subdivided into seven groups: normotensives who exercised regularly (Group A; normotensives in whose right eye (RE timolol maleate 0.5% (Group B, latanoprost 0.005% (Group C, or brimonidine tartrate 0.2% (Group D was instilled; and primary glaucoma patients under monotherapy with β-blockers (Group E, prostaglandin analogues (Group F or combined antiglaucoma treatment (Group G instilled in both eyes. The IOP of both eyes was measured before and after exercise. Results A statistically significant decrease was found in IOP during jogging. The aerobic exercise reduces the IOP in those eyes where a b-blocker, a prostaglandin analogue or an α-agonist was previously instilled. The IOP is also decreased in glaucoma patients who are already under antiglaucoma treatment. Conclusion There is no ocular restriction for simple glaucoma patients in performing aerobic physical activity.

  10. Spontaneous Scleral Perforation of an Anterior Chamber Intraocular Lens

    Spierer, Oriel; O'Brien, Terrence P.

    2016-01-01

    A routine eye examination of a 69-year-old man revealed a scleral perforation of one of the haptics of the anterior chamber intraocular lens (AC IOL) which had been implanted many years ago. The patient was asymptomatic with good visual acuity. His history was negative for any trauma, eye rubbing, topical corticosteroid use, or autoimmune disease. The horizontal and vertical white-to-white diameters of the cornea in the right eye were 11.5 and 10.5 mm, respectively. Anterior segment optical coherence tomography showed the anterior chamber length to be 12.28 mm horizontally and 10.63 mm vertically. The patient underwent an IOL exchange, and the length of the explanted AC IOL was measured to be 12 mm. We speculate that the AC IOL, which was vertically aligned, was oversized. This case demonstrates the need for proper sizing and positioning of an AC IOL. In complex cases where AC IOL may be used, measuring the horizontal and vertical lengths of the anterior chamber by anterior segment optical coherence tomography prior to surgery may be useful.