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Sample records for chamber intraocular lenses

  1. The Relation of the Location of Haptics of Posterior Chamber Intraocular Lenses and Peripheral Anterior Synechia

    Institute of Scientific and Technical Information of China (English)

    RuiduanLiao; ShaozhenLi

    1995-01-01

    Purpose:To investigate the occurrence,outcome and influencial factors of the pe-ripheral anterior synechia(PAS)following implantation of posterior chamber in-traocular lenses for finding a way to reduce thePAS.Subjects;40 eyes of 38senile cataract patients with normal chamber angle and in-traocular pressue(IOP)preoperatively were examined.Methods:Extracapsular cataract extraction was performed under microscope with insertion of a posterior chamber lens implant vaulted anteriorly by 10°.Go-nioscopy and slit-lamp examination and photography of the operated eyes were performed 3to 6months postoperatively.Results:PAS were found in 20(50%)of the 40eyes.Among the 20eyes with PAS the locations of 23haptics in17eyes corresponded with those of the PAS.PAS were seen more frequently with vertically sulcus-fixated haptics than with the horizontally capsular-fixated haptics.showing a significant difference(P<0.05).88%of the eyes withPAS had pupillary edformation,but their visual acuities and IOP were not affected.Conclusions:PAS is more likely to occur with vertically sulcus-fixated IOL.Rotat-ing the capsular-fixated haptics to the horizontal position may reduce the inci-dence of PAS.Gonioscopy should be a routine follow-up examination.

  2. Location and composition of haptics of posterior chamber intraocular lenses. Histopathologic study of postmortem eyes.

    Science.gov (United States)

    McDonnell, P J; Champion, R; Green, W R

    1987-02-01

    Of 110 eyes with posterior chamber intraocular lenses (IOLs) examined postmortem, 37% had both haptics outside of the capsular bag; 57% had one haptic in the capsular bag and the other haptic outside of the bag. Typically, these optics were decentered by 1 to 2 mm. Only six eyes (5%) had both haptics within the capsular bag. Erosion into the ciliary sulcus produced obliteration of the major arterial circle of the iris in 12 eyes (11%). The local tissue response to eroding haptics was similar for haptics composed of polypropylene and haptics composed of polymethylmethacrylate (PMMA). The authors found considerable discrepancy between the actual location of haptics and the surgeon's desired location (i.e., capsular bag or ciliary sulcus). Most of these cases were clinically successful.

  3. A knotless, one-haptic fixation of posterior chamber intraocular lenses: one-year results

    Institute of Scientific and Technical Information of China (English)

    Pipat; Kongsap

    2015-01-01

    AIM: To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens(IOL) in eyes which had deficient of posterior capsular support.METHODS: This retrospective study was comprised of ten patients with deficient posterior capsular support who underwent one-haptic fixation of posterior chamber IOLs, between February 2010 and October 2011. IOL as implanted with one haptic supported on the capsular remnant and the other haptic drawn into the sulcus by anchoring suture without a knot. All patients were evaluated for pre- and postoperative visual acuity, lens centration, intra-and postoperative complications.RESULTS: A knotless, one-haptic fixation of posterior chamber IOLs has successfully been performed on ten eyes. All cases had inadequate capsular support(i.e. a capsular tear ranged from 5 to 7 clock hours). The average age was 74.25 ±8.87y(SD). The average postoperative uncorrected visual acuity was 0.51 log MAR.Complications included hyphema in one eye, a mild inflammatory reaction in the anterior chamber in two eyes, and a transient rise in IOP in one eye. Neither IOL tilt nor dislocation was observed and there were no later complications.CONCLUSION: In the presence of insufficient capsular support, a knotless, one-haptic fixation of posterior chamber IOLs is a safe and viable option which reduces the operation time, and minimizes postoperative suture-related complications.

  4. Membrane Formation on the Surface of implanted Posterior Chamber Intraocular Lenses

    Institute of Scientific and Technical Information of China (English)

    FangyaoYang; GuijunWu

    1995-01-01

    Purpose:To study the prevention and treatment of the membrane formation on the lens surface after extracapsular cataract extraction(ECCE)with posterior chamber intraocular lens(PCIOL)implantation.Methods:We reviewed the records of 312 cataractous patients that had undergone ECCEwith PCIOLimplantation between1989and1993,Postoperatively all pa-tients were examined under slit-lamp microscopy.The membrane formation on the surface of PCIOLin pupilar area was divided into four grades.Two mem-branes of surgical removal were observed under a transmission electrom mi-croscopy.One PCIOLof surgical removal was observed under a scanning electron microscopy.Results;Of312 patients,21 had the membrane formation on the surface of the PCIOL postoperatively.The incidence of the membrane formation was6.7%.Comparisone with cases of senile cataract showed the incidence to be significantly the highest among;1.patients who had traumatic cataract(P<0.05);2.pa-tients with complicated cataract(P<0.05).Interoperatively residual lens corten and rupture of posterior capsule,interval time betwwen the first and second eye operations less than 1month are the main factors of menbrane formation.The ultrastructure in membrane and cytology on the lens surface showed that the membrane on the surface of PCIOLs is usually composed of acellular protein film and cellular elements,including macrophages.fibroblast-like cells,epithelioid cells,giant cells,fibroblasts and collagen fibrils,etc.Conclusions:The cellular response on the surface of an implanted PCIOLis a chonic foreign-body inflammatory reaction and the membrane of the surfaceof implanted PCIOL is a reactive membrane of the foreign-body.Eye Science1995;11:131-135.

  5. COMPARISON OF ANTERIOR CHAMBER REACTION WITH SINGLE-PIECE AND THREE-PIECE INTRAOCULAR LENSES IN MANUAL SMALL INCISION CATARACT SURGERY

    Directory of Open Access Journals (Sweden)

    Usha

    2014-11-01

    Full Text Available OBJECTIVES: To study the anterior chamber reaction between single-piece and three-piece intraocular lenses in manual small incision cataract surgery. METHODS: Prospective study done at Mysore Race Club Charitable Eye Hospital. 140 Patients underwent suture less sclerocorneal tunnel cataract surgeries with single-piece or three-piece Polymethylmethacrylate (PMMA intra ocular lenses (3-piece IOL. Accurate Keratometry was done with the help of Bausch and Lomb Keratometer. IOL power was calculated by using SRK (Sanders-Retzlaff-Kraff II formula, with the help of non-immersion, contact type of A-Scan biometry. Single-piece IOLs were inserted in 70 patients. Three-piece IOL inserted in rest of 70 patients. Slit lamp examination for anterior chamber cells was graded according to Hogan system. Aqueous cells were measured by counting within the visible field under Slit lamp, keeping the beam at maximum intensity. Anterior chamber reaction (AC in 1stPostoperative week and at 8 weeks are compared and analyzed by ANOVA statistics. RESULTS: Single piece IOL group had anterior chamber reaction ranging from 1 to 2+ cells i.e., in 97%. In three-piece IOL group, 70%of eyes had 2+ cells and 12.8% had 3± cells. At 8 weeks, single- piece IOL showed either no cells or occasional cells in 98.6% of patients, compared to three –piece IOL group showing in 77%of cases. 23% had 1+ cells in later group. CONCLUSION: Single-piece implanted IOLs had significant less number of cells were seen in anterior chamber from 1 week to 8 weeks as compared to three-piece IOLs.

  6. Surface Modification of Intraocular Lenses

    Directory of Open Access Journals (Sweden)

    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.

  7. Surface Modification of Intraocular Lenses

    Institute of Scientific and Technical Information of China (English)

    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.

  8. New two-point scleral-fixation technique for foldable intraocular lenses with four hollow haptics.

    Science.gov (United States)

    Liu, He-Ting; Jiang, Zheng-Xuan; Tao, Li-Ming

    2016-01-01

    The study was to report a new two-point scleral-fixation technique for foldable intraocular lenses with four haptics. Lenses were slid into the anterior chamber from a 2.8 mm corneal incision and fixed under two sclera flaps at two opposite points. The postoperative best-corrected visual acuities (BCVAs) of all patients were significantly better than their preoperative BCVA. The results demonstrate that two-point, scleral fixations of foldable, intraocular lenses might be practicable and effective.

  9. Adherence of Staphylococcus epidermidis to intraocular lenses.

    OpenAIRE

    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...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Lifescience Database Archive (English)

    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 ...

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

    Lifescience Database Archive (English)

    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 ...

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

    Lifescience Database Archive (English)

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

    Lifescience Database Archive (English)

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  15. Drug-Eluting Intraocular Lenses

    Directory of Open Access Journals (Sweden)

    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.

  16. Mechanical properties of intra-ocular lenses

    Science.gov (United States)

    Ehrmann, Klaus; Kim, Eon; Parel, Jean-Marie

    2008-02-01

    Cataract surgery usually involves the replacement of the natural crystalline lens with a rigid or foldable intraocular lens to restore clear vision for the patient. While great efforts have been placed on optimising the shape and optical characteristics of IOLs, little is know about the mechanical properties of these devices and how they interact with the capsular bag once implanted. Mechanical properties measurements were performed on 8 of the most commonly implanted IOLs using a custom build micro tensometer. Measurement data will be presented for the stiffness of the haptic elements, the buckling resistance of foldable IOLs, the dynamic behaviour of the different lens materials and the axial compressibility. The biggest difference between the lens types was found between one-piece and 3-piece lenses with respect to the flexibility of the haptic elements

  17. Out-of-the-bag intraocular lens dislocation: outcomes of posterior chamber intraocular lens exchange, risk factors, and prevention

    Institute of Scientific and Technical Information of China (English)

    ZHENG Dan-ying; CHEN Li-na; SUN Yi; SHAO Ying-feng; LIANG Jing-li; LIU Yi-zhi

    2010-01-01

    eye, 2.8%) and anterior vitreous cavity (6 eyes, 16.7%) was found in this series. The foldable intraocular lenses (acrylic or silicone) were explanted from 27 eyes (75%) and rigid intraocular lenses (poly methyl methacrylate,PMMA) from 9 eyes (25%). The most common explanted intraocular lens material was single-piece acrylic (13 pieces,36.1%), followed by 3-piece acrylic (9 pieces, 25%), single-piece PMMA (9 pieces, 25%), and 3-piece silicone (5 pieces,13.9%). Uncorrected visual acuity postoperatively improved in 29 eyes (81%), unchanged in 4 eyes (11%), and worsened in 3 eyes (8%) in comparison to that before exchange operation (P=0.006). Best corrected visual acuity tended to improve, but the improvement was not significant (P=0.206). Complications related to lens exchange surgery were mainly intraocular lens redislocation (1 eye), retinal detachment (1 eye), vitreous hemorrhage (1 eye), and cystoid macular edema (1 eye).Conclusions Out-of-the-bag intraocular lens dislocation was mainly caused by posterior capsule rupture during the initial cataract extraction procedure and the foldable lens was the most common dislocated intraocular lens. In most cases, posterior chamber intraocular lens exchange surgery could provide satisfied final visual outcomes.

  18. The Effect of Phacoemulsification with Posterior Chamber Intraocular Lens Implantation on Intraocular Pressure and Anterior Chamber Depth

    Directory of Open Access Journals (Sweden)

    Mohammad Javad Mohamadi

    2013-12-01

    Full Text Available Purpose: To evaluate intraocular pressure (IOP and anterior chamber depth (ACD change after phacoemulsification with posterior chamber intraocular lens implantation Methods: In this quasi-experimental study, 84 patients with senile cataract were included. All patients had normal IOP. Patients with traumatic and complicated cataract, any history of uveitis, glaucoma, or other ocular disease or surgery were excluded. Patients underwent phacoemulsification and intraocular lens implantation by the same surgeon. IOP, ACD, and lens thickness were measured and recorded before surgery. IOP was measured at 4, 8 and 12 postoperative weeks and ACD was measured 12 weeks after surgery. Results: The mean preoperative ACD significantly increased from 2.93 mm to 3.54 mm postoperatively (p<0.0001. Mean preoperative IOP was 16.06 mmHg which decreased to 12.01 IOP mmHg, 12.57 mmHg and 12.90 mmHg at 4 weeks, 8 weeks and 12 weeks postoperatively, respectively (all p-values<0.0001. There was a correlation between lens thickness and changes of and ACD after the surgery. There was also a positive correlation between preoperative IOP and IOP reduction after the surgery. Conclusion: Phacoemulsification decreases IOP specially in eyes with higher preoperative IOP and thicker lenses.

  19. Professor Peter Choyce: an early pioneer of intraocular lenses and corneal/refractive surgery.

    Science.gov (United States)

    Pandey, Suresh K; Apple, David J

    2005-06-01

    Professor Peter Choyce, FRCS, DOMS, MS, was one of the pioneers of intraocular lens implant surgery. He developed an interest in artificial lens implantation following cataract surgery, a procedure that was widely criticized by the ophthalmic establishment in the UK, Europe, North America and other countries. Owing to the opposition to the intraocular lenses, Peter Choyce together with Sir Harold Ridley co-founded the International Intraocular Implant Club in 1966, which was responsible for the gradual acceptance of artificial lens implantation. Peter Choyce developed several models of intraocular lens, but did not patent the majority of them. The Choyce Mark IX, manufactured by Rayner Intraocular Lenses, became the first US Food and Drug Administration-approved intraocular lens in 1981. A review of Peter Choyce's record confirms a significant number of original innovations in the field of anterior segment surgery, including many procedures taken for granted today, but not associated with his name. These include early work on both kerato- and intraocular lens-refractive procedures, keratoprosthesis, pioneering paediatric implant procedures and others. Unfortunately his tenacious adherence to anterior chamber lens technology, while in general clinically sound, caused many to question his influence and hence he remained poorly understood even until after his death. He passed away on 8 August 2001 after a long fight with colon cancer. In this article, we provide evidence and elaborate Peter Choyce's accomplishments, which places him as one of the most innovative ophthalmologist in his surgical field in the twentieth century.

  20. Iris-fixated anterior chamber phakic intraocular lens for myopia moves posteriorly with mydriasis.

    NARCIS (Netherlands)

    Cruysberg, L.P.J.; Doors, M.; Berendschot, T.T.; Brabander, J. De; Webers, C.A.; Nuijts, R.M.

    2009-01-01

    PURPOSE: To elucidate the physiological characteristics of eyes implanted with iris-fixated anterior chamber phakic intraocular lenses (pIOLs), which are increasingly being used for the correction of higher myopic and hyperopic refractive errors. METHODS: In a case series of 20 patients (39 eyes), t

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

    Lifescience Database Archive (English)

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

    Lifescience Database Archive (English)

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

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

    Lifescience Database Archive (English)

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  2. NEW MATERIAL FOR LOW-COST INTRAOCULAR LENSES

    NARCIS (Netherlands)

    JONGEBLOED, WL; VANDERVEEN, G; KALICHARAN, D; VANANDEL, MV; BARTMAN, G; WORST, JGF

    1994-01-01

    A UV-hardening lacquer material based on polyurethane, used in Philips compact disc lens systems, was tested as suitable material for low-cost intraocular lenses (IOLs). A slightly changed composition (code number I-0.5A) came out as the best and was subsequenly tested, with reference to poly(methyl

  3. Comparison of visual performance of multifocal intraocular lenses with same material monofocal intraocular lenses.

    Directory of Open Access Journals (Sweden)

    Tomofusa Yamauchi

    Full Text Available PURPOSE: To compare the visual performance of multifocal intraocular lenses (IOLs and monofocal IOLs made of the same material. METHODS: The subjects included patients implanted with either Tecnis® monofocal IOLs (ZA9003 or ZCB00 or Tecnis® multifocal IOLs (ZMA00 or ZMB00 bilaterally. We conducted a retrospective study comparing the two types of IOLs. The multifocal group included 46 patients who were implanted with Tecnis® multifocal IOLs bilaterally. The monofocal group was an age- and sex-matched control group, and included 85 patients who were implanted with Tecnis® monofocal IOLs bilaterally. Lens opacity grading, the radius of corneal curvature, corneal astigmatism, axial length and the refractive status were measured preoperatively. Pupil size, ocular aberrometry, distance, intermediate and near visual acuity, contrast sensitivity with and without glare and the responses to a quality-of-vision questionnaire were evaluated pre- and postoperatively. RESULTS: The uncorrected near visual acuity was significantly better in the multifocal group, whereas both the corrected intermediate and near visual acuity were better in the monofocal group. Contrast sensitivity (with and without glare was significantly better in the monofocal group. The rate of spectacle dependency was significantly lower in the multifocal group. There were no significant differences between the two groups regarding most items of the postoperative quality-of-vision questionnaire (VFQ-25, with the exception that the patients in the monofocal group reported fewer problems with nighttime driving. CONCLUSIONS: The multifocal IOLs used in this study reduced spectacle dependency more so than monofocal IOLs and did not compromise the subjective visual function, with the exception of nighttime driving.

  4. Pars plana cicatrization of sewn-in posterior chamber intraocular lens haptics.

    Science.gov (United States)

    McDermott, M L; Puklin, J E

    1997-03-01

    The authors describe the unexpected finding of cicatrization of posterior chamber lens haptics to the pars plana. This was found during removal of a secondary, transscleral sewn-in pseudophakos during a retinal reattachment procedure. Ophthalmic history and intraoperative photography revealed pars plana cicatrization of haptics. Despite removal of trans-scleral prolene fixation sutures and application of gentle traction, the posterior chamber lens haptics remained firmly adherent to pars plana retina. The haptics were amputated to prevent significant chorioretinal damage. The conventional belief that all sewn-in posterior chamber intraocular lenses cause little or no scarring response around the haptics may be unfounded.

  5. Magnetic resonance imaging diagnosis of intraocular lenses. Die kernspintomographische Diagnostik der Hinterkammerlinse

    Energy Technology Data Exchange (ETDEWEB)

    Tosch, U. (Strahlenklinik und Poliklinik, Universitaetsklinik Rudolf Virchow, Berlin (Germany)); Bleckmann, H. (Strahlenklinik und Poliklinik, Universitaetsklinik Rudolf Virchow, Berlin (Germany)); Kaczmarek, U. (Strahlenklinik und Poliklinik, Universitaetsklinik Rudolf Virchow, Berlin (Germany))

    1994-09-01

    Intraocular lenses were investigated by MRI to obtain information about the quality of this method. In experimental studies, seven lenses of between 0 and 30 diopters were visualized. By MRI it was possible to differentiate the various diameters of lenses. It was not possible to discriminate the material of the intraocular lenses. After these first studies the eyes of two corpses and eight patients were investigated. Because of the resolution of MRI it was possible to tell the diopter of implanted lenses. However, by use of MRI in the regular position, a tilting or decentration of the intraocular lens was demonstrated. (orig.)

  6. Effect of transscleral neodymium: YAG cyclophotocoagulation on intraocular lenses

    Energy Technology Data Exchange (ETDEWEB)

    Blomquist, P.H.; Gross, R.L.; Koch, D.D. (Baylor College of Medicine, Houston, TX (USA))

    1990-03-01

    A neodymium: YAG laser operating in the thermal mode was used to irradiate isolated intraocular lenses (IOLs) and to perform transscleral cyclophotocoagulation on pseudophakic autopsy eyes to investigate the potential damage to IOL haptics such irradiation may cause. In the isolated IOLs, 70 mJ of energy deformed and partially melted both polymethylmethacrylate (PMMA) and polypropylene haptics. One of the capsular-fixated PC-IOL haptics in an autopsy eye partially melted when irradiated with the maximum energy level (8.8 J), with the aiming beam focused 1 mm posterior to the limbus and maximal posterior focus offset.

  7. Psychophysical Vision Simulation of Diffractive Bifocal and Trifocal Intraocular Lenses

    Science.gov (United States)

    Brezna, Wolfgang; Lux, Kirsten; Dragostinoff, Nikolaus; Krutzler, Christian; Plank, Nicole; Tobisch, Rainer; Boltz, Agnes; Garhöfer, Gerhard; Told, Reinhard; Witkowska, Katarzyna; Schmetterer, Leopold

    2016-01-01

    Purpose The visual performance of monofocal, bifocal, and trifocal intraocular lenses was evaluated by human individuals using a vision simulator device. This allowed investigation of the visual impression after cataract surgery, without the need actually to implant the lenses. Methods The randomized, double-masked, three-way cross-over study was conducted on 60 healthy male and female subjects aged between 18 and 35 years. Visual acuity (Early Treatment Diabetic Retinopathy Study; ETDRS) and contrast sensitivity tests (Pelli-Robson) under different lighting conditions (luminosities from 0.14–55 cd/m2, mesopic to photopic) were performed at different distances. Results Visual acuity tests showed no difference for corrected distance visual acuity data of bi- and trifocal lens prototypes (P = 0.851), but better results for the trifocal than for the bifocal lenses at distance corrected intermediate (P = 0.021) and distance corrected near visual acuity (P = 0.044). Contrast sensitivity showed no differences between bifocal and trifocal lenses at the distant (P = 0.984) and at the near position (P = 0.925), but better results for the trifocal lens at the intermediate position (P = 0.043). Visual acuity and contrast sensitivity showed a strong dependence on luminosity (P < 0.001). Conclusions At all investigated distances and all lighting conditions, the trifocal lens prototype often performed better, but never worse than the bifocal lens prototype. Translational Relevance The vision simulator can fill the gap between preclinical lens development and implantation studies by providing information of the perceived vision quality after cataract surgery without implantation. This can reduce implantation risks and promotes the development of new lens concepts due to the cost effective test procedure. PMID:27777828

  8. Laboratory analyses of two explanted hydrophobic acrylic intraocular lenses

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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

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

    NARCIS (Netherlands)

    J.P. 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 inv

  11. Posterior chamber phakic intraocular lens implantation for high myopia

    Institute of Scientific and Technical Information of China (English)

    沈晔; 杜持新; 顾扬顺; 王竞

    2003-01-01

    Objective To evaluate the efficacy, safety and stability of posterior chamber phakic intraocular lens (PIOLs) implantation for the correction of high myopia.Methods Thirty-nine eyes of twenty patients with high myopia (between-11.75 and-25.75 diopters) had a posterior chamber PIOL (Staar ICL) implanted. During 6-48 months' follow-up, visual acuity, refraction, intraocular pressure (IOP), corneal reaction and space between crystal lens and intraocular lens (IOLs) were tested.Results Successful implantation was achieved in all patients. Visual acuity without correction greater than 0.5 was found in 34 eyes at 1 day and 3 months postoperatively. Thirty-five eyes maintained a low negative power of refraction (-1.42±1.32 doipters), which did not prevent the patients from most of their daily activities. During 3-48 months' follow-up, refraction was stable and no cornea edema and glaucoma was found. Two eyes of one patient had corticosteroid glaucoma and another eye showed cataractogenesis under anterior capsular membrane.Conclusion Posterior chamber PIOL implantation is predictable, safe, and effective in the correction of high myopia, and its indications should be carefully selected.

  12. Effect of four different intraocular lenses on posterior capsule opacification

    Institute of Scientific and Technical Information of China (English)

    Rahmi; Duman; Fatih; Karel; Pelin; ?zyol; Can; Ates

    2015-01-01

    AIM: To evaluate the impact of 4 different intraocular lenses(IOLs) on posterior capsule opacification(PCO) by comparing the neodymium: yttrium-aluminum-garnet(Nd:YAG) laser capsulotomy rates.METHODS: This retrospective study included 4970 eyes of 4013 cataract patients who underwent phacoemulsification and IOL implantation between January 2000 and January 2008 by the same surgeon at one clinic. Four different IOLs were assessed. The outcome parameter was the incidence of Nd:YAG laser posterior capsulotomies.· RESULTS: An Nd:YAG laser posterior capsulotomy was performed in 153(3.07%) of the 4970 eyes. The mean follow-up time was 84 mo for all of the IOL groups. The percentage of eyes developing PCO was significantly greater for the acrylic hydrophilic IOLs than for the hydrophobic IOLs, although eyes with acrylic hydrophilic IOLs did not require Nd:YAG laser capsulotomy as soon as eyes with acrylic hydrophobic IOLs. There was no difference between the long-term PCO rates when 1-and 3-piece acrylic hydrophobic IOLs were compared or when IOLs made of the same material but with different haptic angles were compared.· CONCLUSION: In this study, eyes with acrylic hydrophilic IOLs were more likely to develop PCO than those with acrylic hydrophobic IOLs. The lens design(1-piece versus 3-piece and varying haptic angles) did not affect the PCO rate.

  13. Surgical management of astigmatism with toric intraocular lenses

    Directory of Open Access Journals (Sweden)

    Bruna V. Ventura

    2014-04-01

    Full Text Available 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 toric IOLs, it is important to consider anterior and posterior corneal astigmatism, along with the surgically induced astigmatism. Accurate toric lens alignment along the calculated meridian is also crucial to achieve effective astigmatism correction. There are several techniques to guide IOL alignment, including the traditional manual marking technique and automated systems based on anatomic and topographic landmarks. The aim of this review is to provide an overview on astigmatism management with toric IOLs, including relevant patient selection criteria, corneal astigmatism measurement, toric IOL power calculation, toric IOL alignment, clinical outcomes and complications.

  14. Surface modification of intraocular lenses to reduce corneal endothelial damage.

    Science.gov (United States)

    Knight, P M; Link, W J

    1979-04-01

    Two methods of surface modification of PMMA, permanent and temporary, were investigated for use on intraocular lenses to reduce corneal endothelial damage due to corneal-IOL touch. Monomer grafting using gamma irradiation was found to produce permanently hydrophilic surfaces. Temporary surface modifications developed and tested were peelable and dissolvable coatings. Test samples were touched to freshly excised rabbit corneas to evaluate the effectiveness of the various surface modifications in reducing endothelial cell damage. This touch testing was performed using static testing in which the test sample was touched to the cornea without movement and dynamic testing in which there was relative movement between the cornea and the test sample. While unmodified PMMA did significant cell damage in both static and dynamic tests perpamently modified (hydrophilic grafted) surfaces were found to perform well in the static, but not in the dynamic tests. Dissolvable coatings performed well in both tests, even with very thin coatings. There was little differentiation between the various water-soluble coatings tested. Due to its characteristics and rate of dissolution, polyvinyl alcohol appears to be an optimum material for coating IOLs. A series of in vitro and in vivo tests performed to assess its safety indicate that PVA is nontoxic and safe in animal eyes. PMID:479004

  15. Evaluation of in vitro glistening formation in hydrophobic acrylic intraocular lenses

    OpenAIRE

    Thomes BE; Callaghan TA

    2013-01-01

    Brett E Thomes, Thomas A CallaghanAlcon Research Ltd (A Novartis Company), Fort Worth, TX, USAPurpose: To evaluate the impact of continuous manufacturing process improvements on glistening formation in AcrySof hydrophobic acrylic intraocular lenses (IOLs) by comparing lenses manufactured in 2003 with lenses manufactured in 2012.Methods: Glistenings were experimentally created as aqueous-filled microvacuoles utilizing an accelerated laboratory method by immersing the lens in water at 45&de...

  16. Primary Posterior Chamber Intraocular Lens Implantation in Traumatic Cataract With Posterior Capsule Breaks

    Institute of Scientific and Technical Information of China (English)

    YupingZou; WenhuiYang

    1995-01-01

    Background:In patients with incomplete posterior capsule support,posterior chamber intraocular lenses(PC-IOLs)were implanted with both haptics transs-cleral fixation.This causes more damage to the eye and may result in more com-plications,In patients with small posterior breaks,non-fixation or single haptic fixation may be adequate.Methods:Thiry-two consecutive patients of traumatic cataract with posterior capsule breaks caused by penetrating eye trauma were retospected.Posterior chamber intraocular lenses were implanted in all these patients with three tech-niques,ie,without fixation,with single haptic fixation and with both haptics fixation .The selection of the technique was based on the position and size of the posterior capsule.The follow-up period was 21days to 28months(mean,15.2months).Results:Intra-operative problems included ciliary body bleeding(Two patents,6.25%)and enlargement of posterior capsule breaks(2patients,6.25).Postoperative visual acuity was0.5or better(Corrected)in28case(87.5%)and 0.1-0.4in four patients(12.5%),Postoperative complications included hyphema(6eyes,18.8%),transient intraocular pressure elevation(6eyes,18.8%),transient hypotention(7eyes,21.8%).Postoperative IOL position were good except one case of IOL tilt.No pupillary capture or endophthalmitis was found.Conclusions:Not all PC-IOLs have to be fixed by two haptics.In patients with small posterior capsule breaks,PC-IOLmay not be fixed or fixed by only one haptics.Eye Science1995;11:140-142.

  17. Iris-claw intraocular lens implantation: Anterior chamber versus retropupillary implantation

    Science.gov (United States)

    Helvacı, Sezer; Demirdüzen, Selahaddin; Öksüz, Hüseyin

    2016-01-01

    Purpose: To compare the outcomes of anterior chamber and retropupillary implantation of iris-claw Artisan intraocular lenses (IOL). Design: Prospective, randomized, single-blinded study. Patients and Methods: Forty eyes of forty aphakic patients were enrolled. Patients were randomized into two groups. Each group includes twenty patients. Group 1 received anterior chamber Artisan IOL implantation. Group 2 received retropupillary Artisan IOL implantation. Preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), and all complications were noted and compared at 6 months follow-up. Results: Each two groups obtained a significant improvement in CDVA (P < 0.05). Four patients in Group 1 and five patients in Group 2 had significant but nonpermanent increase at IOP values. There were one and two pupillary irregularity in Group 1 and Group 2, respectively. In one patient, a shallow and inferior located retinal detachment were encountered in anterior chamber group. Conclusions: The results were not significantly different between the two fixation techniques for iris-claw lens. The surgery procedure is dependent to surgeon experience and eye's conditions. PMID:26953023

  18. Quality of vision through diffractive bifocal intraocular lenses.

    OpenAIRE

    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...

  19. claw intraocular lens

    OpenAIRE

    Gonnermann, Johannes

    2015-01-01

    There is a wide range of alternative fixation techniques of intraocular lenses in the absence of adequate capsular support, such as angle- or iris-supported anterior chamber lenses and intra- / transsclerally-fixated (suture, fibrin glue, etc.) and iris-supported posterior chamber lenses. All procedures have different advantages and disadvantages depending on the anatomical situation and integrity of the capsular bag complex and the neighboring structures such as the iris, sclera and corneal ...

  20. Drug loading of foldable commercial intraocular lenses using supercritical impregnation.

    Science.gov (United States)

    Bouledjouidja, A; Masmoudi, Y; Sergent, M; Trivedi, V; Meniai, A; Badens, E

    2016-03-16

    The drug delivery through intraocular lenses (IOLs) allows the combination of cataract surgery act and postoperative treatment in a single procedure. In order to prepare such systems, "clean" supercritical CO2 processes are studied for loading commercial IOLs with ophthalmic drugs. Ciprofloxacin (CIP, an antibiotic) and dexamethasone 21-phosphate disodium (DXP, an anti-inflammatory drug) were impregnated into foldable IOLs made from poly-2-hydroxyethyl methacrylate (P-HEMA). A first pre-treatment step was conducted in order to remove absorbed conditioning physiological solution. Supercritical impregnations were then performed by varying the experimental conditions. In order to obtain transparent IOLs and avoid the appearance of undesirable foaming, it was necessary to couple slow pressurization and depressurization phases during supercritical treatments. The impregnation yields were determined through drug release studies. For both drugs, release studies show deep and reproducible impregnation for different diopters. For the system P-HEMA/CIP, a series of impregnations was performed to delimit the experimental range at two pressures (80 and 200 bar) in the presence or absence of ethanol as a co-solvent for two diopters (+5.0 D and +21.0 D). Increase in pressure in the absence of a co-solvent resulted in improved CIP impregnation. The addition of ethanol (5 mol%) produced impregnation yields comparable to those obtained at 200 bar without co-solvent. A response surface methodology based on experimental designs was used to study the influence of operating conditions on impregnation of IOLs (+21.0 D) in the absence of co-solvent. Two input variables with 5 levels each were considered; the pressure (80-200 bar) and the impregnation duration (30-240 min). CIP impregnation yields ranging between 0.92 and 3.83 μg CIP/mg IOL were obtained from these experiments and response surface indicated the pressure as a key factor in the process. The DXP impregnation in P-HEMA was

  1. Clinical comparison of the optical performance of aspheric and spherical intraocular lenses

    NARCIS (Netherlands)

    van Gaalen, Kim W.; Koopmans, Steven A.; Jansonius, Nomdo M.; Kooijman, Aart C.

    2010-01-01

    PURPOSE: To compare the optical performance of aspheric Tecnis ZA9003 and spherical Sensar AR40e intraocular lenses (IOLs). SETTING: Laboratory of Experimental Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. METHODS: An aspheric IOL was implan

  2. Spontaneous Scleral Perforation of an Anterior Chamber Intraocular Lens

    Science.gov (United States)

    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.

  3. Spontaneous Scleral Perforation of an Anterior Chamber Intraocular Lens

    Directory of Open Access Journals (Sweden)

    Oriel Spierer

    2016-05-01

    Full Text Available 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.

  4. Spontaneous Scleral Perforation of an Anterior Chamber Intraocular Lens

    Science.gov (United States)

    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. PMID:27462251

  5. Spontaneous Scleral Perforation of an Anterior Chamber Intraocular Lens.

    Science.gov (United States)

    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.

  6. Anterior chamber fixation of a posterior chamber intraocular lens: A novel technique

    Directory of Open Access Journals (Sweden)

    A Sahap Kükner

    2014-01-01

    Full Text Available We aimed to evaluate the implantation of a posterior chamber intraocular lens (IOL in the anterior chamber (AC with the haptics passing through two iridectomies to the posterior chamber. A total of 33 eyes of 33 patients with inadequate posterior capsular support due to either previous aphakia or posterior capsular rupture during cataract extraction were included in the study. A double iridectomy was performed on all patients using a vitrectomy probe on the midperiphery of the iris. IOLs were implanted in the AC, and the haptics were passed through the iridectomies to the posterior chamber. The mean follow-up time was 25.3 months. AC hemorrhage occurred in five patients during the iridectomy procedure. Corneal edema was detected in eight of 14 patients with primary IOL insertions. Haptic dislocation was detected in only one patient. This technique may be a good alternative to scleral-fixated IOL implantation in eyes with aphakia.

  7. Method for in vitro assessment of straylight from intraocular lenses

    NARCIS (Netherlands)

    Łabuz, Grzegorz; Vargas-Martín, Fernando; van den Berg, Thomas J T P; López-Gil, Norberto

    2015-01-01

    Ocular straylight has been measured by means of psychophysical methods over the years. This approach gives a functional parameter yielding a straight comparison with optically defined light scattering, and the point-spread-function. This is of particular importance when the effect of intraocular len

  8. A study of patient satisfaction after cataract surgery with implantation of different types of intraocular lenses

    Directory of Open Access Journals (Sweden)

    Wei Ching-Kuo

    2012-10-01

    Full Text Available Abstract Background The implementation of capitated payment has driven medical institutions through developing balance billing for medical services. By exploring the patients’ decision-making factors on different self-pay items, a reference for the pricing and sales strategy for the related products can be formed. The major purposes of this study were to analyze the determinants of preoperative selection and postoperative satisfaction with implantation of different types of intraocular lenses in cataract surgery. Methods This cross-sectional study consisted of 127 patients that were 50 years of age and older, and who had phacoemulsification with intraocular lens implantation in both eyes. Data were collected by using a structured questionnaire. The following parameters were measured: access to medical care, attitude towards receiving medical products at one’s own expense, overall patient satisfaction and postoperative visual clarity. Results The results showed that the patient’s gender, educational level and economic status influenced the type of intraocular lens chosen. Patients in the insurance group cared about access to medical care, and patients in the balance billing group cared about product differentiation. ANOVA results showed no statistically significant differences in the overall satisfaction of the patients among the groups with different types of intraocular lenses. Patients that received cataract surgery with implantation of multifocal intraocular lenses had better vision when trying to view smaller objects and when looking at objects under strong light. Conclusions Manufacturers should increase the number of differences between their products, and health care providers can then recommend the appropriate intraocular lens in accordance with the needs or demands of their patients, and also by keeping in mind the financial constraints of their patients.

  9. Phakic anterior chamber intraocular lens (Verisyse™) implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    OpenAIRE

    Pirouzian, Amir; Ip, Kenneth C; O’Halloran, Henry S

    2009-01-01

    Purpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA) phakic anterior chamber intraocular lens (IOL) in the reduction of clinically significant (>−8 D) myopic anisometropia in children who are noncompliant to traditional medical treatment including spectacle correction or contact lenses. Design: Retrospective interventional case series. Methods: Six anisometropic myopic pediatric patients in one practice were identified through chart-review. None ...

  10. Ab-interno scleral suture loop fixation with cow-hitch knot in posterior chamber intraocular lens decentration

    Directory of Open Access Journals (Sweden)

    Ertugrul Can

    2016-01-01

    Full Text Available Aim of Study: To describe a simplified ab-interno cow-hitch suture fixation technique for repositioning decentered posterior chamber intraocular lens (PC IOL. Materials and Methods: Two cases are presented with the surgical correction of decentered and subluxated IOL. Ab-interno scleral suture fixation technique with hitch-cow knot in the eye was performed with a ciliary sulcus guide instrument and 1 year follow-up was completed. Results: Both of the patients had well centered lenses postoperatively. Corrected distant and near visual acuities of the patients were improved. There was no significant postoperative complication. In the follow-up period of 1 year, no evidence of suture erosion was found. Conclusions: Ab-interno scleral suture loop fixation with hitch-cow knot in the eye was effective in repositioning decentered or subluxated PC IOLs with excellent postoperative centered lenses and visual outcomes.

  11. Ab-interno scleral suture loop fixation with cow-hitch knot in posterior chamber intraocular lens decentration

    Science.gov (United States)

    Can, Ertuğrul; Koçak, Nurullah; Yücel, Özlem Eşki; Gül, Adem; Öztürk, Hilal Eser; Sayın, Osman

    2016-01-01

    Aim of Study: To describe a simplified ab-interno cow-hitch suture fixation technique for repositioning decentered posterior chamber intraocular lens (PC IOL). Materials and Methods: Two cases are presented with the surgical correction of decentered and subluxated IOL. Ab-interno scleral suture fixation technique with hitch-cow knot in the eye was performed with a ciliary sulcus guide instrument and 1 year follow-up was completed. Results: Both of the patients had well centered lenses postoperatively. Corrected distant and near visual acuities of the patients were improved. There was no significant postoperative complication. In the follow-up period of 1 year, no evidence of suture erosion was found. Conclusions: Ab-interno scleral suture loop fixation with hitch-cow knot in the eye was effective in repositioning decentered or subluxated PC IOLs with excellent postoperative centered lenses and visual outcomes. PMID:27050346

  12. New Management of Malignant Glaucoma by Phacoemulsification with Posterior Chamber Foldable Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    GeJian; GuoY

    1999-01-01

    Objective:To investigate the feasibility of phacoemulsification with posterior chamber foldable intraocular lens implantation in the management of malignant glaucoma. Patients and Methods:Fourteen patients with malignant glaucoma diagnosed in the Department of Glaucoma were enrolled in the study.12 patients developed malignant glaucoma after filtration surgery.1 developed after peripheral iridectomy.1 patient developed malignant glaucoma without any clear cause.Cataract phacoemulsification was performed.Posterior chamber intraocular foldable lens was implanted in 10 cases of patients.Results:All 14 patients were cured wiht normal intraocular pressure,normal anterior chamber depth and increased visual acuity.Conclusion:Phacoemulsification with posterior chamber foldable intraocular lens implantation is a good alternative in treating malignant glaucoma.

  13. Straylight Measurements in Two Different Apodized Diffractive Multifocal Intraocular Lenses

    NARCIS (Netherlands)

    Lapid-Gortzak, Ruth; Labuz, Grzegorz; van der Meulen, Ivanka J; van der Linden, Jan Willem; Mourits, M P; van den Berg, Tom J

    2015-01-01

    PURPOSE: To evaluate differences in straylight between eyes implanted with a hydrophilic multifocal IOL (Seelens MF; Hanita Lenses, Hanita, Israel) and a hydrophobic multifocal IOL (SN6AD1; Alcon Laboratories, Inc., Fort Worth, TX). METHODS: In a prospective cohort study, routinely obtained straylig

  14. Development of a hydrophobic polymer composition with improved biocompatibility for making foldable intraocular lenses

    Science.gov (United States)

    Haldar, R. S.; Chauhan, R.; Kapoor, K.; Niyogi, U. K.

    2014-05-01

    A hydrophobic composition for foldable intraocular lenses was developed by copolymerizing phenyl ethyl acrylate, phenyl ethyl methacrylate and butanediol diacrylate by gamma irradiation. Aqueous solution of heparin, a biocompatibilizer absorbed in hydroxyethyl methacrylate was added to the monomer mixture before irradiation to impart desired level of hydrophilicity and improved biocompatibility to the hydrophobic composition. Ketorolac tromethamine, an anti-inflammatory agent and L-glutathione, an antioxidant were added to the composition as functional additive for exhibiting improved performance while in use. Concentrations of monomers, biocompatibilizer and functional additives were optimized to develop an advanced material for foldable intraocular lenses. Transmittance, refractive index, Abbe number, hardness, tensile strength, flexibility and foldability were studied on the final composition. Scanning electron microscopic study, differential scanning calorimetric analysis, leachability and viscometry confirmed the permanent incorporation of additives into the polymer. Results of haemocompatibility, tissue implantation and cytotoxicity confirm that the biocompatibility of the base polymer was improved by incorporation of heparin.

  15. Comparisons of amplitude of pseudoaccommodation with aspheric yellow, spheric yellow, and spheric clear monofocal intraocular lenses

    OpenAIRE

    Nishi T.; Taketani F; Ueda T; Ogata N.

    2013-01-01

    Tomo Nishi, Futoshi Taketani, Tetsuo Ueda, Nahoko Ogata Department of Ophthalmology, Nara Medical University, Kashihara City, Nara, Japan Purpose: To determine the amplitude of pseudoaccommodation and higher-order aberrations with three types of implanted monofocal intraocular lenses (IOLs): aspheric yellow (IQ); spheric yellow (NT); and spheric clear (AT). Setting: Department of Ophthalmology, Nara Medical University, Nara, Japan. Methods: We studied 60 patients who underwent small incision...

  16. Evaluation of actual retinal images produced by misaligned aspheric intraocular lenses in a model eye

    OpenAIRE

    Fujikado, Takashi

    2014-01-01

    Takashi Fujikado,1 Makoto Saika2 1Department of Applied Visual Science, Osaka University Graduate School of Medicine, Osaka, Japan; 2Research and Development Department of Topcon Corporation, Tokyo, Japan Purpose: To examine the effect of misalignment (decentration and tilt) of intraocular lenses (IOLs) on retinal image quality using a water-immersed model eye with corneal spherical aberration adjusted to the values found in normal human eyes (spherical aberration 0.25 µm; pupil d...

  17. Toric Intraocular Lenses in the Correction of Astigmatism During Cataract Surgery

    DEFF Research Database (Denmark)

    Kessel, Line; Andresen, Jens; Tendal, Britta;

    2016-01-01

    TOPIC: We performed a systematic review and meta-analysis to evaluate the benefit and harms associated with implantation of toric intraocular lenses (IOLs) during cataract surgery. Outcomes were postoperative uncorrected distance visual acuity (UCDVA) and distance spectacle independence. Harms were...... evaluated as surgical complications and residual astigmatism. CLINICAL RELEVANCE: Postoperative astigmatism is an important cause of suboptimal UCDVA and need for distance spectacles. Toric IOLs may correct for preexisting corneal astigmatism at the time of surgery. METHODS: We performed a systematic...

  18. Evaluation of Different Power of Near Addition in Two Different Multifocal Intraocular Lenses

    Directory of Open Access Journals (Sweden)

    Ugur Unsal

    2016-01-01

    Full Text Available Purpose. To compare near, intermediate, and distance vision and quality of vision, when refractive rotational multifocal intraocular lenses with 3.0 diopters or diffractive multifocal intraocular lenses with 2.5 diopters near addition are implanted. Methods. 41 eyes of 41 patients in whom rotational +3.0 diopters near addition IOLs were implanted and 30 eyes of 30 patients in whom diffractive +2.5 diopters near addition IOLs were implanted after cataract surgery were reviewed. Uncorrected and corrected distance visual acuity, intermediate visual acuity, near visual acuity, and patient satisfaction were evaluated 6 months later. Results. The corrected and uncorrected distance visual acuity were the same between both groups (p=0.50 and p=0.509, resp.. The uncorrected intermediate and corrected intermediate and near vision acuities were better in the +2.5 near vision added intraocular lens implanted group (p=0.049, p=0.005, and p=0.001, resp. and the uncorrected near vision acuity was better in the +3.0 near vision added intraocular lens implanted group (p=0.001. The patient satisfactions of both groups were similar. Conclusion. The +2.5 diopters near addition could be a better choice in younger patients with more distance and intermediate visual requirements (driving, outdoor activities, whereas the + 3.0 diopters should be considered for patients with more near vision correction (reading.

  19. Intraocular lenses and clinical treatment in paediatric cataract

    Directory of Open Access Journals (Sweden)

    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.

  20. Sulcus Fixation of Foldable Intraocular Lenses Guided by Ultrasound Biomicroscopy.

    Science.gov (United States)

    Gao, Shasha; Qin, Tingyu; Wang, Shengnan; Lu, Yong

    2015-01-01

    Background. To evaluate the clinical efficacy of suture fixation of foldable intraocular lens (IOL) in ciliary sulcus guided by ultrasound biomicroscopy (UBM). Methods. Thirty-five eyes of 32 cases needing suture fixation of foldable IOL in ciliary sulcus in our hospital were collected and divided into two groups: group A and group B. In group A, UBM was performed on 19 eyes of 17 cases before surgery to locate the projection position of ciliary sulcus in iris surface. In group B, the traditional sulcus fixation of IOL was performed on 16 eyes of 15 cases. The inserting position of needles, the haptics position of IOL and the IOL tilt, and decentration were observed by UBM examination 3 months after the surgery. Meanwhile, the vision and contrast sensitivity were analysed. Results. The differences in inserting position of the needle, the IOL tilt and decentration, the ratio of IOL haptics in sulcus, and uncorrected visual acuity were statistically significant (P 0.05). Conclusions. Sulcus fixation of foldable IOL aided by UBM can increase the accuracy of IOL haptics implanted into ciliary sulcus and reduce the IOL tilt and decentration.

  1. Sulcus Fixation of Foldable Intraocular Lenses Guided by Ultrasound Biomicroscopy

    Directory of Open Access Journals (Sweden)

    Shasha Gao

    2015-01-01

    Full Text Available Background. To evaluate the clinical efficacy of suture fixation of foldable intraocular lens (IOL in ciliary sulcus guided by ultrasound biomicroscopy (UBM. Methods. Thirty-five eyes of 32 cases needing suture fixation of foldable IOL in ciliary sulcus in our hospital were collected and divided into two groups: group A and group B. In group A, UBM was performed on 19 eyes of 17 cases before surgery to locate the projection position of ciliary sulcus in iris surface. In group B, the traditional sulcus fixation of IOL was performed on 16 eyes of 15 cases. The inserting position of needles, the haptics position of IOL and the IOL tilt, and decentration were observed by UBM examination 3 months after the surgery. Meanwhile, the vision and contrast sensitivity were analysed. Results. The differences in inserting position of the needle, the IOL tilt and decentration, the ratio of IOL haptics in sulcus, and uncorrected visual acuity were statistically significant (P0.05. Conclusions. Sulcus fixation of foldable IOL aided by UBM can increase the accuracy of IOL haptics implanted into ciliary sulcus and reduce the IOL tilt and decentration.

  2. AN EXPERIMENTAL STUDY OF THE INTERLEUKIN 1 LEVELS IN AQUEOUS HUMOR AFTER TRANSSCLERAL FIXATION OF INTRAOCULAR LENSES

    Institute of Scientific and Technical Information of China (English)

    周朝晖; 何守志

    1998-01-01

    Purpose. To study the interleukin 1 (IL-1) levels in aqueous humor after transscleroal fixation of intraocular lenses (IOLs) implantation in rabbits and disciss the effect of IL-1 on postoperative anterior ocular inflammation, Methods. Twenty-seven pigmented rabbits were divided into three groups: G1, transscleral fixation of posterior chamber (PC) IOLs implantation; G2, Lens of rabbits were removed without IOLs implantation; GS, the control group, without surgical intervention. On the Ist, 3rd, 7th and 14th postoperative days, aqueous humor samples were obtained. Methyl thiazolyl tetrazolium(MTT) colormetry was used to detected for the presence of IL-1. The data were analyzed hy using analysis of variance of SAS soft ware. Results. It was found that IL-1 level in aqueous humor was increased after transscleral fixation of IOLs implantatlon, IL-1 level reached its maximum on the 14th postoperative days in the IOL implanted group. IL-1 levels on 1st, 3rd, 7th and 14th days postoperatively was significantly higher (P<0. 05) in IOLs implanted group than that of only extracapsular lenses extraction but no IOLs implantation group and that of the none sttrgical intervention group. Conclusions. IL-1 levels increased had a close relationship with a specific response to IOL implantation. The increase of IL-1 may be suggested as the principal mediators of immunological and inflammlatory responses, so that may play critical role in anterior ocular inflammative response after IOL implantation.

  3. A Rapid and Convenient Procedure to Evaluate Optical Performance of Intraocular Lenses

    OpenAIRE

    Frank Schaeffel; Hakan Kaymak

    2014-01-01

    A new portable lens scanner was developed and tested for measuring focal lengths and relative contrast transfer of mono- and multifocal intraocular lenses (IOLs). A photograph of a natural scene was imaged in white light through an IOL in a water-filled cuvette, with their +21D base power largely neutralized by a −20D trial lens, using a USB monochrome video camera that could be focused via a laptop-controlled stepping motor from −8.5 to + 8.0D. The output of 10000 ON-OFF antagonistic “recept...

  4. A Rapid and Convenient Procedure to Evaluate Optical Performance of Intraocular Lenses

    Directory of Open Access Journals (Sweden)

    Frank Schaeffel

    2014-09-01

    Full Text Available A new portable lens scanner was developed and tested for measuring focal lengths and relative contrast transfer of mono- and multifocal intraocular lenses (IOLs. A photograph of a natural scene was imaged in white light through an IOL in a water-filled cuvette, with their +21D base power largely neutralized by a −20D trial lens, using a USB monochrome video camera that could be focused via a laptop-controlled stepping motor from −8.5 to + 8.0D. The output of 10000 ON-OFF antagonistic “receptive fields” measuring the video image with adjustable diameter was continuously recorded by custom written software to quantify focus and relative contrast. Six monofocal and four multifocal IOLs, as well as two radial refractive gradient (RRG lenses were measured. After calibration with trial lenses the optical powers and relative contrast transfer of mono- and multifocal IOLs were readily measured. Refractive power profiles measured in RRG lenses closely matched data obtained from the manufacturer. The lens scanner uses a rapidly operating procedure, is portable and can be used to verify positions of the focal planes of mono- and multifocal IOLs in less than 3 s.

  5. Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

    Directory of Open Access Journals (Sweden)

    Gibbons A

    2016-10-01

    Full Text Available Allister Gibbons, Tayyeba K Ali, Daniel P Waren, Kendall E Donaldson Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs. Methods: This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results: Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%. Complaints were most frequently attributed to residual refractive error (57% and dry eye (35%. The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46% and treatment for dry eye (24%. Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion: The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures. Keywords: intraocular lens, cataract, presbyopia, multifocal intraocular lens

  6. Delayed Hyphema after Posterior Chamber Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    A56-year-old man with senile cataract in the left eye underwent extracapsularcataract extraction(ECCE)and posteriorchamber intraocular lens(IOL)implanta-tion on December 19,1988.A 13D J-loopplannar lens was inserted in the ciliary sul-cus.The operation was successful with mildpostoperative response.His corrected visionwas 20/20. He had a follow-up examination onMarch 20,1989.No complication was notedand his vision retained 20/20.In theevening of the same day,the patient sud-denly felt discomfortable and...

  7. One Year Follow-Up After Veriflex Phakic Intraocular Lenses Implantation for Correction of Myopia

    Science.gov (United States)

    Pjano, Melisa Ahmedbegovic; Biscevic, Alma; Grisevic, Senad; Pidro, Ajla; Ratkovic, Mirko; Bohac, Maja; Husovic, Amila Alikadic; Gojak, Refet

    2016-01-01

    Objectives: The aim of this study was to evaluate visual and refractive outcomes after Veriflex phakic intraocular lenses (pIOL) implantation in moderately myopic eyes as well as postoperative complications. Methods: This prospective clinical study included 40 eyes of 26 patients which underwent implantation of Veriflex for correction of myopia from -6.00 to -14.50 diopters (D) in the Eye Clinic Svjetlost Sarajevo, from January 2011 to January 2014. Uncorrected distance visual acuity (UDVA), manifest residual spherical equivalent (MRSE), intraocular pressure (IOP), endothelial cell (EC) density were evaluated at one, three, six and 12 months. Other complications in postoperative period were evaluated. For statistical analysis SPSS for Windows and Microsoft Excel were used. Results: Out of 26 patients 14 had binocular and 12 monocular procedure, with mean age of 29.8±6.5 years. After 12 months mean UDVA was 0.73±0.20. Mean MRSE was -0.39±0.31D and 90% of eyes had MRSE within ±1D. EC loss was 7.18±4.33%. There was no significant change of IOP by the end of 12 months follow up period. The only intraoperative complication was hyphema and occurred in one eye. Few postoperative complications were: subclinical inflammation in three eyes (7,5%), pigment dispersion in four eyes (10%), ovalisation of papilla in 2 eyes (5%) and decentration of pIOL in 2 eyes (5%). Conclusion: Implantation of iris-claw phakic lenses Veriflex for treating moderately high myopia is a procedure with good visual and refractive results and few postoperative complications. PMID:27482131

  8. Wavefront analysis and modulation transfer function of three multifocal intraocular lenses

    Directory of Open Access Journals (Sweden)

    Santhiago Marcony

    2010-01-01

    Full Text Available Purpose: To evaluate wavefront performance and modulation transfer function (MTF in the human eye after the implantation of diffractive or refractive multifocal intraocular lenses (IOLs. Materials and Methods: This was a prospective, interventional, comparative, nonrandomized clinical study. Uncorrected distance and near visual acuity, and wavefront analysis including MTF curves (iTrace aberrometer, Tracey Technologies, Houston, TX, USA were measured in 60 patients after bilateral IOL implantation with 6 months of follow-up. Forty eyes received the diffractive ReSTOR (Alcon, 40 eyes received the refractive ReZoom (Advanced Medical Optics and 40 eyes, the Tecnis ZM900 (Advanced Medical Optics. The comparison of MTF and aberration between the intraocular lenses was performed using analysis of variance (ANOVA, followed by the Dunn test when necessary. Results: The mean uncorrected distance visual acuity was similar in all three groups of multifocal IOLs. The ReSTOR group provided better uncorrected near visual acuity than the ReZoom group ( P < 0.001, but similar to the Tecnis group. Spherical aberration was significantly higher in the ReZoom group ( P = 0.007. Similar MTF curves were found for the aspheric multifocal IOL Tecnis and the spheric multifocal IOL ReSTOR, and both performed better than the multifocal IOL ReZoom in a 5 mm pupil ( P < 0.001 at all spatial frequencies. Conclusions: Diffractive IOLs studied presented similar MTF curves for a 5 mm pupil diameter. Both diffractive IOLs showed similar spherical aberration, which was significantly better with the full-diffractive IOL Tecnis than with the refractive IOL ReZoom.

  9. New Management of Angle-closure Glaucoma by Phacoemulsification with Foldable Posterior Chamber Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    Jian Ge; Yan Guo; Yizhi Liu; Mingkai Lin; Yehong Zhuo; Bing Chen; Xiuqi Chen

    2000-01-01

    Objective: To investigate the management of angle-closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens (PC-IOL) implantation. Design: Retrospective, noncontrolled interventional case series.Participants: In 36 eyes with angle-closure glaucoma (ACG), there were 18 eyes with primary acute angle-closure glaucoma (PACG), 14 eyes with primary chronic angle-closure glaucoma (PCCG), 3 eyes with secondary acute angle-closure glaucoma (SACG) and 1 eye with secondary chronic angle-closure glaucoma (SCCG).Intervention: Phacoemulsification with posterior chamber intraocular lens implantation.Main Outcome Measures: Postoperative visual acuity, IOP, axial anterior chamber depth.Results: After a mean postoperative follow-up time of 8.81 ± 7.45 months, intraocular pressure was reduced from a preoperative mean of 23.81 ± 17.84 mmHg to a postoperative mean of 12.54 ± 4. 73 mmHg ( P = 0. 001 ). Mean anterior chamber depth was 1.75 ± 0.48 mm preoperatively and 2.29 ± 0.38 mm postoperatively ( P = 0. 000).Best spectacle-corrected visual acuity in 36 eyes ranged from 0. 01 to 0. 7 (20/200 to 20/30) postoperatively, which was better than preoperative VA ranging from hand movement to 0.4 (20/50) ( P= 0. 000).Conclusion: Phacoemulsification with posterior chamber foldable intraocular lens implantation can be a good alternative in treating angle-closure glaucoma. Eye Science 2000; 16:22 ~ 28.

  10. New Management of Angle-closure Glaucoma by Phacoemulsification with Folable Posterior Chamber Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    JianGE; YanGuo; 等

    2002-01-01

    Objective:To investigate the management of angle-closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens (PC-IOIL)implantation.Design:Retrospective,noncontrolled interventional case series.Participants:In 36 eyes with angle -closure glaucoma(ACG).there were 18eyes with primary acute angle-closure glaucoma(PACG),14 eyes with primary chonic angle -closure glaucoma(PCCG),3 eyes with secondary acute angle-closure glaucoma (SACG) and 1 eye with secondary chronic angle -closure glaucoma(SCCG).Intervention:Phacoemulsification with posterior chamber intraocular lens implantation.Main Outcome Measures:Postoperative visual acuity,IOP,axial anterior chamber depth.Results:After a mean postoperative follow -time of 8.81±7.45 months,intraocular pressure was reduced from a preoperative mean of 23.81±17.84 mmHg to a postoperative mean of 12.54±4.73mmHg(P=0.001).Mean anterior chamber depth was 1.75±0.48 mm preoiperatively and 2.29±0.38mm postoperatively(P-0.000).Best spectacle-corrected visual acuity in 36 eyes ranged from 0.01 to 0.7(20/200 to 20/30)postoperatively,which was better than preoperative VA ranging from hand movement to 0.4(20/50)(P=0.000).Conclusion:Phacoemulsification with posterior chamber foldable intraocular lens implantation can be a good alternative in treating angle-closure glaucoma.Eye Science2000;16:22-28.

  11. Fifty-year follow-up and Strampelli anterior chamber intraocular lens.

    Science.gov (United States)

    Oakley, Carmen L; Nigro, Matthew A; Vote, Brendan J

    2015-01-01

    The Strampelli anterior chamber intraocular lens was created in 1953, and was primarily used to treat myopia and aphakia. Due to the positioning of the lens, it was associated with a number of complications, and was later modified to decrease the rate of significant complications, including endothelial cell loss. This paper describes a 62-year-old man, who has had a Strampelli intraocular lens (IOL) in situ for 52 years, with relatively few complications. The case provides a framework for reflection on the significant advances in the development of IOLs since the Strampelli era. The Strampelli anterior chamber intraocular lens was created in 1953, and was primarily used to treat myopia and aphakia. Due to the positioning of the lens, it was associated with a number of complications, and was later modified to decrease the rate of significant complications, including endothelial cell loss. This paper describes a 62-year-old man, who has had a Strampelli intraocular lens (IOL) in situ for 52 years, with relatively few complications. The case provides a framework for reflection on the significant advances in the development of IOLs since the Strampelli era.

  12. Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

    Science.gov (United States)

    Gibbons, Allister; Ali, Tayyeba K; Waren, Daniel P; Donaldson, Kendall E

    2016-01-01

    Purpose The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs). Methods This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures. PMID:27784985

  13. Intraocular lens dislocation and tube shunt in the posterior chamber: a case report

    OpenAIRE

    Moreno-Montañés, Javier; Velázquez-Villoria, Alvaro; Sabater, Alfonso L.; Salinas-Alamán, Angel

    2015-01-01

    Background To describe management of a case of intraocular lens (IOL) and capsular bag (CB) dislocation in an eye with an Ahmed glaucoma valve in the posterior chamber. Case presentation A 75-year-old pseudophakic man with open-angle glaucoma and diabetic retinopathy developed neovascular glaucoma. After two intravitreous injections of bevacizumab and panretinal photocoagulation were administered, the new vessels regressed. However, goniosynechiae were observed over 360° of the angle. An Ahme...

  14. The Clinical Analysis of Secondary Glaucoma Following Posterior Chamber Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    We present 14 patients with secondary gluacoma following the implantation of a posterior chamber intraocular lens (lOLs). All patients were u-nilateral gluacoma , which developed within 1 month following the IOL implantation in 10 cases, and from 1 to 3 years in 4 cases. The angle of anterior chamber was open in 8 patients, and close in 6 ones. Seven patients required treatment of antiglaucomatous medicine; 4 patients underwent laser indecto-my and 3 patients required antiglaucoma surgery. The results s...

  15. Evaluation of actual retinal images produced by misaligned aspheric intraocular lenses in a model eye

    OpenAIRE

    Fujikado T; Saika M

    2014-01-01

    Takashi Fujikado,1 Makoto Saika2 1Department of Applied Visual Science, Osaka University Graduate School of Medicine, Osaka, Japan; 2Research and Development Department of Topcon Corporation, Tokyo, Japan Purpose: To examine the effect of misalignment (decentration and tilt) of intraocular lenses (IOLs) on retinal image quality using a water-immersed model eye with corneal spherical aberration adjusted to the values found in normal human eyes (spherical aberration 0.25 µm; pupil diame...

  16. Toric intraocular lenses for correction of astigmatism in keratoconus and after corneal surgery

    Directory of Open Access Journals (Sweden)

    Mol IEMA

    2016-06-01

    Full Text Available Ilse EMA Mol,1,2 Bart TH Van Dooren1,2 1Department of Ophthalmology, Amphia Hospital, Breda, 2Department of Ophthalmology, Erasmus Medical Center, Rotterdam, the Netherlands Purpose: To describe the results of cataract extraction with toric intraocular lens (IOL implantation in patients with preexisting astigmatism from three corneal conditions (keratoconus, postkeratoplasty, and postpterygium surgery.Methods: Cataract patients with topographically stable, fairly regular (although sometimes very high corneal astigmatism underwent phacoemulsification with implantation of a toric IOL (Zeiss AT TORBI 709, Alcon Acrysof IQ toric SN6AT, AMO Tecnis ZCT. Postoperative astigmatism and refractive outcomes, as well as visual acuities, vector reduction, and complications were recorded for all eyes.Results: This study evaluated 17 eyes of 16 patients with a mean age of 60 years at the time of surgery. Mean follow-up in this study was 12 months. The corrected distance Snellen visual acuity (with spectacles or contact lenses 12 months postoperatively was 20/32 or better in 82% of eyes. The mean corneal astigmatism was 6.7 diopters (D preoperatively, and 1.5 D of refractive cylinder at 1-year follow-up. No vision-compromising intra- or postoperative complications occurred and decentration or off-axis alignment of toric IOLs were not observed.Conclusion: Phacoemulsification with toric IOL implantation was a safe and effective procedure in the three mentioned corneal conditions. Patient selection, counseling, and IOL placement with optimal astigmatism correction are crucial. Keywords: toric intraocular lens, phacoemulsification, corneal astigmatism, keratoconus, postkeratoplasty, postpterygium surgery

  17. Spontaneous fracture of an implanted posterior chamber polyimide intraocular lens haptic: A case report

    Directory of Open Access Journals (Sweden)

    Haemin Kang

    2014-01-01

    Full Text Available A 57-year-old male patient visited our clinic for decreased visual acuity in the right eye for 10 days. He denied any trauma history, but recalled that the symptom developed after straining. He had undergone uncomplicated phacoemulsification and posterior chamber intraocular lens (IOL implantation in the bag of the right eye 11 years ago. The IOL was a three-piece silicone polyimide-haptics design. On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber. The distal part of fractured haptic was observed in the capsular bag. He underwent IOL exchange. The fracture site of the haptic was near the optic-haptic junction. This is the unique case report of a spontaneous fracture of an implanted posterior chamber polyimide IOL haptic, which implies the possibility of IOL haptic fracture in various haptic materials.

  18. An investigation of the effect of silicone oil on polymer intraocular lenses by means of PALS, FT-IR and Raman spectroscopies.

    Science.gov (United States)

    Chamerski, Kordian; Lesniak, Magdalena; Sitarz, Maciej; Stopa, Marcin; Filipecki, Jacek

    2016-10-01

    The effect of the polydimethylsiloxane (PDMS) based silicone oil, that is widely used in vitreoretinal surgery, on internal structures of the polymer intraocular lenses was investigated. The effect of PDMS was studied on the polymethyl methacrylate (PMMA) rigid lenses and poly(2-hydroxyethyl methacrylate) (PHEMA) flexible lenses. The research was carried out by means of the positron lifetime spectroscopy (PALS) as well as the infrared spectroscopy (FT-IR) and the Raman spectroscopy (RS). The studies involving the use of PALS and FT-IR methods have revealed that the PHEMA based lenses absorbed, whereas the PMMA lenses did not absorb, silicone oil. The results obtained with the use of the RS method were inconclusive, probably due to the too low intensity of the characteristic PDMS bands. The evidence from this study was discussed in terms of physics and related to the clinical use of both silicone oil and intraocular lenses. PMID:27261889

  19. An investigation of the effect of silicone oil on polymer intraocular lenses by means of PALS, FT-IR and Raman spectroscopies

    Science.gov (United States)

    Chamerski, Kordian; Lesniak, Magdalena; Sitarz, Maciej; Stopa, Marcin; Filipecki, Jacek

    2016-10-01

    The effect of the polydimethylsiloxane (PDMS) based silicone oil, that is widely used in vitreoretinal surgery, on internal structures of the polymer intraocular lenses was investigated. The effect of PDMS was studied on the polymethyl methacrylate (PMMA) rigid lenses and poly(2-hydroxyethyl methacrylate) (PHEMA) flexible lenses. The research was carried out by means of the positron lifetime spectroscopy (PALS) as well as the infrared spectroscopy (FT-IR) and the Raman spectroscopy (RS). The studies involving the use of PALS and FT-IR methods have revealed that the PHEMA based lenses absorbed, whereas the PMMA lenses did not absorb, silicone oil. The results obtained with the use of the RS method were inconclusive, probably due to the too low intensity of the characteristic PDMS bands. The evidence from this study was discussed in terms of physics and related to the clinical use of both silicone oil and intraocular lenses.

  20. Toric intraocular lenses for correction of astigmatism in keratoconus and after corneal surgery

    Science.gov (United States)

    Mol, Ilse EMA; Van Dooren, Bart TH

    2016-01-01

    Purpose To describe the results of cataract extraction with toric intraocular lens (IOL) implantation in patients with preexisting astigmatism from three corneal conditions (keratoconus, postkeratoplasty, and postpterygium surgery). Methods Cataract patients with topographically stable, fairly regular (although sometimes very high) corneal astigmatism underwent phacoemulsification with implantation of a toric IOL (Zeiss AT TORBI 709, Alcon Acrysof IQ toric SN6AT, AMO Tecnis ZCT). Postoperative astigmatism and refractive outcomes, as well as visual acuities, vector reduction, and complications were recorded for all eyes. Results This study evaluated 17 eyes of 16 patients with a mean age of 60 years at the time of surgery. Mean follow-up in this study was 12 months. The corrected distance Snellen visual acuity (with spectacles or contact lenses) 12 months postoperatively was 20/32 or better in 82% of eyes. The mean corneal astigmatism was 6.7 diopters (D) preoperatively, and 1.5 D of refractive cylinder at 1-year follow-up. No vision-compromising intra- or postoperative complications occurred and decentration or off-axis alignment of toric IOLs were not observed. Conclusion Phacoemulsification with toric IOL implantation was a safe and effective procedure in the three mentioned corneal conditions. Patient selection, counseling, and IOL placement with optimal astigmatism correction are crucial. PMID:27382249

  1. Uveitis-glaucoma-hyphema syndrome caused by posterior chamber intraocular lens--a rare complication in pediatric cataract surgery.

    Science.gov (United States)

    Lin, Chun-Ju; Tan, Chau-Yi; Lin, Szu-Yuan; Jou, Jieh-Ren

    2008-01-01

    We report a case of postoperative uveitis-glaucome-hyphema (UGH) syndrome following pediatric cataract surgery due to posterior chamber intraocular lens (PC-IOL). Slit-lamp examination revealed the optic of PC-IOL migrated into anterior chamber. The PC-IOL explantation was performed and ocular inflammation subsided. PMID:19230361

  2. Instrumental studies on silicone oil adsorption to the surface of intraocular lenses

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Chun Ho [Lab. of Tissue Engineering, Korea Institute of Radiological and Medical Sciences, Seoul 139-706 (Korea, Republic of); Joo, Choun-Ki [Department of Ophthalmology and Visual Science, Medical College of Catholic University, Seoul 137-701 (Korea, Republic of); Chun, Heung Jae, E-mail: chunhj@catholic.ac.kr [Institute of Cell and Tissue Engineering, Medical College of Catholic University, Seoul 137-701 (Korea, Republic of); Yoo, Bok Ryul [Organosilicone Chemistry Laboratory, Korea Institute of Science and Technology, Seoul 130-650 (Korea, Republic of); Noh, Dong Il; Shim, Young Bock [Research Institute of Biomedical Engineering, Korea Bone Bank Co. Ltd., Seoul 153-782 (Korea, Republic of)

    2012-12-01

    Highlights: Black-Right-Pointing-Pointer It was found that PHEMA and Acrysof IOLs possess silicone oil repellant ability. Black-Right-Pointing-Pointer The residual silicone oil was detected on the surfaces of PMMA and silicone IOLs. Black-Right-Pointing-Pointer XPS studies showed that silicone oil coverage of PMMA lenses was 12%. Black-Right-Pointing-Pointer Silicone oil covered the entire surface of the silicone IOLs. - Abstract: The purpose of this study was to examine the degree of adherence of silicone oil to various intraocular lenses (IOLs) through comparison of the physico-chemical properties of the oil and IOLs. Four kinds of IOLs comprising various biomaterials were examined: PMMA (720A Trade-Mark-Sign ), PHEMA (IOGEL 1103 Trade-Mark-Sign ), Acrysof (MA60BM Trade-Mark-Sign ), and silicone (SI30NB Trade-Mark-Sign ). Each lens was immersed in silicone oil or carboxylated silicone (CS-PDMS) oil for 72 h. For determination of the changes in chemical and elemental compositions on the surfaces of IOLs caused by the contact with silicone oil, IOLs were washed and rinsed with n-pentane to remove as much of the adsorbed silicone oil as possible, then subjected to Fourier transform infrared spectroscopic (FTIR) and X-ray photoelectron spectroscopic (XPS) analyses. The results of FTIR studies strongly indicate that washing with n-pentane completely removed the adhered silicone oil on the surfaces of PHEMA and Acrysof IOLs, whereas the residual silicone oil was detected on the surfaces of PMMA and silicone IOLs. XPS studies showed that silicone oil coverage of PMMA lenses was 12%, even after washing with n-pentane. In the case of silicone IOLs, the relative O1s peak area of carboxyl group in the residual CS-PDMS oil was found to be {approx}2.7%. Considering that 2.8% carboxyl group-substituted silicone oil was used in the present study, CS-PDMS oil covered the entire surface of the silicone IOLs.

  3. Surface characterization of polymer-drug modified vascular stents and intraocular lenses

    Science.gov (United States)

    Elachchabi, Amin

    Two of the most important medical devices in clinical use today are endoluminal stents and intraocular lenses (IOLs). In both devices, surface and interfacial properties are of basic importance in the development and clinical performance of these devices. Drug eluting stents have revolutionized the world of interventional cardiology. Research reported here was devoted to the design and development of new drug eluting stents wherein the metallic backbone is completely embedded in a polymeric matrix used also as a drug reservoir. This design, using silicone-drug compositions can lead to higher drug payloads, less tissue damage during angioplasty balloon/stent expansion, and the novel capability of delivering multiple drugs. The adhesion of the polymeric coating to the metallic stent is essential and has not been adequately reported previously. The adhesion of polydimethylsiloxane (PDMS) coatings to a stainless steel stent substrate was shown to be enhanced by the application of mixtures of tetra-n-propyl silicate, tetrabutyltitanate, tetra-2-methoxyethoxysilane, and 3-(trimethoxysilyl)propyl methacrylate coupling agents. Additionally, the effect of drug loading on the stress/strain properties of the polymeric coating is of basic importance. The tensile strength and percent elongation of dexamethasone loaded PDMS films was shown to remain satisfactory for stent coatings at low concentrations (less than 1%) but decreased as the concentrations of dexamethasone in PDMS was increased to 5%. The release of multiple therapeutic agents from PDMS coatings to reduce in-stent restenosis has not been previously reported. The release profile of Paclitaxel, dexamethasone 21-acetate, and their combination from PDMS coatings was studied using high precision liquid chromatography (HPLC). Although dexamethasone release was reduced by paclitaxel, paclitaxel release was unaffected by combination with dexamethasone. Paclitaxel release from the polymeric matrices was shown to inhibit

  4. Correction of high myopia with foldable Artiflex Phakic intraocular lenses: 1 year follow-up results.

    Directory of Open Access Journals (Sweden)

    Hassan Hashemi

    2013-09-01

    Full Text Available To assess the one year results of Artiflex Phakic intraocular lens (IOL implantation in the treatment of high myopia. In this non-random interventional study, myopic patients with spherical equivalent worse than -5.0 diopters (D who were not eligible for laser surgery were assessed. All patients had refraction, uncorrected and best corrected visual acuity tests (UCVA and BCVA, endothelial cell count (ECC, and measurement of the anterior chamber depth and intraocular pressure before surgery and at 1, 3, 6, and 12 months after surgery. Main outcome measures of this study were refractive stability, refractive predictability, safety, and efficacy after implanting Artiflex IOLs. We studied 53 eyes of 20 female and 8 male patients. The mean preoperative spherical equivalent was -10.22±3.02 D which reached -0.69±1.08 D one year after surgery (P<0.001. On the last follow-up visit, 75% of the eyes were within +0.5 D of emmetropia, 2 eyes had lost one line of BCVA, 18.75% had gained one line and 31.25% had gained 2 or more lines of BCVA. Others showed no change in BCVA. At one year after surgery, 72.2% of the eyes had 20/25 vision or better. The safety and efficacy indices were 1.16 and 1.05, respectively. ECC showed 3.04% decrease (P=0.176. In cases where laser surgery is not an option for myopic patients, use of Artiflex IOLs can have good results with acceptable safety and efficacy.

  5. [Endoscopically controlled optimization of trans-scleral suture fixation of posterior chamber lenses in the ciliary sulcus].

    Science.gov (United States)

    Althaus, C; Sundmacher, R

    1993-08-01

    Two technical difficulties have to be overcome in transscleral suture fixation of posterior chamber intraocular lenses (PCL) in the ciliary sulcus: first, exact needle penetration through the sulcus, and second, exact positioning of the PCL haptics in the sulcus. Incongruence of the two may lead to long-term complications by compression or even strangulation of ciliary processes. Intraocular endoscopy was used intraoperatively to visualize the site of needle penetration and the final location of the haptics in patients. It turned out that with our previously described standard techniques the precision was far less than anticipated. Thus, new technical ways had to be sought to improve the precision of positioning. In secondary implantation without perforating keratoplasty we achieved the best results when the needle was passed ab externo before opening the eye and before anterior vitrectomy, taking advantage of a precisely prepared sclerocorneal zone. Passing the needle ab externo in an already hypotonic eyeball gives much less precise results. In combination with perforating keratoplasty with an open-sky approach, needle penetration ab interno is reliable. Correct positioning of the PCL haptics is at least as difficult as correct needle penetration, a fact which up to now has mostly been ignored. In 33 consecutively operated eyes the technique of implantation and PCL design was varied under endoscopical control.(ABSTRACT TRUNCATED AT 250 WORDS)

  6. Visian implantable contact lens versus AcrySof Cachet phakic intraocular lenses: comparison of aberrmetric profiles

    Directory of Open Access Journals (Sweden)

    Hosny MHM

    2013-07-01

    Full Text Available Mohamed HM Hosny, Ahmad MM ShalabyDepartment of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, EgyptPurpose: To evaluate the in vivo aberrometric performance of two phakic intraocular lenses (PIOLs; the Visian implantable contact lens (ICL and the AcrySof Cachet PIOL.Methods: Thirty eight eyes from 29 patients with an age range of 23–32 years and more than 9 D of myopia were divided into two groups; one group of 20 eyes received a Visian ICL model V4c, another group of 18 eyes received an AcrySof Cachet PIOL. Total higher order aberrations (HOAs root mean square, total coma, and total spherical aberrations were recorded pre and 6 weeks postoperatively to evaluate and compare the aberrometric performance of the Visian ICL and the AcrySof Cachet PIOL implanted in highly myopic patients.Results: Preoperatively, there were no significant differences in any studied parameters, except for preoperative spherical equivalent. Postoperatively, there were no statistically significant differences in the induction of HOAs between both PIOLs. The reduction in spherical aberrations was statistically significant in each group as well as in all study patients.Conclusion: Both AcrySof Cachet PIOL and ICLs are effective phakic implants to correct high refractive errors. They both induce small amounts of negative spherical aberration that do not affect the total HOAs, yet reduce the positive ocular spherical aberration. This result is expected to improve the quality of vision in such patients.Keywords: high myopia, higher order aberrations, refractive procedures, phakic implants

  7. Effect of altered eating habits and periods during Ramadan fasting on intraocular pressure, tear secretion, corneal and anterior chamber parameters

    NARCIS (Netherlands)

    Kerimoglu, H.; Ozturk, B.; Gunduz, K.; Bozkurt, B.; Kamis, U.; Okka, M.

    2010-01-01

    Purpose To determine whether altered eating habits and periods, especially the pre-dawn meal, during Ramadan fasting have any significant effect on intraocular pressure (IOP), tear secretion, corneal and anterior chamber parameters. Methods IOP, basal tear secretion (BTS), reflex tear secretion (RTS

  8. Aderência bacteriana in vitro a lentes intra-oculares de polimetilmetacrilato e de silicone In vitro bacterial adherence to silicone and polymetylmethacrylate intraocular lenses

    Directory of Open Access Journals (Sweden)

    Claudete Inês Locatelli

    2004-04-01

    Full Text Available OBJETIVOS: Verificar a aderência bacteriana a lentes intra-oculares de silicone e de polimetilmetacrilato como possível fator de risco no desenvolvimento de endoftalmite pós-operatória, utilizando-se um modelo in vitro com três microrganismos potencialmente patogênicos. MÉTODOS: As análises foram realizadas com cepas de Staphylococcus aureus ATCC 29213, Staphylococcus epidermidis (amostra clínica e Pseudomonas aeruginosa ATCC 27853 incluindo a determinação de curvas de crescimento, testes para verificação de produção de cápsula, avaliação da hidrofobicidade, testes de aderência a diferentes materiais, microscopia óptica, microscopia eletrônica de varredura e microscopia de força atômica. RESULTADOS: A produção de cápsula e a aderência das três diferentes cepas não mostraram qualquer relação com a quantidade de microrganismos; em relação às lentes intra-oculares de polimetilmetacrilato e de silicone, não houve diferença estatisticamente significativa na aderência de S. aureus e S. epidermidis; P. aeruginosa foi o microrganismo mais aderente a ambos os materiais. A microscopia eletrônica de varredura confirmou estes achados em relação à aderência, ao peso que a microscopia de força atômica evidenciou a produção de biofilme pelas cepas de S. aureus, S. epidermidis e P. aeruginosa. CONCLUSÕES: Constatou-se, in vitro, que os materiais analisados não diferiram com relação à taxa de aderência bacteriana, porém, P. aeruginosa apresentou maior eficiência de adesão entre as bactérias testadas. Todas as cepas produziram biofilme. Silicone foi o material mais hidrofóbico, quando comparado ao polimetilmetacrilato.PURPOSE: To evaluate bacterial adherence to silicone and polymetylmethacrylate (PMMA intraocular lenses as a risk factor for postsurgery endophthalmitis by using an in vitro model with three potentially pathogenic microorganisms. METHODS: In vitro experiments were carried out with the

  9. The Management of a Patient with Elevated Intraocular Pressure Resistant to Medical Treatment: Anterior Chamber Irrigation

    Directory of Open Access Journals (Sweden)

    Abdullah Beyoğlu

    2014-10-01

    Full Text Available A 7-year-old male patient was medically treated in another center for hyphema which occurred after blunt trauma to his right eye. He was admitted to our clinic when his visual acuity decreased after being discharged. Biomicroscopic examination revealed total hyphema. Intraocular pressure (IOP was 48 mm Hg in the right eye with Goldmann applanation tonometry. Since IOP could not be managed by medical therapy and there was no regression in hyphema, anterior chamber was irrigated. As in our case, it should not be forgotten that re-hemorrhage may occur in the first week of hyphema during childhood. Moreover, surgical treatment should be considered when hemorrhage does not regress with medical treatment, increased IOP persists, and when there is a risk of corneal endothelial staining (corneal blood staining. (Turk J Ophthalmol 2014; 44: 400-2

  10. Comparison of outcomes with multifocal intraocular lenses: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Béatrice Cochener

    2011-01-01

    Full Text Available Béatrice Cochener1, Antoine Lafuma2, Babak Khoshnood2, Laurène Courouve2, Gilles Berdeaux3,41Centre Hospitalier Universitaire Brest, Brest, France; 2Cemka Eval, Bourg la Reine, France; 3Alcon France, Rueil-Malmaison, France; 4Conservatoire National des Arts et Métiers, Paris, FrancePurpose: To compare the clinical outcome of different multifocal intraocular lenses (IOLs based on information reported in the international literature.Methods: All comparative clinical trials that involved implanting at least one multifocal IOL in patients with cataract or presbyopia were extracted from the literature. Clinical outcomes included uncorrected near visual acuity, uncorrected distance visual acuity, visual acuity, spectacle independence, and halos. Random effects meta-analyses were conducted to compare outcomes for the different IOL types.Results: Twenty papers were identified describing 11 monofocal IOLs and 35 multifocal IOLs (19 diffractive, including 12 ReSTOR®, 14 refractive, and two accommodative patient cohorts. Multifocal and monofocal uncorrected distance visual acuity was 0.165 (0.090–0.240 and 0.093 (0.088–0.098, respectively. Compared with monofocal IOLs, multifocal IOLs produced better uncorrected near visual acuity (0.470 [0.322–0.618] versus 0.141 [0.131–0.152]; P < 0.0001, resulting in higher spectacle independence (incidence rate ratio [IRR] 3.62 [2.90–4.52]; P < 0.0001. Compared with refractive multifocal IOLs, diffractive multifocal IOLs produced a similar uncorrected distance visual acuity (0.105 [0.098–0.111] versus 0.085 [0.029–0.140]; P ≤ 0.78, not significant and better uncorrected near visual acuity (0.217 [0.118–0.317] versus 0.082 [0.067–0.098]; P < 0.0001 resulting in higher spectacle independence (IRR 1.75 [1.24–2.48]; P < 0.001. Compared with other multifocal IOLs, ReSTOR produced a better uncorrected distance visual acuity (0.067 [0.059–0.076] versus 0.093 [0.088–0.098]; P < 0.0001 and better

  11. A novel full-angle scanning light scattering profiler to quantitatively evaluate forward and backward light scattering from intraocular lenses

    International Nuclear Information System (INIS)

    Glare, glistenings, optical defects, dysphotopsia, and poor image quality are a few of the known deficiencies of intraocular lenses (IOLs). All of these optical phenomena are related to light scatter. However, the specific direction that light scatters makes a critical difference between debilitating glare and a slightly noticeable decrease in image quality. Consequently, quantifying the magnitude and direction of scattered light is essential to appropriately evaluate the safety and efficacy of IOLs. In this study, we introduce a full-angle scanning light scattering profiler (SLSP) as a novel approach capable of quantitatively evaluating the light scattering from IOLs with a nearly 360° view. The SLSP method can simulate in situ conditions by controlling the parameters of the light source including angle of incidence. This testing strategy will provide a more effective nonclinical approach for the evaluation of IOL light scatter

  12. Comparison of ocular straylight after implantation of multifocal intraocular lenses

    NARCIS (Netherlands)

    Łabuz, Grzegorz; Reus, Nicolaas J; van den Berg, Thomas J T P

    2016-01-01

    UNLABELLED: A comprehensive review of the effect of multifocal intraocular lens (IOL) designs on postoperative ocular straylight was performed. Studies reporting straylight values obtained with the natural pupil using the C-Quant device after uneventful multifocal IOL implantation were included. The

  13. 不同人工晶体植入术后白内障患者的视力满意度调查%The survey of patients'satisfaction of sight after implanted different intraocular lenses

    Institute of Scientific and Technical Information of China (English)

    韦秋红; 陈琛; 杜卫静

    2013-01-01

    Objective:To investigate patients’postoperative visual satisfaction of phacoemulsification in order to provide reference for the choice of IOL. Method:347 patients after phacoemulsification were inquired satisfaction of vision. Results: There 286 patients finished the survey. There were 79 patients implanted clear intraocular lenses, 79 patients implanted yel ow intraocular lenses, 80 patients implanted photochromic intraocular lenses, 58 patients implanted aspheric intraocular lenses and 54 patients implanted multifocal intraocular lenses. Few implanted multifocal intraocular lenses patients had reading difficulty. But most implanted monofocal intraocular lens patients had reading difficulty. Implanted clear intraocular lenses patients and yel ow intraocular lenses patients had more difficulty at night and in distinguishing color than the patients implanted photochromic intraocular lenses. Conclusions:multifocal intraocular lenses and aspheric intraocular lenses indeed could improve the visual quality of postoperative patients.%目的:调查植入不同人工晶体材料的白内障患者术后视力满意度,更好的为白内障手术提供参考。方法:对2000年至2010年于我院行白内障手术的347例白内障患者进行回访和问卷调查。了解白内障术后患者的术后视觉满意度和生活质量。结果:286人完成问卷调查,植入普通折叠人工晶体者79例,蓝光滤过人工晶体者79例,光变色人工晶体者80例,非球面人工晶体者58例,多焦点人工晶体者54例。植入多焦点人工晶体的患者术后很少有阅读困难、夜间活动困难以及眩光现象。植入单焦点人工晶体的患者大多数表示有阅读困难。其中植入普通折叠人工晶体和蓝光滤过人工晶体的患者比植入光变色人工晶体的患者有更多的夜间活动障碍和视色困难。结论:多焦点及非球面人工晶体的确可以明显的改善患者术后的视觉质量。

  14. Corneal Endothelial Cell Changes Due to Combined Phacoemulsification-Posterior Chamber Intraocular Lens Implantation and Transpupillary Silicone Oil Removal

    OpenAIRE

    Mehmet Hanifi Alp; Haluk Esgin

    2014-01-01

    Objectives: The aim of this study was to evaluate the effects of combined phacoemulsification-posterior chamber intraocular lens (PCIOL) implantation and removal of transpupillary silicone oil on the corneal endothelial cell layer. Materials and Methods: In this study, we included seven eyes of 7 patients who had intravitreal hemorrhage resulting from retinal detachment or tractional retinal detachment due to proliferative diabetic retinopathy and who underwent pars plana vitrectomy ...

  15. Evaluation of pars plana sclera fixation of posterior chamber intraocular lens

    Directory of Open Access Journals (Sweden)

    Fangju Han

    2014-01-01

    Full Text Available Purpose: The purpose of this study was to evaluate the clinical efficacy and safety of modified posterior chamber intraocular lens (PCIOL implantation with transscleral fixation. Design and Setting: This is a study, which is conducted at Department of Ophthalmology, Jinan Eye Hospital, Jinan Second People′s Hospital. Materials and Methods: A total of 82 patients who were scheduled for sutured PCIOL were divided randomly into modified and conventional groups. The former underwent PCIOL through pars plana fixation with knot buried and without scleral flap and the latter underwent transscleral fixation of PCIOL in the ciliary sulcus. The main outcome measures included operative time, postoperative visual acuity, and postoperative complications. Results: The mean operative time of the modified group was 39.95 ± 5.87 min, which was significantly less than that of the conventional group (45.77 ± 5.21 min; P < 0.05. No difference was found in postoperative visual acuity between the two groups. There were no significant postoperative complications, including knot exposure, endophthalmitis, and retinal detachment in either group. The optical clamping of PCIOL was prone to occur in the conventional group. Conclusion: Modified sutured PCIOL implantation is a safe, effective, and feasible technique for the correction of aphakia in eyes without adequate posterior capsular support.

  16. Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach

    OpenAIRE

    Jeroni Nadal; Bachar Kudsieh; Ricardo P. Casaroli-Marano

    2015-01-01

    Background. To evaluate visual outcomes, corneal changes, intraocular lens (IOL) stability, and complications after repositioning posteriorly dislocated IOLs and sulcus fixation with polyester sutures. Design. Prospective consecutive case series. Setting. Institut Universitari Barraquer. Participants. 25 eyes of 25 patients with posteriorly dislocated IOL. Methods. The patients underwent 23-gauge vitrectomy via the sulcus to rescue dislocated IOLs and fix them to the scleral wall with a ...

  17. Use of hydroxypropylmethylcellulose 2% for removing adherent silicone oil from silicone intraocular lenses

    OpenAIRE

    Wong, S Chien; Ramkissoon, Yashin D; Lopez, Mauricio; Page, Kristopher; Ivan P. Parkin; Sullivan, Paul M

    2009-01-01

    Abstract Background / aims: To investigate the effect of hydroxypropylmethylcellulose (HPMC) on the physical interaction (contact angle) between silicone oil and a silicone intraocular lens (IOL). Methods: In vitro experiments were performed, to determine the effect of HPMC (0.5%, 1% or 2%), with or without an additional simple mechanical manoeuvre, on the contact angle of silicone oil at the surface of both silicone and acrylic (control) IOLs. A balanced salt solu...

  18. Comparison of retinal image quality with spherical and customized aspheric intraocular lenses

    OpenAIRE

    Guo, Huanqing; Goncharov, Alexander V.; Dainty, Chris

    2012-01-01

    We hypothesize that an intraocular lens (IOL) with higher-order aspheric surfaces customized for an individual eye provides improved retinal image quality, despite the misalignments that accompany cataract surgery. To test this hypothesis, ray-tracing eye models were used to investigate 10 designs of mono-focal single lens IOLs with rotationally symmetric spherical, aspheric, and customized surfaces. Retinal image quality of pseudo-phakic eyes using these IOLs together with individual variati...

  19. Toric intraocular lenses for correction of astigmatism in keratoconus and after corneal surgery

    OpenAIRE

    Mol, Ilse

    2016-01-01

    Ilse EMA Mol,1,2 Bart TH Van Dooren1,2 1Department of Ophthalmology, Amphia Hospital, Breda, 2Department of Ophthalmology, Erasmus Medical Center, Rotterdam, the Netherlands Purpose: To describe the results of cataract extraction with toric intraocular lens (IOL) implantation in patients with preexisting astigmatism from three corneal conditions (keratoconus, postkeratoplasty, and postpterygium surgery).Methods: Cataract patients with topographically stable, fairly regular (although sometim...

  20. Optical aberrations of intraocular lenses measured in vivo and in vitro

    Science.gov (United States)

    Barbero, Sergio; Marcos, Susana; Jiménez-Alfaro, Ignacio

    2003-10-01

    Corneal and ocular aberrations were measured in a group of eyes before and after cataract surgery with spherical intraocular lens (IOL) implantation by use of well-tested techniques developed in our laboratory. By subtraction of corneal from total aberration maps, we also estimated the optical quality of the intraocular lens in vivo. We found that aberrations in pseudophakic eyes are not significantly different from aberrations in eyes before cataract surgery or from previously reported aberrations in healthy eyes of the same age. However, aberrations in pseudophakic eyes are significantly higher than in young eyes. We found a slight increase of corneal aberrations after surgery. The aberrations of the IOL and the lack of balance of the corneal spherical aberrations by the spherical aberrations of the intraocular lens also degraded the optical quality in pseudophakic eyes. We also measured the aberrations of the IOL in vitro, using an eye cell model, and simulated the aberrations of the IOL on the basis of the IOL's physical parameters. We found a good agreement among in vivo, in vitro, and simulated measures of spherical aberration: Unlike the spherical aberration of the young crystalline lens, which tends to be negative, the spherical aberration of the IOL is positive and increases with lens power. Computer simulations and in vitro measurements show that tilts and decentrations might be contributors to the increased third-order aberrations in vivo in comparison with in vitro measurements.

  1. Phakic anterior chamber intraocular lens (Verisyse™) implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    Science.gov (United States)

    Pirouzian, Amir; Ip, Kenneth C; O’Halloran, Henry S

    2009-01-01

    Purpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA) phakic anterior chamber intraocular lens (IOL) in the reduction of clinically significant (>−8 D) myopic anisometropia in children who are noncompliant to traditional medical treatment including spectacle correction or contact lenses. Design: Retrospective interventional case series. Methods: Six anisometropic myopic pediatric patients in one practice were identified through chart-review. None of the patients were compliant with specatacle correction or contact lens wear and as a result had dense amblyopia of less than 20/400 by Snellen or Allen visual acuity (mean 6 lines was achieved in four patients (mean visual acuity of 20/70 at six months). Improvement in stereoacuity was noted in all six patients (from total mean zero seconds-arc to six-months post-operative mean of 500 seconds-arc by randot stereoacuity testing). Improvement of >2 lines of visual acuity lines was achieved in the other two patients. No patient lost any lines of visual acuity. Enhanced physical activity, coordination, and improved social interaction were noted in patients and were reported by the parents. No intra/post-operative complications were noted. Discussion: Irreversible or intractable amblyopia secondary to severe anisometropic myopia is a serious medical concern in the pediatric population. Failure of compliance with contact lens therapy consistently leads to visual loss. Anterior chamber phakic IOLs may provide a safe alternative in treatment of noncompliant anisometropic myopic patients who do not accept spectacle wear or contact lens therapy. Conclusion: To reduce or eliminate highly significant anisometropic myopia in children who are noncompliant with traditional medical treatment, phakic anterior chamber IOL implantation may be considered as an alternative modality of treatment. PMID:19668592

  2. Phakic anterior chamber intraocular lens (Verisyse™ implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    Directory of Open Access Journals (Sweden)

    Amir Pirouzian

    2009-06-01

    Full Text Available Amir Pirouzian1,3, Kenneth C Ip2, Henry S O’Halloran31The Permanente Medical Group, Santa Clara, CA, USA; 2The Permanente Medical Group, San Francisco, CA, USA; 3Rady’s Children’s Hospital of San Diego, San Diego, CA, USAPurpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA phakic anterior chamber intraocular lens (IOL in the reduction of clinically significant (>-8 D myopic anisometropia in children who are noncompliant to traditional medical treatment including spectacle correction or contact lenses.Design: Retrospective interventional case series.Methods: Six anisometropic myopic pediatric patients in one practice were identified through chart-review. None of the patients were compliant with specatacle correction or contact lens wear and as a result had dense amblyopia of less than 20/400 by Snellen or Allen visual acuity (mean <20/400. All patients underwent Verisyse™ phakic IOL implantation in the more myopic eye by one surgeon (AP. Pre- and post-operative visual acuity, anterior/posterior segment examination, stereoacuity, axial biometry measurements, cycloplegic refraction, and endothelial cell counts were performed in all patients whenever feasible.Results: The age of patients ranged from 5–11 years. The mean post-operative follow-up time was six months from the time of IOL insertion. Improvement in visual acuity >6 lines was achieved in four patients (mean visual acuity of 20/70 at six months. Improvement in stereoacuity was noted in all six patients (from total mean zero seconds-arc to six-months post-operative mean of 500 seconds-arc by randot stereoacuity testing. Improvement of >2 lines of visual acuity lines was achieved in the other two patients. No patient lost any lines of visual acuity. Enhanced physical activity, coordination, and improved social interaction were noted in patients and were reported by the parents. No intra/post-operative complications were noted

  3. A truly knotless technique for scleral fixation of intraocular lenses: Two-year results

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    Naresh K Yadav

    2012-01-01

    Full Text Available Scleral fixated intraocular lens (SFIOL is a safe and effective option for managing optical aphakia. Suture related complications like suture erosion, suture breakage, endophthalmitis, etc. are unique to SFIOL. The knots can be covered by partial thickness flaps or they can be rotated into scleral tissues without flaps to reduce the complications. We performed a recently described novel technique which obviates the need for knot and scleral flaps in securing the SFIOL. This novel 2-point Ab externo knotless technique may reduce the knot related problems. Twenty-three eyes undergoing this knotless SFIOL procedure were analyzed for intraoperative and postoperative complications. Twenty-two eyes either maintained or improved on their preoperative vision. All patients had a minimum follow-up of 24 months.

  4. Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach.

    Science.gov (United States)

    Nadal, Jeroni; Kudsieh, Bachar; Casaroli-Marano, Ricardo P

    2015-01-01

    Background. To evaluate visual outcomes, corneal changes, intraocular lens (IOL) stability, and complications after repositioning posteriorly dislocated IOLs and sulcus fixation with polyester sutures. Design. Prospective consecutive case series. Setting. Institut Universitari Barraquer. Participants. 25 eyes of 25 patients with posteriorly dislocated IOL. Methods. The patients underwent 23-gauge vitrectomy via the sulcus to rescue dislocated IOLs and fix them to the scleral wall with a previously looped nonabsorbable polyester suture. Main Outcome Measures. Best corrected visual acuity (BCVA) LogMAR, corneal astigmatism, endothelial cell count, IOL stability, and postoperative complications. Results. Mean follow-up time was 18.8 ± 10.9 months. Mean surgery time was 33 ± 2 minutes. Mean BCVA improved from 0.30 ± 0.48 before surgery to 0.18 ± 0.60 (p = 0.015) at 1 month, which persisted to 12 months (0.18 ± 0.60). Neither corneal astigmatism nor endothelial cell count showed alterations 1 year after surgery. Complications included IOL subluxation in 1 eye (4%), vitreous hemorrhage in 2 eyes (8%), transient hypotony in 2 eyes (8%), and cystic macular edema in 1 eye (4%). No patients presented retinal detachment. Conclusion. This surgical technique proved successful in the management of dislocated IOL. Functional results were good and the complications were easily resolved. PMID:26294964

  5. Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach

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    Jeroni Nadal

    2015-01-01

    Full Text Available Background. To evaluate visual outcomes, corneal changes, intraocular lens (IOL stability, and complications after repositioning posteriorly dislocated IOLs and sulcus fixation with polyester sutures. Design. Prospective consecutive case series. Setting. Institut Universitari Barraquer. Participants. 25 eyes of 25 patients with posteriorly dislocated IOL. Methods. The patients underwent 23-gauge vitrectomy via the sulcus to rescue dislocated IOLs and fix them to the scleral wall with a previously looped nonabsorbable polyester suture. Main Outcome Measures. Best corrected visual acuity (BCVA LogMAR, corneal astigmatism, endothelial cell count, IOL stability, and postoperative complications. Results. Mean follow-up time was 18.8 ± 10.9 months. Mean surgery time was 33 ± 2 minutes. Mean BCVA improved from 0.30 ± 0.48 before surgery to 0.18 ± 0.60 (p=0.015 at 1 month, which persisted to 12 months (0.18 ± 0.60. Neither corneal astigmatism nor endothelial cell count showed alterations 1 year after surgery. Complications included IOL subluxation in 1 eye (4%, vitreous hemorrhage in 2 eyes (8%, transient hypotony in 2 eyes (8%, and cystic macular edema in 1 eye (4%. No patients presented retinal detachment. Conclusion. This surgical technique proved successful in the management of dislocated IOL. Functional results were good and the complications were easily resolved.

  6. Tilt and decentration tolerance of intraocular lenses: measurements with an improved mechanical model eye

    Science.gov (United States)

    Traxler, Lukas; Reutterer, Bernd; Bayer, Natascha; Rank, Elisabet; Krause, Sylvio; Beckert, Erik; Drauschke, Andreas

    2016-03-01

    Cataract, a clouding of the crystalline eye lens, is the leading cause of blindness. It can effectively be treated by cataract surgery, where the clouded lens is replaced by an artificial intraocular lens (IOL). Postoperative healing processes can cause a displacement of the IOL, which further leads to the fact that the quality of vision is deteriorated. Studies have shown that the imaging quality of high sophisticated IOL designs is more sensitive to lens displacements than simpler designs. The effects of IOL displacements are not well represented and tested within the current IOL test standard ISO 11979-2. This fact leads to the necessity to develope new test standards for novel and more sophisticated IOL designs. In this paper we present an improved model eye, which extends the current standard in three main aspects: First, the eye-model is very close to the physiology of the human eye. Second, electromechanic drives allow an automatic and precise simulation of postoperative lens tilts and decentrations, and finally in addition to standard conform MTF analysis, in the proposed setup also wavefront aberrations are measured. The latter reveals specific image aberrations caused by lens displacements. The model eye allows to objectively analyze the displacement tolerance of various IOL designs. The functionality of this novel setup is tested by measuring a spherical and an aspheric IOL design. Additionally, for comparison, IOLs that were already investigated with a previous version of the presented model eye are used for analysis. Measurements results reveal improvements compared to the previous version of the model eye and a functional prototype for wavefront measurement.

  7. Surface modification of acrylate intraocular lenses with dielectric barrier discharge plasma at atmospheric pressure

    Institute of Scientific and Technical Information of China (English)

    WANG Yao; LIU ZhenMei; XU ZhiKang; YAO Ke

    2009-01-01

    Surface modification with dielectric barrier discharge (DBD) plasma was carried out at atmospheric pressure (argon as the discharge gas) to improve the biocompatibility of hydrophobic acrylate intraocular lens (IOL). Changes of the plasma-treated IOL surface in chemical composition,morphology and hydrophilicity were comprehensively evaluated by X-ray photoelectron spectroscopy (XPS),field emission scanning electron microscopy (FESEM),atomic force microscopy (AFM) and water contact angle (WCA) measurements. The surface biocompatibility of the untreated and plasma-treated IOLs was compared with the adhesion behavior of platelets,macrophages and lens epithelial cells (LECs) in vitro. After DBD plasma treatment,the hydrophilicity of the IOL surface was obviously improved. The changes in WCA with treatment extension may be attributed to both the introduction of oxygen or/and nitrogen-containing polar groups and the increase of surface roughness induced by plasma etching effect. The existence of low molecular weight oxidized material (LMWOM) was proved on the plasma treated IOL which was caused by the chain scission effect of the plasma treatment. The plasma-treated lOLs resisted the adhesion of platelets and macrophages significantly. The LECs spreading and proliferation were postponed on the lOLs plasma-treated for more than 180 s,with a well maintained epithelial phenotype of LECs. The IOL biocompatibility was improved after the DBD plasma treatment. We speculate that slighter foreign-body reaction and later incidence of anterior capsule opacification (ACO) may be expected after implantation of the argon DBD plasma-treated IOL.

  8. Surface modification of acrylate intraocular lenses with dielectric barrier discharge plasma at atmospheric pressure

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Surface modification with dielectric barrier discharge(DBD) plasma was carried out at atmospheric pressure(argon as the discharge gas) to improve the biocompatibility of hydrophobic acrylate intraocular lens(IOL).Changes of the plasma-treated IOL surface in chemical composition,morphology and hydrophilicity were comprehensively evaluated by X-ray photoelectron spectroscopy(XPS),field emission scanning electron microscopy(FESEM),atomic force microscopy(AFM) and water contact angle(WCA) measurements.The surface biocompatibility of the untreated and plasma-treated IOLs was compared with the adhesion behavior of platelets,macrophages and lens epithelial cells(LECs) in vitro.After DBD plasma treatment,the hydrophilicity of the IOL surface was obviously improved.The changes in WCA with treatment extension may be attributed to both the introduction of oxygen or/and nitrogen-containing polar groups and the increase of surface roughness induced by plasma etching effect.The existence of low molecular weight oxidized material(LMWOM) was proved on the plasma-treated IOL which was caused by the chain scission effect of the plasma treatment.The plasma-treated IOLs resisted the adhesion of platelets and macrophages significantly.The LECs spreading and proliferation were postponed on the IOLs plasma-treated for more than 180 s,with a well maintained epithelial phenotype of LECs.The IOL biocompatibility was improved after the DBD plasma treatment.We speculate that slighter foreign-body reaction and later incidence of anterior capsule opacification(ACO) may be expected after implantation of the argon DBD plasma-treated IOL.

  9. Primary and secondary implantation of scleral-fixated posterior chamber intraocular lenses in adult patients

    Directory of Open Access Journals (Sweden)

    Zuleyha Yalniz-Akkaya

    2014-01-01

    Conclusion: Both primary and secondary scleral-fixated PCIOL implantations can provide favorable visual outcomes with lower complication rates. An important consideration is the appropriate timing for scleral fixation, taking into account the patient′s characteristics and the course of the operation.

  10. Comparison of Through-Focus Image Quality Across Five Presbyopia-Correcting Intraocular Lenses (An American Ophthalmological Society Thesis)

    Science.gov (United States)

    Pepose, Jay S.; Wang, Daozhi; Altmann, Griffith E.

    2011-01-01

    Purpose To assess through-focus polychromatic image sharpness of five US Food and Drug Administration–approved presbyopia-correcting intraocular lenses (IOLs) through a range of object vergences and pupil diameters utilizing an image sharpness algorithm. Methods A 1951 US Air Force resolution target was imaged through a Crystalens AO (AO) (Bausch & Lomb Surgical, Aliso Viejo, California), Crystalens HD (HD) (Bausch & Lomb Surgical, Aliso Viejo, California), aspheric ReSTOR +4.0 (R4) (Alcon Laboratories, Fort Worth, Texas), aspheric ReSTOR +3.0 (R3) (Alcon Laboratories, Fort Worth, Texas), and Tecnis Multifocal Acrylic (TMF) (Abbott Medical Optics, Irvine, California) IOL in an anatomically and optically accurate model eye and captured digitally for each combination of pupil diameter and object vergence. The sharpness of each digital image was objectively scored using a two-dimensional gradient function. Results The AO lens had the best distance image sharpness for all pupil diameters, followed by the HD. With a 5-mm pupil, the R4 lens achieved distance image quality similar to the HD, but inferior to the AO. The R3 successfully moved the near focal point farther from the patient compared to the R4, but did not improve image sharpness at intermediate distances and showed worse distance and near image sharpness. Consistent with apodization, the ReSTOR IOLs displayed better distance and poorer near image sharpness as pupil diameter increased. The TMF lens showed consistent distance and near image sharpness across pupil diameters and exhibited the best near image sharpness for all pupil diameters. Conclusions Differing IOL design strategies to increase depth of field are associated with quantifiable differences in image sharpness at varying vergences and pupil sizes. An objective comparison of the imaging properties of specific presbyopia-correcting IOLs, in conjunction with patients’ pupil sizes, can be useful in selecting the most appropriate IOL for each patient

  11. Evaluation of actual retinal images produced by misaligned aspheric intraocular lenses in a model eye

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    Fujikado T

    2014-11-01

    Full Text Available Takashi Fujikado,1 Makoto Saika2 1Department of Applied Visual Science, Osaka University Graduate School of Medicine, Osaka, Japan; 2Research and Development Department of Topcon Corporation, Tokyo, Japan Purpose: To examine the effect of misalignment (decentration and tilt of intraocular lenses (IOLs on retinal image quality using a water-immersed model eye with corneal spherical aberration adjusted to the values found in normal human eyes (spherical aberration 0.25 µm; pupil diameter 6 mm.Methods: Three types of IOL holders were prepared. The first was without decentration or tilt, the second had a decentration of 0.5 mm, and the third had a tilt of 5.0°. One spherical IOL and three aspherical IOLs, each with a power of +20 D, were set in the holders and their optical properties (wave front aberration, defocused modulation transfer function, defocused point spread function, and Landolt ring simulations were compared.Results: Coma aberrations generated by misaligned IOLs were related to the spherical aberration corrective power of the IOLs. Landolt ring simulations show that the depth of focus increased as spherical aberration increased and that the retinal image quality was degraded by increases in coma aberration.Conclusion: Coma aberration was generated by IOLs with a large degree of spherical aberration correction, leading to reduced retinal image quality when the IOL was misaligned. This suggests that, in a clinical setting, the quality of vision might be improved by reducing the degree of coma aberration using IOLs that retain, or minimally correct, spherical aberration. Keywords: coma aberration, decentration, misalignment, spherical aberration, tilt

  12. [Iris suture fixation of posterior-chamber elastic intraocular lens in ligament apparatus laxity].

    Science.gov (United States)

    Pashtaev, N P; Bat'kov, E N; Zotov, V V

    2010-01-01

    An original MIOL-23 multifocal elastic intraocular lens (IOL) was used to operate 5 eyes with acquired lens dislocation and traumatic cataract. By making self-sealing tunnel incision, ILO was implanted into the capsular sac and sutured to the iris. MIOL-23 implantation caused an increase in mean visual acuity. The IOL took up a correct position. Elastic IOL implantation with iris suture fixation is an efficient and safe mode of additional ILO support. PMID:20645577

  13. Trans-scleral Fixation of Posterior Chamber Intraocular Lens Combined with Vitreoretinal Surgery

    Directory of Open Access Journals (Sweden)

    Amir Khosro Ghaseminejad

    2008-12-01

    Full Text Available

    PURPOSE: To report the outcomes of trans-scleral fixation of posterior chamber intraocular lens (PCIOL combined with complete vitrectomy and prophylactic band placement. METHODS: Hospital records of 18 patients who underwent the procedure were reviewed. Indications for vitreoretinal surgery included previous penetrating ocular trauma, complicated cataract surgery and vitreous incarceration, and chronic cystoid macular edema. All patients had iris and angle damage with inadequate lens capsular support. Age, sex, surgical technique, follow up duration and pre- and postoperative best corrected visual acuity (BCVA were evaluated. RESULTS: Overall 18 eyes of 18 patients (14 men and 4 women with mean age of 34.8±23 (range 5-76 years were operated. Mean follow up duration was 36±32.4 (range 6-96 months. Of the 18 operated eyes 7 were aphakic, 6 had complete IOL dislocation into the vitreous cavity, 4 had subluxated cataractous lens and one had a subluxated IOL. The number of eyes with BCVA ? 20/40 increased from 3 (16.7% preoperatively to 9 (50% postoperatively (P < 0.01. Postoperative complications were encountered in 9 eyes and included uveitis, vitreous hemorrhage, repeat IOL dislocation and retinal detachment. CONCLUSION: In the absence of adequate capsular support, trans-scleral fixation of a PCIOL combined with

  14. Findings of an experimental study in a rabbit model on posterior capsule opacification after implantation of hydrophobic acrylic and hydrophilic acrylic intraocular lenses

    Directory of Open Access Journals (Sweden)

    Nikolaos Trakos

    2009-01-01

    Full Text Available Nikolaos Trakos1, Elli Ioachim2, Elena Tsanou2, Miltiadis Aspiotis1, Konstantinos Psilas1, Chris Kalogeropoulos11University Eye Clinic of Ioannina, Ioannina, Greece; 2Pathology Department, University of Ioannina, Ioannina, GreecePurpose: Study on cell growth on the posterior capsule after implantation of hydrophobic acrylic (Acrysof SA 60 AT and hydrophilic acrylic (Akreos Disc intraocular lenses (IOL in a rabbit model and comparison of posterior capsule opacification (PCO.Methods: Phacoemulsification was performed in 22 rabbit eyes, and two different IOL types (Acrysof SA60 AT and Akreos Disc were implanted. These IOLs had the same optic geometry (square edged but different material and design. Central PCO (CPCO, peripheral PCO (PPCO, Sommering’s ring (SR formation, type of growth, extension of PCO, cell type, inhibition, and fibrosis were evaluated three weeks after surgery. Histological sections of each globe were prepared to document the evaluation of PCO.Results: No statistically significant difference was observed between a hydrophobic acrylic IOL and a hydrophilic acrylic IOL in relation to the CPCO, PPCO, type of growth, extension, cell type, inhibition, and fibrosis. Statistically significant difference was observed in relation to the formation of SR with Acrysof SA 60 AT group presenting more SR than Akreos Disc group.Conclusion: PCO was not influenced by the material of the IOL or the design of the haptics of the IOLs we studied.Keywords: posterior capsule opacification, intraocular lenses, rabbit model

  15. Mechanistic modeling of ophthalmic drug delivery to the anterior chamber by eye drops and contact lenses.

    Science.gov (United States)

    Gause, Samuel; Hsu, Kuan-Hui; Shafor, Chancellor; Dixon, Phillip; Powell, Kristin Conrad; Chauhan, Anuj

    2016-07-01

    Ophthalmic drug for the anterior chamber diseases are delivered into tears by either eye drops or by extended release devices placed in the eyes. The instilled drug exits the eye through various routes including tear drainage into the nose through the canaliculi and transport across various ocular membranes. Understanding the mechanisms relevant to each route can be useful in predicting the dependency of ocular bioavailability on various formulation parameters, such as drug concentration, salinity, viscosity, etc. Mathematical modeling has been developed for each of the routes and validated by comparison with experiments. The individual models can be combined into a system model to predict the fraction of the instilled drug that reaches the target. This review summarizes the individual models for the transport of drugs across the cornea and conjunctiva and the canaliculi tear drainage. It also summarizes the combined tear dynamics model that can predict the ocular bioavailability of drugs instilled as eye drops. The predictions from the individual models and the combined model are in good agreement with experimental data. Both experiments and models predict that the corneal bioavailability for drugs delivered through eye drops is less than 5% due to the small area of the cornea in comparison to the conjunctiva, and the rapid clearance of the instilled solution by tear drainage. A contact lens is a natural choice for delivering drugs to the cornea due to the placement of the contact in the immediate vicinity of the cornea. The drug released by the contact towards the cornea surface is trapped in the post lens tear film for extended duration of at least 30min allowing transport of a large portion into the cornea. The model predictions backed by in vivo animal and clinical data show that the bioavailability increases to about 50% with contact lenses. This realization has encouraged considerable research towards delivering ocular drugs by contact lenses. Commercial

  16. Mechanistic modeling of ophthalmic drug delivery to the anterior chamber by eye drops and contact lenses.

    Science.gov (United States)

    Gause, Samuel; Hsu, Kuan-Hui; Shafor, Chancellor; Dixon, Phillip; Powell, Kristin Conrad; Chauhan, Anuj

    2016-07-01

    Ophthalmic drug for the anterior chamber diseases are delivered into tears by either eye drops or by extended release devices placed in the eyes. The instilled drug exits the eye through various routes including tear drainage into the nose through the canaliculi and transport across various ocular membranes. Understanding the mechanisms relevant to each route can be useful in predicting the dependency of ocular bioavailability on various formulation parameters, such as drug concentration, salinity, viscosity, etc. Mathematical modeling has been developed for each of the routes and validated by comparison with experiments. The individual models can be combined into a system model to predict the fraction of the instilled drug that reaches the target. This review summarizes the individual models for the transport of drugs across the cornea and conjunctiva and the canaliculi tear drainage. It also summarizes the combined tear dynamics model that can predict the ocular bioavailability of drugs instilled as eye drops. The predictions from the individual models and the combined model are in good agreement with experimental data. Both experiments and models predict that the corneal bioavailability for drugs delivered through eye drops is less than 5% due to the small area of the cornea in comparison to the conjunctiva, and the rapid clearance of the instilled solution by tear drainage. A contact lens is a natural choice for delivering drugs to the cornea due to the placement of the contact in the immediate vicinity of the cornea. The drug released by the contact towards the cornea surface is trapped in the post lens tear film for extended duration of at least 30min allowing transport of a large portion into the cornea. The model predictions backed by in vivo animal and clinical data show that the bioavailability increases to about 50% with contact lenses. This realization has encouraged considerable research towards delivering ocular drugs by contact lenses. Commercial

  17. Effect of anterior chamber depth on the choice of intraocular lens calculation formula in patients with normal axial length

    Directory of Open Access Journals (Sweden)

    Mohammad Miraftab

    2014-01-01

    Full Text Available Purpose: To compare the accuracy of  Sanders-Retzlaff-Kraff II (SRK II and 3 rd and 4 th generation intraocular lens (IOL formulas and to compare the effect of different anterior chamber depths among the IOL formulas in cataract patients with normal axial length (AL; 22.0-24.5 millimeters, mm. Materials and Methods: A retrospective chart review was performed of patients with normal AL who underwent cataract surgery. The SRK II and 3 rd generation IOL formulas (Hoffer Q, SRK T, Holladay 1 were compared to the 4 th generation Haigis formula. For analysis, preoperative anterior chamber depth (ACD was divided into three subgroups: ≤3, 3-3.5, and ≥ 3.5 mm. The mean error (ME and mean absolute error (MAE of each formula was compared for each subgroup against the total. The difference between the ME and MAE of the formulas were compared for each ACD subgroup. P 0.05, all comparisons. Conclusion: The SRK II formula can predict refraction in patients with normal AL and ACD less than 3 mm with less error and is preferred over other formulas. The Haigis formula is the preferred choice in patients with a normal AL and ACD longer than 3.5 mm. The prediction accuracy of Hoffer Q, SRK T, and Holladay 1 is comparable in normal AL.

  18. Posterior chamber collagen copolymer phakic intraocular lens with a central hole for moderate-to-high myopia

    Science.gov (United States)

    Cao, Xinfang; Wu, Weiliang; Wang, Yang; Xie, Chen; Tong, Jianping; Shen, Ye

    2016-01-01

    Abstract The purpose of this article is to evaluate the clinical outcomes of a posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens V4c) for the correction of moderate to high myopia in Chinese eyes. The article is designed as a retrospective case series. This study included the first consecutive eyes that had implantation of a new pIOL design with a central hole, at our department by the same surgeon. The safety, efficacy, predictability, stability, and adverse events of the surgery were evaluated over 6 months. The study enrolled 63 eyes (32 patients). The mean spherical equivalent decreased from −12.81 ± 3.11 diopters (D) preoperatively to −0.05 ± 0.27 D 6 months postoperatively; 96.8% of eyes were within ±0.50 D of the target and 100% of eyes were within ±1.00 D. All eyes had a decimal uncorrected distance visual acuity of 0.5 (20/40) or better at every follow-up visit. The safety and efficacy indices were 1.42 ± 0.34 and 1.11 ± 0.19, respectively. Postoperatively, the intraocular pressure (IOP) remained stable over time. No significant rises in IOP (including pupillary block) and no secondary cataract were found. After 6 months, the mean vault was 505.2 ± 258.9 μm (range 120–990 μm), and the mean endothelial cell loss was 2.0%. Implantation of the pIOL was safe, effective, predictable, and stable in the correction of moderate-to-high myopia in Han Chinese patients, even without peripheral iridectomy. PMID:27603356

  19. CORRECTION OF HIGH MYOPIA WITH THE WORST MYOPIA CLAW INTRAOCULAR-LENS

    NARCIS (Netherlands)

    LANDESZ, M; WORST, JGF; SIERTSEMA, JV; VANRIJ, G

    1995-01-01

    BACKGROUND: Phakic anterior chamber lenses is one of the modalities used to correct high myopia, We report the initial results of our prospective study on the Worst myopia claw intraocular lens (IOL) that is fixated to the anterior iris, METHODS: We studied 35 eyes in 18 patients with a preoperative

  20. 大焦深人工晶体的设计%Design of multi-focus intraocular lenses

    Institute of Scientific and Technical Information of China (English)

    饶丰

    2012-01-01

    运用Zemax光学设计软件构建Liou-Brennan眼模型,设计了增大焦深的非球面、折射型多焦点和衍射型多焦点人工晶体,并用点列图和视锐度分析了所设计的人工晶体的光学质量。对于非球面人工晶体,在3mm瞳孔下,当人眼无球差时,最佳视锐度相当高,但焦深仅为1.4m^-1;当人眼球差为0.4λ时,最佳视锐度可达0.9,焦深达2.2m,同时在整个焦深范围内视觉质量均优越。对于衍射型和折射型多焦点人工晶体,在明视条件下,虽然视远和视近时视觉质量良好,但是中间距离的视锐度〈0.5。衍射型多焦点人工晶体只有81%的光能用于成像,远近焦点能量均分,且与瞳孔大小无关;折射型多焦点人工晶体的远近焦点能量与瞳孔大小相关。设计的人工晶体均能增大人眼的焦深,但各有优缺点,临床上应该酌情选用。%Abstract : The Liou-Brennan eye model is constructed using the optical design software ZEMAX. The Depth of Focus(DOF), extended Intraocular Lenses(IOL) that includes aspherical IOL, refractive muhifocal IOL and diffractive muhifocus IOL are included in the design. The optical performance of the pseudophakic eye for the designed IOLs is analyzed for both the spot diagram and visual acuity. For the pseudophakic eye with a 3 mm pupil, when the spherical aberration is fully corrected by the aspherical IOL, the best visual acuity reaches 1.2 with a DOF of only 1.4 m^1. When the spherical aberration is 0.4λ, the best visual acuity is 0.9 with a DOF as high as 2.2 m-^1. With the implantation of refractive or diffractive muhifocus IOLs, the pseudophakic eye has fairly good distant and near vision, while the intermediate vision is lower than 0. 5. Diffractive muhifocal IOL allows 81% input energy to image and the energy distribution is not affected by the pupil size. The energy distribution of the refractive multifocal IOL is dependent on the pupil

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses

    Science.gov (United States)

    Gundersen, Kjell Gunnar; Potvin, Rick

    2016-01-01

    Purpose To compare the visual acuity (VA) and quality of vision between bilateral implantation of a trifocal intraocular lens (IOL) and blended bifocal IOLs with an intermediate add in the dominant eye and a near add in the nondominant eye. Patients and methods Patients with either trifocal or blended bifocal IOLs implanted were recruited after surgery. Subjects returned for a single diagnostic visit between 3 and 24 months after surgery. VA was tested at various distances, including low-contrast acuity and acuity at their preferred reading distance. A binocular defocus curve was obtained, and subjective visual function and quality of vision were evaluated. Results Twenty-five trifocal subjects and 30 blended bifocal subjects were enrolled. There were no significant differences in low-contrast acuity, preferred reading distance, or acuity at that reading distance. Binocular vision at 4 m, 60 cm, and 40 cm was not statistically significantly different. The trifocal provided statistically significantly better visual acuity (Pdashboard or grocery shelf. VA was similar between groups at viewing distances from 60 to 40 cm, corresponding to computer or reading distance. PMID:27274184

  3. Comparison of Visual Quality after Implantation of Big Bag and Akreos Adapt Intraocular Lenses in Patients with High Myopia

    Institute of Scientific and Technical Information of China (English)

    Shengsheng Ma; Dongjian Zheng; Ling Lin; Fanjian Meng; Yonggang Yuan

    2015-01-01

    Purpose: To compare vision quality following phacoemulsifi-cation cataract extraction and implantation of a Big Bag or Akreos Adapt intraocular lens (IOL) in patients diagnosed with high myopia complicated with cataract. Methods:.This was a randomized prospective control study. The patients with high myopia complicated with cataract , with axial length ≥28 mm,.and corneal astigmatism ≤1D were enrolled and randomly divided into the Big Bag and Akreos Adapt IOL groups. All patients underwent phacoemulsification cataract extraction and lens implantation..At 3 months after surgery,.intraocular high-order aberration was measured by a Tracey-iTrace wavefront aberrometer at a pupil diameter of 5 mm in an absolutely dark room and statistically compared be-tween two groups. The images of the anterior segment of eyes were photographed with a Scheimpflug camera using Penta-cam three-dimensional anterior segment analyzer..The tilt and decentration of the IOL were calculated by Image-pro plus 6.0 imaging analysis software and statistically compared between two groups. Results:.In total,.127 patients (127 eyes),..including 52 males and 75 females, were enrolled in this study. The total high-or-der aberration and coma in the Akreos Adapt group (59 eyes) were significantly higher compared with those in the Big Bag (P0.05). The horizontal and vertical decentration were significantly smaller in the Big Bag lens group than in the Akreos Adapt group (both P0.05). Conclusion:.Both Big Bag and Akreos Adapt IOLs possess relatively good intraocular stability implanted in patients with high myopia. Compared with the Akreos Adapt IOL, the Big Bag IOL presents with smaller intraocular high-order aberra-tion. Coma is the major difference between the two groups.

  4. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses

    Science.gov (United States)

    Gundersen, Kjell Gunnar; Potvin, Rick

    2016-01-01

    Purpose To compare the visual acuity (VA) and quality of vision between bilateral implantation of a trifocal intraocular lens (IOL) and blended bifocal IOLs with an intermediate add in the dominant eye and a near add in the nondominant eye. Patients and methods Patients with either trifocal or blended bifocal IOLs implanted were recruited after surgery. Subjects returned for a single diagnostic visit between 3 and 24 months after surgery. VA was tested at various distances, including low-contrast acuity and acuity at their preferred reading distance. A binocular defocus curve was obtained, and subjective visual function and quality of vision were evaluated. Results Twenty-five trifocal subjects and 30 blended bifocal subjects were enrolled. There were no significant differences in low-contrast acuity, preferred reading distance, or acuity at that reading distance. Binocular vision at 4 m, 60 cm, and 40 cm was not statistically significantly different. The trifocal provided statistically significantly better visual acuity (P<0.05) at vergences from −0.5 to −1.5 D (from 2 m to 67 cm viewing distance, P<0.05). There was no statistically significant difference in the near vision subscale scores of the 39-question National Eye Institute Visual Function Questionnaire or the overall scores of the Quality of Vision questionnaire, though significantly more trifocal subjects reported that the observed visual disturbances were “bothersome” (P<0.05). Conclusion Both lens modalities provided subjects with excellent binocular near and distance vision, with similar low rates of visual disturbances and good reported functional vision. The trifocal IOL provided significantly better intermediate VA in the viewing distance range of 2 m to 67 cm, corresponding to viewing things such as a car dashboard or grocery shelf. VA was similar between groups at viewing distances from 60 to 40 cm, corresponding to computer or reading distance. PMID:27274184

  5. Audit of exracapsular cataract extraction with posterior chamber intraocular lens implantation in a tertiary eye care center in Ethiopia.

    Science.gov (United States)

    Tilahun, Yonas; Sisay, Alemayehu

    2006-01-01

    A retrospective audit of records of 370 eyes of 315 patients for whom extracapsular cataract extraction with posterior chamber intraocular lens implantation (ECCE-PC IOL) was performed between 1998 and 1999 was made to determine postoperative visual outcome and complications. One hundred and ninety three patients were males and one hundred and seventy seven were females making a male to female ratio of 1:0.9. At two months postoperatively 82 (30.4%) of eyes had uncorrected visual acuity of 6/18 or better; while 176 (53.7%) of eyes attained an uncorrected visual acuity between 6/18 and 6/60, and 31 (11.5%) had visual acuity between 3/60 and 6/60. 340 of 358 (94.9%) had a preoperative visual acuity of < 3/60. As a result of the surgery, the percentage of blind eyes dropped from 94.9% to 4.4%. The commonest intra operative and early postoperative complications encountered were posterior capsular tear with vitreous loss (5.7%) and striate keratopathy (11.1%) respectively. Posterior capsular opacity was documented in 17 (4.6%) eyes as a late postoperative complication. Routine biometry, to calculate Intra ocular Lens (IOL) power was not done and this was the major limitation of the study. In conclusion, the study increases awareness of cataract surgery outcomes and provides a feedback to achieve better results both in terms of quality and quantity in cataract surgery. Further study with biometric measurement is recommended. PMID:17447364

  6. Corneal Endothelial Cell Changes Due to Combined Phacoemulsification-Posterior Chamber Intraocular Lens Implantation and Transpupillary Silicone Oil Removal

    Directory of Open Access Journals (Sweden)

    Mehmet Hanifi Alp

    2014-12-01

    Full Text Available Objectives: The aim of this study was to evaluate the effects of combined phacoemulsification-posterior chamber intraocular lens (PCIOL implantation and removal of transpupillary silicone oil on the corneal endothelial cell layer. Materials and Methods: In this study, we included seven eyes of 7 patients who had intravitreal hemorrhage resulting from retinal detachment or tractional retinal detachment due to proliferative diabetic retinopathy and who underwent pars plana vitrectomy and silicone oil injection. Complicated cataract developed, and phacoemulsification-PC-IOL implantation combined with transpupillary silicon oil removal were performed. Preoperative and postoperative corneal endothelial cell count values were taken by Topcon SP-2000P automatic non-contact specular microscopy and were assessed by IMAGEnet 2000 Endothelial Cell Analysis. The results were compared with the findings in the literature. Results: The mean endothelial cell density (ECD was 2461 cell/mm2 preoperatively. The silicone oil removal was performed after an average of 10±3.5 months (range 5-14 months, and then endothelial cells were counted after a mean of 17±21.2 months (range 1-49 months of the combined surgery. The mean ECD was determined as 1906 cell/mm2 postoperatively. While mean endothelial cell loss was found to be 32% in two patients with diabetes mellitus, five non-diabetic patients had 19% cell loss. Corneal decompensation was not observed in any patient during the follow-up period. Conclusion: After combined phacoemulsification-PC-IOL implantation and transpupillary silicone oil removal, significant reduction in endothelial cells was observed. We detected that this reduction was greater in diabetics. (Turk J Ophthalmol 2014; 44: 424-7

  7. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses

    Directory of Open Access Journals (Sweden)

    Gundersen KG

    2016-05-01

    Full Text Available Kjell G Gundersen,1 Rick Potvin21IFocus Øyeklinikk AS, Haugesund, Norway; 2Science in Vision, Akron, NY, USAPurpose: To compare the visual acuity (VA and quality of vision between bilateral implantation of a trifocal intraocular lens (IOL and blended bifocal IOLs with an intermediate add in the dominant eye and a near add in the nondominant eye.Patients and methods: Patients with either trifocal or blended bifocal IOLs implanted were recruited after surgery. Subjects returned for a single diagnostic visit between 3 and 24 months after surgery. VA was tested at various distances, including low-contrast acuity and acuity at their preferred reading distance. A binocular defocus curve was obtained, and subjective visual function and quality of vision were evaluated.Results: Twenty-five trifocal subjects and 30 blended bifocal subjects were enrolled. There were no significant differences in low-contrast acuity, preferred reading distance, or acuity at that reading distance. Binocular vision at 4 m, 60 cm, and 40 cm was not statistically significantly different. The trifocal provided statistically significantly better visual acuity (P<0.05 at vergences from -0.5 to -1.5 D (from 2 m to 67 cm viewing distance, P<0.05. There was no statistically significant difference in the near vision subscale scores of the 39-question National Eye Institute Visual Function Questionnaire or the overall scores of the Quality of Vision questionnaire, though significantly more trifocal subjects reported that the observed visual disturbances were “bothersome” (P<0.05.Conclusion: Both lens modalities provided subjects with excellent binocular near and distance vision, with similar low rates of visual disturbances and good reported functional vision. The trifocal IOL provided significantly better intermediate VA in the viewing distance range of 2 m to 67 cm, corresponding to viewing things such as a car dashboard or grocery shelf. VA was similar between groups at

  8. Progress of Toric intraocular lenses%散光人工晶状体的应用进展

    Institute of Scientific and Technical Information of China (English)

    张劲松

    2010-01-01

    Astigmatism can affect visual quality and visual acuity, and it can be corrected by different methods. Toric intraocular lens (Toric IOL) which combined astigmatism correction and spherical correction together is a newest kind of functional intraocular lens. Using Toric IOL is a reliable, predictable and stable refractive correction choice. With Toric IOL popularized, more and more technical experience were accumulated. The patients selection, insert techniques and complications prevention were improved greatly.%散光会造成视觉质量和视力的下降,可以通过多种方法矫正.散光人工晶状体(Toric IOL)是将散光矫正与人工晶状体的球镜度数相结合的一种新型功能性人工晶状体.利用这种人工晶状体矫正角膜散光是一种合理的、预测性强、术后效果更加稳定的屈光矫正方式.随着Toric IOL在临床应用的推广,这一技术的应用经验得到不断的积累,Toric IOL的适应证选择、植入技术、并发症的预防等方面日趋完善.

  9. Intraocular lens implantation for the treatment of astigmatism%人工晶状体植入术矫正散光

    Institute of Scientific and Technical Information of China (English)

    施俊廷; 徐雯

    2013-01-01

    Refractive intraocular lens surgery can be used for the treatment of moderate and high regular astigmatism.Refractive intraocular lens surgery includes aphakic intraocular lens surgery and phakic intraocular lens surgery.In phakic intraocular lens surgery two types of intraocular lenses are used:iris-claw intraocular lens and posterior chamber intraocular lens.The purpose of this article is to review current knowledge of surgical treatments of astigmatism with a particular focus on toric implantable collamer lenses.%人工晶状体(IOL)植入术能矫正中、高度规则散光.矫正散光的IOL植入术可分为无晶状体眼及有晶状体眼的环曲面IOL植入两类,其中有晶状体眼的环曲面IOL又可分为虹膜夹持型及后房型.本文旨在介绍IOL矫正散光的手术治疗方法,并着重介绍有晶状体眼植入后房型IOL矫正屈光不正合并散光的治疗技术.

  10. Misdiagnosis induced intraocular lens dislocation in anterior megalophthalmos

    Institute of Scientific and Technical Information of China (English)

    WANG Qi-wei; XU Wen; ZHU Ya-nan; LI Jin-yu; ZHANG Li; YAO Ke

    2012-01-01

    Anterior megalophthalmos (AM) is an uncommon developmental anomaly of the anterior segment of the eye with a constellation of findings that includes enlarged cornea,deep anterior chamber,posterior positioning of the iris and lens,iris stroma atrophy,hypoplasia of iris dilator,pupil displacement,large capsular bag,lens subluxation,prematurely cataract and the tendency to retinal detachment.AM,especially when symptoms are mild,is not an easy disease to diagnose.We present 3 AM cases that were misdiagnosed as congenital cataract with weak zonule and megalocornea.Intraocular lenses (IOLs) dislocated after standard cataract surgeries and subsequent surgery (replacing the dislocated IOLs with iris-claw intraocular lenses) achieved satisfactory outcome.Although rare,AM should be included in the differential diagnosis of enlarged cornea and we recommend implanting Artisan lens in AM patients.

  11. 超声生物显微镜观察弹性开放襻前房型人工晶状体对眼前段结构的影响%The influence of flexible open-loop anterior chamber intraocular lens on the structure of ocular anterior segment

    Institute of Scientific and Technical Information of China (English)

    陈伟蓉; 刘奕志; 陈秀琦; 程冰; 刘玉华

    2001-01-01

    Objective To evaluate the therapeutic effects and safety offlexible open-loop anterior chamber intraocular lens (FOAC-IOL). Methods By ultrasound biomicroscopy, the positions of the haptics of FOAC-IOL in 20 patients (20 eyes) and the relationships of the haptics with iris and anterior chamber angle structures were observed postoperatively to evaluate the impact of these lenses on the structures of ocular anterior segment. Follow-up duration was from 6 to 20 months. Results Among 40 IOL′s haptics, twenty-six haptics were fixed at the recess of the chamber angle ;and other fourteen haptics penetrated the iris and invaded into the ciliary stroma, which caused recurrent uveitis. There was 1 eye with eccentric lens. There were 8 eyes with anterior synechiae of iris, which were related to the haptics of intraocular lens. Conclusions Ultrasound biomicroscopy works well in dynamic observation of the influence of intraocular lens on ocular anterior segment. The haptics of flexible open-loop anterior chamber intraocular lens should be modified.%目的 评价弹性开放襻一体型前房型人工晶状体(anterchamberintraocularlens,AC-IOL)植入术的疗效及其安全性。方法 应用超声生物显微镜观察20例(20只眼)弹性开放襻一体型AC-IOL植入术后患者IOL襻的位置,以及其与虹膜及房角结构的关系,从而评价IOL对眼前段结构的影响。随访时间6~20个月。结果 40个IOL襻中,26个襻固定于房角隐窝;14个襻(8只眼)穿过虹膜侵入至睫状体实质内,并伴有反复发作的葡萄膜炎。术后8只眼虹膜前粘连与IOL襻有关。结论超声生物显微镜检查是动态了解IOL对眼前段结构影响的有效方法。AC-IOL襻的设计有待进一步改进。

  12. To guard against mistakes in selection of intraocular lenses%警惕人工晶状体选择的误区

    Institute of Scientific and Technical Information of China (English)

    何守志

    2008-01-01

    各种新型人工晶状体面世,为满足临床不同需求提供了更多的选择机会,对于推动白内障手术更趋完美起到了积极作用.但在进行人工晶状体选择时,尚存在很多误区.比如"贵的就是好的","新的就一定是完美的"等;还有重使用轻总结,片面夸大某些特殊功能等倾向.在人工晶状体选择时,如何充分考虑患者的需求,处理好特殊需求和基本需求之间的关系,避免盲目性,把最大的受益提供给患者,是我们共同面临的问题.%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.

  13. Late opacification of a hydrophilic acrylic intraocular lens

    Directory of Open Access Journals (Sweden)

    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.

  14. Simulation of airbag impact on eyes with different axial lengths after transsclerally fixated posterior chamber intraocular lens by using finite element analysis

    Directory of Open Access Journals (Sweden)

    Huang J

    2015-02-01

    Full Text Available Jane Huang,1 Eiichi Uchio,1 Satoru Goto2 1Department of Ophthalmology, Fukuoka University School of Medicine, Fukuoka, 2Nihon ESI KK Technical Division, Tokyo, Japan Purpose: To determine the biomechanical response of an impacting airbag on eyes with different axial lengths with transsclerally fixated posterior chamber intraocular lens (PC IOL.Materials and methods: Simulations in a model human eye were performed with a computer using a finite element analysis program created by Nihon, ESI Group. The airbag was set to be deployed at five different velocities and to impact on eyes with three different axial lengths. These eyes were set to have transsclerally fixated PC IOL by a 10-0 polypropylene possessing a tensile force limit of 0.16 N according to the United States Pharmacopeia XXII.Results: The corneoscleral opening was observed at a speed of 40 m/second or more in all model eyes. Eyes with the longest axial length of 25.85 mm had the greatest extent of deformity at any given impact velocity. The impact force exceeded the tensile force of 10-0 polypropylene at an impact velocity of 60 m/second in all eyes, causing breakage of the suture. Conclusion: Eyes with transsclerally fixated PC IOL could rupture from airbag impact at high velocities. Eyes with long axial lengths experienced a greater deformity upon airbag impact due to a thinner eye wall. Further basic research on the biomechanical response for assessing eye injuries could help in developing a better airbag and in the further understanding of ocular traumas. Keywords: airbag, ocular trauma, computer simulation, transsclerally fixated posterior chamber intraocular lens, finite element analysis

  15. Bilateral Primary Intraocular Lymphoma

    OpenAIRE

    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...

  16. Bilateral Primary Intraocular Lymphoma

    Directory of Open Access Journals (Sweden)

    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.

  17. Optical bench performance of AcrySof® IQ ReSTOR®, AT LISA® tri, and FineVision® intraocular lenses

    Directory of Open Access Journals (Sweden)

    Carson D

    2014-10-01

    Full Text Available Daniel Carson,1 Warren E Hill,2 Xin Hong,1 Mutlu Karakelle1 1Alcon Research, Ltd., Fort Worth, TX, USA; 2East Valley Ophthalmology, Mesa, AZ, USA Purpose: To compare the resolution and optical quality of the ReSTOR® +3.0 D and ReSTOR +2.5 D multifocal intraocular lenses (IOLs with the AT LISA® tri and FineVision® trifocal IOLs.Methods: Resolution, image quality, and photic phenomena were evaluated in the AcrySof® IQ ReSTOR +3.0 D and +2.5 D multifocal IOLs and compared with the AT LISA tri 839MP and FineVision Micro F12 trifocal IOLs, using a Badal optometer and a Snellen visual acuity chart. Simulated headlight images were obtained using a modulation transfer function (MTF bench and a 50 µm pinhole target. MTF values, using vertical and horizontal slits, were determined at far, intermediate, and near distances. Results: Resolution at 20/40 Snellen visual acuity equivalence was attainable over nearly the entire viewing distance range with the AT LISA tri and FineVision IOLs, but background shadows were more prominent with the AT LISA tri and FineVision IOLs than with the ReSTOR IOLs. Distance MTF peaks at 20/20 Snellen–equivalent spatial frequency were greatest for ReSTOR +2.5 D and ReSTOR +3.0 D IOLs. The near MTF peak occurred at 53 cm with ReSTOR +2.5 D and had a 20/20 Snellen–equivalent value that was lower than the near peaks of the other models but higher than the intermediate foci of the trifocal IOLs. Conclusion: AT LISA tri and FineVision trifocal IOLs achieved a useful third focus for intermediate vision but were associated with increased background halos and reduced distance visual quality compared with ReSTOR +2.5 D and +3.0 D multifocal IOLs. Keywords: multifocal, trifocal, modulation transfer function, Badal image, visual acuity, resolution

  18. Posterior chamber collagen copolymer phakic intraocular lens with a central hole for moderate-to-high myopia: First experience in China.

    Science.gov (United States)

    Cao, Xinfang; Wu, Weiliang; Wang, Yang; Xie, Chen; Tong, Jianping; Shen, Ye

    2016-09-01

    The purpose of this article is to evaluate the clinical outcomes of a posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens V4c) for the correction of moderate to high myopia in Chinese eyes.The article is designed as a retrospective case series.This study included the first consecutive eyes that had implantation of a new pIOL design with a central hole, at our department by the same surgeon. The safety, efficacy, predictability, stability, and adverse events of the surgery were evaluated over 6 months.The study enrolled 63 eyes (32 patients). The mean spherical equivalent decreased from -12.81 ± 3.11 diopters (D) preoperatively to -0.05 ± 0.27 D 6 months postoperatively; 96.8% of eyes were within ±0.50 D of the target and 100% of eyes were within ±1.00 D. All eyes had a decimal uncorrected distance visual acuity of 0.5 (20/40) or better at every follow-up visit. The safety and efficacy indices were 1.42 ± 0.34 and 1.11 ± 0.19, respectively. Postoperatively, the intraocular pressure (IOP) remained stable over time. No significant rises in IOP (including pupillary block) and no secondary cataract were found. After 6 months, the mean vault was 505.2 ± 258.9 μm (range 120-990 μm), and the mean endothelial cell loss was 2.0%.Implantation of the pIOL was safe, effective, predictable, and stable in the correction of moderate-to-high myopia in Han Chinese patients, even without peripheral iridectomy. PMID:27603356

  19. Posterior chamber collagen copolymer phakic intraocular lens with a central hole for moderate-to-high myopia: First experience in China.

    Science.gov (United States)

    Cao, Xinfang; Wu, Weiliang; Wang, Yang; Xie, Chen; Tong, Jianping; Shen, Ye

    2016-09-01

    The purpose of this article is to evaluate the clinical outcomes of a posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens V4c) for the correction of moderate to high myopia in Chinese eyes.The article is designed as a retrospective case series.This study included the first consecutive eyes that had implantation of a new pIOL design with a central hole, at our department by the same surgeon. The safety, efficacy, predictability, stability, and adverse events of the surgery were evaluated over 6 months.The study enrolled 63 eyes (32 patients). The mean spherical equivalent decreased from -12.81 ± 3.11 diopters (D) preoperatively to -0.05 ± 0.27 D 6 months postoperatively; 96.8% of eyes were within ±0.50 D of the target and 100% of eyes were within ±1.00 D. All eyes had a decimal uncorrected distance visual acuity of 0.5 (20/40) or better at every follow-up visit. The safety and efficacy indices were 1.42 ± 0.34 and 1.11 ± 0.19, respectively. Postoperatively, the intraocular pressure (IOP) remained stable over time. No significant rises in IOP (including pupillary block) and no secondary cataract were found. After 6 months, the mean vault was 505.2 ± 258.9 μm (range 120-990 μm), and the mean endothelial cell loss was 2.0%.Implantation of the pIOL was safe, effective, predictable, and stable in the correction of moderate-to-high myopia in Han Chinese patients, even without peripheral iridectomy.

  20. Avaliação da contaminação da câmara anterior na cirurgia de facoemulsificação com implante de lente intra-ocular Anterior chamber contamination in phacoemulsification surgery with intraocular lens implant

    Directory of Open Access Journals (Sweden)

    Cesar Nobuo Shiratori

    2002-06-01

    Full Text Available Objetivo: Avaliar a existência de contaminação da câmara anterior durante a facectomia por facoemulsificação com implante de lente intra-ocular. Método: Foi realizado estudo prospectivo, avaliando-se 30 pacientes submetidos a facectomia por facoemulsificação com implante de lente intra-ocular, colhendo-se duas amostras de humor aquoso, uma obtida no início e outra no final da cirurgia. As amostras foram semeadas em meio de cultura para germes aeróbios, anaeróbios e fungos. Resultado: Todas as amostras avaliadas resultaram negativas. Conclusão: A contaminação da câmara anterior na cirurgia de facoemulsificação com implante de lente intra-ocular, usando os cuidados necessários, é infreqüente.Purpose: To evaluate the frequency of anterior chamber contamination during phacoemulsification surgery with intraocular lens implant. Method: A prospective study was done with 30 patients submitted to phacoemulsification surgery with intraocular lens implant. Two samples of the aqueous humor were removed from the anterior chamber, one at the beginning and another one at the end of the surgery and were inoculated in culture plates for anaerobic and aerobic bacteria and fungi. Results: Intraocular aspirates yielded negative cultures. Conclusion: The absence of microorganisms in the samples evaluated allowed us to conclude that contamination during the phacoemulsification surgery with lens implant is unusual.

  1. IMPLANTATION OF POSTERIOR-CHAMBER PHAKIC INTRAOCULAR LENS pIOL-3 IN HIGH MYOPIA (preliminary report

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    G. V. Sorokoletov

    2015-01-01

    Full Text Available Aim. To assess preliminary clinical functional outcomes of phakic intraocular lens pIOL-3 implantation in high myopia.Patients and methods. pIOL-3 was implanted in 6 patients (10 eyes aged 27‑63 with high myopia and no concomitant pathologies. Follow-up period varied from 1 to 12 months. IOL is made of hydrophilic material Contamac CI26 with water content of 26% and refraction index of 1.46. pIOL design (holes in the haptic portions provides its matching to ciliary sulcus size (0.5 mmless than linear size of the sulcus. Preoperative and postoperative examination included visual acuity measurement, biomicroscopy, ophthalmoscopy, visual field test, tonometry, endothelial microscopy, and ultrasound biomicroscopy. Simplicity of surgical technique, adaptability of haptics, and postoperative course were evaluated.Results. Early postoperative period was uncomplicated. Uncorrected (UCVA and best-corrected visual acuity (BCVA improved in the first hours after the surgery. No visual acuity worsening (as compared with preoperative BCVA was observed. Surgical procedure did not affected IOP even despite the absence of basal iridotomy. Maximum endothelial cell loss was less than 5%. No IOL forward «vaulting» was observed.Conclusions. pIOL implantation in high myopia patients is safe and provides maximum visual acuity in the first postoperative hours. Owing to its design this IOL can be implanted into ciliary sulcus (which size is0.5 mmless than IOL diameter without forward «vaulting». 

  2. Opaque intraocular lens implantation

    OpenAIRE

    Yusuf IH; Patel CK

    2013-01-01

    Imran H Yusuf, CK Patel The Oxford Eye Hospital, West Wing, John Radcliffe Hospital, Headley Way, Headington, Oxford, United KingdomWe read with great interest the recent article by Lee et al,1 who described their clinical experience with three patients who underwent primary implantation of Morcher (Stuttgart, Germany) occlusive intraocular lenses (IOLs) across a variety of neuro-ophthalmic indications. We hope to offer some further insight into these clinical observations in the context of o...

  3. Contaminação bacteriana da câmara anterior pós-facoemulsificação com implante de lente intra-ocular de polimetilmetacrilato ou silicone Bacterial anterior chamber contamination after phacoemulsification and polymethylmethacrylate or silicone intraocular lens implantation

    Directory of Open Access Journals (Sweden)

    Ricardo Antonio Pereira

    2004-12-01

    Full Text Available OBJETIVO: Avaliar a contaminação bacteriana da câmara anterior, após facoemulsificação não complicada, com tamanhos diferentes de incisões e lentes intra-oculares. MÉTODOS: Foi realizado estudo prospectivo randomizado, de 80 olhos de 80 pacientes, submetidos à facoemulsificação sob anestesia tópica, distribuídos aleatoriamente em dois grupos iguais. No grupo A foram alocados os pacientes submetidos à cirurgia com incisão de 3,0 mm, lente intra-ocular dobrável de silicone implantadas com injetor. No grupo B os pacientes foram submetidos à cirurgia com incisão de 5,8 mm e implante de lente intra-ocular de polimetilmetacrilato de peça única, com pinça. Ao final de cada cirurgia, uma amostra do líquido da câmara anterior foi colhida e semeada em meios de cultura para bactérias. RESULTADOS: A cultura do líquido da câmara anterior foi positiva em 2,5% dos casos do grupo A e em 5,0% do grupo B. Não houve diferença estatisticamente significante entre os dois grupos (chi2 = 0, 380, p> 0,05. CONCLUSÃO: O implante de lente intra-ocular através de incisão menor, não resultou em menor contaminação da câmara anterior na cirurgia de facoemulsificação.PURPOSE: To evaluate bacterial anterior chamber contamination following uncomplicated phacoemulsification with differents sizes of incisions. METHODS: Prospective randomized study, 80 eyes, 80 patients divided into two groups, were submitted to phacoemulsification with topical anaesthesia. In group A, with 40 patients, surgery was perfomed with 3.0 mm incision and silicone intraocular lens implant with injector. In group B the surgery was done with 5.8 mm incision and polymethylmethacrylate intraocular lens implant with forceps. Anterior chamber aspirate was taken for culture upon completion of surgery in each case. RESULTS: Anterior chamber cultures were positive in 2.5% of the cases in group A, and 5.0% in group B (chi-square test = 0.380, p>0.05, frequencies of

  4. Phakic anterior chamber intraocular lens (Verisyse™) implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    OpenAIRE

    Pirouzian, Amir

    2009-01-01

    Amir Pirouzian1,3, Kenneth C Ip2, Henry S O’Halloran31The Permanente Medical Group, Santa Clara, CA, USA; 2The Permanente Medical Group, San Francisco, CA, USA; 3Rady’s Children’s Hospital of San Diego, San Diego, CA, USAPurpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA) phakic anterior chamber intraocular lens (IOL) in the reduction of clinically significant (>-8 D) myopic anisometropia in childre...

  5. SURGICAL OUTCOME OF TRIPLE PROCEDURE AS PENETRATING KERATOPLASTY WITH EXTRACAPSULAR CATARACT EXTRACTION WITH POSTERIOR CHAMBER INTRAOCULAR LENS IMPLANTATION IN PATIENTS WITH BOTH CENTRAL CORNEAL OPACITY AND ADVANCED CATARACT AT RURAL SET UP

    OpenAIRE

    Shubhangi Nigwekar, Kishor Badhe, Neeta Misra, Surekha Bangal

    2015-01-01

    Purpose: To study the surgical outcome of triple procedure as penetrating keratoplasty (PKP) with conventional extra capsular cataract extraction (ECCE) with posterior chamber intraocular lens (PCIOL) implantation in patients with both central corneal opacity and advanced cataract at rural set up. Introduction: When corneal opacity and cataract present together then well-established and effective triple procedure is indicated. Prognosis for a clear graft is good in triple, as graft endothe...

  6. Progresses of Materials of Intraocular Lenses and their Surface Modification%用于治疗白内障的人工晶体材料及表面修饰研究进展

    Institute of Scientific and Technical Information of China (English)

    牛国光; 朱思全; 郑欲东; 张红斌; 宋黎; 杨槐

    2008-01-01

      The recent development of surface modification and materials of intraocular lenses had been described at detail. The Bio-compatibility of materials surface-modified has been improved and post-operation syndrome reduced after modification. With the advancement of IOL materials, the size of incision would be smaller and IOL would prone to the property of bio-self accommodation.%  从材料角度对人工晶体材料及其表面修饰以及材料的发展做了详细介绍。通过表面改性提高了材料的生物相容性,降低术后并发症。人工晶体材料的发展,使得 IOL 植入手术切口更小,倾向于生理调节。

  7. Spectacle Independence after Cataract Extraction in Post-Radial Keratotomy Patients Using Hybrid Monovision with ReSTOR® Multifocal and TECNIS® Monofocal Intraocular Lenses

    OpenAIRE

    Gupta, Isha; Oakey, Zack; Ahmed, Faisal; Ambati, Balamurali K

    2014-01-01

    Background We report 2 patients who have undergone radial keratotomy (RK) preceding ReSTOR® multifocal intraocular lens (IOL; Alcon, Fort Worth, Tex., USA) implantation in their nondominant eyes and TECNIS® monofocal IOL (Abbott Medical Optics, Abbott Park, Ill., USA) in their dominant eyes. Methods Retrospective review of 2 patients who underwent hybrid monovision with ReSTOR® multifocal and TECHNIS® monofocal IOLs at the time of cataract surgery after a remote history of RK. Results Implant...

  8. Comparison between OPD-Scan results and visual outcomes of monofocal and multifocal intraocular lenses Comparação dos resultados do OPD-Scan e performance visual das lentes intraoculares monofocal e multifocal

    Directory of Open Access Journals (Sweden)

    Wilson Takashi Hida

    2009-08-01

    Full Text Available PURPOSE: To compare the visual outcome, contrast sensitivity and wavefront analysis of patients that underwent cataract surgery and implantation of AcrySof SN60D3 multifocal intraocular lens with those who received the AcrySof SN60AT monofocal IOL. METHODS: This was a prospective clinical trial of forty eyes that received the multifocal IOL and thirty-two eyes that received the monofocal IOL after phacoemulsification. RESULTS: Values for total and spherical aberrations in the multifocal group were statistically lower than in the monofocal group. In the monofocal group, 75% achieved uncorrected intermediate visual acuities between Jaeger 1 and 6. In the multifocal group, 75% of the eyes achieved more than Jaeger 6. At least 87.5% of the multifocal group and 6.3% of the monofocal group achieved monocular uncorrected near acuity of 20/30 (J2, N5 or better. And 90.0% of the eyes in the multifocal group and 37.5% in the monofocal group achieved an uncorrected near acuity of 20/40 (J3, N6 or better. The mean spherical error was 0.11 D in the multifocal group and -0.18 D in the monofocal group (p=0.0379. The SN60D3 group compared to SN60AT group had low contrast sensitivity (log units with statistically significant differences in 6.0 cpd in photopic conditions (p=0.014 and the SN60D3 group compared to SN60AT group had higher contrast sensitivity (log units under mesopic conditions (p=0.044. CONCLUSION: The multifocal IOLs induced less spherical aberration than monofocal IOLs and predictably good uncorrected distance and uncorrected near acuities. However, contrast sensitivity was lower in the multifocal group.OBJETIVO: Comparar a performance visual, sensibilidade ao contraste e de wavefront com OPD-Scan em pacientes submetidos a cirurgia de facoemulsificação com implante de lente intraocular AcrySof SN60D3 multifocal e AcrySof SA60AT monofocal. MÉTODOS: Quarenta olhos com a lente intraocular multifocal e trinta e dois olhos com a lente intraocular

  9. Biomicroscopia ultra-sônica na avaliação da posição das lentes intra-oculares em uma técnica de fixação escleral Ultrasound biomicroscopy in the assessment of the intraocular lenses positioning in a transscleral fixation technique

    Directory of Open Access Journals (Sweden)

    Raul de Camargo Vianna Filho

    2000-10-01

    Full Text Available Objetivo: Avaliar pela biomicrospia ultra-sônica (UBM o posicionamento, em relação ao sulco ciliar, das alças de lentes intra-oculares (LIO, em uma técnica de fixação escleral, avaliando-se também se dois pontos de fixação são suficientes para que não haja inclinação da parte óptica. Métodos: Dezesseis olhos afácicos foram submetidos a implante LIO por uma mesma técnica de fixação escleral, realizados por um mesmo cirurgião. Um mês após a cirurgia, o posicionamento das alças das LIO foram avaliados pelo UBM, assim como distâncias entre as LIO e córnea. Os resultados foram submetidos a testes estatísticos. Resultados: Das 32 alças fixadas à esclera, oito estavam localizadas no sulco ciliar e 24 fora deste. Não houve diferença estatística nas distâncias entre LIO e córnea para alças posicionadas no sulco ciliar quando comparadas àquelas localizadas fora do sulco. Isto sugere que, além da distância ao limbo que se transfixa a esclera, outros fatores devem estar associados ao posicionamento da alça no sulco ciliar. As medidas LIO -- córnea realizadas na periferia das LIO às 3, 6, 9, e 12 horas foram semelhantes, mostrando que dois pontos de fixação são suficientes para que a LIO não fique inclinada. Conclusões: Outros fatores (por exemplo o ângulo de abertura do corpo ciliar, além da distância ao limbo na qual se transfixa a esclera, são importantes para o posicionamento das alças no sulco ciliar. Dois pontos de fixação são suficientes para que a LIO não apresente inclinação dentro do olho.Purpose: To assess, through ultrasound biomicroscopy (UBM, the positioning of the intraocular lenses (IOL haptics as related to the ciliary sulcus by using a scleral fixation technique; and to evaluate, as well, if two fixation points are sufficient to avoid tilting of the lenses. Methods: Sixteen aphakic eyes underwent an IOL implan-tation by means of the same scleral fixation technique, performed by the

  10. Intraocular lens fabrication

    Energy Technology Data Exchange (ETDEWEB)

    Salazar, M.A.; Foreman, L.R.

    1997-07-08

    This invention describes a method for fabricating an intraocular lens made from clear Teflon{trademark}, Mylar{trademark}, or other thermoplastic material having a thickness of about 0.025 millimeters. These plastic materials are thermoformable and biocompatable with the human eye. The two shaped lenses are bonded together with a variety of procedures which may include thermosetting and solvent based adhesives, laser and impulse welding, and ultrasonic bonding. The fill tube, which is used to inject a refractive filling material is formed with the lens so as not to damage the lens shape. A hypodermic tube may be included inside the fill tube. 13 figs.

  11. Intraocular lens fabrication

    Energy Technology Data Exchange (ETDEWEB)

    Salazar, Mike A. (Albuquerque, NM); Foreman, Larry R. (Los Alamos, NM)

    1997-01-01

    This invention describes a method for fabricating an intraocular lens made rom clear Teflon.TM., Mylar.TM., or other thermoplastic material having a thickness of about 0.025 millimeters. These plastic materials are thermoformable and biocompatable with the human eye. The two shaped lenses are bonded together with a variety of procedures which may include thermosetting and solvent based adhesives, laser and impulse welding, and ultrasonic bonding. The fill tube, which is used to inject a refractive filling material is formed with the lens so as not to damage the lens shape. A hypodermic tube may be included inside the fill tube.

  12. Coated with nanomaterials intraocular lenses, ophthalmic and human body implantable devices with high catalytic antioxidant activities: a new nanotechnology strategy of peroxidase cellular enzyme mimics increasing the biocompatibility and therapeutic deployment of the medical prosthetic device.

    Science.gov (United States)

    Babizhayev, Mark A

    2013-04-01

    While cataract surgery is generally recognized as being one of the safest operations, there is still a significant complication rate. From 30 to 50% of all patients in the United States having cataract extraction develop opacification of the posterior lens capsule within two years and require laser treatment with its own significant risk of complications. Of the patients having cataract surgery, 0.8% develop retinal detachments, from 0.6% to 1.3% were rehospitalized for corneal edema or required corneal transplantation and about 0.1% presented with endophthalmitis . Thus, aside from secondary cataract, about 2% of 1.3 million people, or 26,000 individuals in the United States annually develop serious complications as a result of cataract surgery. The aim of this investigation was to increase the safety and effectiveness of an individual intraocular lens (IOL) preventing an impairment in peroxide metabolism of the mature human cataractous lenses compared to normal lenses employing the specific nanotechnology coating which substitutes the inhibitory effect of the implantable device towards the active species of oxygen and the ability of IOL to regulate the H2O2 and lipid hydroperoxides levels in the surrounding medium. The implantation of IOLs with metabolic activity improves the capability of the surrounding ocular tissues to withstand oxidative stress induced in ocular humors by the photochemical and other metabolic reactions. The coated implantable medical device with thin film of platinum applied with magnetron sputtering, reacts as a body enzyme with deleterious peroxide compounds and free radical oxygen species in body fluids and tissue when said device is implanted into human body. The IOL having haptics coated with thin film of platinum, catalyzes the reduction of peroxide compounds to decrease their levels within the aqueous humor. Further, the coatings also scavenge toxic free radicals of oxygen, thus preventing cellular dysfunction resulting from oxidative

  13. Estudo comparativo do desempenho visual e análise de frente de onda entre as lentes intra-oculares multifocais difrativas Tecnis® ZM900 e AcrySof® ResTor® SN60D3 Comparison between OPD-Scan results and visual outcomes of Tecnis® ZM900 and Restor® SN60D3 diffractive multifocal intraocular lenses

    Directory of Open Access Journals (Sweden)

    Wilson Takashi Hida

    2008-12-01

    Full Text Available OBJETIVOS: Comparar o desempenho visual e a análise de frente de onda entre as lentes intra-oculares (LIOs multifocal difrativa Tecnis® ZM900 asférica e AcrySof® Restor® esférica SN60D3. MÉTODOS: Trata-se de estudo prospectivo comparativo que incluiu 78 olhos de 39 pacientes. A avaliação oftalmológica contou com medida da acuidade visual para longe, intermediária e curta distância, sem correção e com a melhor correção óptica, teste de sensibilidade ao contraste e análise de frente de onda por meio do aberrômetro OPD-Scan. RESULTADOS: Acuidade visual para longe e para perto sem correção óptica e análise de aberrometria foram estatisticamente semelhantes em relação a ambas as LIOs; já a visão intermediária e a sensibilidade ao contraste em condições fotópicas revelaram diferença estatisticamente significante entre as duas lentes a favor da Tecnis ZM900. CONCLUSÃO: Ambas as lentes intra-oculares promoveram excelente visão para longe e para perto em situações de alto contraste. A LIO Tecnis multifocal necessita de menos luminosidade para visão em situações de alto contraste, apresenta menos aberrações ópticas e melhor visão intermediária que a LIO ResTor.PURPOSE: Comparison of the visual performance and wavefront analysis between patients with Tecnis® ZM900 aspheric and AcrySof ReStor® SN60D3 spheric diffractive multifocal intraocular lenses (IOL. METHODS: This prospective comparative study included 78 eyes of 39 patients. The performed ophthalmologic evaluation included near, intermediate and distance corrected and uncorrected visual acuity, contrast sensitivity measurement (under photopic and mesopic conditions and wavefront analysis with the OPD-Scan aberrometrer. RESULTS: Uncorrected near and distance visual acuity and aberrometry analysis were similar with both intraocular lenses; nevertheless, intermediate visual acuity and contrast sensitivity under photopic conditions were statistically better

  14. Posterior chamber phakic intraocular lens dislocation after ocular trauma%后房型有晶状体眼人工晶状体外伤性脱位

    Institute of Scientific and Technical Information of China (English)

    赫天耕; 孙智勇; 颜华

    2014-01-01

    Objective To study the clinical features and treatment principles of posterior chamber phakic intraocular lens (PC-PIOL) dislocation after ocular trauma.Methods Eighty eyes of 42 cases had undergone PC-PIOL implantation for the correction of high myopia,in which two cases were found PC-PIOL dislocation after ocular trauma.One case who received implantable collamer lens (ICL) implantation 8 months ago was diagnosed ICL subluxation into the anterior chamber after ocular blunt trauma.Another case who received posterior chamber phakic refractive lens (PC-PRL) implantation 3 months ago was found dislocation into anterior chamber after trauma.The operations for PC-PIOL reposition were performed 1 and 3 days respectively after the trauma.The endothelial cell density (ECD) count was documented and compared.The two cases were followed-up for 6 months.Results The clinical features of PC-PIOL dislocation after ocular trauma included mild discomfort,visual acuity decrease,aqueous flare,pupil deformation and pupillary capture of IOL.The uncorrected visual acuity (UCVA) of ICL subluxation eye decreased to 0.2 after trauma,and it was recovered to 0.3 after repositionsurgery.The UCVA for PC-PRL dislocation eye decreased to 0.3 after trauma,and regained to 1.0 after reposition surgery.Neither of the two cases had best corrected visual acuity (BCVA) loss.There was no complications such as traumatic cataract occurred.The ECD count of the two cases dropped to 1941/ram2 and 1889/mm2 respectively.It continuously dropped to 1883/mm2 and 1746/mm2 at one week after the reposition surgery,but it went upward to 1911/mm2 and 1845/mm2 at 6 months postoperatively.Conclusion PC-PIOL for high myopia could be subluxated or dislocated into anterior chamber after ocular trauma,led to aqueous flare,pupil deformation and ECD loss.The immediate PC-PIOL reposition was safe and effective,and long term ECD follow-up was suggested.%目的 研究后房型有晶状体眼人工晶状体(PC-PIOL)植入术后

  15. Pupillary block glaucoma following implantation of a posterior chamber pseudophakos in the anterior chamber.

    Directory of Open Access Journals (Sweden)

    Mandal Anil

    2002-01-01

    Full Text Available Pupillary block glaucoma is a common complication of cataract surgery, especially following anterior chamber intraocular lens implantation. We report a case of pupillary block glaucoma with a posterior chamber IOL that was implanted in the anterior chamber following a complicated extracapsular cataract extraction. The case was successfully managed by explantation of the posterior chamber lens, anterior vitrectomy, peripheral iridectomy and secondary anterior chamber intraocular lens implantation. The intraocular pressure was controlled with a single topical antiglaucoma medication.

  16. The measurement of intraocular pressure by non-contact tonometer through bandage contact lenses%应用非接触性眼压计经绷带型角膜接触镜的眼压测量

    Institute of Scientific and Technical Information of China (English)

    陈约洁; 王爱孙; 郑钦象

    2015-01-01

    Objective To evaluate the feasibility and accuracy of the measurement of inttrocular pressure (IOP) by non-contact tonometer (NCT) through bandage contact lenses.Methods IOPs were measured by (NCT) in 42 eyes of 42 patients with and without bandage contact lenses for three times each to get the averages.The values of with and without bandage contact lenses were compared.The correlation of the measurements with and without bandage contact lenses was analyzed.Results The measurement with bandage contact lenses appeared greater than the one without bandage contact lenses (15.26±6.81mmHg vs 13.05±6.16mmHg, P <0.05).The difference of IOPs was 2.21±2.04mmHg, with a maximum of 8mmHg, a minimum of-1.5mmHg, and 95% confidence interval (1.58-2.85mmHg).The measurements with bandage contact lenses significantly correlated with the measurements without bandage contact lenses (r =0.96, P <0.01), while the differences of IOPs did not significantly correlated with the native measurement (r =0.17, P =0.28).Conclusions The measurement of intraocular pressure by non-contact tonometer through bandage contact lens is feasible, so it's unnecessary to remove lenses frequently before the procedures, lest the corneas will be injured once more.However, it should be noted that IOPs through bandage contact lenses may be overestimated.%目的 评价非接触性眼压计(non-contact tonometry,NCT)经绷带型角膜接触镜测量眼压的可行性和准确性.方法 选取2013年11月至2014年6月在温州医科大学眼视光医院需要配戴绷带型角膜接触镜的角膜病、角膜外伤及角膜术后患者42例,共42只患眼.应用NCT分别在患者配戴角膜接触镜前、后测量眼压3次取平均值,比较配戴角膜接触镜前后眼压测值,并进行相关分析以判断角膜接触镜对眼压测量的影响.结果 42例患者配戴前的眼压为(13.05±6.16) mmHg,配戴后的眼压为(15.26±6.81) mmHg,差异有统计学意义(P<0.05),

  17. Visual and optical performance of diffractive multifocal intraocular lenses with different haptic designs: 6 month follow-up

    Directory of Open Access Journals (Sweden)

    Wang M

    2014-05-01

    Full Text Available Mengmeng Wang,1,* Christine Carole C Corpuz,1 Megumi Fujiwara,1 Minoru Tomita1,2,*1Shinagawa LASIK Center, Tokyo, Japan; 2Department of Ophthalmology, Wenzhou Medical College, Wenzhou, People’s Republic of China*These authors contributed equally to this workPurpose: To evaluate and compare the visual acuity outcomes and optical performances of eyes implanted with two diffractive multifocal intraocular lens (IOL models with either a plate haptic design or a modified-C design.Methods: This retrospective study comprised cataract patients who were implanted with either a plate haptic multifocal IOL model (AcrivaUD Reviol BB MFM 611 [VSY Biotechnology, Amsterdam, the Netherlands], group 1 or a modified-C haptic multifocal IOL model ( AcrivaUD Reviol BB MF 613 [VSY Biotechnology, Amsterdam, the Netherlands], group 2 between June 2012 and May 2013. The 6 month postoperative visual acuity, refraction, defocus curve, contrast sensitivity, and wave-front aberration were evaluated and compared between these eyes, using different IOL models.Results: One hundred fifty-eight eyes of 107 patients were included in this study. Significant improvement in visual acuities and refraction was found in both groups after cataract surgery (P<0.01. The visual acuity and contrast sensitivity were statistically better in group 1 than in group 2 (P<0.01. No statistically significant difference in the corneal higher-order aberrations was found between the two groups (P>0.05. However, the ocular higher-order aberrations in group 2 were significantly greater than in group 1 (P<0.05.Conclusion: At 6 months postoperatively, both AcrivaUD Reviol BB MFM 611 IOL and AcrivaUD Reviol BB MF 613 IOL achieved excellent visual and refractive outcomes. The multifocal IOL model with plate haptic design resulted in better optical performances than that with the modified-C haptic design.Keywords: AcrivaUD, VSY, plate haptic, modified-C haptic, multifocal

  18. Clinical research of phakic posterior chamber intraocular lens implantation for high myopia%有晶状体眼后房型人工晶状体植入术治疗高度近视的临床研究

    Institute of Scientific and Technical Information of China (English)

    卢苇; 邵彦; 贡雅洁

    2010-01-01

    Objective To investigate the clinical efficacy and safety of phakic posterior chamber intraocular lens (ICL) implantation for high myopia. Methods Twenty-four eyes of 12 patients with high myopia were treated with ICL implantation. The best corrected visual acuity, intraocular pressure and lens changes shape between post-operative and pre-operative were compared. Results Successful implantations were done in all patients. All eyes had a significant increase in uncorrected visual acuity. Exactly improved visual function in patients with high myopia status. The intraocular pressure was ( 14.26 ± 2.13) mm Hg(1 mm Hg = 0.133 kPa) of pre-operative , and was ( 14.79 ± 2.77) mm Hg at 1 year after post-operative, the intraocular pressure was stability after the operation. UBM showed that there was a certain gap between ICL and the lens. During the follow-up period,no complications such as cataract,chronic uveal infusion were found. Conclusion Phakic posterior chamber ICL implantation is effective,safe and reliable method for the correction of high myopia.%目的 探讨有晶状体眼后房型人工晶状体(ICL)植入术治疗高度近视的临床效果.方法 对12例24眼接受ICL植入术的患者资料进行总结和分析,比较其手术前后最佳矫正视力、眼压及透明晶状体性状的改变.结果 12例24眼术后最佳矫正视力均达到或超过术前最佳矫正视力,改善了高度近视患者的视功能状况,术前眼压(14.26±2.13)mm Hg(1 mmHg=0.133 kPa),术后1年眼压(14.79±2.77)mm Hg(P>0.05),术后眼压稳定,术后ICL与透明晶状体存在裂隙,随访期间未见并发性白内障、慢性色素膜炎等并发症.结论 ICL植入术治疗高度近视手术效果确切,预测性好,安全性高.

  19. Sutureless, Glueless, Scleral Fixation of Single-Piece and Toric Intraocular Lens: A Novel Technique.

    Science.gov (United States)

    Kelkar, Aditya; Shah, Rachana; Kelkar, Jai; Kelkar, Shreekant; Arora, Ekta

    2015-01-01

    Sutureless, glueless, scleral fixation of an intraocular lens is a known technique of fixing a lens in the scleral pockets. However, this technique is applied to single-piece and toric lenses instead of 3-piece lenses, allowing the advantage of the use of premium lenses in patients with poor capsular support. Favourable results without complications of pigment dispersion, iris transillumination defects, dysphotopsia, elevated intraocular pressure, intraocular hemorrhage and cystoid macular edema with a well-centered, stable intraocular lens have been observed in the 3-month postoperative period in both cases.

  20. The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients

    Science.gov (United States)

    Li, Jin; Chen, Qi; Lin, Zhibo; Leng, Lin; Huang, Fang

    2016-01-01

    Purpose. To evaluate the predictability of lens shift induced by pilocarpine (LSPilo) on the outcomes of accommodating intraocular lens (Acc-IOL) implantation. Methods. Twenty-four eyes of 24 senile cataract patients who underwent phacoemulsification and Acc-IOL implantation were enrolled. LSPilo was evaluated with anterior segment optical coherence tomography (AS-OCT). At 3 months postoperatively, the best corrected distance visual acuities (BCDVA), distance-corrected near visual acuities (DCNVA), and subjective and objective accommodations were measured. IOL shifts under accommodation stimulus (IOLSAcc) were evaluated with AS-OCT. Results. The mean LSPilo was 112.29 ± 30.72 µm. LSPilo was not associated with any preoperative parameters. The mean IOLSAcc was 130.46 ± 42.71 µm. The mean subjective and objective accommodation were 1.54 ± 0.39 D and 1.27 ± 0.41 D, respectively. The mean postoperative BCDVA and DCNVA (log MAR value) were 0.22 ± 0.11 and 0.24 ± 0.12, respectively. LSPilo positively correlated with IOLSAcc (r = 0.541; P = 0.006), subjective accommodation (r = 0.412; P = 0.022), and objective accommodation (r = 0.466; P = 0.045), respectively. Conclusion. LSPilo is an independent preoperative parameter associated with the postoperative Acc-IOL mobility and pseudophakic accommodation. It may offer valuable information for ophthalmologists in determining the suitable candidates for Acc-IOL implantation. PMID:27516899

  1. Changes of Anterior Chamber Angle and Intraocular Pressure after Implantation of Intraocular Lens through Small Incision in a Non-phacoemulsification Way%小切口非超声乳化人工晶状体植入术后房角及眼压变化的相关性研究

    Institute of Scientific and Technical Information of China (English)

    刘玉青; 冀向宁; 李坤; 戴冬姝

    2012-01-01

    Objective To explore the correlation between the anterior chamber angle and intraocular pressure after the implantation of intraocular lens ( iol) through small incision in a non - phacoemulsification way. Methods Totally 110 senile cataract patients admitted to our hospital in 2010 underwent implantation of iol with superficial anaesthesia through small incision. Among whom we chose 101 senile cataract patients ( 104 eyes ) as the research subjects whose operation process was smooth and the posterior capsulars remained complete and iol successfully being implanted into capsular bag. Relevant parameters of anterior chamber including anterior open distance at 500μm ( AOD500 ), trabeculum - tunica coerulea included angle ( TIA ), anterior chamber depth ( ACD ) were measured by ultrasonic biomicroscope ( UBM ) preoperatively. Intraocular pressures were measured by Goldmann ophthalmotonometer. All these parameters were re - measured by the same technician 2 weeks, 1 month, and 3 months postoperatively. Morphouses of the anterior chambers were recorded preoperatively and re - recorded 1 month postopera-tively through microgonioscope. Results Compared with the normal eyes, the intraocular pressure showed significant difference in these diseased eyes before surgery ( P < 0. 05 ). ACD, AOD 500, TIA, and intraocular pressure before surgery were also significantly different from thoese 2 weeks, 1 month, and 3 months after surgery ( P < 0. 05 ). In addition, AOD 500 and TIA had a negative correlation with intraocular pressure. Conclusion Small incision of non - phacoemulsification and intraocular lens ( iol) implantation might result in an enlargement of ACD and width of anterior chamber and a significant decrease of intraocular pressure. AOD500 and TIA are important factors that influence the intraocular pressure in the elderly.%目的 研究小切口非超声乳化人工晶状体植入术后前房角宽度及眼压变化的相关性.方法 选取2010年在我院就

  2. 有晶状体眼后房型人工晶状体植入术后前房及前房角的超声活体显微镜观察%Observation on changes of anterior chamber and chamber angle structures after posterior chamber phakic intraocular lens implantation by ultrasound biomicroscopy

    Institute of Scientific and Technical Information of China (English)

    汪晓宇; 沈晔; 杜持新; 李毓敏; 董映

    2009-01-01

    Objective To study the changes of anterior chamber and chamber angle structures after implantable contact lens (ICL) implantation in high myopia by using ultrasound biomicroscopy (UBM).Methods A prospective series case study was conducted on 15 high myopia patients (30 eyes) treated with ICL implant.These patients were followed for one year postoperatively.Intraocular pressure (IOP) was measured by Goldmann applanation tonometer after surgery.All eyes were examined by UBM one year after the surgery.Central anterior chamber depth (ACD), trabecular-iris angle (TIA), the distance between the posterior surface of ICL and the lens and the distance between peripheral surface of ICL and the lens were measured.Nonparametric test was used to compare TIA.One-way ANOVA was used to assess the distance between peripheral surface of ICL and the lens.Repeated Measure ANOVA and Bonferroni test was performed to compare the IOP level before and after surgery.Paired t-test was used to compare ACD.Results Intraocular pressure changed from (13.75±2.27) mm Hg(1 mm Hg=0.133 kPa) preoperatively to (14.27±1.70), (14.70±2.07), (14.07±2.24), (14.00±2.69) and (13.97±2.95) mm Hg at 1 week, 1,3, 6 and 12 months after the surgery, respectively.There was a statistically significant increase of the IOP one month after the surgery, which was normalized completely at 3 months after surgery.The distances between central posterior surface of the cornea to the ICL and the lens were (2.24±0.21 ) and (2.97±0.11) mm, respectively.There was significant difference between these two data (t=20.63, P30°,ICL周边部与晶状体之间的距离在钟表位12:00、3:00、6:00、9:00位差异无统计学意义.ICL后表面与晶状体之间的距离为(0.63±0.16)mm,ICL与晶状体无接触.结论 ICL植入术后ICL位于晶状体前,致使术后中央ACD变浅、部分手术眼前房角宽度变窄.ICL与晶状体无接触,与虹膜后表面接触.

  3. 类风湿关节炎患者人工晶状体植入后前房反应%Anterior chamber inflammation after intraocular lens implantation in patients with rheumatoid arthritis

    Institute of Scientific and Technical Information of China (English)

    马伟华; 赵俊丽

    2013-01-01

    目的 观察类风湿关节炎患者白内障囊外摘出人工晶状体植入术(ECCE+ IOL)与超声乳化吸出人工晶状体植入术(Phaco+ IOL),比较其术后前房反应程度;探讨类风湿因子滴度与术后前房反应的关系.方法 类风湿关节炎患者11例(11眼)行ECCE+ IOL术;10例(12眼)行Phaco+ IOL术.术后复诊随访.结果 除1例(1眼)视神经萎缩,1例(1眼)老年黄斑变性外,其它均获得了0.6或以上的矫正视力,3个月后前房炎症消失,无手术并发症;行Phaco+ IOL术后前房反应较ECCE +IOL术后前房反应轻,术后3d两组间的差异具有统计学意义(mann-whitney u test分析P=0.0258).术后3d、1个月不同前房反应组的类风湿因子之间差异无统计学意义(mann-whitney utest分析,P>0.05).结论 类风湿性关节炎患者Phaco+ IOL术后前房反应较ECCE +IOL术后前房反应轻;术后前房反应的程度与术前类风湿因子滴度无关.%Objective To compare the postoperative anterior chamber inflammation between extracapsular cataract extraction with intraocular lens implantation (ECCE + IOL) and phacoemulsification with intraocular lens implantation (Phaco + IOL) on patients with rheumatoid arthritis,and to investigate the relation of rheumatoid factor and inflammation in anterior chamber.Methods The medical records of 23 eyes of 21patients with rheumatoid arthritis were reviewed,who underwent cataract extraction with intraocular lens implantation.ECCE + IOL was performed in 11 cases (11 eyes),and Phaco + IOL was performed in 10 cases (12 eyes).Patients had been followed up for 3 months.Results All the eyes,except for one case of optic atrophy and one case of age-related macular degeneration,acquired visual acuity of 0.6 or better.Inflammation in anterior chamber disappeared 3 months after surgery,and left no operative complication in any of the eyes.The inflammation in anterior chamber on patients who performed Phaco + IOL was lighter than patients who performed

  4. Patient-reported benefit of ReSTOR® multi-focal intraocular lenses after cataract surgery: Results of Principal Component Analysis on clinical trial data

    Directory of Open Access Journals (Sweden)

    Viala Muriel

    2008-01-01

    Full Text Available Abstract Background Restoration of functional distance and near vision independently of additional correction remains a goal for cataract surgery. ReSTOR®, a new multi-focal intraocular lens (IOL addresses this issue with an improvement in both distance and near vision, often without need for glasses. This analysis attempted to discuss the patient-reported benefit of ReSTOR® using a full but organised representation of data. Methods Two non-randomised, open-label clinical trials conducted in Europe and the United-States were conducted to compare the efficacy of ReSTOR® to AcrySof® mono-focal IOLs. A total of 710 patients in need of bilateral cataract extraction were included in the pooled study. The TyPE, a patient questionnaire, was fully completed by 672 of them before and after each eye surgery. The TyPE, composed of 67 items measuring overall visual functioning in both conditions (with and without wearing glasses, evaluates limitations, troubles and satisfaction in distance and near vision. A principal component analysis (PCA of the TyPE questionnaire was performed on pooled data from baseline and post-surgery observations in order to fully represent the change in the TyPE data over time. ReSTOR® and mono-focal groups were used as illustrative variables. The coordinates of the first 2 factors were compared between visits and between IOLs (ReSTOR® vs. mono-focal, using paired t-tests and t-tests, respectively. Results The first factor of the PCA explained 55% of the variance and represented 'visual functioning and patient satisfaction'. The second factor explained 6% of the variance and was interpreted as 'independence from glasses'. An overall difference in factorial coordinates in both factors was seen between baseline and the first eye surgery, and between the first and the second eye surgery. No difference between ReSTOR® and mono-focal IOL groups was observed at baseline. After surgery, ReSTOR® treated-patients had higher

  5. Closed intraocular microsurgery in ocular trauma.

    Science.gov (United States)

    Kanski, J J

    1978-04-01

    A series of 53 eyes that had suffered severe trauma was treated by closed intraocular microsurgery with vitreous cutters. The cases were divided into three categories: (a) anterior segment reconstruction for traumatic cataracts and post-traumatic pupillary membranes, (b) vitreous haemorrhage with and without retinal detachment, and (c) traumatically dislocated lenses.

  6. 有晶状体眼后房型人工晶状体植入术治疗高度近视临床观察%Clinical Observation of Posterior Chamber Phakic Intraocular Lens Implantation for High Myopia

    Institute of Scientific and Technical Information of China (English)

    岳军; 李红; 王平; 覃光海; 赵婷; 丁熊; 郑姣; 龚晋; 简岩

    2012-01-01

    目的:评价有晶状体眼后房型人工晶状体(ICL)植入术治疗高度近视的有效性和安全性.方法:对7例(14只眼)高度近视患者行有晶状体眼ICL植入术.术后随访3-9个月,观察手术前后裸眼视力、最佳矫正视力、屈光度、眼压、内皮细胞计数等.结果:所有患者成功植入ICL,14只眼手术前后平均屈光度分别为(-14.52±-6.43)D,(-0.01±0.28)D;裸眼视力分别为0.08±0.06,0.6±0.3;最佳矫正视力分别为0.5±0.2,0.7±0.2;术后裸眼视力和最佳矫正视力均明显好于术前(P<0.05).术前平均眼压为(16.21±2.84)mmHg,术后平均眼压为(17.03±1.95)mmHg;内皮细胞计数术前为(3 028±289)个/mm2,术后为(2 912±2 51)个/mm2;前房深度术前平均为(3.69±0.31)mm,术后为(3.57±0.29)mm,差异均无统计学意义(P>0.05).结论:ICL矫正高度近视近期临床效果有效、可靠,临床观察未发现手术并发症,远期效果需进一步观察.%Objective: To evaluate the efficacy and safety of the surgical correction of high myopia using an implantation of posterior chamber intraocular lens. Methods: Posterior chamber phakic intraocular lens (ICL) implantation was performed in 14 eyes of 7 patients with high myopia. After follow-up for 3 to 9 months, the clinical ocular examinations were performed including uncorrect-ed visual acuity (UCVA), best corrected visual acuity (BCVA) retraction, intraocular pressure (IOP), slit-lamp findings, cornea topography and cornea endothelial cell density before and after surgery. Results: Posterior chamber phakic intraocular lens were implanted successfully in all the operative eyes. The mean preoperative diopter was —14. 52 ± 6. 43 D, and postoperative diopter was —0. 01±0. 28 D. The UCVA and BCVA were 0. 08 ± 0. 06 and 0. 5 ± 0. 2 respectively before operation versus 0. 6 ±0. 3 and 0. 7 ± 0. 2 respectively after operation. It is obvious that postoperative UCVA and BCVA were better than the preoperative ones

  7. 小切口三片式折叠人工晶状体睫状沟悬吊术疗效观察%Small-incision transscleral sulcus fixation of posterior chamber intraocular three pieces of types lens implantation

    Institute of Scientific and Technical Information of China (English)

    白华; 黄耀辉; 何涛

    2011-01-01

    Objective To study and assessment the effectiveness and feasibility of small-incision transscleral sulcus fixation with posterior chamber intraocular three pieces of types lens.Methods Forty-three patients ( 43 eyes ) with zonule abnormity or posterior capsule rupture were performed intraocular lens implantation through corneal incision, and pre-fixed with polypropylene suture followed by three pieces of type lens foldable intraocular fixed in sulcus by injector.Results The uncorrected visual acuity of all operated eyes were improved.After 1 week, there were 12 eyes in 1.0, 16 eyes in 0.6 ~ 0.8,15 eyes in 0.4 ~ 0.6, and there were 16 eyes in 1.0, 18 eyes in 0.6 ~ 0.8, 9 eyes in 0.4 ~ 0.6 after 3 months.The mean astigmatism was 1.15D ± 0.75D ( 1 week ) and 0.75D ± 0.35D ( 3 months ) respectively, with the eye pressure was ( 16 ± 3 )mmHg( 1 week ) and ( 18 ± 8 )mmHg( 3 months ), and no statistical significant compared with pre-operation( P > 0.05 ).Besides, there were no significant severely complications intra-and post-operation.Conclusion It demonstrated that the smallincision transscleral sulcus fixation with posterior chamber intraocular three pieces of types lens had less complications, small astigmatism, which proved the potential to be widely applied.%目的 探讨小切口植入三片式折叠人工晶状体,并悬吊于睫状沟的有效性和实用性.方法 选择因晶状体后囊破裂或悬韧带断裂不能正常植入后房型人工晶状体的患者43例(43只眼),利用推注器系统,通过透明角膜小切口,把襻预扎了聚丙烯缝线的三片式折叠人工晶状体植入后房,由缝线固定于睫状沟.结果 所有患者术后裸眼视力均提高,术后1周12只眼1.0,16只眼0.6~0.8,15只眼0.4~0.6;术后3个月16只眼1.0,18只眼0.6~0.8,9只眼0.4~0.6.术后1周及3个月平均散光分别为1.15D+0.75D和0.75D±0.35D,眼压分别为(16±3)mmHg和(18±8)mmHg,与术前比较均无统计学意义(P>0.05),术中

  8. Phakic posterior chamber intraocular lens implantation in high myopia with astigmatism%后房型有晶状体眼人工晶状体植入术治疗高度近视及散光

    Institute of Scientific and Technical Information of China (English)

    刘莉; 陈自新; 陈茂盛; 马金花; 陈荥培

    2011-01-01

    目的 探讨后房型有晶状体眼人工晶状体植入术治疗高度近视及散光的安全性和疗效性.方法 后房型有晶状体眼人工晶状体植人术治疗高度近视及散光22例39只眼.术前屈光度(等效球镜)为-7.0~-24.0D,平均(-14.50D±3.50)0;散光-0.50~-4.50D,平均(-2.25±1.32)D.术后检查视力、眼压、裂隙灯显微镜,前房角,前房深度,人工晶状体拱高,角膜内皮细胞计数.随访3-18个月.结果 术后3个月,38只眼视力达到或超过术前矫正视力.等效球境-0.50~-2.25D,平均(-0.75±0.38)D,散光度0.25~2.75D,平均(1.03±0.23)D,术后7只眼早期(2h后观察)眼压升高,经降眼压处理,24h内恢复正常.无一例出现青光眼、白内障、人工晶状体偏移及网脱等并发症.结论 后房型有晶状体眼人工晶状体植入术治疗高度近视及散光保留了生理性调节、并发症少、安全有效,是临床矫正高度近视散光比较理想的一种方法.%Objective To valuate the efficacy, safety stability and predictability of implanting a posterior chamber phakic intraocular lens to correct high myopia with astigmatism. Methods Thirty-nine eyes of 22 patients with high myopia were treated with ICL implantation. The range of preop-erative myopia diopters was -7.0 D to -24.0 D, mean -14.50 D±3.50 D, astigmatism ranges -0.50 D to -4.50 D, mean 2.25±1.32 D. All of 39 eyes were implanted ICL successful and had been followed up for 3 to 18 months. The follow up examination included visual acuity, refraction tonometer, slit lamp examination, chamber depth, chamber angle and space between crystal lens and IOL. Results One week after operation, the uncorrected visual acuity of 38 eyes were same or better than the pre-operative best corrected visual acuity (BCVA). The refractive diopters were from -0.50 to -2.25 D,mean -0.75±0.38 D. Astigmatism was 0.25 to 2.75 D, mean 1.03±0.23 D. Complications were seen in 7 eyes of 6 patients who had increased intraocular

  9. [Results of intraocular lens implantation in cataract complicated by medium and high myopia].

    Science.gov (United States)

    Plotnikova, Iu A; Chuprov, A D; Volkov, D V

    2001-01-01

    Results of surgical treatment of cataract complicated by medium and high myopia are analyzed. The main group consisted of 90 patients (96 eyes) subjected to extracapsular cataract extraction with implantation of posterior-chamber intraocular lenses and the reference group of 128 patients in whom cataract was extracted without implantation of artificial lens. The study included creation of a mathematical model of myopic eye with estimation of pressure fluctuations in various zones of the eye, developing during transposition of the vitreous during patient's movements (head movements, jumps, falling) and the damping effect of the lens in the ocular system. It was proven by mathematical calculations that transpositions of jelly fractions of the vitreous decreased by 70% in an eye with the lens in comparison with their transposition in aphakia. Clinical studies demonstrated the efficiency of intraocular correction of aphakia in high myopia: implantation of an intraocular lens decreases the risk of detachment of the retina during the postoperative period and helps attain the desired refraction. PMID:11765458

  10. 有晶体眼后房型人工晶体植入治疗高度近视及散光%Clinical research of the implantation of phakic posterior chamber intraocular lens (ICL) for high myopia with astigmatism

    Institute of Scientific and Technical Information of China (English)

    廖荣丰; 汪永; 周艳峰; 刘伦; 刘兴华; 封利霞

    2009-01-01

    目的 观察和探讨后房型有晶体眼人工晶体植入术治疗高度近视及散光的效果及安全性.方法 后房型有晶体眼人工晶体植入术治疗高度近视及散光28例56眼.术前屈光度(等效球镜)为-7.0~-22.50D,平均(-12.42±3.50)D.散光0.37~6.5D,平均(1.92±1.32)D.所有患者随访3~24个月.术后检查视力、眼压,裂隙灯检查眼前部情况.结果 术后3个月,所有病例术后达到或超过术前最佳矫正视力.等值球镜,0.25~1.50D,平均(0.534±0.408)D.散光度0.25~1.50D,平均(0.564±0.289)D.术后并发症:4例7眼术后早期眼压升高,经降眼甩治疗,3~4天后眼压正常.结论 后房型有晶体眼人工晶体植入术治疗高度近视及散光效果确切,预测性好,手术安全.高度近视,尤其是超高度近视以及角膜薄不适合准分子激光矫正的患者是理想的治疗对象.%Objective To observe and investigate the efficacy and safety of the implantation of phakic posterior chamber intraocular lens (ICL) for high myopia with or without astigmatism. Methods 56 eyes of 28 patients with high myopia were treated with ICL implanta-tion. The range of preoperative myopia diopters was-7.0 to-22. 5D, mean-12.42±3.50 D. Astigmatism ranges 0.37 to 6.5D, mean 1.92±1.32D. All of 56 eyes were implanted ICL successfully and have been followed up for 3 to 24 months. The follow up examination included visual acu-ity, refraction, tonometer, slit lamp examination ,and space between crystal lens and IOL. Results Three months after operation, the uncor-rected visual acuity of every eye was same or better than the pre-operative best corrected visual acuity (BCVA). The refractive diopters were from 0.25 to 1.50D, mean 0.534±0.408D. Astigmatism were 0.25 to 1.50D, mean 0.564±0.289D.complications were secondary glaucoma. 7 eyes of 4 patients had increased intraocular pressure shortly after surgery. After treatment, the intraocular pressure became normal in 3 to 4 days. Con

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

    Energy Technology Data Exchange (ETDEWEB)

    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.

  12. Comparison of visual functions and quality of life with aspheric monofocal intraocular lenses and aspheric multifocal intraocular lenses after bilateral cataract surgery%多焦点人工晶状体和单焦点非球面人工晶状体植入术后患者视功能及生存质量比较

    Institute of Scientific and Technical Information of China (English)

    郭别川; 柯敏; 田朕; 韩芳芳

    2014-01-01

    目的 比较植入多焦点人工晶状体(intraocular lens,IOL)和单焦点非球面IOL对单纯白内障患者术后视功能及生存质量的影响.方法 采用前瞻性和回顾性调查研究,共纳入72例(144眼)老年性白内障患者,均行超声乳化联合IOL植入术,其中20例植入折叠式多焦点IOL(多焦点IOL组),52例植入折叠式单焦点非球面IOL(单焦点IOL组),问卷调查并比较患者术前和术后6个月的视功能及生存质量.结果 术后两组患者总体视功能及生存质量之间的差异均无统计学意义(均为P>0.05),但较术前均有提高,差异均有统计学意义(均为P<0.05).在活动能力、社会交际能力和心理健康方面,单焦点非球面IOL植入后却表现出较为明显的优势,差异均有统计学意义(均为P<0.05);多焦点IOL的术后脱镜率明显高于单焦点非球面IOL(P <0.05);而在术后视功能、生存质量的其他具体方面(与视力有关的日常活动限制、周边视野、感觉适应、立体觉和自理能力),两组之间的差异均无统计学意义(均为P >0.05).结论 单焦点IOL和多焦点IOL在改变视功能和生存质量方面总体效果相同,但多焦点IOL在患者脱镜方面有明显优势,而单焦晶状体在价格上表现出比较明显的优势.

  13. Retropupillary iris claw intraocular lens implantation in aphakia for dislocated intraocular lens

    Science.gov (United States)

    Faria, Mun Yueh; Ferreira, Nuno Pinto; Pinto, Joana Medeiros; Sousa, David Cordeiro; Leal, Ines; Neto, Eliana; Marques-Neves, Carlos

    2016-01-01

    Background Nowadays, dislocated intraocular lenses (IOLs) and inadequate capsular support are becoming a challenge for every ophthalmic surgeon. Explantation of dislocated IOL and iris claw IOL (ICIOL) are the techniques that have been used in our ophthalmic department. The aim of this study is to report our technique for retropupillar ICIOL. Methods This study is a retrospective case series. A total of 105 eyes with dislocated IOL from the patients at the Department of Ophthalmology in Santa Maria Hospital, a tertiary reference hospital in Lisbon, Portugal, from January 2012 until January 2016, had been analyzed. Of these 105 eyes, 66 eyes had dislocated one-piece IOL and 39 eyes had dislocated three-piece IOL. The latter underwent iris suture of the same IOL and were excluded from this study. The remaining 66 eyes with dislocated one-piece IOL underwent pars plana vitrectomy, that is, explantation of dislocated IOL through corneal incision and an implantation of retropupillary ICIOL. Operative data and postoperative outcomes included best corrected visual acuity, IOL position, intraocular pressure, pigment dispersion, clinical signs of endothelial cell loss, and anterior chamber depth. Results The mean follow-up was 23 months (range: 6–48 months). The mean preoperative best corrected visual acuity was 1.260±0.771 logMAR, and postoperative best corrected visual acuity was 0.352±0.400 logMAR units. Mean vision gain was 0.909 logMar units. The patients had the following complications: 1) retinal detachment was found in one patient, 2) corneal edema was found in three patients, 3) high intraocular pressure was observed in twelve patients, 4) subluxation of the IOL was observed in one patient, and 5) macular edema was found in three eyes. Conclusion The results demonstrate that retropupillary ICIOL is an easy and effective method for the correction of aphakia in patients not receiving capsule support. The safety of this procedure must be interpreted in the context

  14. Retropupillary iris claw intraocular lens implantation in aphakia for dislocated intraocular lens

    Directory of Open Access Journals (Sweden)

    Faria MY

    2016-08-01

    Full Text Available Mun Yueh Faria,1–3 Nuno Pinto Ferreira,1–3 Joana Medeiros Pinto,1–3 David Cordeiro Sousa,1–3 Ines Leal,1–3 Eliana Neto,1–3 Carlos Marques-Neves1–3 1Centro de Estudos da Visão, Universidade de Lisboa, 2Department of Ophthalmology, Hospital de Santa Maria, 3Faculty of Medicine, University of Lisbon, Lisbon, Portugal Background: Nowadays, dislocated intraocular lenses (IOLs and inadequate capsular support are becoming a challenge for every ophthalmic surgeon. Explantation of dislocated IOL and iris claw IOL (ICIOL are the techniques that have been used in our ophthalmic department. The aim of this study is to report our technique for retropupillar ICIOL.Methods: This study is a retrospective case series. A total of 105 eyes with dislocated IOL from the patients at the Department of Ophthalmology in Santa Maria Hospital, a tertiary reference hospital in Lisbon, Portugal, from January 2012 until January 2016, had been analyzed. Of these 105 eyes, 66 eyes had dislocated one-piece IOL and 39 eyes had dislocated three-piece IOL. The latter underwent iris suture of the same IOL and were excluded from this study. The remaining 66 eyes with dislocated one-piece IOL underwent pars plana vitrectomy, that is, explantation of dislocated IOL through corneal incision and an implantation of retropupillary ICIOL. Operative data and postoperative outcomes included best corrected visual acuity, IOL position, intraocular pressure, pigment dispersion, clinical signs of endothelial cell loss, and anterior chamber depth.Results: The mean follow-up was 23 months (range: 6–48 months. The mean preoperative best corrected visual acuity was 1.260±0.771 logMAR, and postoperative best corrected visual acuity was 0.352±0.400 logMAR units. Mean vision gain was 0.909 logMar units. The patients had the following complications: 1 retinal detachment was found in one patient, 2 corneal edema was found in three patients, 3 high intraocular pressure was observed in

  15. Long-Term Comparison of Posterior Chamber Phakic Intraocular Lens With and Without a Central Hole (Hole ICL and Conventional ICL) Implantation for Moderate to High Myopia and Myopic Astigmatism

    Science.gov (United States)

    Shimizu, Kimiya; Kamiya, Kazutaka; Igarashi, Akihito; Kobashi, Hidenaga

    2016-01-01

    Abstract The study shows a promising next-generation surgical option for the correction of moderate to high ametropia. Hole implantable collamer lens (ICL), STAAR Surgical, is a posterior chamber phakic intraocular lens with a central artificial hole. As yet, however, no long-term comparison of the clinical results of the implantation of ICLs with and without such a hole has hitherto been conducted. A prospective, randomized, controlled trial was carried out in order to compare the long-term clinical outcomes of the implantation, in such eyes, of ICLs with and without a central artificial hole. Examinations were conducted of the 64 eyes of 32 consecutive patients with spherical equivalents of −7.53 ± 2.39 diopters (D) (mean ± standard deviation) in whom implantation of a Hole ICL was performed in 1 eye, and that of a conventional ICL was carried out in the other, by randomized assignment. Before 1, 3, and 6 months, and 1, 3, and 5 years after surgery, the safety, efficacy, predictability, stability, intraocular pressure, endothelial cell density, and adverse events of the 2 surgical techniques were assessed and compared over time. The measurements of LogMAR uncorrected and corrected distance visual acuity 5 years postoperatively were −0.17 ± 0.14 and −0.24 ± 0.08 in the Hole ICL group, and −0.16 ± 0.10 and −0.25 ± 0.08 in the conventional ICL group. In these 2 groups, 96% and 100% of eyes, respectively, were within 1.0 D of the targeted correction 5 years postoperatively. Manifest refraction changed by −0.17 ± 0.41 D and −0.10 ± 0.26 D occurred in from 1 month to 5 years in the Hole and conventional ICL groups, respectively. Only 1 eye (3.1%), which was in the conventional ICL group, developed an asymptomatic anterior subcapsular cataract. Both Hole and conventional ICLs corrected of ametropia successfully throughout the 5-year observation period. It appears likely that the presence of the central hole does not

  16. Ophthalmic halo reduced lenses design

    Science.gov (United States)

    Limon, Ofer; Zalevsky, Zeev

    2015-05-01

    The halo effect is a very problematic visual artifact occurring in extended depth of focus or multi-focal ophthalmic lenses such as e.g. intra-ocular (after cataract surgery) or contact lenses when used in dark illumination conditions. This artifact is generated due to surface structures added on top of those lenses in order to increase their depth of focus or to realize multiple focal lengths. In this paper we present novel solution that can resolve this major problem of ophthalmic lenses. The proposed solution involves modification to the surface structure that realizes the extended depth of focus. Our solution is fabricated and numerically and experimentally validated also in preliminary in-vivo trials.

  17. 后房型有晶状体眼人工晶状体植入术治疗高度近视%Posterior chamber phakic intraocular lens implants for high myopia

    Institute of Scientific and Technical Information of China (English)

    罗岩; 胡六梅; 徐婧; 李莹

    2012-01-01

    目的 评价后房型有晶状体眼人工晶状体(ICL)植入术治疗高度近视术后1年的有效性和安全性.方法 回顾性病例研究.高度近视患者149例(290眼)接受ICL植入手术.其中男107眼,女183眼,平均年龄(29.0±6.5)岁.术前平均等效球镜度(-13.2±5.6)D.随诊时检查视力、眼压、屈光度和其他副作用.结果 所有眼睛的术后裸眼视力都有提高,接近术前最佳矫正视力.最后一次随访时199眼(68.6%)术后裸眼视力高于术前最佳矫正视力1行以上,无最佳矫正视力下降的病例.术后3 h内32眼眼压超过35 mmHg,其中13眼为瞳孔阻滞,19眼考虑为黏弹剂残留.术后随诊时发现3眼眼压在21~25 mmHg之间.2眼术后3个月以后发生黄斑区出血,3个月后出血吸收.3眼(2例)因为术后光晕干扰视物不适而取出ICL.12眼因为术后拱高欠佳而进行了人工晶状体置换术.结论 随诊1年显示ICL植入治疗高度近视是一种安全、有效而并发症少的治疗方法.%Objective To evaluate the efficacy,safety,and biocompatibility of a posterior chamber phakic intraocular lens (PCPIOL) to correct high myopia within 1 year.Methods In a retrospective case series study,an implantable intraocular lens was implanted in 290 eyes of 149 patients with a mean age of 29.0±6.5 years (range 20 to 49 years).There were 107 eyes from males and 183 eyes from females.Mean preoperative myopia was-13.2±5.6 D (range-6.0 to-32.0 D).The follow-up included tests for visual acuity,intraocular pressure,manifest refraction,and adverse reactions.Results Postoperatively,all eyes had a significant increase in uncorrected visual acuity (UCVA).Best corrected visual acuity (BCVA) had improved by 1 or more lines in 199 eyes (68.6%)at 1 year.No eye lost BCVA.Thirty-two eyes developed intraocular pressure (IOP) more than 35 mmHg within 3 hours after the implatation.Pupillary blockage caused an increase in IOP in 13 eyes and insufficient removal of viscoelastic

  18. Clinical effects of phakic posterior chamber intraocular lens implantation for very high myopia%有晶状体眼后房型人工晶状体植入术治疗超高度近视的临床研究

    Institute of Scientific and Technical Information of China (English)

    产竹林; 邹召中; 崔俐; 余红莲

    2014-01-01

    观察分析有晶状体眼后房型人工晶状体植入术( ICL)治疗超高度近视的临床疗效。方法选择分析我院2011年6月至2013年6月行有晶状体眼后房型人工晶状体植入术治疗超高度近视患者14例(25只眼)。术前常规检查视力、最佳矫正视力,进行各项检查后,行单眼或者双眼有晶状体眼后房型人工晶状体植入术,术后观察视力、眼压及内皮细胞计数变化情况。结果术后视力0.3~1.0。术后2例(3只眼)出现早期眼压升高,经降眼压治疗,3~4 d后眼压正常。结论有晶状体眼后房型人工晶状体植入术治疗超高度近视及散光疗效确切,患者满意度好,预测性好,手术安全。%Objective To analyse the clinical efficacy of phakic posterior chamber intraocular lens implantation (ICL) for treatment of very high myopia .Methods Totally 14 patients ( 25 eyes) with phakic posterior chamber intraoc-ular lens implantation were analysed from June 2011 to June 2013.Routine visual acuity ,best-corrected visual acuity and various important examinations were performed preoperatively for phakic posterior chamber intraocular lens implantation . Results Postoperative visual acuity was 0.3 to 1.0.Complications were secondary glaucoma .3 eyes of 2 patients had in-creased intraocular pressure shortly after surgery .After treatment, the intraocular pressure became normal in 3 to 4 days. Conclusion The phakic posterior chamber IOL was efficacious , predictable and safe .

  19. SURGICAL OUTCOME OF TRIPLE PROCEDURE AS PENETRATING KERATOPLASTY WITH EXTRACAPSULAR CATARACT EXTRACTION WITH POSTERIOR CHAMBER INTRAOCULAR LENS IMPLANTATION IN PATIENTS WITH BOTH CENTRAL CORNEAL OPACITY AND ADVANCED CATARACT AT RURAL SET UP

    Directory of Open Access Journals (Sweden)

    Shubhangi Nigwekar, Kishor Badhe, Neeta Misra, Surekha Bangal

    2015-10-01

    Full Text Available Purpose: To study the surgical outcome of triple procedure as penetrating keratoplasty (PKP with conventional extra capsular cataract extraction (ECCE with posterior chamber intraocular lens (PCIOL implantation in patients with both central corneal opacity and advanced cataract at rural set up. Introduction: When corneal opacity and cataract present together then well-established and effective triple procedure is indicated. Prognosis for a clear graft is good in triple, as graft endothelium does not touch the hard nucleus which may occur in two steps or sequential surgery. It provides faster visual rehabilitation. Being single step procedure it reduces patient’s hospital stay, postoperative care and follows up visits. Methodology: In this hospital based observational , three years longitudinal study, we studied the surgical outcome of relatively rare one step triple procedure as PKP with conventional ECCE with PCIOL implantation in sulcus or in bag, in patients with both central corneal opacity and advanced cataract at rural set up. The outcome measures included graft clarity on slit lamp, postoperative unaided visual acuity with Snellen’s chart and the occurrence of postoperative complications after taking IEC permission and informed written consent in local language from study patients. Results: Out of 13 study patients mean age was 61.15yrs (Range50-80yrs. Follow up range was 9-34 months. At final follow up 9 patients (69.23% had clear grafts and 61.52% patients gained visual acuity >6/24. Graft failure was the most common post operative complication in 30.76% followed by Posterior capsular opacification (PCO in 15.38% patients which was treated well with YAG laser capsulotomy. Conclusion: Triple procedure gives good results in respect to graft clarity, unaided vision, and faster rehabilitation.

  20. Experimental study for dynamic immunity after the implantion of posterior chamber intraocular lens in rabbit eyes%兔眼后房型人工晶体植入术后动态免疫的实验研究

    Institute of Scientific and Technical Information of China (English)

    杜耀武; 单季先; 刘英杰; 柴立辉

    2003-01-01

    目的:研究兔眼后房型人工晶体植入(Posterior chamber intraocular lens,PC-IOL)术后体液免疫反应(HI)的变化,探讨人工晶体与体液免疫反应变化及术后炎症反应的关系.方法:家兔48只,随机分为A、B 2组,每组24只.A组行右眼透明晶体超声乳化吸除及人工晶体植入,B组行右眼透明晶体超声乳化吸除.分别在术前及术后第7d、14d、21d、28d、35d采血测定IgG、IgM、CH50、C3、Circalating immune complex(CIC),并观察临床指征--睫状充血、房水浑浊程度的变化.结果:A、B 2组术后IgG、IgM、CIC均升高,2组间无显著性差异(P>0.05).CH50、C3均降低,2组间也无显著性差异(P>0.05).A组术后眼内反应明显较B组重,差异非常显著(P<0.01).结论:人工晶体(PMMA)具有较好的稳定性,眼内植入安全.术后早期眼内炎症主要是由人工晶体异物性刺激及手术机械性损伤引起,HI的变化可能与迟发性葡萄膜炎有关.

  1. 人工晶体因素对白内障角膜散光患者术后获益的影响%Influence of different intraocular lenses on postoperative benefit of cataract patients with astigmatism

    Institute of Scientific and Technical Information of China (English)

    巨朝娟; 楚妙; 张骞; 林伟

    2015-01-01

    BACKGROUND:Monofocal and multifocal Toric intraocular lens that have been widely used in clinic exhibit xcelent biological and optical characteristics and have good safety and stability after implantation. OBJECTIVE:To compare the outcomes and rotation stability in patients with cataract and astigmatism after implantation of monofocal and multifocal intraocular lens. METHODS:A total of 210 patients with cataract and astigmatism who received phacoemulsification and intraocular lens implantation were included in this study. Of them, 105 patients were assigned to monofocal intraocular lens implantation and the other 105 patients to multifocal intraocular lens implantation. Uncorrected visual acuity, best corrected visual acuity, residual astigmatism were reexamined at 1, 3 weeks and 1 month after surgery. The rotation of Toric intraocular lens was determined. The incidence of complications and spectacles- independent rate were recorded. RESULTS AND CONCLUSION:Visual acuity and residual astigmatism in each group were significantly improved after 1 week of intraocular lens implantation (P < 0.05); furthermore, these two indicators became better over time. Improvement of visual acuity and residual astigmatism in multifocal intraocular lens group was more obvious than that in monofocal intraocular lens group. Postoperative intraocular lens rotation at < 5° occurred in both groups. The intraocular lens rotation degree in multifocal intraocular lens group was higher than that in monofocal intraocular lens group at different time points (P < 0.05). There were no significant differences in incidence of complications and spectacles-independent rates between two groups at 1 month after surgery. These results demonstrate that multifocal Toric intraocular lens provides better visual acuity and residual astigmatism improvement, while monofocal Toric intraocular lens provides better rotation stability.%背景:单焦点与多焦点Toric散光型人工晶体具有良好的生物

  2. Clinical Study on the Visual Quality of Eyes Implanted With AcrySof IQ Aspherical Intraocular Lenses%非球面AcrySof IQ人工晶状体植入术后视觉质量临床研究

    Institute of Scientific and Technical Information of China (English)

    陈迎迎; 谭少健; 梁皓; 刘彦斌

    2012-01-01

    目的 评价非球面人工晶状体(IOL)AcrySof IQ IOL植入术后年龄相关性白内障患者的视觉质量.方法 年龄相关性白内障患者42例55眼,按随机数字表法将患者分成两组.其中非球面人工晶体组24例(28眼),植入AcrySof IQ IOL;球面人工晶体组18例(27眼),植入AcrySof Natural IOL.术后随访3个月的裸眼视力(UCVA)、最佳矫正远视力(BCVA),不同亮度环境下的对比敏感度等.结果 手术后3个月非球面组UCVA为0.76±0.18,优于球面组的0.66±0.17,差异有统计学意义(P<0.05).非球面组BCVA为0.85±0.19,优于球面组的0.74±0.19,差异有统计学意义(P<0.05).两组球镜、柱镜差异无统计学意义(P>0.05).在明视觉条件下,非球面组在12.0 cpd、18.0 cpd的对比敏感度明显优于球面组(P<0.01).在暗视觉条件下非球面组所有空间频率的对比敏感度非球面组均优于球面组(P<0.05).非球面组眩光、光晕等的发生率均低于球面组(P<0.05).结论 白内障术后早期,非球面人工晶状体能够提供较好的术后裸眼视力、最佳矫正远视力、亮环境下高频对比敏感度和暗环境下的所有空间频率的对比敏感度,提示非球面人工晶状体能够提供较好的视觉质量.%Objective To evaluate the visual quality of eyes implanted with AcrySof IQ aspherical intraocular lenses( IOLs ). Methods Forty-two patients( 55 eyes ) with age-related cataracts were enrolled in the study, who were randomly divided into two groups according to random number table. Phacoemulsification and IOL implantation were applied to patients with aspherical IOLs( AcrySof IQ ) in 28 eyes and spherical IOLs( AcrySof Natural IOL ) in 27 eyes, respectively. All patients were followed up for 3 months. The examinations included uncorrected visual acuity ( UCVA ),best corrected visual acuityC BCVA ),contrast sensitivity( Functional Acuity Contrast Test ),and questionnaires were applied on the 3rd month after operation

  3. Comparação entre os resultados pós-operatórios de pacientes submetidos ao procedimento tríplice e transplante de córnea combinado a fixação secundária de lente intra-ocular Comparison between the postoperative results of triple procedure and combined penetrating keratoplasty/ transsclerally sutured posterior chamber lens implantation

    Directory of Open Access Journals (Sweden)

    Daniela Maggioni Pereira Leão

    2006-08-01

    Full Text Available OBJETIVO: Comparar os resultados pós-operatórios de 2 grupos de pacientes submetidos a transplante de córnea com técnicas e tempo cirúrgico diferentes, em relação à abordagem do cristalino e/ou lente intra-ocular. MÉTODOS: Neste estudo retrospectivo foram analisados 37 olhos de pacientes divididos em 2 grupos: extração de catarata, implante de lentes intra-oculares (LIO e transplante de córnea no mesmo tempo cirúrgico - grupo 1 (G1 e extração de catarata sem implante de lentes intra-oculares no primeiro tempo cirúrgico e fixação secundária de lentes intra-oculares associada a transplante de córnea no segundo tempo cirúrgico - grupo 2 (G2. As variáveis estudadas foram: acuidade visual, pressão intra-ocular (PIO, astigmatismo refracional, astigmatismo ceratométrico e complicações pós-operatórias. RESULTADOS: Foi observado melhora da acuidade visual nos 2 grupos (G1 pPURPOSE: To compare the outcomes of two surgical techniques of penetrating keratoplasty with different surgical time, regarding the crystalline and the intraocular lens. METHODS: This retrospective study included 37 patients' eyes divided into 2 groups: extracapsular cataract extraction, posterior chamber intraocular lens implantation and penetrating keratoplasty (Group 1, G1 and transscleral fixation of posterior chamber lens and penetrating keratoplasty (Group 2, G2. The following parameters were recorded: visual acuity, intraocular pressure, refractive astigmatism, complication and keratometric astigmatism. RESULTS: Visual acuity improved in the two groups (G1 p<0.001 and G2 p=0.008. In G2 a significant change for the worse of intraocular pressure outcome was observed when compared with the other group (p=0.014. Regarding refractive and keratometric astigmatism no significant differences between the groups were found. The follow-up was 11 months. CONCLUSION: The most important negative prognostic factor affecting visual acuity was the postkeratoplasty

  4. 有晶状体眼后房型人工晶状体植入术治疗高度近视术后UBM观察%Ultrasound biomicroscopy examination of posterior chamber phakic intraocular lens for high myopia

    Institute of Scientific and Technical Information of China (English)

    马波; 陈莉; 王从毅; 杨新光

    2011-01-01

    Objective To observe the position of posterior chamber phakic intraocular lens and its relationship to the iris and the crystalline in vivo through UBM. Methods There were 33 eyes with high myopia who accepted surgery treatment All surgeries were performed using topical anesthesia and clear corneal incision. The posterior chamber phakic intraocular lens manufactured with STAAR collamer was implanted between transparent lens and iris. During the course of the surgery, iridectomy was done at one clock. Each eye was examined carefully before and after surgery. The position of ICL was observed at 1, 3 and 6 months. Result All eyes of preoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA)were 0.04± 0.06, 0.5± 0.3 respectively and postoperative were 0.5± 0.2, 0.8± 0.2 respectively. At sixth month of postoperative the anterior chamber depth was 2802± 297 m and ICL central vault was 329 m. UBM verified the contact between ICL and iris. Both haptics were supported by zonula in 22 eyes; one haptic was supported by zonula and other haptic by ciliary body in 7 eyes; Both haptics were supported by ciliary body in 4eyes. The extreme tip of two haptic was at sulcus in 20 eyes. In 6 eyes, rotation of the lens was observed. Conelusions Thephakic IOLs are a safety and effective treatment for the correction of high myopia. It is important that looking for a new and accurate method to measure sulcus diameter in order to reduce complication resulted by inaccurate ICL vault.%目的 通过UBM在活体状态下观察有晶状体眼后房型人工晶状体(posterior chamber phakic intraocularlens,PCPIOL)植入术后PCPIOL与虹膜、睫状体和晶状体的位置的关系及变化.方法 取高度近视患者33只眼接受有晶状体眼后房型人工晶状体植入及术后检查,手术在表面麻醉下进行,作透明角膜隧道式切口,可植入式接触镜(implantablecontactlens,ICL)置于透明晶状体与虹膜之间,术中1点位作虹膜周

  5. BEBC bubble chamber

    CERN Multimedia

    1972-01-01

    Looking up into the interior of BEBC bubble chamber from the expansion cylinder. At the top of the chamber two fish-eye lenses are installed and three other fish-eye ports are blanked off. In the centre is a heat exchanger.

  6. Tinting of intraocular lens implants

    Energy Technology Data Exchange (ETDEWEB)

    Zigman, S.

    1982-06-01

    Intraocular lens (IOL) implants of polymethyl methacrylate (PMMA) lack an important yellow pigment useful as a filter in the visual process and in the protection of the retina from short-wavelength radiant energy. The ability to produce a yellow pigment in the PMMA used in IOL implants by exposure to near-ultraviolet (UV) light was tested. It was found that the highly cross-linked material in Copeland lens blanks was tinted slightly because of this exposure. The absorptive properties of lens blanks treated with near-UV light in this way approached that of the absorptive properties of human lenses. This finding shows that it is possible to alter IOL implants simply so as to induce a pale-yellow pigment in them to improve the visual process and to protect the retinas of IOL users.

  7. 有晶状体眼后房型人工晶状体植入术治疗高度近视效果观察%Phakic posterior chamber intraocular lens for high myopia

    Institute of Scientific and Technical Information of China (English)

    陈莉; 马波; 王从毅

    2010-01-01

    Objective To evaluate the efficacy and safety of the surgical correction of high myopia using a phakic posterior chamber intraocular lens (PCPIOL).Methods Thirty-four eyes of 18 patients with high myopia who accepted surgery treatment.Each eye was examined before and after surgery.The examination included visual acuity,refraction,tonometry,kerameter,pachometer,anterior chamber depth,horizontal corneal diameter (white to white),and posterior segment evaluation after indirect ophthalmolscope examination.All surgeries were performed using topical anesthesia and clear corneal incision.The posterior chamber phakic intraocular lens manufactured with STAAR collamer was implanted between transparent lens and iris.Results All eyes of preoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA) were 0.08±0.06,0.5±0.3 respectively and postoperative were 0.5±0.2,0.7±0.2 respectively.The mean preoperative SE was -19.9±5.4D and postoperative SE was -1.5±1.5D.The mean preoperative ECD was 3249.6±337.1/mm~2 and postoperative ECD was 3103.4±305.5/mm~2 and the percentage of loss was 4.5%.The mean preoperative IOP was 15.5±2.7 mmHg and postoperative IOP at first day was 19.4±7.3 mmHg.UBM showed that preoperative ACD was 3.20±0.30 mm and postoperative ACD reduced 2.99±0.19 mm.Conclusions The phakic IOLs were an effective treatment for the correction of high myopia and have significant advantages such as reversibility,immediate correction,stability,and relative simplicity.However,long-term studies are necessary to assess the potential risks.%目的 评价有晶状体眼后房型人工晶状体植入术治疗高度近视的安全性和有效性.方法 高度近视患者18例(34只眼)接受有晶状体眼后房型人工晶状体植入,每只眼术前及术后进行眼部检查,包括:裸眼视力、矫正视力、睫状肌麻痹验光、角膜曲率、裂隙灯检查、眼压测量、角膜地形图、角膜厚度、角膜内皮细胞计数、UBM

  8. Binocular clinical comparison study of Tecnis multifocal aspheric and monofocal spherical intraocular lenses%双眼植入Tecnis多焦点和单焦点球面人工晶状体的临床比较研究

    Institute of Scientific and Technical Information of China (English)

    叶盼盼; 姚克; 李霞; 吴炜; 黄晓丹; 俞一波

    2010-01-01

    pseudophakic patients with bilateral implantation of Tecnis multifocal aspheric and conventional monofocal spherical intraocular lenses (IOL). Methods A prospective study of 100 consecutive cases (200 eyes) was conducted. All cataract patients underwent phaocoemulsification were randomized to receive multifocal aspheric IOL ( Tecnis ZM900, AMO, multifocal aspheric group) or conventional spherical IOL ( Akreos Adapt, Bausch&Lomb, monofocal spherical group) . The following investigations were performed to assess the uncorrected and distance-corrected visual acuity of distance, intermediate and near distances, accommodative amplitude, spherical aberrations of total eye, contrast sensitivity, glare sensitivity and near stereoacuity. Patients were surveyed for visual disturbances and lifestyle visual quality. The independent-samples t test waa used to compare the measure data which met normal distribution and the Mann-Whitney U test was used to compare the measure data which didn' t meet. The chi-square test was applied to compare categorical variables. Results The uncorrected and distance-corrected bilateral visual acuity of multifocal aspheric group at 30 cm and 40 cm were 0. 24 ± 0. 12 and 0. 22 ± 0. 11 (logMAR) , better than monofocal spherical group ( Z = - 8. 261, P = 0. 000;Z = -5. 508, P =0.000), but the visual acuity at other distances had no statistical difference between two groups. Patients with multifocal aspheric IOL had significantly higher accommodative amplitude than those with monofcal spherical IOL, improved about 2. 3 - 2. 8 D ( Z= -10. 655, P = 0. 000; Z =- 2. 709, P = 0. 007). Mean spherical aberration of multifocal aspheric group was ( 0. 027 ±0. 160) μm and (0. 006 ±0. 083)μm, significantly lower than that of monofocal spherical group (0. 269 ±0. 161) μm, (0.037 ±0.205) μm at 5 mm and 3 mm pupil diameter(Z= - 8. 815, P = 0. 000; Z = -2. 791, P = 0. 005) . The difference of contrast sensitivity was not significant, but glare sensitivity was higher

  9. Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel

    Directory of Open Access Journals (Sweden)

    Kawaji T

    2016-01-01

    Full Text Available Takahiro Kawaji,1,2 Tomoki Sato,2 Hidenobu Tanihara11Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, 2Sato Eye & Internal Medicine Clinic, Kumamoto, JapanPurpose: To report the results of sutureless scleral fixation of a posterior chamber intraocular lens (IOL by using our developed simple technique.Methods: We retrospectively reviewed the medical records of 48 eyes of 47 patients who underwent sutureless intrascleral IOL fixation by using our modified technique. A 25-gauge microvitreoretinal knife was used to perform sclerotomies and create limbus-parallel scleral tunnels with lamellar dissection in which the haptics were fixed.Results: The IOLs were fixed and centered well. The mean follow-up period was 26.7 months. Postoperative complications included smooth vitreous hemorrhage in four eyes (8.3%, cystoid macular edema in two eyes (4.2%, and iris capture of the IOL in two eyes (4.2%. No other complications, such as breakage of the IOL, spontaneous IOL dislocation, or retinal detachment, were detected during the follow-up period.Conclusion: The lamellar dissection of the limbus-parallel scleral tunnel can simplify the forceps-assisted introduction of the haptics into the scleral tunnel, and this technique seemed to be safe.Keywords: intraocular lenses, ophthalmologic surgical procedures, intrascleral fixation, sutureless fixation

  10. The Visual Effects of Intraocular Colored Filters

    Directory of Open Access Journals (Sweden)

    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.

  11. Controversies in intraocular lens implantation in pediatric uveitis.

    Science.gov (United States)

    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

  12. Controversies in intraocular lens implantation in pediatric uveitis.

    Science.gov (United States)

    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.

  13. Comparison of Trans-scleral Fixation of PMMA and Foldable Intraocular Lens in Children

    Institute of Scientific and Technical Information of China (English)

    Yuping Zou; Zhende Lin; Bo Feng; Shaozhen Li

    2001-01-01

    Purpose: To observe the difference of the effects of PMMA and foldable intraocular lenses (IOLs) trans-sclerally fixed in pediatric eyes. Methods: Thirty-two children (43 eyes) who had undergone trans-scleral fixation of IOL were retrospected, of whom 5 children were implanted PMMA IOL in both eyes, 6children were implanted PMMA IOL in one eye and foldable IOL in the other eye, 12children were implanted foldable IOL in one eye and 9 chilrden were implanted PMMA IOL in one eye. Mean age was 5.3 years ( range 2.5 ~ 12 years ). Twelve children had traumatic cataract and the others congenital cataract before lens extraction. Results: Foldable group (18 eyes ): Mean follow-up was 12.1 months. Visual acuity (VA): compared with the best corrected VA before IOL fixation, postoperative best corrected VA improved in 16 eyes, remained unchanged in 2 eyes. In 14 eyes, one or two stitches were needed to seal the incision. Complications: Severe anterior chamber reaction was seen in 3 eyes. Intraocular bleeding was found in 3 eyes. IOL decentration was detected in 1 eye. Iris capture of IOL was seen in one eye. PMMA group (25 eyes ):Mean follow-up was 20.3 months. Visual acuity (VA): compared with the best corrected VA before IOL fixation, postoperative best corrected VA improved in 19 eyes,remained unchanged in 5 eyes and got worse in one eye. In 24 eyes, one to three stitches were needed to seal the incision. Complications: Severe anterior chamber reaction was seen in 5 eyes. Intraocular bleeding was found in 4 eyes. IOL decentration was seen in one eye. Iris capture of IOL was seen in 3 eyes. Intraocular pressure elevated in one eye. Conclusion: Our study shows that trans-scleral fixation of IOL is a safe procedure in pediatric eyes. Foldable IOL showed similar effect compared with PMMA IOL in pediatric trans-scleral fixation. Eye Science 2001; 17:61 ~ 64.

  14. Comparison of shape recovery ratios in various intraocular lens haptics.

    Science.gov (United States)

    Kimura, W; Kimura, T; Sawada, T; Kikuchi, T; Toda, H; Yamada, Y; Nagai, H

    1992-11-01

    Since understanding the mechanical properties of intraocular lens (IOL) haptic materials can minimize decentration after surgery, we have examined shape recovery ratios of various intraocular lens haptics (polypropylene [PP], polyvinylidene fluoride [PVDF], extruded poly(methyl methacrylate) [PMMA]) currently on the market under conditions that approximate clinical use. The results using various Ascon lens-holding forceps and compression tests, during which the lenses were held in a cylindrical holder for seven days, one month, and three months, indicated that PVDF haptics had better shape recovery capability than PP and extruded three-piece PMMA haptics.

  15. Development and experimental verification of an intraocular scattering model

    Science.gov (United States)

    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.

  16. Complications and treatment in early time of posterior chamber phakic intraocular contact lens implantation%有晶体眼后房型人工晶体植入术早期并发症观察及其处理

    Institute of Scientific and Technical Information of China (English)

    吴燕; 罗涛; 蒋炜; 邱敏

    2014-01-01

    目的:观察有晶体眼后房型人工晶体( ICL)植入治疗高度近视早期的并发症及处理情况,并探讨其原因。方法观察在我院行ICL/TICL植入术的患者46例(92眼),在虹膜周切手术和ICL植入手术中及术后半年出现的并发症,记录并发症处理方法以及处理后的情况。结果无1例瞳孔阻滞性青光眼发生,术前虹膜周切后有8眼眼压升高,ICL植入术后有7眼眼压升高,均未超过28 mmHg,未做特殊处理;术前 YAG 激光虹膜周切组虹膜出血及色素播散的发生率明显高于手术虹膜周切组(P<0.05),术中晶体损伤2眼,1眼行透明晶体摘除及人工晶体植入;术后TICL旋转2眼,术后视觉干扰主要表现阴影及眩光各1例,术后视觉心理改变1例。结论 ICL植入治疗高度近视早期并发症少,基本可预防和控制,术后患者满意度极高,该手术方式值得大力推广。%Objective To investigate the complications and outcomes of the treatments in the early time of posterior chamber phakic in-traocular contact lens ( ICL) implantation for the treatment of high myopia, and to analyze the causes. Methods Forty-six patients ( 92 eyes) who underwent ICL/TICL implantations were enrolled in this study. The intraoperative and the postoperative complications in 6 months were observed,at the same time also the treatments and the outcomes were observed. Results None of the patients had a pupillary block. Only 8 eyes in all the patients had an elevated IOP after peripheral iridectomy ( PI) ,and 7 eyes after the ICL implantation,the highest IOP in which was 28 mmHg. No medication was given for treatment. In the YAG PI group,the incidence rate of iris bleeding and pigment dispersion were all higher than that in the YAG PI group (P<0. 05);2 crystalline lens of different patient were damaged intraoperation. Rotation of TICL was observed in 2 eyes. Only 2 individuals of all the patients in this study had complained visual disturbances,which was

  17. Effect of an ultraviolet-filtering intraocular lens on cystoid macular edema

    Energy Technology Data Exchange (ETDEWEB)

    Kraff, M.C.; Sanders, D.R.; Jampol, L.M.; Lieberman, H.L.

    1985-03-01

    A prospective double-masked study of 301 patients was undertaken to compare the effect of ultraviolet (UV) filtering in implant intraocular lenses (IOL) on the angiographic incidence of cystoid macular edema (CME) in patients undergoing extracapsular cataract extraction. Patients were randomized to receive either a posterior chamber IOL that contained UV-absorbing chromophore or an identical IOL which did not contain such a chromophore. All patients were scheduled for fluorescein angiography between three and six months after surgery; 228 angiograms were obtained that were readable for the presence or absence of angiographic CME. The mean interval following surgery was 4.3 months. The incidence of CME was 18.8% (21 of 112) in patients who received lenses without UV-filtering chromophore and 9.5% (11 of 116) in patients who received IOLs that contained UV-filtering chromophore. These findings show that UV-filtering-IOLs resulted in a statistically significant decrease in the incidence of CME. The presence or absence of the UV-filtering chromophore did not, however, significantly affect visual acuity in the early postoperative period.

  18. Enhanced near stereopsis after phacoemulsification and implantation of posterior chamber intraocular lens by prescribing addition properly%人工晶状体眼近视力矫正对近立体视的影响

    Institute of Scientific and Technical Information of China (English)

    俞阿勇; 王勤美; 诸葛晶; 金婉卿; 姜珺; 赵云娥

    2008-01-01

    目的 探讨超声乳化白内障吸除及人工晶状体植入术后近立体视改善的方法和手段,为临床改善人工晶状体眼者生活质量提供依据.方法 前瞻性系列病例研究.随机收录年龄相关性白内障患者46例(92只眼),平均年龄(61.3±5.5)岁.其中单眼人工晶状体眼24例(A组),双眼人工晶状体眼22例(B组).测量调节幅度、相对调节、近附加、近立体视.对被收录者人工晶状体眼的一般资料及近附加等计量资料进行t检验,对受检者近立体视分布数据采用X2检验,以P<0.05有统计学意义.结果 A、B组人工晶状体眼移近法单眼调节幅度分别为(2.05±1.12)和(2.35±1.30)D;双眼近附加分别为(2.08±0.37)和(2.13±0.46)D,单眼近附加分别为(2.20±0.42)和(2.01±0.39)D,各组内双眼近附加与单眼近附加差异均有统计学意义(t=2.33,2.20;P<0.05),左右眼单眼近附加差异均有统计学意义(t=3.70,5.02;P<0.01).A、B组配戴单眼近附加时的近立体视优于双眼近附加,差异均有统计学意义(X2=6.46,7.02;P<0.05).结论 单眼近附加作为人工晶状体眼的近附加可以有效改善近屯体视.(中华眼科杂志,2008,44:711-714)%Objective To improve near stereopsis in pseudophakic eyes after phacocmulsification and implantation of posterior chamber intraocular lens (IOL). Methods This prospective case-series study comprised 92 eyes of 46 patients aged 50 to 70 years [mean age (61.33±5.54 ) years ] who hod phacocmulsification and implantation of posterior chamber IOL, including 24 unilateral pseudophakias (Group A ) and 22 bilateral pseudophakias (Group B ). The accommodative amplitude, relative accommodation, reading addition, near stereoacuity, etc. Were measured. All data were analyzed with the SPSS11.0 for Windows. Results (1) The mean value of monocular accommodative amplitude in the group A and group B was (2.05±1.12) and (2.35±1.30) D, respectively. (2) In the group A and group B,the binocular odd

  19. Intraocular lens employed for cataract surgery

    International Nuclear Information System (INIS)

    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.

  20. Intraocular lens employed for cataract surgery

    Science.gov (United States)

    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.

  1. Biomicroscopia ultra-sônica na avaliação da posição das lentes intra-oculares em uma técnica de fixação escleral Ultrasound biomicroscopy in the assessment of the intraocular lenses positioning in a transscleral fixation technique

    OpenAIRE

    Raul de Camargo Vianna Filho; Lincoln de Freitas; Norma Allemann; Ana Luísa Hofling de Lima

    2000-01-01

    Objetivo: Avaliar pela biomicrospia ultra-sônica (UBM) o posicionamento, em relação ao sulco ciliar, das alças de lentes intra-oculares (LIO), em uma técnica de fixação escleral, avaliando-se também se dois pontos de fixação são suficientes para que não haja inclinação da parte óptica. Métodos: Dezesseis olhos afácicos foram submetidos a implante LIO por uma mesma técnica de fixação escleral, realizados por um mesmo cirurgião. Um mês após a cirurgia, o posicionamento das alças das LIO foram a...

  2. 有晶状体眼后房型人工晶状体总长度选择的回顾性分析%Selection of the posterior chamber phakic intraocular lens length

    Institute of Scientific and Technical Information of China (English)

    曹信芳; 汪阳; 沈晔; 童剑萍; 夏建华; 周天安; 叶蓓

    2013-01-01

    .虹膜-ICL接触距离为(0.85 ±0.46) mm.ICL中央拱高(ICL中央部与自身晶状体之间的距离)平均为(0.47±0.25)mm,与角膜水平直径的相关系数r=0.11,与睫状沟间距的相关系数r=0.16,与前房深度的相关系数r=0.04,与ICL长度的相关系数r=0.19,均无统计学意义(P>0.05).ICL周边拱高(ICL周边部与自身晶状体之间的距离)为0~1.23 mm,平均为(0.25±0.20) mm.结论 根据角膜水平直径选择的ICL,其长度适宜,术后并发症少,ICL拱高理想,为ICL植入术良好的安全性、有效性和可预测性提供了有力保障.%Objective To evaluate the efficacy,safety and clinical value of calculating the posterior chamber phakic intraocular lens (ICL) length according to the corneal horizontal diameter.Methods This was a retrospective study.A Staar Visian implantable contact lens (ICL) was implanted in 32 patients (64 eyes) with high myopia in the Department of Ophthalmology,the First Affiliated Hospital,College of Medicine,Zhejiang University between November 15,2005 and January 15,2011.The lens length was calculated according to the corneal horizontal diameter measured by Orbscan Ⅱ.Patients were followed up postoperatively at 1 day,1 week,1,3,6 and 12 months and every 6 months thereafter.The evaluations included visual acuity,manifest refraction,applanation tonometry,endothelial cell count,slit-lamp microscopy to detect cataract,and UBM to assess the degree of ICL tilt and distances between the corneal endothelium,the ICL,and the crystalline lens.All of the preoperative and 12-month follow-up observations were analyzed using SPSS 16.0 software.Results No anterior subcapsular cataracts were found in any of the eyes after surgery.Pigmentary dispersion was observed on the anterior and posterior surface of the ICL,but the difference was not statistically significant (x2 =2.24,P =0.13).The intraocular pressure changed from (15.67 ± 3.23) mm Hg(1 mm Hg =0.133 kPa) to (15.78 ± 3.23)mm Hg,but the difference was not significant (t =0

  3. Bilateral intraocular dirofilariasis

    Directory of Open Access Journals (Sweden)

    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.

  4. Phacoemulsification and intraocular lenses implanted for super high myopia combined cataract%超声乳化联合人工晶体植入治疗超高度近视白内障疗效观察

    Institute of Scientific and Technical Information of China (English)

    董立红

    2012-01-01

    目的 观察超声乳化联合人工晶体植入治疗超高度近视白内障的疗效及安全性.方法 60例共98眼超高度近视白内障患者,按眼轴长度分为3组,I组眼轴长度(27.00~29.59)mm 35只眼,Ⅱ组眼轴长度(29.60~32.19)mm 30只眼,Ⅲ组眼轴长度(32.20~34.70)mm 33只眼,均采用超声乳化联合人工晶体植入术治疗.结果 术后3个月最佳校正视力≤0.1者7眼(7.14%),0.2~0.4者19眼(19.39%),≥0.5者72眼(73.47%).其中≥0.5者I组34眼(97.14%),Ⅱ组23眼(76.67%),Ⅲ组15眼(45.45%).结论 超声乳化联合人工晶体植入治疗超高度近视白内障可以充分矫正屈光不正,解除光传导通路障碍,提高视力,手术并发症少,是一种安全、有效的方法.%Objective To observe the therapeutic effect of phacoemulsificafion with intraocular lens ( IOL ) implantation for cataract with hish myopia. Methods Sixty patients ( 98 eyes ) with cataract associated with high myopia received phacoemulsification and IOL implantation. They were divided into 3 groups according to ocular axial length, patients in group I with ocular axial length at 27. 00 ~ 29. 59 mm in 35 eyes, patients in group II with ocular axial length at 29. 60 ~32.19 mm in 30 eyes, and patients in group III with ocular axial length at 32. 20 ~ 34.70 mm in 33 eyes. The visual acuity of patients was examined on preoperative day and three months after operation. Results Postoperative vi-sualacuity:BCVAS0.1 in 7 eyes(7.14% ), 0.2-0.4 in 19 eyes( 19.39% ), SO. 5 in 72 eyes(73.47% ), Among BCVA&0. 5 patient, 34 eyes (97.14% ) in I group, 23 eyes ( 76.67% ) in II group, 15 eyes ( 45.45% ) in 111 group. Conclusion Phacoemulsification with and intraocular lens implantation significantly improves visual acuity in patients with cataract and high myopia.

  5. Symbolic algebra approach to the calculation of intraocular lens power following cataract surgery

    Science.gov (United States)

    Hjelmstad, David P.; Sayegh, Samir I.

    2013-03-01

    We present a symbolic approach based on matrix methods that allows for the analysis and computation of intraocular lens power following cataract surgery. We extend the basic matrix approach corresponding to paraxial optics to include astigmatism and other aberrations. The symbolic approach allows for a refined analysis of the potential sources of errors ("refractive surprises"). We demonstrate the computation of lens powers including toric lenses that correct for both defocus (myopia, hyperopia) and astigmatism. A specific implementation in Mathematica allows an elegant and powerful method for the design and analysis of these intraocular lenses.

  6. 后房型有晶状体眼人工晶状体植入对眼轴测量的影响%Effects of posterior chamber phakic intraocular lens on axial length measurements

    Institute of Scientific and Technical Information of China (English)

    俞阿勇; 郑林燕; 王勤美; 朱双倩; 薛安全; 苏炎峰; 潘蕊

    2015-01-01

    目的 探讨后房型有晶状体眼人工晶状体(PIOL)植入对眼轴测量的影响,以及日后若行白内障摘除及人工晶状体植入术时计算人工晶状体度数采用校正系数的必要性.方法 收录行PIOL植入术的高度近视眼患者,其中有晶状体眼屈光镜(PRL)组22例(39只眼),等效球镜度数(-19.00±4.03)D,植入后房悬浮型PIOL;可植入式接触镜(ICL)组24例(40只眼),等效球镜度数(-13.10±2.53)D,植入睫状沟支撑型PIOL.采用相干光生物测量仪(IOLMaster)测量手术前后的眼轴长度并进行比较.PIOL植入术前后的参数,如等效球镜、最佳矫正视力、眼轴等的比较采用配对t检验.手术前后眼轴测量值之间的数量关系分析采用直线回归方法.结果 手术前后眼轴PRL组分别为(30.87±2.18)、(30.94±2.16) mm(t=-2.64,P=0.012),ICL组分别为(28.35±1.20)、(28.45±1.22) mm(t=-3.97,P<0.001).直线回归分析示PRL组:术前眼轴=1.01×术后眼轴-0.24(R2 =0.99,P<0.001),术后眼轴-术前眼轴=0.24-0.005 5×术后眼轴,手术前后眼轴差异平均为0.075 mm;ICL组:术前眼轴=0.96×术后眼轴+1.17(R2 =0.99,P<0.001),术后眼轴-术前眼轴=0.015 4 ×术后眼轴-0.376 3,手术前后眼轴差异平均为0.054 mm.结论 根据SRK公式,小于0.1 mm的眼轴误差导致的人工晶状体度数误差不超过0.25 D,相当于在框架眼镜平面不超过0.20 D.因此后房型PIOL矫治高度近视术后,若日后行白内障摘除及人工晶状体植入术时,眼内的PIOL对眼轴测量影响不大,且PRL误差随着眼轴的延长而缩小,计算人工晶状体度数采用校正系数的必要性不大.%Objective To study the effects of posterior chamber phakic intraocular lens (IOL) on axial length (AL) measurements and whether a correction factor for later IOL power calculation before cataract surgery is necessary.Methods Twenty-two high myopic patients (39 eyes) with mean spherical equivalent-19.00 ± 4.03 D received phakic

  7. 折叠式人工晶状体囊袋内植入后偏心与倾斜的临床研究%Decentration and tilt of foldable intraocular lenses in the lens capsule

    Institute of Scientific and Technical Information of China (English)

    方艳文; 卢奕; 汪琳

    2008-01-01

    目的 比较目前临床上常用的四种折叠式人工晶状体(intraocular lens,IOL)在囊袋内植入后偏心与倾斜的差异.方法 对65例/眼单纯性白内障患者进行术后3个月的随访.这些患者分别植入了一体式疏水丙烯酸酯IOL(SA60AT,Alcon)、三体式疏水丙烯酸酯IOL(AR40e,AMO)、三点固定式亲水丙烯酸酯IOL(XISTABI,IOLTECH)及四点固定式亲水丙烯酸酯IOL(QUATTRO SE,Corneal).用眼前节成像系统Pentacam(Oculus) 集各眼的Scheimpflug图像,用图像分析的方法得出IOL的偏心值与倾斜度.结果 SA60AT、AR40e、XLSTABI、QUATTRO SE四组患者IOL的平均偏心值分别为(281.49±169.58)ìm、(346.35±177.08)ìm、(531.33±254.70)ìm、(360.59±185.91)ìm,其差异有显著统计学意义(P=0.0100).四组患者IOL的倾斜度的中位数分别为0.98°(0.70°~1.73°)、1.33°(0.86°~1.83°)、1.50°(0.80°~2.68°)、1.38°(0.94°~2.37°),其差异无统计学意义(P=0.3885).四组患者的最佳矫正视力和对比敏感度差异无统计学意义(P>0.05).结论 四种IOL囊袋内植入后在倾斜度方面无差异,而在居中性方面,SA60AT优于XLSTABI,其他各种IOL间两两比较均无明显差异.

  8. 非球面人工晶状体在个体化人眼模型中成像质量的研究%Optical quality of aspheric intraocular lenses in individual eye models

    Institute of Scientific and Technical Information of China (English)

    南莉; 汤欣; 刘永基

    2011-01-01

    Objective An aspheric intraocular lens (IOL) with fixed spherical aberration (SA) implanted in an individual patient will not always obtain ideal optical quality since human corneal structure and SA have large individual variations.The aim of this research was to study optical performance of individual pseudophakic eye models that were constructed based on individual anatomic parameters and implanted IOL with different optical designs.Methods Computer numerical simulation experiment.The anatomic parameters of individual pseudophakic patients were obtained by Pentacam and IOL Master.Parameters were input into ZEMAX to build individual eye models.Three aspheric IOL (SofPort AO,Tecnis Z9000,FY60AD) and one spherical IOL (YA60BBR) were implanted into individual eye models.Modulation transfer function (MTF) and contrast sensitivity function (CSF) were calculated for 3 mm to 5 mm pupil diameters and 550 nm wavelength.Results The height of the MTF and CSF curves were decreased with larger pupils.They were similar with the 4 IOL implanted in the individual eye models for 3 mm pupil diameter,but they were different from each other for 4 and 5 mm pupils,indicating that individual people with different anatomic structures need certain types of IOL to obtain optimal optical performance.This phenomenon was more pronounced for larger pupil.Conclusion The individual eye model based on an individual patient's anatomic parameters should mimic the optical performance of an individual's eye.The type of IOL is varied to obtain optimal optical performance for the optical system of the human eye with different anatomic structures.We should choose an IOL based on the individual eye's structure to obtain optimal retinal image clinically.%目的 根据不同患者眼部解剖参数建立个体化眼模型,研究植入不同设计的人工晶状体(IOL)后的光学表现.方法 计算机数字模拟实验.采用Pentacam眼前节分析系统、IOL Master采集白内障摘除联合IOL植入

  9. Meta - analysis of clinical randomized controlled trials comparing ReZOOM with ReSTOR multifocal intraocular lenses in cataract surgery%ReZOOM与ReSTOR多焦点人工晶状体应用效果的Meta分析

    Institute of Scientific and Technical Information of China (English)

    邵德望; 杨春燕; 陈威; 王华; 刘兵

    2014-01-01

    AIM: To systematic review the effectiveness of refractive multifocal intraocular lens ( MIOL ) ReZOOM vs diffractive MIOL ReSTOR in the treatment of cataract. METHODS: Randomized controlled trials comparing refractive MIOL ReZOOM with diffractive MIOL ReSTOR were identified by searching CENTRAL, MEDLINE, EMbase, WANFANG MED ONLINE, CMJD, SinoMed, and CNKI. Related journals also were hand-searched. Methodological quality of randomized controlled trials ( RCTs ) was evaluated by simple evaluate method that recommended by the Cochrane Collaboration. Data extracted by two reviewers with designed extraction form. RevMan software ( release 5. 2 ) was used for data management and analysis. RESULTS:A total of 7 trials (846 eyes) were included for systematic review. Subgroup analyses were used according to different model comparison of ReSTOR MIOL. The results showed a significant difference in the mean of the best distance corrected intermediate visual acuity ( BDCIVA) in the ReZOOM MIOL group with WMD=-0.11, 95% CI (-0.16, -0.06) (P CONCLUSION: Patients implanted with ReZOOM MIOL can provide better BDCIVA; patients implanted with ReSTOR MIOL show better UCNVA, are less likely to appear light halo, glare and other visual adverse reactions; correction in spectacles cases, patients implanted with ReZOOM or ReSTOR MIOL have considerable performances in the far and near visual acuity.%方法:计算机检索 CENTRAL、MEDLINE、EMbase、万方医学网数据库、维普中文生物医学期刊全文数据库、中国生物医学文献数据库、中国期刊全文数据库,手工检索相关会议文献,纳入所有ReZOOM与ReSTOR对照的超声乳化白内障吸出联合 IOL 植入的随机对照试验。采用Cochrane系统评价方法,由两名评价员分别提取资料,评价方法学质量后,应用RevMan 5.2软件进行Meta分析。结果:共纳入7个随机对照试验(846眼)。结果显示:裸眼远视力:ReZOOM组与ReSTOR组间差异无统计学意义[WMD=-0

  10. Estimation of visual performance of two diffractive multifocal intraocular lenses%两种常用衍射型多焦点人工晶状体的视觉评估

    Institute of Scientific and Technical Information of China (English)

    季樱红; 卢奕; 汪琳; 蒋永祥

    2010-01-01

    Objective To evaluate the visual performance after implantation of the Tecnis ZM900 multifocal intraocular lens (IOL) ( TMF) and the Restor SA60D3 multifocal IOL (Restor). Methods In a prospective study, TMF or Restor was implanted randomly in 73 patients (90 eyes) . The following parameters were assessed 3 months after surgery: refraction, uncorrected and best corrected visual acuities (VA) for distance, intermediate, near and different contrast levels, reading ability, pupil size, wave-front error, defocus curve and position of IOL Patient satisfaction (overall satisfaction, spectacle independence, photic phenomena) was assessed by a questionnaire. The chi-square test was applied to compare categorical variables and Mann-Whitney U test was used to compare the measured data. Results The uncorrected, best corrected and/or distance-corrected VA for distance, intermediate, near and different contrast levels did not show statistically significant differences between the two groups (P > 0. 05 ). Near reading acuity and reading speed were better in TMF under low-light conditions (Z= -2.579, P=0.009; Z = -5.244, P=0.000). The curve of defocus showed that TMF had significantly better intermediate distance (at 50 cm) (Z = -5.300, P = 0.000) and worse near distance (from 25 to 28 cm) than those of Restor (Z= -3.745, P = 0. 000; Z= -5. 691, P=0. 000). Measurements under pupil diameter at 3. 0 mm and 5. 0 mm, ocular and intraocularZ (4, 0) were significantly lower (Z = -8.175, P = 0.000; Z= -5.210, P=0.000andZ = -4.453, P=0.000; Z= -3.790, P = 0.000) , the values of PSF Strehl Ratio and MTF AreaRatio A/D were significantly higher (Z = - 3. 047, P = 0. 002; Z = - 3. 672, P = 0. 008 and Z = - 2. 038, P = 0.042; Z = -2.579, P =0.009) in TMF than those in Restor. On the questionnaire, there was no difference of overall satisfaction, spectacle independence and photic phenomena (P > 0.05 ). Conclusions Implantation of the TMF and Restor offers excellent distant and near VA. Restor

  11. A comparative study of two types of implantable lenses for correcting high myopia: A posterior chamber phakic refractive lens and a collamer lens%两种有晶状体眼后房型人工晶状体矫正高度近视的远期疗效

    Institute of Scientific and Technical Information of China (English)

    陆勤义; 廖荣丰; 夏卫东; 喻珺琦; 夏春丽; 费孝庆

    2014-01-01

    Objective To compare the clinical efficacy of two types of implantable lenses:a posterior chamber phakic refractive lens (PC-PRL) and a phakic posterior chamber implantable collamer lens (PPC-ICL) in two groups of patients with high myopia.Methods This was a retrospective study.Ninety-eight myopic eyes of 51 high myopia patients were enrolled.Eighteen patients (33 eyes) were implanted with PC-PRLs (PRL group),and the other 33 patients (65 eyes) were implanted with PPC-ICLs (ICL group).Visual acuity,mainfest refraction,intraocular pressure,endothelial cell density,the distance between the posterior surface of the cornea to the lens,and contrast sensitivity (CS) were measured at least 2 years after the surgery.The occurrence of complications was also observed in the patients.An independent samples t test and Wilcoxon rank sum test were used for statistical analysis.Results A comparison of uncorrected visual acuity after surgery between the PRL and ICL groups did not show a significant difference (Z=-1.871,P>0.05).Intraocular pressure was 12.03±2.61 mmHg in the PRL group and 13.35±3.37 mmHg in the ICL group (t=-1.197,P>0.05),while endothelial cell density was 2 185±516 cells/mm2 in the PRL group and 2 341±405 cells/mm2 in the ICL group (t=-1.168,P>0.05).There was no significant difference in a comparison of the distance between the posterior surface of the cornea to the lens,nor was there a significant difference between the arc height of 0.37±0.15 mm in the PRL group and 0.41±0.17 mm in the ICL group (t=-1.120,P>0.05).In addition,there was no significant difference in CS at all spatial frequencies.In terms of complications,in the PRL group,the lens deviated in 1 patient (1 eye) and cataract developed in 1 patient (1 eye); in the ICL group,a cataract developed in 1 patient (2 eyes) and posterior surface artificial crystals came in contact with the anterior surface of the lens which added to the opacity of the anterior capsule in 1 patient (2 eyes

  12. Ophthalmic Lenses

    CERN Document Server

    Bhootra, Ajay Kumar

    2009-01-01

    This book is uniquely meant for the ophthalmologists, optometrists and opticians to help the world see better by excellent vision through the services of technicians and clinical principle based ophthalmology so that the management of ocular problems can be done for a better vision . Informs that a wide range of material and design of ophthalmic lenses with innovative developments is available. This book presents comprehensively rich information about the ophthalmic lenses and their dispensing tips . It will be highly useful mainly for the students of optometry and opticians, ophthalmologists,

  13. Smart lenses

    International Nuclear Information System (INIS)

    If you wear glasses and want to protect your eyes from harmful ultraviolet rays when you step outside into the bright sunshine, you can do a number of things. You can switch to a pair of prescription sunglasses or don some clip-on shades. Alternatively, you can invest in a pair of glasses with 'photochromatic' lenses, which go dark in strong sunlight. Such lenses are said to be 'smart' because they can adapt to their environment without human intervention. An example of a more complex smart system is the adaptive optics used by astronomers to image faint objects. The system compensates for the distorting effect of the atmosphere by first measuring how much a uniform light wavefront is perturbed and then applying an opposite distortion, usually by making the appropriate changes to a deformable mirror. Now, physicists are starting to develop 'adaptive lenses' made from liquids or soft polymer materials that can change their focal length in response to external stimuli. At varying degrees of commercialization, these devices hold great promise in imaging applications where space is at a premium, from mobile-phone cameras to surgical endoscopes. In the November issue of Physics World, Hongrui Jiang and Liang Dong take a look at different methods of producing smart lenses, including 'responsive hydrogels' that focus when given different chemical, biological or physical stimuli. (U.K.)

  14. 晶状体半脱位白内障术中两类折叠型 lOL做悬吊术的疗效比较%Observation of two types of foldable scleral - fixated posterior chamber intraocular lens to treat cataract dislocation

    Institute of Scientific and Technical Information of China (English)

    邓芳祝; 邝国平

    2014-01-01

    AlM:To observe the clinical efficacy of two types of scleral-fixated posterior chamber intraocular lens ( lOL ) combined intra-capsule lens extraction to treat cataract dislocation. METHODS: After intra - capsule lens extraction of dislocated cataract, two types of lOL were used as scleral-fixated posterior chamber lOL . First group was with four seal loops, the second group was with two open loops. All 21 patients (23 eyes) took the examination of the best corrected visual acuity, intraocular pressure, fundus, and lOL decentration using camera system attached to slit - lamp ophthalmoscope and lOL tilted using ultrasound biomicroscopy (UBM) at 6mo after surgery.RESULTS: After 6mo, all patients had improved eye sight. There was significant difference in the mean lOL decentration between the two groups ( 0. 57mm vs 0. 79mm, P CONCLUSlON: lOL with four loops are more appropriate as scleral-fixated posterior chamber lOL with less tiltness and dicentration.%目的:探讨囊内摘除联合两类人工晶状体( intraocular lens,IOL)做悬吊术治疗晶状体半脱位白内障的临床疗效。  方法:晶状体半脱位患者21例23眼,行晶状体囊内摘除前部玻璃体切割联合IOL悬吊术,依植入IOL类别分为四个闭合襻IOL组和两个C襻IOL组,术后观察视力、眼压、综合验光、眼底,6mo时裂隙灯眼前节摄像系统拍照确定 IOL 偏心值,超声生物显微镜( ultrasound biomicroscopy,UBM)检查确定IOL的倾斜度检查。  结果:所有患眼术后视力均有不同程度的提高。四襻组IOL平均偏心为0.57mm,两襻组平均偏心0.79mm;四襻组IOL平均倾斜度为6°,两襻组平均倾斜度11°,两组间差异均有统计学意义(P  结论:晶状体半脱位术中四个闭合襻IOL做悬吊术后居中性更好,IOL倾斜度更小。

  15. Clinical Study of Crystal Posterior Chamber Intraocular Lens in Treatment of High Myopia%有晶体眼后房型人工晶体植入术治疗高度近视的临床研究

    Institute of Scientific and Technical Information of China (English)

    杨金永

    2015-01-01

    目的:观察有晶体眼后房型人工晶体植入治疗高度近视的临床应用价值。方法回顾性总结我院45例行有晶状体眼后房型人工晶体植入术高度近视患者,比较术前术后视力、眼压及并发症等指标。结果术后患者视力优于术前,P<0.05,差异具有统计学意义;患者眼压、角膜内皮细胞无改变,P>0.05,差异不具有统计学意义;术后未发现严重并发症。结论有晶体眼后房型人工晶体植入术疗效理想。%Objective To investigate the clinical effect of implantable collamer lens (ICL) in the treatment of high myopia.Methods Selected 45patients with high myopia were given ICL, compared visual acuity, intraocular pressure, complications and other indexes of pre-operation and post-operation.ResultsAfter surgery, patients are signiifcantly better than preoperative,P0.05, had no difference statistically signiifcance, no serious postoperative complications.Conclusion The ICL has a very signiifcant effect.

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

    Directory of Open Access Journals (Sweden)

    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.

  17. Phakic Intraocular lens- a review

    OpenAIRE

    Cruz, Francisco Miguel

    2015-01-01

    Introduction: Intraocular refractive procedures with the implantation of a Phakic Intraocular lens have become a safe efficient and predictable alternative for treating high ametropias when the use of corneal photoablative procedures is not possible. The implantation of Phakic intraocular lens preservs the accomodative function,is a reversable refractive procedure, with minimal induction of higher order aberrations compaed with corneal photoablative procedures. Methods: An analytical review o...

  18. Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation.

    Science.gov (United States)

    Horiguchi, Lie; Garcia, Patricia Novita; Malavazzi, Gustavo Ricci; Allemann, Norma; Gomes, Rachel L R

    2016-01-01

    Purpose. To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PCIOL) using ultrasound biomicroscopy (UBM). Methods. Randomized patients underwent ab externo or ab interno scleral fixation of a PCIOL. Ultrasound biomicroscopy was performed 3 to 6 months postoperatively, to determine PCIOL centration, IOL distance to the iris at 12, 3, 6, and 9 hours, and haptics placement in relation to the ciliary sulcus. Results. Fifteen patients were enrolled in the study. The ab externo technique was used in 7 eyes (46.6%) and the ab interno in 8 eyes (53.3%). In the ab externo technique, 14 haptics were located: 4 (28.57%) in the ciliary sulcus; 2 (14.28%) anterior to the sulcus; and 8 (57.14%) posterior to the sulcus, 6 in the ciliary body and 2 posterior to the ciliary body. In the ab interno group, 4 haptics (25.0%) were in the ciliary sulcus, 2 (12.50%) anterior to the sulcus, and 10 (75.0%) posterior to the sulcus, 4 in the ciliary body and 6 posterior to the ciliary body. Conclusions. Ab externo and ab interno scleral fixation techniques presented similar results in haptic placement. Ab externo technique presented higher vertical tilt when compared to the ab interno.

  19. Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation

    Directory of Open Access Journals (Sweden)

    Lie Horiguchi

    2016-01-01

    Full Text Available Purpose. To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PCIOL using ultrasound biomicroscopy (UBM. Methods. Randomized patients underwent ab externo or ab interno scleral fixation of a PCIOL. Ultrasound biomicroscopy was performed 3 to 6 months postoperatively, to determine PCIOL centration, IOL distance to the iris at 12, 3, 6, and 9 hours, and haptics placement in relation to the ciliary sulcus. Results. Fifteen patients were enrolled in the study. The ab externo technique was used in 7 eyes (46.6% and the ab interno in 8 eyes (53.3%. In the ab externo technique, 14 haptics were located: 4 (28.57% in the ciliary sulcus; 2 (14.28% anterior to the sulcus; and 8 (57.14% posterior to the sulcus, 6 in the ciliary body and 2 posterior to the ciliary body. In the ab interno group, 4 haptics (25.0% were in the ciliary sulcus, 2 (12.50% anterior to the sulcus, and 10 (75.0% posterior to the sulcus, 4 in the ciliary body and 6 posterior to the ciliary body. Conclusions. Ab externo and ab interno scleral fixation techniques presented similar results in haptic placement. Ab externo technique presented higher vertical tilt when compared to the ab interno.

  20. Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation

    Science.gov (United States)

    Horiguchi, Lie; Garcia, Patricia Novita; Malavazzi, Gustavo Ricci; Allemann, Norma

    2016-01-01

    Purpose. To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PCIOL) using ultrasound biomicroscopy (UBM). Methods. Randomized patients underwent ab externo or ab interno scleral fixation of a PCIOL. Ultrasound biomicroscopy was performed 3 to 6 months postoperatively, to determine PCIOL centration, IOL distance to the iris at 12, 3, 6, and 9 hours, and haptics placement in relation to the ciliary sulcus. Results. Fifteen patients were enrolled in the study. The ab externo technique was used in 7 eyes (46.6%) and the ab interno in 8 eyes (53.3%). In the ab externo technique, 14 haptics were located: 4 (28.57%) in the ciliary sulcus; 2 (14.28%) anterior to the sulcus; and 8 (57.14%) posterior to the sulcus, 6 in the ciliary body and 2 posterior to the ciliary body. In the ab interno group, 4 haptics (25.0%) were in the ciliary sulcus, 2 (12.50%) anterior to the sulcus, and 10 (75.0%) posterior to the sulcus, 4 in the ciliary body and 6 posterior to the ciliary body. Conclusions. Ab externo and ab interno scleral fixation techniques presented similar results in haptic placement. Ab externo technique presented higher vertical tilt when compared to the ab interno. PMID:27293878

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

    Energy Technology Data Exchange (ETDEWEB)

    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.

  2. Clinical research on the implantation of posterior chamber phakic intraocular lens for correction of high myopia%有晶状体眼后房型人工晶状体植入术矫正高度近视

    Institute of Scientific and Technical Information of China (English)

    贾丽; 张超; 唐红; 张愉; 王婧; 秦萍

    2012-01-01

    目的:探讨有晶状体眼后房型人工晶状体(phakic intraocular lens,PIOL)植入术矫正高度近视的有效性和安全性.方法:本研究中高度近视患者17例33眼,术前屈光度-8.00~-24.00 (平均-15.46±6.26)D,眼轴长度25.33~33.77(平均30.22±2.55)mm.33眼植入后房型人工晶状体也称植入性接触镜(implantable contact lens,ICL& toric implantable collamer lens,TICL).其中,22眼植入ICL,11眼植入TICL.术后观察视力、屈光度、眼压、人工晶状体位置等.结果:所有病例均成功植入后房型人工晶状体.术后1wk,所有手术眼达到或超过术前最佳矫正视力,屈光度和眼压稳定.结论:有晶状体眼后房型人工晶状体植入术治疗高度近视安全有效,适用屈光度范围广,术后屈光度稳定,视觉质量提高.

  3. 有晶状体眼虹膜夹型和后房型人工晶状体植入矫正高度近视术后的视觉质量对比%Evaluation of visual quality after phakic posterior chamber intraocular lens and iris-claw phakic intraocular lens Implantation for high myopia

    Institute of Scientific and Technical Information of China (English)

    郭红亮; 郑广瑛; 王松田; 王洁; 王瑞娜; 赵建国; 赵丽君

    2011-01-01

    背景 矫正近视的手术可分为激光矫治术和人工晶状体(IOL)植入术.高度近视患者角膜比正常人薄,不适合激光矫治手术,宜考虑IOL植入术.目的 对比观察两种有晶状体眼IOL植入术治疗高度近视的视觉质量.方法选取在郑州大学第一附属医院和解放军第91中心医院行前房虹膜夹型人工晶状体(Verisyse PIOL)植入术的高度近视患者19例34眼随机分为两种手术组,其中10例17眼为PIOL组,行后房型人工晶状体(ICL)植入术者9例17眼为ICL组.两种手术均由同一高年资医师完成.随访期为6个月,观察患者术后的裸眼视力、最佳矫正视力、对比敏感度(CS)和波前像差,对2组的检测指标进行比较.结果术后6个月2组间患者裸眼视力和最佳矫正视力的差异均无统计学意义(t=0.489,P>0.05;t=0.853,P>0.05);2组患者间无眩光时在3、6、12、18 c/d空间频率下CS的差异均无统计学意义(t=0.906,P>0.05;t=0.103,P>0.05;t=0.694,P>0.05;t=1.583,P>0.05);3、6、12、18 c/d空间频率下2组间患者的眩光敏感度比较差异均无统计学意义(t=0.323,P>0.05;t=0.041,P>0.05;t=0.024,P>0.05;t=0.363,P>0.05).PIOL组三阶彗差(RMS3)、四阶球差(RMS4)、总高阶像差(RMSh)均高于ICL组.其中RMS3、RMSh明显高于ICL组,差异均有统计学意义(t=11.400,P0.05).结论虹膜夹型IOL与ICL植入矫正高度近视均能达到预期的效果,术后视力相当,但虹膜夹型IOL的视觉质量稍逊于ICL,远期效果还需进一步随访观察.%Background High myopia can be corrected using laser therapy and intraocular lens(IOL)implantation.IOL implantation is more suitable than laser therapy for high myopia if the patients suffer from thinner cornea.Objective This clinical trail was to assess and compare the visual quality following phakic iris-claw intraocular lens (IOL) and implantable contact lens(ICL) implantation for high myopia.MethodsIris-claw phakic intraocular lens was implanted in 17 eyes of

  4. Contact Lenses for Vision Correction

    Science.gov (United States)

    ... Ask an Ophthalmologist Español Eye Health / Glasses & Contacts Contact Lenses Sections Contact Lenses for Vision Correction Proper ... to Know About Contact Lenses Colored Contact Lenses Contact Lenses for Vision Correction Written by: Kierstan Boyd ...

  5. IOL Implants: Lens Replacement and Cataract Surgery (Intraocular Lenses)

    Science.gov (United States)

    ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ...

  6. Extended drug delivery by contact lenses for glaucoma therapy.

    Science.gov (United States)

    Peng, Cheng-Chun; Burke, Michael T; Carbia, Blanca E; Plummer, Caryn; Chauhan, Anuj

    2012-08-20

    We combine laboratory-based timolol release studies and in vivo pharmacodynamics studies in beagle dogs to evaluate the efficacy of glaucoma therapy through extended wear contact lenses. Commercial contact lenses cannot provide extended delivery of ophthalmic drugs and so the studies here focused on increasing the release duration of timolol from ACUVUE TruEye contact lenses by incorporating vitamin E diffusion barriers. The efficacy of timolol delivered via extended wear contact lenses was then compared to eye drops in beagle dogs that suffer from spontaneous glaucoma. The lenses were either replaced every 24h or continuously worn for 4 days, and the pharmacodynamics effect of changes in the intraocular pressure (IOP) of timolol from the ACUVUE TruEye contact lenses can be significantly increased by incorporation of vitamin E. The in vivo studies showed that IOP reduction from baseline by pure contact lens on daily basis was comparable with that by eye drops but with only 20% of drug dose, which suggested higher drug bioavailability for contact lenses. In addition, by inclusion of vitamin E into the lenses, the IOP was reduced significantly during the 4-day treatment with continuous wear of lens.

  7. Clinical observation on the manual small incision cataract surgery combined with rigid posterior chamber intraocular lens implantation performed by medical team in Africa%援非洲医疗队手法小切口白内障手术效果观察

    Institute of Scientific and Technical Information of China (English)

    郎莉莉; 陈建梅; 崔红平

    2016-01-01

    Objective To investigate the clinical effects of manual small incision cataract surgery combined with rigid posterior chamber intraocular lens implantation in 376 Moroccan cataract cases performed by medical team in Africa.Methods From March 2013 to February 2015 in Morocco,432 eyes of 376 Moroccan patients had undertaken manual small incision cataract surgery combined with rigid posterior chamber lens implantation.The postoperative visual acuity,intraoperative and postoperative complications were analyzed.Results The visual acuities at ≤0.04 were obtained in 9 eyes (2.08%),0.05 ~ 0.25 in 65 eyes(15.05%),0.3 ~0.5 in 236 eyes(54.63%),and≥0.6 in 122 eyes(28.24%) at 1 week postoperatively.The intraoperative complications were stated as follows.The posterior capsular rupture and vitreous prolapse occurred in 28 eyes (6.48%) with nucleus fallen into vitreous cavity in 1 eye,among which 22 eyes were applied posterior chamber lens implantation at stage Ⅰ,the intraocular lens had not been implanted in 6 eyes.Nine eyes (2.08%) complicated with iris prolapse and 12 eyes (2.78%) with progressive miosis.Two eyes(0.46%) complicated with iridodialysis which was sutured intraoperatively.The postoperative complications included the following items.At 1 week postoperatively,corneal edema occurred in 78 eyes(18.06%).The anterior chamber inflammatory responses occurred in 52 eyes(12.04%).The irregular pupil was noticed in 35 eyes (8.10%).The vitreous hemorrhage occurred in 1 eyes(0.23%)which was related to diabetic retinopathy.Other complications were not observed,such as endophthalmitis,secondary glaucoma,intraocular lens dislocation or bullous keratopathy.Conclusion Manual small incision cataract surgery combined with rigid posterior chamber lens implantation is an optimal cataract surgical method in some poverty-striken districts of Africa with the advantages of safety,effectiveness,satisfied results and low cost.And Chinese medical team also

  8. Neutrino Lensing

    Institute of Scientific and Technical Information of China (English)

    LUO Xin-Lian

    2009-01-01

    Due to the intrinsic properties of neutrinos, the gravitational lens effect for a neutrino should be more colorful and meaningful than the normal lens effect of a photon. Other than the experiments operated at terrestrial laboratory, in principle, we can propose a completely new astrophysical method to determine not only the nature of the gravity of lens objects but also the mixing parameters of neutrinos by analyzing neutrino trajectories near the central objects.However, the angular, energy and time resolution of the neutrino telescopes are still comparatively poor, so we just concentrate on the two classical tests of general relativity, i.e.the angular deflection and the time delay of the neutrino by a lens object as a preparative work in this paper.In addition, some simple properties of neutrino lensing are investigated.

  9. The effects on intraocular pressure, chamber angle and number of corneal endothelial cells after the implantation of iris clip lens in children%儿童虹膜夹持型人工晶状体植入术后眼压、房角和角膜内皮的影响

    Institute of Scientific and Technical Information of China (English)

    朱邵品; 邵新香; 范可顺

    2013-01-01

    Objective To discuss the efficacy and safety of clinical application of children's iris clip lens by analyzing the changes of postoperative intraocular pressure, chamber angle and number of corneal endothelial cells. Methods 21 cases (30 eyes) , whose posterior chamber were unable to be implanted with artificial lens because of absence of posterior capsule, were managed by implanting iris clip lens . The changes of postoperative visual acuity, ocular pressure, number of comeal endothelial cells, and chamber angle were studied. Results All patients were followed up, ranging from 3-12 moths (medium: 6months). Improvement of postoperative visual (0. 1~1.0) and normal ocular pressure(11~20 mm Hg)were achieved for all patients. Secondary glaucoma was not observed. The number of corneal endothelial cells and chamber angle by UBM were unchanged postoperatively. Conclusion Implantation of iris clip lens, which is easily manipulated , with short surgical duration and less complications , was proved to be efficient and safe , when difficulty is met with routine implantation of artificial lens in posterior chamber. The most advantage of this procedure is no decrease of corneal endothelial cells postoperatively and no influence on chamber angle and vitreous body intraoperatively.%目的 总结分析儿童虹膜夹持型人工晶状体植入术后眼压、房角和角膜内皮的变化,探讨临床应用的有效性和安全性.方法 21例(30只眼)患者中,钝挫伤晶状体脱位2例,马-凡综合征晶状体脱位8例,外伤性白内障术后无晶状体眼4例,先天性白内障术后无晶状体眼7例.均无后囊支撑,无法行后房人工晶状体植入而应用虹膜夹持型人工晶状体植入术.术后观察视力、眼压、角膜内皮计数、房角改变等.结果 随访3~12月(平均6个月),术后视力0.1~1.0,均较术前明显提高;眼压正常11 ~20 mm Hg,无继发性青光眼;角膜内皮细胞计数无明显变化;超声生物显微镜

  10. Clinical observation of foldable intraocular lenses in ciliary sulcus suture fixation with Ultrasound biomicroscope-guided%超声生物显微镜引导下折叠人工晶状体睫状沟缝线固定术临床观察

    Institute of Scientific and Technical Information of China (English)

    王胜男; 吕勇

    2013-01-01

    Objective To evaluate the clinical effectiveness of foldable intraocular lenses in ciliary sulcus suture fixation with ultrasound biomicroscope-guided,for clinical application.Methods This study was performed on 37 eyes in 34 patients who needed a foldable intraocular lens in ciliary sulcus suture fixation surgery.A total of 19 eyes in 18 patients had a ultrasound biomicroscope (UBM) examination to ensure the ciliary sulcus localization before the surgery (Group Ⅰ).A total of 18 eyes in 16 patients didn't have a UBM examination (Group Ⅱ).After the surgery,the visual acuity,contrast sensitivity,UBM were checked up in both groups.The results were analyzed by SPSS17.0 statistical software.Results The mean suture position in group Ⅰ was significantly less than that of the group Ⅱ (P <0.001,t-test).The UBM examination showed that the IOL decentration,the optic tilt and the rate of haptics located in the sulcus were statistically significant between the 2 groups.The uncorrected visual acuity (UCVA) 3 months after operation had statistical significance between the 2 groups.But the best corrected visual acuity (BCVA) and the contrast sensitivity function in 3cpd,6cpd,12cpd and 18cpd spatial frequencies 3 months after operation had no significant difference between the 2 groups.Conclusions The use of UBM can help the surgeon identify the ciliary sulcus more precisely,and reduce the tilt and decentration of the IOL,which is conducive to upgrade the operated effect.%目的 通过对比性临床观察,评价超声生物显微镜(UBM)引导下定位睫状沟,行折叠人工晶状体睫状沟缝线固定术的手术效果,为临床应用提供依据.方法 临床病例对照研究.对2010年4月至2012年1月在郑州大学第一附属医院眼科将34例(37只眼)需行人工晶状体睫状沟缝线固定术的患者按术前应用UBM检查和未用UBM检查分为两组:1组18例19只眼,术前行UBM检查,定位睫状沟在巩膜表面投影位置,

  11. Anterior Chamber Live Loa loa: Case Report.

    Science.gov (United States)

    Kagmeni, G; Cheuteu, R; Bilong, Y; Wiedemann, P

    2016-01-01

    We reported a case of unusual intraocular Loa loa in a 27-year-old patient who presented with painful red eye. Biomicroscopy revealed a living and active adult worm in the anterior chamber of the right eye. After surgical extraction under local anesthesia, parasitological identification confirmed L. loa filariasis. PMID:27441005

  12. Anterior Chamber Live Loa loa: Case Report

    Science.gov (United States)

    Kagmeni, G.; Cheuteu, R.; Bilong, Y.; Wiedemann, P.

    2016-01-01

    We reported a case of unusual intraocular Loa loa in a 27-year-old patient who presented with painful red eye. Biomicroscopy revealed a living and active adult worm in the anterior chamber of the right eye. After surgical extraction under local anesthesia, parasitological identification confirmed L. loa filariasis. PMID:27441005

  13. Anterior chamber cholesterolosis in a patient with retinoblastoma.

    Science.gov (United States)

    Hong, Bryan K; Say, Emil Anthony T; Chévez-Barrios, Patricia; Lee, Thomas C; Kim, Jonathan W

    2016-01-01

    Anterior chamber cholesterolosis is a rare phenomenon typically associated with non-neoplastic conditions such as hyphema or Coats disease; it has never been reported to be associated with intraocular malignancy. We report a case of anterior chamber cholesterolosis presenting in the setting of retinoblastoma and discuss clinical features relevant for its differentiation from Coats disease. PMID:27330481

  14. Intraocular coenurosis: a case report.

    OpenAIRE

    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.

  15. 有晶状体眼后房型人工晶状体植入矫正高度近视及散光疗效观察%Preliminary observation of the effect of Posterior chamber phakic intraocular lens for high myopia with or without astigmatism

    Institute of Scientific and Technical Information of China (English)

    唐晓蕾; 王晓莉; 赵媛; 曾涛; 夏敏; 邱丹

    2015-01-01

    目的 探讨有晶状体眼后房型人工晶状体植入矫正高度近视及散光的临床应用价值.方法 纳入2010年3月至2013年1月间14例(25只眼)高度近视及散光患者,其中男6例,女8例,年龄18~42岁,平均26.7岁.所有患者接受有晶状体眼后房型人工晶状体植人治疗,术后随访3个月,检查裸眼视力、最佳矫正视力、屈光度、散光度,并在裂隙灯下检查拱高和轴向移位等.结果 所有患者术后裸眼视力较术前提高,术后3个月均达到或超过术前最佳矫正视力.术前等效球镜为-7.00~-22.0D,平均-(12.52±2.50)D,术后等效球镜为-0.25~-0.75 D,平均-(0.54±0.11)D,术后屈光度较术前明显降低,差异有统计学意义(P<0.05).散光由术前-(1.83±1.12)D下降至术后-(0.55±0.21)D,差异有统计学意义(P<0.05).手术前后眼压、角膜内皮细胞密度差异无统计学意义(P>0.05).术后无拱高偏大者,1只眼拱高偏低.术后93.75% (15/16)的TICL患者轴向偏转<10°.结论 有晶状体眼后房型人工晶状体植入术矫正高度近视及散光可以获得良好的裸眼视力,为高度近视患者提供一种新的选择,但其长期稳定性及远期并发症需要进一步观察.%Objective To investigate the efficacy and safety of the implantation of posterior chamber phakic intraocular lens (ICL) for high myopia with or without astigmatism.Methods From March 2010 to January 2013,14 high myopia patients (25 eyes) with or without astigmatism including 6 males and 8 females were admitted to our department.The average age of these patients was 26.7 years old,ranging from 18 to 42.All of them were treated by implantation of posterior chamber phakic ICL.Vision and diopter,as well as the results of slit lamp examination were used to evaluate the efficacy during the follow up.Results All patients were implanted ICL successfully and adhered to follow-up.The uncorrected visual acuity of every eye after surgery had improved,same or

  16. Opacificação tardia de lente intra-ocular de polimetilmetacrilato (PMMA: relato de caso Late opacification of a polymethylmethacrylate (PMMA intraocular lens: case report

    Directory of Open Access Journals (Sweden)

    Otacílio de Oliveira Maia Júnior

    2005-10-01

    Full Text Available O implante das lentes intra-oculares foi grande avanço na reabilitação visual de pacientes submetidos à cirurgia de extração da catarata. Contudo, os materiais utilizados na fabricação destas lentes, apesar de terem boa biocompatibilidade, são passíveis de alterações posteriores ao implante. No presente estudo, os autores relatam um caso raro de opacificação tardia de lente de polimetilmetacrilato, material inerte e bem tolerado intra-ocularmente, discutindo aspectos importantes no manejo desta complicação, bem como indicação de explante e substituição da lente.The use of intraocular lenses was a great advance in visual recovery after cataract surgery. Although usually with good biocompatibility, some alterations in the intraocular lens material may occur after implantation. Polymethylmethacrylate was the first intraocular lens material to be used on a large scale and assumed to be inert and well-tolerated. We present a rare case of late opacification of a polymethylmethacrylate lens, discussing important aspects of its management such as the indication for intraocular lens exchange.

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

    Science.gov (United States)

    Simon, V.; Radu, T.; Vulpoi, A.; Rosca, C.; Eniu, D.

    2015-01-01

    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.

  18. The Experimental Study on Implantation of Intraocular Lens in Different Animals

    Institute of Scientific and Technical Information of China (English)

    WANGGui-qin; PENGXiu-jun; GUHan-qing

    2004-01-01

    To prevent the complications in cataract surgeries, the eyes of rabbits and monkeys were implanted with intraocular lens for 360 days. Methods: The eyes of the rabbits were performed with phacoemulsification and soft intraocular lens implantation. The eyes of the monkeys were performed with extracapsular cataract extraction and hard intraocular lens implantation. Results: The postoperative reactions included corneal edema, anterior chamber exudation, posterior capsule opacification and so on. The complications in the eyes of the rabbits were more than that in the eyes of the monkeys. Conclusion: The different postoperative reactions happened in different animals. In clinical the choice of the operative method and intraocular lens depended on the case in order to acquire the best sight.

  19. Laser-triggered intraocular implant to induce photodynamic therapy for posterior capsule opacification prevention.

    Science.gov (United States)

    Zhang, Zhaoguo; Huang, Wenyong; Lei, Ming; He, Yuanfeng; Yan, Mina; Zhang, Xuefei; Zhao, Chunshun

    2016-02-10

    Posterior capsule opacification (PCO) is one of the main reasons for loss of vision again after cataract surgery. In this study, intraocular lenses were modified with indocyanine green (ICG) and sealed up with PLGA to form long-term intraocular implants (ICG-IOL). When triggered by laser, ICG-IOL would induce photodynamic therapy (PDT). In-vitro cell viability assay and scratch wound healing assay demonstrated that ICG-IOL could effectively inhibit HLEpiC proliferation and migration without causing damage to the cells far away from it. Laser attenuation test indicated that ICG-IOL could be applied in vivo. In-vivo pharmacodynamics and safety study showed that ICG-IOL could significantly prevent the occurrence of PCO and was safe for intraocular normal tissue. All these results suggested that ICG-IOL would be a very promising candidate for PCO prevention.

  20. Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy

    OpenAIRE

    Mehta N; Goldberg RA; Shah CP

    2014-01-01

    Nitish Mehta,1 Roger A Goldberg,2 Chirag P Shah21University of Massachusetts Medical School, Worcester, MA, USA; 2Department of Retina, Ophthalmic Consultants of Boston, Boston, Massachusetts, USAPurpose: Dense, vision-obscuring calcification on the posterior aspect of silicone intraocular lenses (IOLs) is often not amenable to neodymium:yttrium-aluminum-garnet capsulotomy, and, in prior reports, has required IOL exchange. We report the successful removal of dense calcium deposition on the po...

  1. The Impact of Multifocal Intraocular Lens in Retinal Imaging with Optical Coherence Tomography

    OpenAIRE

    Dias-Santos, A; Costa, L; Lemos, V; Anjos, R.; Vicente, A.(IFPA, Dep. AGO, Université de Liège, Bat B5, Sart-Tilman, B-4000, Liège 1, Belgium); Ferreira, J; Cunha, JP

    2015-01-01

    Multifocal intraocular lenses (MF IOLs) have concentric optical zones with different dioptric power, enabling patients to have good visual acuity at multiple focal points. However, several optical limitations have been attributed to this particular design. The purpose of this study is to access the effect of MF IOLs design on the accuracy of retinal optical coherence tomography (OCT). Cross-sectional study conducted at the Refractive Surgery Department of Central Lisbon Hospital Center. Twent...

  2. 单眼角膜散光白内障患者不同人工晶状体组合植入的对比研究%Comparison of different combinations of intraocular lenses implantation in cataract patients with unilateral astigmatism

    Institute of Scientific and Technical Information of China (English)

    田芳; 张红; 胡尊霞

    2011-01-01

    Objective To assess binocular visual function after combined implantation of toric and multifocal or monofocal intraocular lenses in unilateral astigmatism cataract patients. Methods This was a prospective case control study. A total of thirty unilateral astigmatism patients undergoing phacoemulsification were recruited. AcrySof Toric IOL were implanted in the astigmatic eye of patients, with ReSTOR (15 eyes) or AcrySof IQ (15 eyes) in the contralateral eye. Six months postoperatively, patients were assessed for visual acuity (5.0 m, 60.0 cm, 40.0 cm), contrast sensitivity, amplitude of accommodation, and stereoacuity. Patients were surveyed for visual disturbances and lifestyle visual quality. Data were analyzed with a paired t test, an independent samples t test, or chi-square test. Results At 6 months postoperatively, for Toric-ReSTOR patients, uncorrected binocular logMAR visual acuity at 5.0 m, 60.0 cm, 40.0 cm was 0.05±0.05, 0.24±0.10, and 0.14±0.06, respectively. For Toric-AcrySof IQ patients, uncorrected binocular logMAR visual acuity was 0.06±0.07, 0.26±0.08, and 0.37 ±0.10, respectively. These values between the two group did not achieve significant differences except for near visual acuity (t=5.476, P=0.000). The contrast sensitivity for ReSTOR eyes was lower at 18 cpd under photopic and photopic glare circumstance than for the AcrySof IQ eyes (0.30 ± 0.37 versus 0.94 ±0.58, t=3.476, P=0.001; 0.34 ± 0.44 versus 0.88 ±0.52, t =2.975, P= 0.006). And was lower at 12 cpd under scotopic and scotopic glare circumstance than for the AcrySof IQ eyes (0.05±0.22 versus 0.50±0.61, t=3.057, P=0.005; 0.05±0.22 versus 0.59±0.75, t=3.154, P=0.004). The amplitude curve of accommodation in Toric-ReSTOR patients had two wave peak (0 and-2.5 D), but only one (0 D) in Toric-AcrySof IQ patients. The stereopsis of Toric-ReSTOR eyes decreased slightly (53% versus 73%, x2=1.262, P=0.263). Patient satisfaction for mean near vision was significantly different: 80

  3. 后房型有晶状体眼人工晶状体矫治高度近视眼的3年随访报告%Three-year follow-up of posterior chamber phakic intraocular lens implantation for high myopia

    Institute of Scientific and Technical Information of China (English)

    俞阿勇; 王勤美; 朱双倩; 郑林燕; 薛安全; 苏炎峰

    2010-01-01

    Objective To investigate long-term efficacy and safety ofa posterior chamber phakic intraocular lens (PCPIOL) implantation for high myopia. Methods A consecutive group of 66 eyes in 41 patients with -15.12± 3.93 diopters (D) of myopia was implanted with the ICL PCPIOL (STAAR), and was examined preoperatively and 1, 2, 3 years postoperatively. Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), manifest refraction, intraocular pressure, and complications were evaluated. Results The implantation was successful in all of 66 eyes. Compared with preoperative data, UCVA, BCVA, and spherical equivalent (SE) were improved significantly. At 3-year postoperatively, UCVA in 86% eyes was 0.5 or better, in 43% was 0.8 or better; No loss of BCVA was found, 11% gained 1 line, and 68% gained 2 lines or more; SE in 96%, 57% eyes was within ± 1.00 D, ± 0.50D of attempted, respectively. At 1-, 2-, 3-year follow-up, the corneal endothelial loss was 9.26%, 12.84%, 18.54%, respectively. No severe complications occurred expect 1macular hemorrhage due to CNV. Conclusions At 3-year follow-up, the implantation of the PCPIOL proved to be safe and effective for the correction of myopia in phakic eyes.%目的 观察后房型有晶状体眼人工晶状体(PCPIOL)矫治高度近视眼的长期安全性和有效性.方法 高度近视眼患者41例(66只眼),等效球镜度数(SE)(-15.12±3.93)D,植入PCPIOL.术后随访3年,观察手术前后的视力、屈光状态、眼压、角膜、前房、瞳孔、PCPIOL和晶状体、眼底情况,并进行比较.结果 与术前比较,术后3、6个月、1、2、3年的裸眼视力(UCVA)、最佳矫正视力(BCVA)和SE显著改善.术后3年时,UCVA≥0.5有86%,≥0.8有43%;BCVA未见下降,11%比术前提高1行,68%比术前提高≥2行;96%眼的实际屈光度数稳定在预期的±1.00D,57%稳定在预期的±0.50D.术后1、2、3年的角膜内皮细胞累积丢失率分别为9.26%、12.84%、18.54%.除了1只眼黄斑出血

  4. Surgical management of intraocular lens dislocations

    Directory of Open Access Journals (Sweden)

    Adem Gul

    2015-10-01

    Full Text Available ABSTRACTPurpose:To report and compare the surgical, visual, and anatomical outcomes following treatment of dislocated intraocular lenses (IOLs.Methods:The medical records of 28 eyes of 28 patients were evaluated. Age, gender, pre-and postoperative best-corrected visual acuity (BCVA, surgical methods, and complications were recorded.Results:Pre-and postoperative BCVA ranged from counting fingers to 20/32 and from counting fingers to 20/25, respectively. Late-onset dislocations were the most frequently observed complication. The most frequent surgical method was IOL repositioning in 15 of 28 patients, followed by IOL exchange in 11 patients, and IOL removal in 2 patients. Only 1 patient required surgical re-intervention with IOL capture.Conclusions:Visual acuity improved following the use of either IOL repositioning or IOL exchange. No superiority of one method over the other was observed. In the present retrospective case series, management of dislocated IOLs with repositioning or exchange of the primary implant conferred comparable surgical and visual outcomes.

  5. Intraocular lens exchange-removing the optic intact

    Science.gov (United States)

    Lee, Matthew Hao; Webster, Diane Lesley

    2016-01-01

    Current practice for intraocular lens (IOL) exchange is to cut the optic of the posterior chamber intraocular lens (PCIOL) prior to removing it. Great care must be taken during this maneuver to avoid a posterior capsular tear. Removing the haptics from the fibrosed capsule can also be hazardous, as it may result in zonular stress and dehiscence. A technique is described for performing foldable (one-piece acrylic) IOL removal without cutting the optic. Careful visco-dissection of the haptics with a low viscosity ophthalmic viscosurgical device (OVD) in the fibrosed peripheral capsular tunnel avoids zonular or capsular stress. Internal wound enlargement permits foldable IOL removal in one piece, whilst preserving a self-sealing sutureless corneal wound. This technique may enhance the safety and efficacy of foldable IOL exchange. PMID:27366699

  6. Intraocular lens exchange-removing the optic intact.

    Science.gov (United States)

    Lee, Matthew Hao; Webster, Diane Lesley

    2016-01-01

    Current practice for intraocular lens (IOL) exchange is to cut the optic of the posterior chamber intraocular lens (PCIOL) prior to removing it. Great care must be taken during this maneuver to avoid a posterior capsular tear. Removing the haptics from the fibrosed capsule can also be hazardous, as it may result in zonular stress and dehiscence. A technique is described for performing foldable (one-piece acrylic) IOL removal without cutting the optic. Careful visco-dissection of the haptics with a low viscosity ophthalmic viscosurgical device (OVD) in the fibrosed peripheral capsular tunnel avoids zonular or capsular stress. Internal wound enlargement permits foldable IOL removal in one piece, whilst preserving a self-sealing sutureless corneal wound. This technique may enhance the safety and efficacy of foldable IOL exchange.

  7. Case of late-onset corneal decompensation after iris-fixated phakic intraocular lens implantation.

    NARCIS (Netherlands)

    Eijden, R. van; Vries, N.E. de; Cruysberg, L.P.J.; Webers, C.A.; Berenschot, T.; Nuijts, R.M.

    2009-01-01

    A 48-year-old myopic patient with bilateral anterior chamber depth of 3.1 mm and endothelial cell density (ECD) of 2525 cells/mm(2) and 2638 cells/mm(2) preoperatively had bilateral implantation of an Artisan iris-fixated phakic intraocular lens (pIOL). Five years postoperatively, unilateral corneal

  8. 21 CFR 886.3600 - Intraocular lens.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraocular lens. 886.3600 Section 886.3600 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES OPHTHALMIC DEVICES Prosthetic Devices § 886.3600 Intraocular lens. (a) Identification. An intraocular lens is a device made of materials...

  9. Quantitative observation on changes of anterior segment by ultrasound biomicroscopy after posterior chamber phakic intraocular lens implantation%UBM量化观察有晶状体眼后房型人工晶状体植入术前后眼前节形态的变化

    Institute of Scientific and Technical Information of China (English)

    王瑞娜; 郑广瑛; 王松田; 王洁; 赵建国; 郭红亮; 赵丽君

    2011-01-01

    ObjectiveThe objective is to study the safety and effectiveness of implantation of posterior chamber phakic intraocular contact lens (ICL) by observing the changes in anterior segment using ultrasound biomicroscopy (UBM). Methods It was a perspective study. The study sampled 30 high myopia patients (30 eyes) who were treated with posterior chamber phakic ICL implant. Central anterior chamber depth (ACD), trabecular-iris angle (TIA), angle opening distance (AOD500), trabecular-ciliary processes distance (TCPD) and iris-ciliary processes distance (ICPD) were measured using UBM preoperatively,3 months and 1 year postoperatively. The distance from ICL to the central surface of lens and peripheral lens and intra-ocular pressure were measured postoperatively and examined using slit-lamp biomicroscope. Oneway ANOVA was used to analyze the distance between peripheral surface of ICL and the lens. One-way repeated measures ANOVA and Bonferroni were conducted. Results Preoperatively, 3 months and 1 year postoperatively, ACD were(3. 16 ± 0. 08 ) mm, ( 2. 76 ± 0. 13 ) mm, (2. 74 ± 0. 14) mm; AOD500 were (0.45 + 0.04) mm, (0.41 ± 0.04) mm, (0.41 ±0.03) mm; TIA were (35.00 ±3. 24)°, (32.47 ±3.56) °, (32. 40 ± 3. 23 ) °, respectively. There were significant difference in TIA, ACD and AOD ( P <0. 05) between preoperative and postoperative data. There was no significant difference between the two postoperative periods tested. TCPD and ICPD showed no significant difference between various time points ( F =0. 49, F =0. 57 ; P > 0. 05 ). Conclusions The decrease in ACD depth and correction in TIA and AOD were the noticeable changes observed in morphological structure of the ocular anterior segment after the ICL treatment. The incidence of complication did not increase as the result of the minor changes in morph structure during the course of the study. However, the long-term effects would require further long-term observation.%目的 应用超声生物显微镜(UBM)对

  10. Gravitational Lensing in Astronomy

    CERN Document Server

    Wambsganss, J

    1998-01-01

    Deflection of light by gravity was predicted by General Relativity and observationaly confirmed in 1919. In the following decades various aspects of the gravitational lens effect were explored theoretically, among them the possibility of multiple or ring-like images of background sources, the use of lensing as a gravitational telescope on very faint and distant objects, and the possibility to determine Hubble's constant with lensing. Only relatively recently gravitational lensing became an observational science after the discovery of the first doubly imaged quasar in 1979. Today lensing is a booming part of astrophysics. In addition to multiply-imaged quasars, a number of other aspects of lensing have been discovered since, e.g. giant luminous arcs, quasar microlensing, Einstein rings, galactic microlensing events, arclets, or weak gravitational lensing. By now literally hundreds of individual gravitational lens phenomena are known. Although still in its childhood, lensing has established itself as a very use...

  11. Quantitative Measurements of the Decentration Distance of Four Kinds of Intraocular Lens

    Institute of Scientific and Technical Information of China (English)

    Bo Feng; Zhende Lin; Jianjing Li; Yonghua Li

    2004-01-01

    Purpose:To investigate a quantitative method to measure decentration distance(DD) and analyze the DD of four kinds of intraocular lenses (IOLs).Methods :The pseudophakic eye photos were taken under the slit lamp after the IOLs were implanted a year or longer. Then the images were inputted into a computer and the Photoshop software was applied to analyze the DD. Four kinds of IOLs were analyzed,including AcrySof MA60BM (11 eyes), Allergan SA40N (11 eyes), AcrySof SA60AT/SA30AL (5 eyes), Corneal Quattro (4 eyes).Results:The mean value of DD was (0.264 3±0.157 4)mm in the AcrySof MA60BM group,(0.353 6±0.171 9)mm in the Array SA40N group,(0.309 9±0.152 9)mm in the SA60AT/SA30AL group, and (0.326 1±0.187 7)mm in the Quattro group, The difference of the DD values among these 4 kinds of IOLs had no statistic significance (F=0.506,P=0.681) and the values were not equal to zero (t=10.508, P < 0.001). Conclusion:The Photoshop method is a simple and efficient way for DD analysis. The modern foldable posterior-chamber-IOLs have good centration performances when implanted into the capsular bags. Eye Science 2004;20:48-51.

  12. 有晶状体眼后房型人工晶状体植入和准分子激光原位角膜磨削术矫正超高度近视的临床评价%Evaluations of Extreme Myopia Correction with Phakic Posterior Chamber Intraocular Lens and Laser in Situ Keratomileusis

    Institute of Scientific and Technical Information of China (English)

    沈晔; 李毓敏; 王竞

    2004-01-01

    目的:比较和评价有晶状体眼后房型人工晶状体(Phakic Posterior Chamber Intraocular Lens,PPCIOL)植入和准分子激光原位角膜磨削术(Laserin situ Keratomileusis,Lasik)矫正高度近视的有效性、安全性和稳定性.方法:高度近视患者43例,随机分为PPCIOL组和Lasik组,分别行可植入接触镜(Implantable Contact Lens,ICL)植入术和Laisk,随访并比较两组有效性和安全性指数,两年屈光度回退≤2 D的生存率,低对比度视力和眩光视力的改变.结果:PPCIOL组术前平均等效球面屈光度(-16.77±3.37)D(-11.75~-25.75 D);Lasik组术前平均等效球镜度(-13.8±2.71)D(-9.37~-23.75 D).术后1个月两组有效性无统计学差异,PPCIOL组安全性指数高于Lasik组(P<0.001),2 a时屈光度回退率分别为0、32.56%(P<0.001),术后3个月低对比视力和眩光视力PPCIOL组较术前提高比Lasik组明显(P<0.001).PPCIOL组有1例2眼术后6个月时有晶状体前囊混浊,两组未见其他并发症.结论:有晶状体眼后房型人工晶状体植入矫正超高度近视有效,安全性和稳定性较Lasik更好,并能获得良好的视觉质量.

  13. Specific features of measuring the optical power of artificial refractive and diffractive-refractive eye lenses

    Science.gov (United States)

    Lenkova, G. A.

    2016-08-01

    Methods for monitoring the optical power of artificial refractive eye lenses (intraocular lenses) based on measuring focal lengths in air and in medium are analyzed. The methods for determining the refraction of diffractive-refractive lenses (in particular, of MIOL-Akkord type), with allowance for the specific features of the diffractive structure, are considered. A computer simulation of the measurement of the focal length of MIOL-Akkord lenses is performed. The effective optical power of the diffractive component of these lenses is shown to depend on the diaphragm diameter. The optimal diaphragm diameter, at which spherical aberrations do not affect the position of foci, is found to be 3 mm. Possible errors in measuring the focal lengths are analyzed, and the necessary corrections that must be introduced into measurement results and calculations of refractions are determined.

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

    Directory of Open Access Journals (Sweden)

    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

  15. Study on Titanium Nitride Film Modified for Intraocular Lens

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Objective:To study the characteristics of the intraocular lens using ion beam sputtering depositing titanium nitride thin film on the intraocular lens(IOLs).Methods:To deposite titanium nitride thin film on the top of intraocular lens by ion beam sputtering depositing.We analyzed the surface morphology of intraocular lens through SEM and AFM.We detected intraocular lens resolution through the measurement of intraocular lens.Biocompatibility of intraocular lens is preliminary evaluated in this test.Results:T...

  16. Comparison study of visual function and patient satisfaction in patients with monovision and patients with bilateral multifocal intraocular lenses%双眼植入多焦点人工晶状体与单眼视设计术后视功能及满意度的比较

    Institute of Scientific and Technical Information of China (English)

    穆晶; 陈晖; 李一壮

    2014-01-01

    multifocal intraocular lenses (IOL) and patients with monofocal IOL monovision.Methods Prospective nonrandomized controlled study.This study comprised consecutive bilateral cataract patients 45 cases(90eyes) between January 2011 and March 2012.All cases were divided into two groups:multifocal IOL group(23 patients) having implantation of AcrySof ReSTOR +3D(SN6AD1) multifocal IOL,monovision group(22 patients) having implantation of AcrySof IQ (SN60WF) IOL.Parameters analyzed 3 months postoperatively included binocular uncorrected distance,intermediate,and near visual acuities; stereo vision;photopic and mesopic contrast sensitivity function without glare.Parameters analyzed 6 months postoperatively included spectacle independence; subjective visual symptoms; and patient satisfaction.The independent-samples t test were used to compare the measure data which met normal distribution.The chisquare test was applied to compare categorical variables.Results There were no significant differences between groups in bilateral uncorrected distance vision(0.13 ±0.06,0.17 ±0.19;Z =1.755,P =0.086),intermediate(0.34-0.05,0.33 ±0.06;Z =-0.821,P =0.416),and near vision (0.35 ±0.06,0.41 ± 0.09 ;Z =2.117,P =0.051).There were significant differences between groups in stereo vision (Median:150",525" ;Z =-2.092,P =0.036).Percentage of patients wearing spectacle were less than 10% in all groups [91.3% (21/23),90.9% (20/22)].On the questionnaire,patients in multifocal IOL group complained with double vision,trouble in night vision and halo(21.7%).Conclusions Pseudophakic monovision and MIOL achieved distance vision,intermediate vision and near vision.But monovision was no risk for disturbing visual symptoms associated with multifocal IOL.

  17. Classification of intraocular lens and its intraocular biocompatibility%人工晶体分类及其在眼内的生物相容性

    Institute of Scientific and Technical Information of China (English)

    胡莉群

    2009-01-01

    目的:通过手术摘除自身浑浊晶体,植入人工晶体是治疗白内障的惟一有效措施.文章总结人工晶体材料的研究进展,为今后的临床应用和研究提供参考.方法:应用计算机检索1997/2009 Medline数据库、中国期刊网和万方数据库、SpringerLink数据库和ScienceDirect数据库.结果:共有25篇文章符合纳入标准.文章主要从人工晶体的发展现状、分类、生物相容性、人工晶体的并发症和发展趋势进行阐述.人工晶体按照硬度,可以分为硬质人工晶体和软性人工晶体.丙烯酸人工晶体比硅凝胶人工晶体的生物相容性更好.人工晶状体脱位是白内障摘除联合人工晶状体植入术后较常见的并发症之一.注入式人工晶体材料是今后研究的方向.结论:人工晶体植入眼内作为一种异物,机体对此产生反应是机体正常的防御现象.人工晶体材料和设计应充分的考虑人工晶体的生物相容性、术后视功能、调节功能、光保护等方面性能.保证术后的疗效和减少并发症的发生,使白内障患者获得更高质量的视力康复.%OBJECTIVE: The sole effective measure for cataract is replaced the epinephelos lens with intraocular lens. So, in this paper, we summarize the research process of intraocular lens, which can provide a reference for further study. METHODS: Medline, China Journal Net, Wanfang Data, SpringerLink, and ScienceDirect database were computer retrieved from 1997 to 2009. RESULTS: A total of 25 papers were included. All the papers were explained intraocular lens from the aspect of current situation, complication following implantation, and develop tendency. According to hardness, intraocular lens can be divided into hard intraocular lens and soft intraocular lens. Acrylic intraocular lenses showed better biocompatibility than the silicone intraocular lenses. In addition, the common complication following implantation was dislocation of lens. Therefore

  18. Clinical Analysis of Early and Mid-late Elevated Intraocular Pressure after Silicone Oil Injection

    Institute of Scientific and Technical Information of China (English)

    Lifei Wang; Jingjiang Liu; Tianxiang Lu

    2014-01-01

    Purpose:To discuss the incidence and clinical features of early and mid-late elevated intraocular pressure after pars plana vitrectomy and silicone oil injection, and to evaluate the clinical management of eyes with secondary glaucoma. Methods:.This was an observational consecutive case series of 691 eyes in 679 patients who were treated with pars plana vitrectomy and silicone injection...The diagnostic criteria of early elevated intraocular pressure after silicone oil injection was ≥21 mmHg two weeks after surgery, while mid-late ele-vated intraocular pressure was ≥21 mmHg after two weeks. The incidence and clinical management of elevated intraocular pressure were analyzed. Results: In total, 211 of 691 eyes (30.54%) developed ele-vated intraocular pressure two weeks after pars plana vitrecto my and silicone injection. Of the 211 eyes, 101 eyes (47.87%) had ocular inflammation, 64 eyes (30.33%) showed hyphema, 35 eyes(16.59%) had silicone oil in the anterior chamber, 6 eyes. (2.84% ).had excess silicone oil injected,.and 5 eyes (2.37%).had rubeosis irides. Eighty three of 691 eyes (12.01%). developed elevated intraocular pressure after two weeks..Of these 83 eyes, 25 eyes (30.12%) had rubeosis irides,.16 eyes (19.27%) had issues related to topic steroid therapy,.13 eyes . (15.66%).had a papillary block,.silicone oil in the anterior chamber,10 eyes (12.05%) had a silicone emulsion,.10 eyes (12.05% ).had peripheral anterior synchiae,.and 9 eyes (10.84%).had silicone oil in the anterior chamber..All eyes with elevated intraocular pressure were treated with antiglau-coma medications and surgeries. Conclusion:.The reasons for elevated intraocular pressure dif-fered between early and mid-late after pars plana vitrectomy and silicone oil injection. The elevated intraocular pressure can be controlled effectively by immediate diagnosis and proper treatment with medicine and operation.

  19. spark chamber

    CERN Multimedia

    A few cosmic rays pass through your body every second of every day, no matter where you are. Look at the spark chamber to your right – every flash is the track made by a cosmic ray from outer space. The spark chamber is filled with a special gas mixture. Cosmic rays knock electrons out of the atoms in the gas. These electrons accelerate towards high voltage metal strips layered throughout the chamber, creating sparks like little bolts of lightning.

  20. spark chamber

    CERN Multimedia

    A few cosmic rays pass through your body every second of every day, no matter where you are. Look at the spark chamber to your right – every flash is the track made by a cosmic ray from outer space. The spark chamber is filled with a special gas mixture. Cosmic rays knock electrons out of the atoms in the gas. These electrons accelerate towards high voltage metal strips layered throughout the chamber, creating sparks like little bolts of lightning.

  1. Small-Gauge Pars Plana Vitrectomy for the Management of Symptomatic Posterior Vitreous Detachment after Phacoemulsification and Multifocal Intraocular Lens Implantation: A Pilot Study from the Pan-American Collaborative Retina Study Group

    OpenAIRE

    Navarro, Rodrigo M.; Machado, Leonardo M.; Ossires Maia; Lihteh Wu; Farah, Michel E.; Octaviano Magalhaes; J Fernando Arevalo; Mauricio Maia

    2015-01-01

    Purpose. To determine the efficacy of 23-gauge pars plana vitrectomy (PPV) for symptomatic posterior vitreous detachment (PVD) on visual acuity (VA) and quality after multifocal intraocular lenses (IOLs). Methods. In this prospective case series, patients who developed symptomatic PVD and were not satisfied with visual quality due to floaters and halos after multifocal IOL implantation underwent PPV. Examinations included LogMAR uncorrected visual acuity (UCVA), intraocular pressure, biomicro...

  2. 有晶状体眼后房型人工晶状体植入矫正高度近视的中远期疗效评价%Mid-long term follow-up results in correction of extreme mvopia by posterior chamber phakic intraocular lens

    Institute of Scientific and Technical Information of China (English)

    周天安; 沈晔; 汪阳; 夏建华

    2012-01-01

    Objective To evaluate the mid-long term stability and safety of posterior chamber phakic intraocular lens (ICL) implantation for the correction of extreme myopia. Methods This retrospective study included 993 eyes of 498 patients received ICL implantation from June 1996 to December 2008.Multivariate analysis and variance analysis were used to evaluate the stability of the results and to identify risk factors of the complications. Results Successful implantation was achieved in all patients.Spherical equivalent(SE) was (16.23 ±4.12,mean ±SD) D before the operation and ( -0.92 ± 1.22) D at the last examination. Intraocular pressure was (13.58 ± 2.93) mm Hg( 1 mm Hg =0.133 kPa)preoperatively which was ( 13.90 ± 3.01 ) mm Hg at the last examination. There was no statistical significance in follow-up( t =0.44 ~1.30,P > 0.05 ).Endothelial cell density was (2858.21 ± 395.13 )/mm2 before the operation and (2567.19 ± 423.45 ) /mm2 at last examination.Pupillary block glaucoma occurred in 2 eyes (0.2% ) at two hours and 1 eye (0.1% ) at one month after the operation.Three eyes developed anterior cataracts between 6 months to 1 year after ICL implantation and another 2 eyes subcapsular opacification at semi-peripheral regions occurred 4 years after the operation,and was not related with age,SE and vaults (F=2.42,1.98,0.81,P>0.05). Macular puckers were found in 5 eyes (0.5%) 1 year postoperatively,including 2 eyes developed choroidal neovascularization and received PDT,best corrected visual acuity lost more than 2 lines.Retinal detachment occurred in 2 eyes at 1.5 years after the operation.Acute iritis happened in 1 eye (0.1% ) and chronic iritis in 1 eye (0.1% ) which combined with slight pupil distortion and elevation of intraocular pressure.Iris stroma atrophy and pupil distortion were found in 2 eyes (0.2% ).Conclusion Correction of high myopia by ICL implantation is a safe procedure and the results are stable.%目的 总结有晶状体眼后房

  3. Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children.

    Directory of Open Access Journals (Sweden)

    Martina Brandner

    Full Text Available To report outcome, complications and safety of retropupillary fixated iris-claw intraocular lenses in a pediatric population.Retrospective study.Ten consecutive pediatric patients (15 eyes underwent placement of retropupillary fixated iris-claw intraocular lenses between October 2007 and July 2013 at the Department of Ophthalmology, Medical University Graz and General Hospital Klagenfurt, Austria. Postoperative visual acuity and complications were analyzed.Median final best-corrected visual acuity improved by 0.12 logMAR from preoperative baseline. Mean postoperative spherical equivalent was -0.05 ± 1.76 D. No serious complications were observed intra- or postoperatively during the entire follow-up period of up to 40 months. One patient experienced a haptic disenclavation with IOL subluxation immediately after a car accident.Our study demonstrates that iris-claw intraocular lens implantation behind the iris is safe in children with lack of capsular support and yields excellent visual outcome with low complication rate.

  4. One Episode, Two Lenses

    Science.gov (United States)

    Drijvers, Paul; Godino, Juan D.; Font, Vicenc; Trouche, Luc

    2013-01-01

    A deep understanding of students' learning processes is one of the core challenges of research in mathematics education. To achieve this, different theoretical lenses are available. The question is how these different lenses compare and contrast, and how they can be coordinated and combined to provide a more comprehensive view on the topic of…

  5. [Intraocular Inflammation: Autoimmune or Infectious?].

    Science.gov (United States)

    Auw-Hädrich, C; Heinzelmann, S; Coupland, S

    2016-07-01

    Presentation of 3 cases of intraocular inflammation: 1. 47-year old female patient with severe necrotising scleritis and uveitis with underlying granulomatous polyangiitis (formerly known as Wegener granulomatosis, in honour of the German pathologist Friedrich Wegener), known for 10 years. 2. 48-year old male patient with longstanding bilateral uveitis and granulomatous polyangiitis for 2 years. In the histopathological examination of the enucleation specimen, a retrolental tumour turned out to be a granuloma. 3. 57-year old male patient in status post renal transplantation with intraocular cellular infiltration suspicious for lymphoma, which surprisingly proved to be Toxoplasma gondii-associated uveitis. The clinical course and characteristic histological signs and therapeutic options are discussed. PMID:27468098

  6. Ussing Chamber

    NARCIS (Netherlands)

    Westerhout, J.; Wortelboer, H.; Verhoeckx, K.

    2015-01-01

    The Ussing chamber system is named after the Danish zoologist Hans Ussing, who invented the device in the 1950s to measure the short-circuit current as an indicator of net ion transport taking place across frog skin (Ussing and Zerahn, Acta Physiol Scand 23:110-127, 1951). Ussing chambers are increa

  7. The Orphan Lenses Project

    Science.gov (United States)

    Moustakas, Leonidas A.; Brownstein, J.; Fadely, R.; Fassnacht, C. D.; Gavazzi, R.; Goodsall, T.; Griffith, R. L.; Keeton, C. R.; Kneib, J. P.; Koekemoer, A.; Koopmans, L. V. E.; Marshall, P. J.; Merten, J.; Metcalf, R. B.; Oguri, M.; Papovich, C.; Rein, H.; Ryan, R.; Stewart, K. R.; Treu, T.

    2012-01-01

    Strong gravitational lenses are uniquely suited for the study of dark matter structure and substructure within massive halos of many scales, act as gravitational telescopes for distant faint objects, and can give powerful and competitive cosmological constraints. Some 300 lenses have been identified in the literature in one form or another; many others have been found, but perhaps have not warranted dedicated publications. The Orphan Lenses project aims to be a master compilation of all strong gravitational lenses that are known, and a community repository for candidate lenses. A clear and uniform database of basic properties and gravitational lens models is being developed, which will be available online and through a smartphone interactive application. I will present the project, and scientific highlights with this dataset.

  8. Cosmology with Gravitational Lensing

    CERN Document Server

    Heavens, Alan

    2011-01-01

    In these lectures I give an overview of gravitational lensing, concentrating on theoretical aspects, including derivations of some of the important results. Topics covered include the determination of surface mass densities of intervening lenses, as well as the statistical analysis of distortions of galaxy images by general inhomogeneities (cosmic shear), both in 2D projection on the sky, and in 3D where source distance information is available. 3D mass reconstruction and the shear ratio test are also considered, and the sensitivity of observables to Dark Energy is used to show how its equation of state may be determined using weak lensing. Finally, the article considers the prospect of testing Einstein's General Relativity with weak lensing, exploiting the differences in growth rates of perturbations in different models.} \\abstract{In these lectures I give an overview of gravitational lensing, concentrating on theoretical aspects, including derivations of some of the important results. Topics covered include...

  9. 高度近视有晶状体眼后房型人工矫正晶状体植入术后视觉质量的临床评价%Clinical evaluation of visual quality following implantation of posterior chamber phakic intraocular corrective lens for high myopia

    Institute of Scientific and Technical Information of China (English)

    王松田; 郑广瑛; 李志刚; 王洁; 赵丽君; 王瑞娜

    2011-01-01

    Background Implantation of phakic posterior chamber intraocular corrective lens(ICL)is a new choice for correction of high myopia.Different from laser assisted in situ keratomileusis,implantation of phakic posterior chamber ICL will allow the good imaging quality because it remaines the matched relationship between cornea and lens.But its visual quality after operation is concerned by patient and ophthalmologists.ObjectiveThis study was to observe the effectiveness of implantation of posterior chamber phakic ICL on visual quality in patients with high myopia.Methods Eighty-four high myopia eyes of 42 patients accepted implantation of posterior chamber phakic ICL and follow-up of 6-month duration.The visual acuity,refractive status,wavefront,contrast sensitivity and accommodation were examined and compared before and after surgery.This clinical study complied with Declaration of Helsinki.The written informed consent was obtained from each patient before operation.Results A prospective observational trial design was used.The uncorrected visual acuity and best corrected visual acuity after operation were better than preoperative ones in all of the patients.The eye numbers of > 0.3 were increased after operation in comparison with before operation with a stable result among 1 day,1 month and 6 months after surgery (x2 =10.70,P>0.05).Spherical equivalent refraction was(-15.38 ± 1.03)D before surgery and(+0.55 ±0.06)at 1 day,(-1.22±0.09)D at 1 month and(-0.68 ± 0.06)D after 6 months,showing a significant difference among them(F=16 559.90,P<0.05).Total aberrations and higher-order aberrations were 11.00±0.25 and 0.43 ±0.05 before surgery,the wavefront aberrations were 2.21 ± 0.56 and 0.47±0.04 at 6 months after surgery with significant difference(t =1.65,P =0.10).Each spatial frequency contrast sensitivity and glare sensitivity on photopic and seotopie conditions in postoperation were higher compared with the preoperative(P<0.05).The accommodation in 1

  10. wire chamber

    CERN Multimedia

    Proportional multi-wire chamber. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle. Proportional wire chambers allow a much quicker reading than the optical or magnetoscriptive readout wire chambers.

  11. Modified Scleral Flap Incision to Reduce Corneal Astigmatisn after Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    YizhiLiu; ShaozhenLi

    1995-01-01

    Purpose:To investigate a simple method during extracapsular cataract extraction with posteior chamber intraocular lens implantation in order to reduce surgically induced corneal astig-matism.Methods:A modified scleral flap incision was used in the extracapsular cataract extraction with intraocular lens implantation and the postoperative changes in conreal astigmatism was observed.Results:The peak value of postoperative corneal astigmatism was3.60D,and the corneal astigmatism regression was 2.11D,surgically induced astigmatism was less significant in modified scleral flap incision group than that in convention-al limbal incison group(P<0.05).Conclusions:The modified scleral flap inciston is an ideal incision for cataract ex-traction with intraocular lens implantation when phacoemulsifier is not avaliable.Eye Science1995;11:136-139.

  12. Anterior chamber flare after trabeculectomy and after phacoemulsification

    OpenAIRE

    Siriwardena, D; Kotecha, A; Minassian, D; Dart, J.; KHAW, P.

    2000-01-01

    AIMS—To evaluate and compare prospectively the anterior chamber inflammatory response after phacoemulsification cataract surgery and after trabeculectomy with peripheral iridectomy.
METHODS—Anterior chamber inflammation was measured using the Kowa FM-500 laser flare meter in 131 patients undergoing trabeculectomy and 148 patients undergoing phacoemulsification cataract extraction with intraocular lens implantation. Flare was measured before surgery and on each postoperative visit up to 12 mon...

  13. wire chamber

    CERN Multimedia

    1967-01-01

    Magnetoscriptive readout wire chamber.Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  14. Vacuum chamber

    International Nuclear Information System (INIS)

    A detailed description is given of the vacuum chamber of the so-called experimental equipment DEMAS (double-arm-time-of-flight spectrometer) at the heavy ion accelerator U-400 at the JINR-Dubna. (author)

  15. Effects of systemic domestic recombinant human erythropoietin on HIF-1α expression in the retina in a rabbit model of acute high intraocular pressure

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Objective To observe the expression of hypoxia inducible factor-1α (HIF-1α) in the retina of rabbits with acute high intraocular pressure and to investigate the mechanism of systemic domestic recombinant human erythropoietin (rhEPO) protecting the retina from ischemia-reperfusion injury. Methods First,control group and model group were established in rabbit eyes. The acute high intraocular pressure model was established by saline perfusion into anterior chamber,and then hypodermic injection of domestic rhEP...

  16. Gravitational lensing of quasars

    CERN Document Server

    Eigenbrod, Alexander

    2013-01-01

    The universe, in all its richness, diversity and complexity, is populated by a myriad of intriguing celestial objects. Among the most exotic of them are gravitationally lensed quasars. A quasar is an extremely bright nucleus of a galaxy, and when such an object is gravitationally lensed, multiple images of the quasar are produced – this phenomenon of cosmic mirage can provide invaluable insights on burning questions, such as the nature of dark matter and dark energy. After presenting the basics of modern cosmology, the book describes active galactic nuclei, the theory of gravitational lensing, and presents a particular numerical technique to improve the resolution of astronomical data. The book then enters the heart of the subject with the description of important applications of gravitational lensing of quasars, such as the measurement of the famous Hubble constant, the determination of the dark matter distribution in galaxies, and the observation of the mysterious inner parts of quasars with much higher r...

  17. Intraocular lens with accommodation capacity

    OpenAIRE

    Dorronsoro, Carlos; Alejandre, Nicolás; Bekesi, Nandor; Marcos, Susana

    2014-01-01

    Intraocular lens with accommodation capacity comprising a first optical member (1) having a dynamic optical power, to which a second optical member (2) with a fixed optical power is affixed, in such a manner that at least a central part of each of one of one of the curved surfaces (2a, 2b) of the second optical member (2) and of at least one of the surfaces (1a, 1b) of the first optical member (1) are in contact with each other, the second optical member (2) and the first optical member (1) p...

  18. Experimentally observe the effect of spherical aberration on diffractive intraocular lens using adaptive optics

    Science.gov (United States)

    Guo, Huanqing; DeLestrange, Elie

    2015-03-01

    We first investigated the similarity in optical quality of a batch of diffractive intraocular lenses (DIOLs), providing experimental evidence for one DIOL as representative of a batch. Using adaptive optics, we then evaluated one DIOL under different levels of Zernike spherical aberration (SA) by applying both a point spread function test and a psychophysical visual acuity test. We found that for small aperture size SA has the effect of shifting the through-focus curve of DIOL. Also, for a relatively large aperture size, it has different effects on the distant and near foci.

  19. Surgical management of spontaneous in-the-bag intraocular lens and capsular tension ring complex dislocation

    Directory of Open Access Journals (Sweden)

    Uzeyir Gunenc

    2014-01-01

    Full Text Available We describe a technique to manage late spontaneous intraocular lens (IOL and capsular tension ring (CTR dislocation within the intact capsular bag. The subluxated IOL and CTR complex can be positioned in a closed chamber and fixed to the pars plana at both 3 and 9 o′clock quadrants with the presented ab externo direct scleral suturation technique which provides an easy, safe and effective surgical option for such cases.

  20. Weak Gravitational Lensing

    Science.gov (United States)

    Pires, Sandrine; Starck, Jean-Luc; Leonard, Adrienne; Réfrégier, Alexandre

    2012-03-01

    This chapter reviews the data mining methods recently developed to solve standard data problems in weak gravitational lensing. We detail the different steps of the weak lensing data analysis along with the different techniques dedicated to these applications. An overview of the different techniques currently used will be given along with future prospects. Until about 30 years ago, astronomers thought that the Universe was composed almost entirely of ordinary matter: protons, neutrons, electrons, and atoms. The field of weak lensing has been motivated by the observations made in the last decades showing that visible matter represents only about 4-5% of the Universe (see Figure 14.1). Currently, the majority of the Universe is thought to be dark, that is, does not emit electromagnetic radiation. The Universe is thought to be mostly composed of an invisible, pressure less matter - potentially relic from higher energy theories - called "dark matter" (20-21%) and by an even more mysterious term, described in Einstein equations as a vacuum energy density, called "dark energy" (70%). This "dark" Universe is not well described or even understood; its presence is inferred indirectly from its gravitational effects, both on the motions of astronomical objects and on light propagation. So this point could be the next breakthrough in cosmology. Today's cosmology is based on a cosmological model that contains various parameters that need to be determined precisely, such as the matter density parameter Omega_m or the dark energy density parameter Omega_lambda. Weak gravitational lensing is believed to be the most promising tool to understand the nature of dark matter and to constrain the cosmological parameters used to describe the Universe because it provides a method to directly map the distribution of dark matter (see [1,6,60,63,70]). From this dark matter distribution, the nature of dark matter can be better understood and better constraints can be placed on dark energy

  1. wire chamber

    CERN Multimedia

    Was used in ISR (Intersecting Storage Ring) split field magnet experiment. Multi-wire detectors contain layers of positively and negatively charged wires enclosed in a chamber full of gas. A charged particle passing through the chamber knocks negatively charged electrons out of atoms in the gas, leaving behind positive ions. The electrons are pulled towards the positively charged wires. They collide with other atoms on the way, producing an avalanche of electrons and ions. The movement of these electrons and ions induces an electric pulse in the wires which is collected by fast electronics. The size of the pulse is proportional to the energy loss of the original particle.

  2. Robert Chambers

    NARCIS (Netherlands)

    K. Biekart (Kees); D.R. Gasper (Des)

    2013-01-01

    textabstractProfessor Robert Chambers is a Research Associate at the Institute of Development Studies (IDS), University of Sussex (Brighton, UK), where he has been based for the last 40 years, including as Professorial Research Fellow. He became involved in the field of development management in the

  3. Carbachol as miotic agent in intra-ocular lens implant surgery

    Directory of Open Access Journals (Sweden)

    Agarwal Jitendra

    1988-01-01

    Full Text Available The intra cameral use of 0.025% carbachol as a miotic agent in anterior chamber intraocular lens im-plant surgery us reported in 15 cases. Carbachol produced prompt and effective moisis and was found to be harmless and non-irritating to the anterior chamber structures. A rebound dialatation of the pipit was noticed in the post operative period in 3 of our first 5 cases where only carbachol was used. For prolonged miosis instillation of a more powerful miotic like pilocarpine is recommended at the completion of surgery:

  4. Ultrasound Biomicroscopy of Iris-claw Phakic Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    Ayong Yu; Zhende Lin; Xiaoyu Cai; Xiuqi Chen; Shuke Luo; Yonghua Li

    2006-01-01

    Purpose: To study in situ the intraocular position of iris-claw phakic intraocular lens (ICPIOL) in myopic eyes using ultrasound biomicroscopy (UBM).Methods: UBM echograms of the anterior segment were taken preoperatively and 62to 115 days postoperatively in 6 eyes implanted with the Verisys ICPIOL (AMO). The echograms were assessed for the effect of the ICPIOL on iris tissue.Results: The preoperative distance between the corneal endothelium and the lens ranged from 2.96 to 3.09 mm, and the postoperative distance between the ICPIOL and the corneal endothelium, from 1.86 to 2.03 mm. The distance between the lens and the posterior surface of the ICPIOL ranged from 0.61 to 0.76 mm. The distance between the superior, inferior optic edge and the iris ranged from 0.49 to 1.00 mm,0.21 to 0.51 mm respectively. The shortest distance between the ICPIOL haptics and the angle of anterior chamber ranged from 1.25 to 1.65 mm. The indentation of iris tissue by the ICPIOL haptics without pigmentary dispersion and distortion of posterior curvature of iris was observed.Conclusion: Adequate space is maintained between the Verisyse myopic ICPIOL and the corneal endothelium, angle, and crystalline lens. Haptic indentation of the iris without pigment erosion and distortion of iris curvature is noted. The ICPIOL implanted in phakic eyes is a safe alternative for treatment of high myopia.

  5. Toric intraocular lens orientation and residual refractive astigmatism: an analysis

    Directory of Open Access Journals (Sweden)

    Potvin R

    2016-09-01

    Full Text Available Rick Potvin,1 Brent A Kramer,2 David R Hardten,3 John P Berdahl4 1Science in Vision, Akron, NY, 2University of Iowa Carver College of Medicine, Iowa City, IA, 3Minnesota Eye Consultants, Minnetonka, MN, 4Vance Thompson Vision, Sioux Falls, SD, USA Purpose: To analyze intraocular lens (IOL orientation data from an online toric back-calculator (astigmatismfix.com for determining if differences were apparent by lens type.Methods: A retrospective review of astigmatismfix.com toric back-calculations that included IOL identification and intended orientation axis.Results: Of 12,812 total validated calculation records, 8,229 included intended orientation and lens identification data. Of the latter, 5,674 calculations (69% involved lenses oriented 5° or more from their intended position. Using estimated toric lens usage data, the percentage of lenses with orientation ≥5° from intended was 0.89% overall, but the percentage varied significantly between specific toric lens brands (P<0.05. The percentage of back-calculations related to lenses that were not oriented as intended was also statistically significantly different by lens brand (P<0.05. When IOLs were misoriented, they were significantly more likely to be misoriented in a counterclockwise direction (P<0.05. This was found to be due to a bias toward counterclockwise orientation observed with one specific brand, a bias that was not observed with the other three brands analyzed here.Conclusion: The percentage of eyes with lens orientation ≥5° from intended in the Toric Results Analyzer data set was <1% of toric IOLs in general, with the relative percentage of Tecnis® Toric IOLs significantly higher than AcrySof® Toric IOLs. Both of these had higher rates than the Staar® Toric and Trulign® Toric lenses, with the availability of higher Tecnis and AcrySof cylinder powers a likely contributing factor. The AcrySof Toric IOL appears to be less likely than the Tecnis Toric IOL to cause residual

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

    Energy Technology Data Exchange (ETDEWEB)

    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

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

    Science.gov (United States)

    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

  8. Cytomegalovirus retinitis mimicking intraocular lymphoma

    Directory of Open Access Journals (Sweden)

    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

  9. Gravitational Lensing & Stellar Dynamics

    CERN Document Server

    Koopmans, L V E

    2005-01-01

    Strong gravitational lensing and stellar dynamics provide two complementary and orthogonal constraints on the density profiles of galaxies. Based on spherically symmetric, scale-free, mass models, it is shown that the combination of both techniques is powerful in breaking the mass-sheet and mass-anisotropy degeneracies. Second, observational results are presented from the Lenses Structure & Dynamics (LSD) Survey and the Sloan Lens ACS (SLACS) Survey collaborations to illustrate this new methodology in constraining the dark and stellar density profiles, and mass structure, of early-type galaxies to redshifts of unity.

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

    Directory of Open Access Journals (Sweden)

    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.

  11. Weak and Strong Lensing Statistics

    OpenAIRE

    Straumann, Norbert

    2001-01-01

    After a brief introduction to gravitational lensing theory, a rough overview of the types of gravitational lensing statistics that have been performed so far will be given. I shall then concentrate on recent results of galaxy-galaxy lensing, which indicate that galactic halos extend much further than can be probed via rotation of stars and gas.

  12. Clinical study of customized aspherical intraocular lens implants

    Institute of Scientific and Technical Information of China (English)

    Lie-Xi; Jia; Zhao-Hui; Li

    2014-01-01

    AIM:To compare if there is an improvement in visual functions with age-related cataracts between patients receiving a aspherical intraocular lens(IOL) based on corneal wavefront aberration and patients randomly assigned lenses.METHODS:A total of 124 eyes of 124 patients with age-related cataracts were placed in experimental group and a group receiving randomly assigned(RA) lenses.The experimental group was undergone Pentacam corneal spherical aberration measurement before surgery; the targeted range for residual total spherical aberration after surgery was set to 0-0.3 μm. Patients with a corneal spherical aberration <0.3 μm were implanted with a zero-spherical aberration advanced optics(AO) aspherical IOL and patients with an aberration ≥0.3 μm received a Tecnis Z9003 aspherical lens in experimental group. RA patients were randomly implanted with an AO lens or a Tecnis Z9003 lens. Three months after surgery total spherical aberration, photopic/mesopic contrast sensitivities, photopic/mesopic with glare contrast sensitivities, and logMAR vision were measured.RESULTS:Statistical analysis on logMAR vision showed no significant difference between two groups(P =0.413). The post-surgical total spherical aberration was 0.126 ±0.097 μm and 0.152 ±0.151 μm in the experimental and RA groups, respectively(P =0.12). The mesopic contrast sensitivities at spatial frequencies of 6,12 and 18 c/d in the experimental group were significantly higher than of the RA group(P =0.00; P =0.04;P =0.02). The mesopic with glare contrast sensitivity in the experimental group at a spatial frequency of 18 c/d was also significantly higher vs the RA group(P =0.01).CONCLUSION:Pre-surgical corneal spherical aberration measurement in cataract patients followed bycustomized selection of aspherical IOL implants improved mesopic contrast sensitivities at high spatial frequencies, and thus is a superior strategy compared to the random selection of aspherical intraocular lens implants.

  13. Posterior Chamber Hemorrhage during Fluorescein Angiography

    Directory of Open Access Journals (Sweden)

    Manuel A. P. Vilela

    2015-01-01

    Full Text Available This paper provides the first reported case of acute posterior chamber hemorrhage during fluorescein angiography (FA. This is a case review with serial color photographs of the anterior segment. A 76-year-old male was referred for angiographic control of age-related macular degeneration. He was pseudophakic OU, BCVA 20/40 OU. He had mild hypertension, but not diabetes. He had had two previous angiograms without adverse effects. Difficulty was experienced in obtaining the images owing to a progressive reduction in the transparency of the media. A dense hemorrhage in the posterior chamber of the right eye was found, involving the visual axis. Thorough biomicroscopy, gonioscopy, and ultrasonic biomicroscopy showed that part of one of the haptics of the right intraocular lens (IOL was touching and tearing the posterior face of the iris, without any visible synechiae, iris, or angle neovascularization. Anterior segment FA and posterior ultrasonography were normal. No similar case has been described in the literature involving dense progressive bleeding located in the capsular bag and posterior chamber, without any detectable triggering ocular event other than mydriasis and fluorescein injection. Contact of the iris or sulcus with part of the intraocular lens, aggravated by the intense use of mydriatics during the FA procedure, probably caused bleeding to happen.

  14. Intraocular cilia associated with perforating injury

    Directory of Open Access Journals (Sweden)

    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.

  15. Personal radon dosimetry from eyeglass lenses.

    Science.gov (United States)

    Fleischer, R L; Meyer, N R; Hadley, S A; MacDonald, J; Cavallo, A

    2001-01-01

    Eyeglass lenses are commonly composed of allyl-diglycol carbonate (CR-39), an alpha-particle detecting plastic, thus making such lenses personal radon dosemeters. Samples of such lenses have been obtained, etched to reveal that radon and radon progeny alpha tracks can be seen in abundance, and sensitivities have been calibrated in radon chambers as a primary calibration, and with a uranium-based source of alpha particles as a convenient secondary standard. With one exception natural, environmental (fossil) track densities ranged from less than 3,000 to nearly 70,000 per cm2 for eyeglasses that had been worn for various times from one to nearly five years. Average radon concentrations to which those wearers were exposed are inferred to be in the range 14 to 130 Bq x m(-3) (0.4 to 3.5 pCi x l(-1)). A protocol for consistent, meaningful readout is derived and used. In the exceptional case the fossil track density was 1,780,000 cm(-2) and the inferred (24 h) average radon concentration was 6500 Bq x m(-3) (175 pCi x l(-1)) for a worker at an inactive uranium mine that is used for therapy.

  16. 三种非球面单焦点丙烯酸酯人工晶状体植入术后视觉质量的临床观察%Clinical observation on visual function in patients implanted three kinds of aspheric acrylic monofocal intraocular lenses

    Institute of Scientific and Technical Information of China (English)

    冀海轮; 肖伟; 赵芳; 赵岱新; 濮伟

    2013-01-01

    Objective To evaluate best corrected visual acuity(BCVA) and contrast sensitivity(CS) under photopic condition with no glare in patients following implantation of three different kinds of aspheric acrylic monofocal intraocular lens. Methods 77 cases(90 eyes) of age-related cataract patients were selected,who were undergone phacoemulsification and intraocular lens(IOL) implantation in our hospital during December 2011 to November 2012. Preoperatively, the patients were randomly divided into three groups. Group 1 including 30 eyes(25 cases) were implanted with hydrophobic yellow-tinted acrylic IOLs; Group 2(30 eyes of 28 cases) with hydrophilic acrylic IOLs;Group 3(30 eyes of 24 cases) with hydrophilic acrylic surface heparin processing IOLs. All eyes were evaluated at 1 month and 3 months postoperatively. The BCVA and CS under photopic condition without glare were measured and underwent statistical analysis. Results There was neither statistically significant difference in the BCVA(P>0.05), nor statistically significant difference in contrast sensitivity results (after standardization of contrast sensitivity value: lgCS)(P>0.05) between groups. Conclusions There were not marked differences of BCVA and CS between groups of patients at the follow-up intervals of 1 month and 3 months. The blue-filter type artificial lens protect the retina, thus, it is advisable to implant yellow-tinted filter blue artificial lens.%目的:研究三种非球面丙烯酸酯人工晶状体植入术后患者在最佳矫正视力及明视下对比敏感度(contrast sensitivity,CS)的变化,评价白内障超声乳化联合单焦点非球面丙烯酸酯人工晶状体植入术后患者的视觉质量。方法选择2011年12月至2012年11月期间于我院行白内障超声乳化吸除联合人工晶状体植入术的年龄相关性白内障患者77例(90眼)。术前将患者随机分成三组:A组(25例,30眼)植入疏水性染黄色

  17. Gold Nanoslit Lenses

    OpenAIRE

    Ishii, Satoshi; Kildishev, Alexander V.; Shalaev, Vladimir M.; Chen, Kuo-Ping; Drachev, Vladimir P.

    2011-01-01

    We experimentally demonstrate the focusing properties of arrays of parallel subwavelength-wide nanoslits in a gold film. The lenses are designed to focus either TM- or TE-polarized light and diverge the light of the orthogonal polarization. (C) 2010 Optical Society of America

  18. Posterior capsular opacification: Incidence and factors influencing and rate of Nd:YAG capsulotomy in diabetic and uveitic patients and after multifocal intraocular lens implantation.

    OpenAIRE

    Elgohary, M A

    2005-01-01

    This thesis examined the incidence and factors affecting the rate of posterior capsular opacification (PCX)), the most common complication of cataract surgery, in diabetic and uvcitic patients and in patients with multifocal intraocular lenses (IOLs). These patients arc particularly sensitive to PCO development because of the risks associated with Nd:YAG capsulotomy in the former two groups and the potential effect on visual function in the latter group. PCO rate was estimated both retrospect...

  19. Learning unit: Thin lenses

    Science.gov (United States)

    Nita, L.-S.

    2012-04-01

    Learning unit: Thin lenses "Why objects seen through lenses are sometimes upright and sometimes reversed" Nita Laura Simona National College of Arts and Crafts "Constantin Brancusi", Craiova, Romania 1. GEOMETRIC OPTICS. 13 hours Introduction (models, axioms, principles, conventions) 1. Thin lenses (Types of lenses. Defining elements. Path of light rays through lenses. Image formation. Required physical quantities. Lens formulas). 2. Lens systems (Non-collated lenses. Focalless systems). 3. Human eye (Functioning as an optical system. Sight defects and their corrections). 4. Optical instruments (Characteristics exemplified by a magnifying glass. Paths of light rays through a simplified photo camera. Path of light rays through a classical microscope) (Physics curriculum for the IXth grade/ 2011). This scenario exposes a learning unit based on experimental sequences (defining specific competencies), as a succession of lessons started by noticing a problem whose solution assumes the setup of an experiment under laboratory conditions. Progressive learning of theme objectives are realised with sequential experimental steps. The central cognitive process is the induction or the generalization (development of new knowledge based on observation of examples or counterexamples of the concept to be learnt). Pupil interest in theme objectives is triggered by problem-situations, for example: "In order to better see small objects I need a magnifying glass. But when using a magnifier, small object images are sometimes seen upright and sometimes seen reversed!" Along the way, pupils' reasoning will converge to the idea: "The image of an object through a lens depends on the relative distances among object, lens, and observer". Associated learning model: EXPERIMENT Specific competencies: derived from the experiment model, in agreement with the following learning unit steps I. Evoking - Anticipation: Size of the problem, formulation of hypotheses and planning of experiment. II

  20. Biopsy techniques for intraocular tumors

    Directory of Open Access Journals (Sweden)

    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.

  1. Biopsy techniques for intraocular tumors.

    Science.gov (United States)

    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

  2. Pulsar lensing geometry

    CERN Document Server

    Liu, Siqi; Macquart, J-P; Brisken, Walter; Deller, Adam

    2015-01-01

    Our analysis of archival VLBI data of PSR 0834+06 revealed that its scintillation properties can be precisely modelled using the inclined sheet model (Pen & Levin 2014), resulting in two distinct lens planes. These data strongly favour the grazing sheet model over turbulence as the primary source of pulsar scattering. This model can reproduce the parameters of the observed diffractive scintillation with an accuracy at the percent level. Comparison with new VLBI proper motion results in a direct measure of the ionized ISM screen transverse velocity. The results are consistent with ISM velocities local to the PSR 0834+06 sight-line (through the Galaxy). The simple 1D structure of the lenses opens up the possibility of using interstellar lenses as precision probes for pulsar lens mapping, precision transverse motions in the ISM, and new opportunities for removing scattering to improve pulsar timing. We describe the parameters and observables of this double screen system. While relative screen distances can i...

  3. Closure of a persistent cyclodialysis cleft using the haptics of a normal-sized intraocular lens.

    Science.gov (United States)

    Shentu, Xingchao; Zhu, Yanan; Tang, Yelei

    2011-11-01

    A 50-year-old man suffering from hypotony in the right eye caused by a traumatic cyclodialysis and complicated by a choroidal detachment and cataract was treated in our clinic. After an unsuccessful direct cyclopexy, phacoemulsification was performed and a normal-sized single-piece polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) was inserted into the ciliary sulcus, with the haptic rotated toward the cyclodialysis cleft. Postoperatively, the corrected visual acuity improved to 20/20, and the intraocular pressure returned to normal. Ultrasound biomicroscopy showed the closure of the cleft. Phacoemulsification with a normal-sized PMMA PCIOL inserted into the ciliary sulcus is a safe, effective and technically simple surgical treatment for small cyclodialysis induced hypotony complicated by cataract. Internal compression of the cleft by the haptic of a normal sized IOL along with postoperative inflammation led to scarring and closure of the cleft.

  4. Implantation of iris-claw Artisan intraocular lens for aphakia in Fuchs′ heterochromic iridocyclitis

    Directory of Open Access Journals (Sweden)

    Ahmad Kheirkhah

    2014-01-01

    Full Text Available Implantation of iris-claw Artisan intraocular lens (IOL is a surgical option for correction of aphakia; however, these IOLs have not been used in eyes with uveitis including Fuchs′ heterochromic iridocyclitis (FHI due to possible risk of severe postoperative intraocular inflammation. In the case reported here, we secondarily implanted an Artisan IOL in a 28-year-old man with FHI who had aphakia with no capsular support due to a previous complicated cataract surgery. Enclavation was easily performed and no intraoperative complication was noted. Postoperative course was uneventful with no significant anterior chamber inflammation during 12 months of follow-up. Although there were few deposits on the IOL surface, the patient achieved a best-corrected visual acuity of 20/20 without developing glaucoma or other complications. Therefore, Artisan IOL may be considered for correction of aphakia in patients with FHI. However, studies on large number of patients are required to evaluate safety of the procedure.

  5. Gravitational lensing by wormholes

    OpenAIRE

    Dey, Tushar Kanti; Sen, Surajit

    2008-01-01

    We have investigated the gravitational lensing by two wormholes, viz., Janis-Newman-Winnicour (JNW) wormhole and Ellis wormhole. The deflection angle in the strong field limit is calculated and various lens parameters of two wormholes are compared. It is shown that the JNW wormhole exhibits the relativistic images, while the Ellis wormhole does not have any relativistic images due to the absence of its photon sphere.

  6. Evaluation of visual acuity under different contrasts and luminances in eyes implanted with aspheric multifocal intraocular lenses%非球面多焦点人工晶状体植入眼不同背景亮度及不同对比度视功能观察

    Institute of Scientific and Technical Information of China (English)

    赵银莹; 李军花; 常平骏; 赵云娥

    2010-01-01

    目的 分析非球面多焦点人工晶状体(MIOL)[ReSTOR MIOL(SN6AD3)]植入眼在不同背景亮度不同对比度下的视功能.方法 采用前瞻性研究.2009年2月至2009年7月行白内障超声乳化吸除并植入SN6AD3且随访资料完整的病例26例(42眼),术后6个月在最佳远矫正状态下,采用多功能电子视力测量仪(MFVA-100)测试不同背景亮度(250、85、25 cd/m2)下不同对比度(100%、25%、10%、5%)视标的LogMAR视力.采用Dunnett's T3多重比较法对所得视力进行统计分析.结果 在250 cd/m2背景亮度下,不同对比度(100%、25%、10%、5%)视力平均值分别为0.01、0.23、0.40、0.62;85 cd/m2背景亮度下为0.02、0.26、0.46、0.74;25 cd/m2背景亮度下为0.08、0.32、0.49、0.63;在这3种背景亮度下,视力随着对比度下降而下降,差异有统计学意义(P均<0.05).同一对比度视标,不同背景亮度(250、85、25 cd/m2)下的视力采用Dunnett's T3多重比较法分析,结果示差异无统计学意义(P均>0.05).结论 植入非球面ReSTOR MIOL(SN6AD3)患者无论在高亮(250 cd/m2)、标准(85 cd/m2)、中间(25 cd/m2)背景亮度下均可获得满意的视力.视标的对比度对视力的影响较背景亮度更大.%Objective To evaluate the differences in contrast visual acuity (VA) under different background illuminations in patients who had been implanted with the ReSTOR aspheric multifocal intraocular lens (MIOL)(SN6AD3). Methods This was a prospective study. Forty-two eyes of 26 patients who had received ReSTOR MIOL (SN6AD3) implantation after cataract extraction were enrolled. Six months postoperatively, best corrected distance VA was measured at 4 contrast levels (100%, 25%, 10%, 5%) under 3 background illumination levels (250 cd/m2, 85 cd/m2, 25 cd/m2)using a multi-functional visual acuity tester (MFVA-100). Dunnett's T3 multiple comparison was used for statistical anaylysis. Results The mean VA at the 4 contrast levels (100%, 25%, 10%, 5%)under 250 cd

  7. Anterior chamber gas bubbles in open globe injury.

    Science.gov (United States)

    Barnard, E B G; Baxter, D; Blanch, R

    2013-01-01

    We present a case of a 40-year-old soldier who was in close proximity to the detonation of an improvised explosive device (IED). Bubbles of gas were visible within the anterior chamber of his left eye. The authors propose that intraocular gas, present acutely after trauma, is diagnostic of open globe injury and is of particular importance in remote military environments. PMID:24079202

  8. Linguatula serrata in the anterior chamber of the eye

    Directory of Open Access Journals (Sweden)

    Muna Bhende

    2014-01-01

    Full Text Available We report a case of intraocular Linguatula in healthy young female who presented with a history of trivial trauma, dislocated lens, inflammation and secondary glaucoma. A mobile worm was seen in the anterior chamber. Pars plana lensectomy and vitrectomy was planned to remove both the cataractous lens and the parasite during which the worm disappeared from view but was later recovered from the cassette fluid. It was identified as the nymphal form of Linguatula serrata (tongue worm.

  9. Noiseless Gravitational Lensing Simulations

    CERN Document Server

    Angulo, Raul E; Hilbert, Stefan; Abel, Tom

    2013-01-01

    The microphysical properties of the DM particle can, in principle, be constrained by the properties and abundance of substructures in DM halos, as measured through strong gravitational lensing. Unfortunately, there is a lack of accurate theoretical predictions for the lensing signal of substructures, mainly because of the discreteness noise inherent to N-body simulations. Here we present Recursive-TCM, a method that is able to provide lensing predictions with an arbitrarily low discreteness noise, without any free parameters or smoothing scale. This solution is based on a novel way of interpreting the results of N-body simulations, where particles simply trace the evolution and distortion of Lagrangian phase-space volume elements. We discuss the advantages of this method over the widely used cloud-in-cells and adaptive-kernel smoothing density estimators. Applying the new method to a cluster-sized DM halo simulated in warm and cold DM scenarios, we show how the expected differences in their substructure popul...

  10. Phakic Pattern Pseudoexfoliation Material Accumulation on Intraocular Lens Surface

    Directory of Open Access Journals (Sweden)

    Emre Güler

    2014-03-01

    Full Text Available Pseudophakic pseudoexfoliation is the accumulation of pseudoexfoliation material on the intraocular lens. Most of the cases have showed scattered flecks of pseudoexfoliation material on the surface of the intraocular lens. However, the phakic pattern consisting of classic three-zone on the intraocular lens is rarely observed. In this case report, we describe a phakic pattern pseudoexfoliation material on the intraocular lens surface 8 years after cataract extraction. (Turk J Ophthalmol 2014; 44: 156-7

  11. Phakic Pattern Pseudoexfoliation Material Accumulation on Intraocular Lens Surface

    OpenAIRE

    Emre Güler; Aylin Tenlik; Tuba Kara Akyüz

    2014-01-01

    Pseudophakic pseudoexfoliation is the accumulation of pseudoexfoliation material on the intraocular lens. Most of the cases have showed scattered flecks of pseudoexfoliation material on the surface of the intraocular lens. However, the phakic pattern consisting of classic three-zone on the intraocular lens is rarely observed. In this case report, we describe a phakic pattern pseudoexfoliation material on the intraocular lens surface 8 years after cataract extraction. (Turk J Ophthalm...

  12. Comparison between OPD-scan results and contrast sensitivity of three intraocular lenses: spheric AcrySof SN60AT, aspheric AcrySof SN60WF and multifocal AcrySof Restor lens Estudo comparativo da análise de frente de onda e sensibilidade ao contraste entre as lentes intra-oculares multifocal AcrySof Restor SN60D3, monofocal AcrySof SN60WF asférica e a monofocal SN60AT esférica

    Directory of Open Access Journals (Sweden)

    Celso Takashi Nakano

    2009-08-01

    ção com implantes de lentes intraoculares AcrySof SN60D3 multifocal, AcrySof SN60WF monofocal asférica e AcrySof SA60AT monofocal esférica. Métodos: Trinta e dois olhos com a lente intraocular multifocal, 32 olhos com a lente intraocular monofocal asférica e 32 olhos com a lente intraocular monofocal esférica. A avaliação oftalmológica foi realizada no primeiro, terceiro, sétimo, e nonagésimo dia pós-operatório. Todos os exames foram padronizados, realizada por um único examinador sob condições controladas de luminosidade fotópicas estabelecidas em 85 cd/m², medida por meio de tabelas de ETDRS, sensibilidade ao contraste e análise de aberrometria com OPD-Scan. Resultados: As médias de aberração total foi superior no grupo SN60AT (KW = 9.42; p=0.009 quando comparada com o grupo SN60D3 (p=0.016 e o grupo SN60WF (p=0.0047. O grupo SN60AT (KW = 16.20; p=0.0003 apresentou superioridade nas medias de aberração esférica comparada com o grupo SN60WF (p=0.00046 e o grupo SN60D3 (p=0.0014. Nenhuma diferença significante foi encontrada na acuidade visual para longe com e sem correção óptica com a tabela de ETDRS a 100% e 9% de contraste. O grupo SN60D3 comparada a SN60AT (p=0.016 apresentou baixa sensibilidade ao contraste em condições fotópicas com diferença estatística a 6.0 cpg (KW = 7.84; p=0.0199, mas sem diferença estatística entre os grupos SN60WF e SN60AT (p=0.91 e entre os grupos SN60WF e SN60D3 (p=0.051. O grupo SN60D3 apresentou baixa sensibilidade ao contraste em condições mesópicas (KW = 10.79; p=0,0045 a 6cpg quando comparada com o grupos SN60AT (p=0.011 e SN60WF (p=0.007. Conclusão: As lentes intraoculares multifocais e asféricas apresentaram menos aberração esférica quando comparadas à lente intraocular esférica, além da prevista multifocalidade sem correção para longe e perto. Entretanto, o grupo multifocal apresentou baixa sensibilidade ao contraste.

  13. 21 CFR 886.4300 - Intraocular lens guide.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraocular lens guide. 886.4300 Section 886.4300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES OPHTHALMIC DEVICES Surgical Devices § 886.4300 Intraocular lens guide. (a) Identification. An intraocular lens guide is a device...

  14. Clinical observation on visual quality in patients implanted with monofocal and multifocal aspheric intraocular lenses%多焦点与单焦点非球面人工晶状体植入后视觉质量的临床观察

    Institute of Scientific and Technical Information of China (English)

    王文莹; 王军; 张晶; 赵世强; 马剑欣

    2010-01-01

    眼近视力较好,阅读脱镜率较高,具有较好的视觉功能,但对比敏感度有所下降.%Objective To evaluate the visual quality in patients implanted with aspheric diffractive multifocal intraocular lens. Methods Prospective nonrandomized controlled study. One hundred cataract eyes in 50 patients were included. Patients received AcrySof IQ ReSTOR IOL (SN6AD3) or AcrySof IQ IOL (SN60WF) implantation. The follow up period was 6 months. The mean of unconnected distance visual acuity ( UCDVA) , best corrected distance visual acuity ( BCDVA), unconnected near visual acuity (UCNVA), best distance-corrected near visual acuity (BCNVA) and intermediate unconrrected visual acuity in patients with SN6AD3 and SN60WF was compared preoperatively and postoperatively in all patients. Photopic and mesopic contrast sensitivity function with and without glare were tested at 6 months after operation. Aberrations were recorded postoperatively. Subjective outcomes were assessed by VF-14 questionnaire. The chi-square test was applied to compare categorical variables and the paired-samples t test was used to compare the measure data. Results Postoperatively, there were no significant differences between groups in spherical equivalent (SE) (t=0.233, P = 0.876), UCDVA (t = 1.018, P=0.265) or BCNVA (t = 0. 679, P = 0. 501). The BCDVA in the monofocal IOL group was better than that in the multifocal IOL group (t = 2. 388, P = 0. 021). UCNVA improved remarkably after the implantation of multifocal IOL (t = 11. 311 ,P =0.000). The intermediate UCVA in the monofocal IOL eyes was butter than that in the multifocal IOL at 60 cm(t =2.414,P=0.020). The total aberration (F = 5. 169,P =0. 041), total low grade (F =4.973,P =0.036) and total high grade total aberrations (F =4.640,P = 0.048) were higher in the multifocal IOL group. There was no difference between these two groups in the defocus ( F = 0.862, P=0.358), astigmatism(F=3.893, P=0.052), spherical aberration(F = 1.743, P=0

  15. Meta-analysis of clinical randomized controlled trials comparing refractive with diffractive multifocal intraocular lenses in cataract surgery%折射型与衍射型多焦点人工晶状体临床应用效果随机临床对照试验的Meta分析

    Institute of Scientific and Technical Information of China (English)

    邵德望; 何守志

    2014-01-01

    及中距视力;衍射型MIOL表现出更好的裸眼近视力,出现光晕、眩光等视觉不良反应的可能性更小;在戴镜矫正状况下,衍射型MIOL与折射型MIOL的远、中、近视力表现相同.%Objective To systematic review the effectiveness of refractive multifocal intraocular lens (MIOL) versus diffractive MIOL in the treatment of cataract.Method Randomized controlled trials comparing refractive MIOL with diffractive MIOL were identified by searching PubMed (1966 to May,2013),EMbase (1980 to May,2013),Medline (1966 to May,2013),and The Cochrane Library (Issue 1,2013).We also hand-searched related journals.All the searches were restricted in English or Chinese.Methodological quality of randomized controlled trials (RCT) was evaluated by simple evaluate method that recommended by the Cochrane Collaboration.Data extracted by two reviewers with designed extraction form.RevMan software (release 5.2) was used for data management and analysis.Results A total of 11 trials (1460 eyes) were included for systematic review.Subgroup analyses were used according to different model comparison of MIOL.The results showed a significant difference in the mean of the uncorrected distance visual acuity (UCDVA) and the uncorrected intermediate visual acuity (UCIVA) in the refractive MIOLgroup with WMD-0.04,95% CI-0.06 to-0.03 (P <0.01) and WMD-0.05,95% CI-0.09 to-0.02 (P =0.001).It showed a significantly difference in the mean of the uncorrected near visual acuity (UCNVA),complete spectacle independent rate,halo rate and glare rate in the diffractive MIOL group with WMD 0.11,95% CI 0.08 to0.15 (P<0.01),WMD2.98,95%CI2.17 to4.09 (P<0.01),WMD 1.52,95% CI 1.14 to 2.04 (P =0.004) and WMD 1.27,95% CI 1.07 to 1.50 (P =0.005).There was no significant difference between the two groups in the mean of the best corrected distance visual acuity (BCDVA),the best distance corrected intermediate visual acuity (BDCIVA),the best distance corrected near visual

  16. Cross-correlating Planck CMB lensing with SDSS: Lensing-lensing and galaxy-lensing cross-correlations

    CERN Document Server

    Singh, Sukhdeep; Brownstein, Joel R

    2016-01-01

    We present first results from cross-correlating Planck CMB lensing maps with the Sloan Digital Sky Survey (SDSS) galaxy lensing shape catalog and BOSS galaxy catalogs. For galaxy position vs. CMB lensing cross-correlations, we measure the convergence signal around the galaxies in configuration space, using the BOSS LOWZ ($z\\sim0.30$) and CMASS ($z\\sim0.57$) samples. With fixed Planck 2015 cosmology, doing a joint fit with the galaxy clustering measurement, for the LOWZ (CMASS) sample we find a galaxy bias $b_g=1.75\\pm0.04$ ($1.95\\pm 0.02$) and galaxy-matter cross-correlation coefficient $r_{cc}=1.0\\pm0.2$ ($0.8\\pm 0.1$) using $20lensing. Using the same scales and including the galaxy-galaxy lensing measurements, we constrain $\\Omega_m=0.284\\pm0.024$ and relative calibration bias between the CMB lensing and galaxy lensing to be $b_\\gamma=0.82^{+0.15}_{-0.14}$. The combination of galaxy lensing and CMB lensing also allows us to measure the cosmolo...

  17. The relationship between cytokine level and nitric oxide content in aqueous humor after intraocular lens implantation

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    AIM: To investigate the relationship between cytokine level and nitric oxide (NO) content in aqueous humor after intraocular lens implantation. METHODS: All New Zealand rabbits were divided randomly into three groups: (1) control group, (2) extracapsular cataract extraction group (ECCE), (3) extracapsular cataract extraction and posterior chamber intraocular lens implantation group (ECCE+IOL). The inflammation of all experimental rabbit eyes, including cornea edema and anterior chamber exudation were observed via zoom-photo slitlamp microscope 1,3,7,14,30 d postoperation. Meanwhile, aqueous humor was drawn for white blood cell (WBC) counting and classifying, and for NO-2/NO-3 and cytokine assay, including interleukin-2(IL-2), tumour necrosis factor-α(TNF-α). Statistics were taken by SPSS softwear. RESULTS: (1) Total WBC in aqueous humor were higher and anterior chamber exudation were more severe in ECCE+IOL group than that in ECCE group and control group. (2) The level of IL-2 and TNF-α and the content of NO-2/NO-3 in aqueous humor of ECCE+IOL group were higher than that in ECCE group and control group 1-14 d postoperation respectively, and it increased to peak value at 3-7 d postoperation and decreased gradually after two weeks postoperation. (3) The change regularity of IL-2, TNF-α and NO-2/NO-3 in each group were basically similar, i.e. when the level of cytokine (IL-2 and TNF-α) was normal, the content of NO-2/NO-3 was normal too, when the level of cytokine (IL-2 and TNF-α) increased, the content of NO-2/NO-3 increased too. CONCLUSION: The intraocular inflammation after ECCE+IOL was more severe than that after simple ECCE. NO, IL-2 and TNF-α play an important role in intraocular inflammation after intraocular lens implantation. The changes of IL-2 and TNF-α level was closely related with NO content in aqueous humor.

  18. 阶梯渐进衍射型非球面多焦点人工晶状体植入术后的视觉质量研究%Clinical study of visual performance in patients with bilateral implantation of apodized diffractive aspheric multifocal intraocular lenses

    Institute of Scientific and Technical Information of China (English)

    孙懿; 郑丹莹; 宋婷婷

    2010-01-01

    ;阅读速度分别为(173.7±58.1)、(179.3±23.6)和(106.9±31.0)字/分,SN6AD1组和SN6AD3组均较SN60WF组快,差异有统计学意义(Z=-3.423,P=0.001;Z=-4.522,P=0.000).结论 SN6AD1和SN6AD3多焦点人工晶状体可以提供较SN60WF单焦点人工晶状体更好的近视力、40 cm及63 cm高低对比度裸眼中视力,以及更舒适的阅读距离和更快的阅读速度.SN6AD1人工晶状体能提供较SN6AD3更优秀的40 cm及63 cm高低对比度中视力.%Objective To evaluate visual performance after bilateral implantation with either the AcrySof ReSTOR SN6AD1 multifocal intraocular lens (MIOL) or the AcrySof ReSTOR SN6AD3 MIOL. Methods This was a prospective case series study. Sixty age-related cataract patients (120eyes) at the Zhongshan Ophthalmic Center from June 2009 to April 2010 were enrolled in this study.Based on the principal of voluntary choice, phacoemulsification combined with IOL implantation was performed. There were 20 patients (40 eyes) in each group, the SN6AD1 MIOL group, SN6AD3MIOL group and SN60WF group. There were 8 male patients and 12 female patients (8/12) in the SN6AD1 group, and 10/10 and 11/9 in the SN6AD3 and SN60WF groups, respectively. The average ages in years were 64.6±12.7, 67.5±8.5, and 61.1±11.0, respectively. Uncorrected near visual acuity (UCNVA), uncorrected intermediate visual acuity (UCIVA) under high and low contrast conditions,uncorrected distance visual acuity (UCDVA), uncorrected near visual acuity for Chinese characters under high and low contrasts, contrast sensitivity, preferred reading distance and reading speeds were assessed 3 months postoperatively. A one-way ANOVA, Bonferroni, rank-sum test or independent samples t test was used to analyze the data. Results UCNVA was (0.074±0.862)logMAR for the SN6AD1 group and was (0.075±0.772)logMAR for the SN6AD3 group, which was significantly better than the (0.351±0.691)logMAR for the SN60WF group (Z=-6.756, P=0.000; Z=-6.508, P=0.000).Significant differences were found for

  19. Weak lensing by voids in modified lensing potentials

    CERN Document Server

    Barreira, Alexandre; Li, Baojiu; Baugh, Carlton; Pascoli, Silvia

    2015-01-01

    We study lensing by voids in Cubic Galileon and Nonlocal gravity cosmologies, which are examples of theories of gravity that modify the lensing potential. We find voids in the dark matter and halo density fields of N-body simulations and compute their lensing signal analytically from the void density profiles, which we show are well fit by a simple analytical formula. In the Cubic Galileon model, the modifications to gravity inside voids are not screened and they approximately double the size of the lensing effects compared to GR. The difference is largely determined by the direct effects of the fifth force on lensing and less so by the modified density profiles. For this model, we also discuss the subtle impact on the force and lensing calculations caused by the screening effects of haloes that exist in and around voids. In the Nonlocal model, the impact of the modified density profiles and the direct modifications to lensing are comparable, but they boost the lensing signal by only $\\approx 10\\%$, compared ...

  20. Microbiological profile of anterior chamber aspirates following uncomplicated cataract surgery

    Directory of Open Access Journals (Sweden)

    Prajna N

    1998-01-01

    Full Text Available Anterior chamber aspirate cultures were done for 66 patients who underwent either an uncomplicated intracapsular cataract extraction, extracapsular cataract extraction with posterior-chamber intraocular lens implantation, or phacoemulsification with posterior-chamber intraocular lens implantation. The aspirate was obtained at the time of wound closure. The aspirates were immediately transferred to the microbiology laboratory where one drop of the aspirate was placed on a glass slide for gram stain, and the remainder was unequally divided and inoculated into blood agar, chocolate agar and thioglycolate broth. The cultures were incubated at 37° C with 5% CO2 and held for 5 days. Of 66 patients 4 (6%, had smear-positive anterior chamber aspirates. None of the aspirates showed any growth on any of the 3 culture media used. None of the eyes in the study developed endophthalmitis. This study concludes that there is no contamination of the anterior chamber by viable bacteria after cataract surgery, irrespective of the mode of intervention.

  1. Roulettes: A weak lensing formalism for strong lensing - I. Overview

    CERN Document Server

    Clarkson, Chris

    2016-01-01

    We present a new perspective on gravitational lensing. We describe a new extension of the weak lensing formalism capable of describing strongly lensed images. By integrating the non-linear geodesic deviation equation, the amplification matrix of weak lensing is generalised to a sum over independent amplification tensors of increasing rank. We show how an image distorted by a generic lens may be constructed as a sum over `roulettes', which are the natural curves associated with the independent spin modes of the amplification tensors. Highly distorted images can be constructed even for large sources observed near or within the Einstein radius of a lens where the shear and convergence are large. The amplitude of each roulette is formed from a sum over appropriate derivatives of the lensing potential. Consequently, measuring these individual roulettes for images around a lens gives a new way to reconstruct a strong lens mass distribution without requiring a lens model. This formalism generalises the convergence, ...

  2. RHIC electron lenses upgrades

    Energy Technology Data Exchange (ETDEWEB)

    Gu, X. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Altinbas, Z. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Bruno, D. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Binello, S. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Costanzo, M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Drees, A. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Fischer, W. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Gassner, D. M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Hock, J. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Hock, K. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Harvey, M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Luo, Y. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Marusic, A. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Mi, C. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Mernick, K. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Minty, M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Michnoff, R. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Miller, T. A. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Pikin, A. I. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Robert-Demolaize, G. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Samms, T. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Shrey, T. C. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Schoefer, V. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Tan, Y. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Than, R. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Thieberger, P. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; White, S. M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.

    2015-05-03

    In the Relativistic Heavy Ion Collider (RHIC) 100 GeV polarized proton run in 2015, two electron lenses were used to partially compensate for the head-on beam-beam effect for the first time. Here, we describe the design of the current electron lens, detailing the hardware modifications made after the 2014 commissioning run with heavy ions. A new electron gun with 15-mm diameter cathode is characterized. The electron beam transverse profile was measured using a YAG screen and fitted with a Gaussian distribution. During operation, the overlap of the electron and proton beams was achieved using the electron backscattering detector in conjunction with an automated orbit control program.

  3. Associations with intraocular pressure across Europe

    DEFF Research Database (Denmark)

    Khawaja, Anthony P; Springelkamp, Henriët; Creuzot-Garcher, Catherine;

    2016-01-01

    Raised intraocular pressure (IOP) is the most important risk factor for developing glaucoma, the second commonest cause of blindness globally. Understanding associations with IOP and variations in IOP between countries may teach us about mechanisms underlying glaucoma. We examined cross-sectional...

  4. Magnetic electron lenses

    CERN Document Server

    1982-01-01

    No single volume has been entirely devoted to the properties of magnetic lenses, so far as I am aware, although of course all the numerous textbooks on electron optics devote space to them. The absence of such a volume, bringing together in­ formation about the theory and practical design of these lenses, is surprising, for their introduction some fifty years ago has created an entirely new family of commercial instruments, ranging from the now traditional transmission electron microscope, through the reflection and transmission scanning microscopes, to co­ lumns for micromachining and microlithography, not to mention the host of experi­ mental devices not available commercially. It therefore seemed useful to prepare an account of the various aspects of mag­ netic lens studies. These divide naturally into the five chapters of this book: the theoretical background, in which the optical behaviour is described and formu­ lae given for the various aberration coefficients; numerical methods for calculat­ ing...

  5. Measurement of intraocular distances in human eyes by using Fourier domain low-coherence interferometry

    Science.gov (United States)

    Feng, Liang; Zhu, Lida; Li, Qinghua; Ma, Zhenhe; Wang, Bo; Wang, Yi

    2016-03-01

    We introduce a system for rapidly measuring the intraocular distances of human eyes in vivo with high sensitivity by using Fourier domain low-coherence interferometry. The system mainly consisting of a rapid focus displacement unit and a reference arm which has a variable optical path length. This system is capable of providing a complete biometrical assessment of a human eye in a single measurement procedure, including cornea thickness, anterior chamber depth, lens thickness, and axial length. The system is experimentally verified by measuring the four parameters of a human eye in vivo.

  6. Characterizing intraocular tumors with photoacoustic imaging

    Science.gov (United States)

    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.

  7. Visual performance after the implantation of a new trifocal intraocular lens

    Directory of Open Access Journals (Sweden)

    Vryghem JC

    2013-10-01

    intraocular lenses improves the intermediate vision with minimal visual discomfort for the patient.Keywords: lens implantation, trifocal diffractive intraocular lens, third focus, diffractive multifocal

  8. RETAINED STONE PIECE IN ANTERIOR CHAMBER

    Directory of Open Access Journals (Sweden)

    ZvornicaninJasmin, Nadarevic-VodencarevicAmra

    2015-04-01

    Full Text Available ABSTRACT We read with interest the article by Surekha et al. regarding the retained stone piece in anterior chamber. Similar to the results of previous studies, the authors found that delayed intraocular foreign body (IOFB management can result in good visual outcome without an apparent increased risk of endophthalmitis or other deleterious side effects. However, the authors failed to explain the exact reason for the diminution of vision in patients left eye. It is unclear what the uncorrected visual acuity was and what kind of correction was used, more precisely type and amount of cylinder, given the presence of the corneal opacity. Since the size of the IOFB is approximately 4x4x1mm, significant irido-corneal angle changes resulting in intraocular pressure raise and optic nerve head damage can be expected. Traumatic glaucoma following open globe injury can occur in 2.7 to 19% of cases, with several risk factors associated with glaucoma development (advanced age, poor visual acuity at presentation,perforating rather than penetrating ocular injury,lens injury, presence of vitreous hemorrhage and presence of an IOFB. Earlier reportsof latetraumaticoptic neuropathy onset, even after several years, indicate that this possibility cannot be completely ruled out too. Therefore, repeated intraocular pressure measurements, gonioscopy, pupillary reaction assessment, together with through posterior segment examination including visual field and optical coherence tomography examinations can be useful in determining the possible optic nerve damage as one of the possible reasons for visual acuity reduction. The authors did not suggest any operative treatment at this time. However, it should bear in mind that the inert anterior chamber IOFB could be a risk factor for non-infectious endophthalmitis development even after many years. Also, long term retained anterior chamber foreign body leads to permanent endothelial cell loss and can even result in a corneal

  9. Roulettes: a weak lensing formalism for strong lensing: I. Overview

    Science.gov (United States)

    Clarkson, Chris

    2016-08-01

    We present a new perspective on gravitational lensing. We describe a new extension of the weak lensing formalism capable of describing strongly lensed images. By integrating the nonlinear geodesic deviation equation, the amplification matrix of weak lensing is generalised to a sum over independent amplification tensors of increasing rank. We show how an image distorted by a generic lens may be constructed as a sum over ‘roulettes’, which are the natural curves associated with the independent spin modes of the amplification tensors. Highly distorted images can be constructed even for large sources observed near or within the Einstein radius of a lens where the shear and convergence are large. The amplitude of each roulette is formed from a sum over appropriate derivatives of the lensing potential. Consequently, measuring these individual roulettes for images around a lens gives a new way to reconstruct a strong lens mass distribution without requiring a lens model. This formalism generalises the convergence, shear and flexion of weak lensing to arbitrary order, and provides a unified bridge between the strong and weak lensing regimes. This overview paper is accompanied by a much more detailed paper II, arXiv:1603.04652.

  10. Management of dislocated intraocular implants.

    Science.gov (United States)

    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

  11. Subaru Weak Lensing Measurements of Four Strong Lensing Clusters: Are Lensing Clusters Over-Concentrated?

    Energy Technology Data Exchange (ETDEWEB)

    Oguri, Masamune; Hennawi, Joseph F.; Gladders, Michael D.; Dahle, Haakon; Natarajan, Priyamvada; Dalal, Neal; Koester, Benjamin P.; Sharon, Keren; Bayliss, Matthew

    2009-01-29

    We derive radial mass profiles of four strong lensing selected clusters which show prominent giant arcs (Abell 1703, SDSS J1446+3032, SDSS J1531+3414, and SDSS J2111-0115), by combining detailed strong lens modeling with weak lensing shear measured from deep Subaru Suprime-cam images. Weak lensing signals are detected at high significance for all four clusters, whose redshifts range from z = 0.28 to 0.64. We demonstrate that adding strong lensing information with known arc redshifts significantly improves constraints on the mass density profile, compared to those obtained from weak lensing alone. While the mass profiles are well fitted by the universal form predicted in N-body simulations of the {Lambda}-dominated cold dark matter model, all four clusters appear to be slightly more centrally concentrated (the concentration parameters c{sub vir} {approx} 8) than theoretical predictions, even after accounting for the bias toward higher concentrations inherent in lensing selected samples. Our results are consistent with previous studies which similarly detected a concentration excess, and increases the total number of clusters studied with the combined strong and weak lensing technique to ten. Combining our sample with previous work, we find that clusters with larger Einstein radii are more anomalously concentrated. We also present a detailed model of the lensing cluster Abell 1703 with constraints from multiple image families, and find the dark matter inner density profile to be cuspy with the slope consistent with -1, in agreement with expectations.

  12. LENSED: a code for the forward reconstruction of lenses and sources from strong lensing observations

    Science.gov (United States)

    Tessore, Nicolas; Bellagamba, Fabio; Metcalf, R. Benton

    2016-09-01

    Robust modelling of strong lensing systems is fundamental to exploit the information they contain about the distribution of matter in galaxies and clusters. In this work, we present LENSED, a new code which performs forward parametric modelling of strong lenses. LENSED takes advantage of a massively parallel ray-tracing kernel to perform the necessary calculations on a modern graphics processing unit (GPU). This makes the precise rendering of the background lensed sources much faster, and allows the simultaneous optimisation of tens of parameters for the selected model. With a single run, the code is able to obtain the full posterior probability distribution for the lens light, the mass distribution and the background source at the same time. LENSED is first tested on mock images which reproduce realistic space-based observations of lensing systems. In this way, we show that it is able to recover unbiased estimates of the lens parameters, even when the sources do not follow exactly the assumed model. Then, we apply it to a subsample of the SLACS lenses, in order to demonstrate its use on real data. The results generally agree with the literature, and highlight the flexibility and robustness of the algorithm.

  13. Directed Energy Anechoic Chamber

    Data.gov (United States)

    Federal Laboratory Consortium — The Directed Energy Anechoic Chamber comprises a power anechoic chamber and one transverse electromagnetic cell for characterizing radiofrequency (RF) responses of...

  14. Intraocular lens power estimation by accurate ray tracing for eyes underwent previous refractive surgeries

    Science.gov (United States)

    Yang, Que; Wang, Shanshan; Wang, Kai; Zhang, Chunyu; Zhang, Lu; Meng, Qingyu; Zhu, Qiudong

    2015-08-01

    For normal eyes without history of any ocular surgery, traditional equations for calculating intraocular lens (IOL) power, such as SRK-T, Holladay, Higis, SRK-II, et al., all were relativley accurate. However, for eyes underwent refractive surgeries, such as LASIK, or eyes diagnosed as keratoconus, these equations may cause significant postoperative refractive error, which may cause poor satisfaction after cataract surgery. Although some methods have been carried out to solve this problem, such as Hagis-L equation[1], or using preoperative data (data before LASIK) to estimate K value[2], no precise equations were available for these eyes. Here, we introduced a novel intraocular lens power estimation method by accurate ray tracing with optical design software ZEMAX. Instead of using traditional regression formula, we adopted the exact measured corneal elevation distribution, central corneal thickness, anterior chamber depth, axial length, and estimated effective lens plane as the input parameters. The calculation of intraocular lens power for a patient with keratoconus and another LASIK postoperative patient met very well with their visual capacity after cataract surgery.

  15. Optimizing distance image quality of an aspheric multifocal intraocular lens using a comprehensive statistical design approach.

    Science.gov (United States)

    Hong, Xin; Zhang, Xiaoxiao

    2008-12-01

    The AcrySof ReSTOR intraocular lens (IOL) is a multifocal lens with state-of-the-art apodized diffractive technology, and is indicated for visual correction of aphakia secondary to removal of cataractous lenses in adult patients with/without presbyopia, who desire near, intermediate, and distance vision with increased spectacle independence. The multifocal design results in some optical contrast reduction, which may be improved by reducing spherical aberration. A novel patent-pending approach was undertaken to investigate the optical performance of aspheric lens designs. Simulated eyes using human normal distributions were corrected with different lens designs in a Monte Carlo simulation that allowed for variability in multiple surgical parameters (e.g. positioning error, biometric variation). Monte Carlo optimized results indicated that a lens spherical aberration of -0.10 microm provided optimal distance image quality.

  16. Optical ensemble analysis of intraocular lens performance through a simulated clinical trial with ZEMAX.

    Science.gov (United States)

    Zhao, Huawei

    2009-01-01

    A ZEMAX model was constructed to simulate a clinical trial of intraocular lenses (IOLs) based on a clinically oriented Monte Carlo ensemble analysis using postoperative ocular parameters. The purpose of this model is to test the feasibility of streamlining and optimizing both the design process and the clinical testing of IOLs. This optical ensemble analysis (OEA) is also validated. Simulated pseudophakic eyes were generated by using the tolerancing and programming features of ZEMAX optical design software. OEA methodology was verified by demonstrating that the results of clinical performance simulations were consistent with previously published clinical performance data using the same types of IOLs. From these results we conclude that the OEA method can objectively simulate the potential clinical trial performance of IOLs.

  17. Lenses for JWST

    Science.gov (United States)

    Ebeling, Harald; Richard, Johan; Kneib, Jean-Paul; Repp, Andrew; Atek, Hakim; Egami, Eiichi; Windhorst, Rogier; Edge, Alastair

    2016-08-01

    JWST will dramatically advance our knowledge and understanding of the first generations of galaxies at z>10, their role in the re-ionization of the Universe, and the evolutionary processes that gave rise to the complexity and diversity of galaxies at the current epoch. As demonstrated by HST legacy projects like CLASH and the Hubble Frontier Fields, gravitational amplification by massive galaxy clusters can significantly extend the depth of the required observations. However, for JWST, reducing any diffuse background light will be just as crucial. We here propose Spitzer/IRAC observations of six massive cluster lenses, specifically selected as candidates for observation with JWST. By (a) quantifying the amount of intra-cluster light and (b) enabling us to improve our current lens models, the data resulting from the requested observations will be instrumental for the final selection of cluster targets that maximize the scientific returns of deep JWST observations.

  18. Bayesian Lensing Shear Measurement

    CERN Document Server

    Bernstein, Gary M

    2013-01-01

    We derive an estimator of weak gravitational lensing shear from background galaxy images that avoids noise-induced biases through a rigorous Bayesian treatment of the measurement. The Bayesian formalism requires a prior describing the (noiseless) distribution of the target galaxy population over some parameter space; this prior can be constructed from low-noise images of a subsample of the target population, attainable from long integrations of a fraction of the survey field. We find two ways to combine this exact treatment of noise with rigorous treatment of the effects of the instrumental point-spread function and sampling. The Bayesian model fitting (BMF) method assigns a likelihood of the pixel data to galaxy models (e.g. Sersic ellipses), and requires the unlensed distribution of galaxies over the model parameters as a prior. The Bayesian Fourier domain (BFD) method compresses galaxies to a small set of weighted moments calculated after PSF correction in Fourier space. It requires the unlensed distributi...

  19. [Laser scan microscopy: a new imaging procedure in quality assessment of artificial lenses].

    Science.gov (United States)

    Rochels, R; Ziegler, E

    1989-01-01

    Laser-scan microscopy permits the evaluation of surfaces and deeper layers of an object by computer-assisted scanning with a laser beam. The reflected helium-neon or argon laser light is transmitted to a photodetector and after signal processing, to a frame store and a TV monitor. Imaging is realized by synchronous scanning and modulation of light intensity. Laser-scan microscopy revealed a smooth surface of both PMMA and HEMA lenses, whereas tears were detected in folded silicone implants. The physical and chemical homogeneity inside the three different materials was optimal. Compared to scanning electron microscopy, the quality of imaging is not as good with laser-scan microscopy. Nevertheless, one decisive advantage of the latter method is an analysis free of processing and artifacts, which permits a routine control of brand new and folded intraocular lenses. PMID:2722098

  20. Lensed: a code for the forward reconstruction of lenses and sources from strong lensing observations

    CERN Document Server

    Tessore, Nicolas; Metcalf, R Benton

    2015-01-01

    Robust modelling of strong lensing systems is fundamental to exploit the information they contain about the distribution of matter in galaxies and clusters. In this work, we present Lensed, a new code which performs forward parametric modelling of strong lenses. Lensed takes advantage of a massively parallel ray-tracing kernel to perform the necessary calculations on a modern graphics processing unit (GPU). This makes the precise rendering of the background lensed sources much faster, and allows the simultaneous optimisation of tens of parameters for the selected model. With a single run, the code is able to obtain the full posterior probability distribution for the lens light, the mass distribution and the background source at the same time. Lensed is first tested on mock images which reproduce realistic space-based observations of lensing systems. In this way, we show that it is able to recover unbiased estimates of the lens parameters, even when the sources do not follow exactly the assumed model. Then, we...

  1. 人工晶体眼异常眩光幻影的研究进展%Research Progress in Pseudophakic Dysphotopsia Associated with Intraocular Lens

    Institute of Scientific and Technical Information of China (English)

    吴来伟

    2011-01-01

    Dysphotopsia ( glare, halos and shadows ) associated with intraocular lenses can degrade the visual performance following cataract surgery. Pseudophakic dysphotopsia is caused by four factors, including intraocular lens design, surgical factors, patient physical factors, and central adaptation. Positive dysphotopsia can be minimized by a larger optic, textured intraocular lens edge, optiEdge edge, and lower posterior capsule opacification. Besides, incision location, and iris - intraocular lens distance may play an important role in negative dysphotopsia. For the treatment of dysphotopsia,six months of clinical observation is necessary. Patients with severe and persistent dysphotopsia need to replace intraocular lens or to implant a piggyback intraocular lens in the ciliary sulcus.%白内障术后发生的眩光、光晕、阴影等眩光幻影问题成为影响视觉质量的重要因素.影响人工晶体眼眩光幻影的因素有晶体设计、手术因素、患者生理因素和心理适应.预防后发性白内障、晶体边缘纹理化、采用前圆后方边缘设计、使用更大的晶体光学面可以减少正像眩光幻影的发生.而手术切口位置和虹膜-晶体间距等可能是负像眩光幻影产生的影响因素.对于眩光幻影的治疗,6个月的临床观察是必要的,症状严重且持续者可考虑晶体置换或睫状沟植入另一枚驼背式人工晶体.

  2. [Experimental hypertony caused by obstruction of the anterior chamber angle ab interno (author's transl)].

    Science.gov (United States)

    Maguritsas, N; Vikas, C; Theodossiadis, G; Vergados, I; Velissaropoulos, P

    1976-07-01

    In 30 rabbits, separated into 3 groups (A, B and C), the entire area (A), three quarters (B) half of the anterior chamber angle (C) was experimentally obstructed by means of a homologous scleral graft. In groups A and B a statistically significant change of the intraocular pressure and of the cornea diameter was shown as compared with the control eye and group C. This change is due to the obstructed area of the angle. The increased intraocular pressure lasted for some months. The graft was well tolerated by the tissue of the angle and the obstruction of the angle was total, as was confirmed by means of the histological preparations.

  3. Intraocular pressure in Japanese diabetic patients

    OpenAIRE

    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...

  4. Environmental standards for intraocular lens implantation.

    Science.gov (United States)

    Crawford, B A; Kaufman, D V

    1984-02-01

    Successful implantation of prosthetic devices depends upon their freedom from postoperative inflammation and infection. Techniques and lessons learned in orthopaedic and other implant surgery should be applied to intraocular lens implantation. The avoidance of contamination by particles and micro-organisms is one essential principle of the surgical procedure. Practical steps are described to reduce both types of contamination. These measures taken together are recommended for adoption as a standard of environmental safety for lens implantation.

  5. Bilateral Pseudoexfoliation Deposits on Intraocular Lens Implants

    OpenAIRE

    Elena Bonafonte Marquez; Sergio Bonafonte Royo

    2015-01-01

    We present a rare case of bilateral pseudoexfoliative deposits on both intraocular lens (IOL) implants in an 83-year-old woman with no other associated pathology, 5 years after cataract surgery. Pseudoexfoliation syndrome is the most common cause of secondary open-angle glaucoma worldwide and these deposits are usually found on the natural lens. The fact that pseudoexfoliative deposits have been found on IOL implants implies the need for a thorough examination in pseudophakic patients, for i...

  6. Introduction to the development of intraocular lens

    Science.gov (United States)

    Li, Yifan; Peng, Runling; Hu, Shuilan; Wei, Maowei; Chen, Jiabi

    2013-08-01

    In order to cure the cataract disease or injuries in eyes, intraocular lens(IOL) has been studied all the time to replace the crystalline lens in human eyes. Researches on IOL are started early from 19th century, and it develops greatly in the hundreds years after. This article introduces several main kinds of IOLs that appear in the development history of IOL, and raises the double-liquid zoom IOL based on electrowetting, which will be the trend of IOL study.

  7. Hypobaric Hypoxia: Effects on Intraocular Pressure and Corneal Thickness

    Directory of Open Access Journals (Sweden)

    Marcella Nebbioso

    2014-01-01

    Full Text Available Objective. The purpose of this study focused on understanding the mechanisms underlying ocular hydrodynamics and the changes which occur in the eyes of subjects exposed to hypobaric hypoxia (HH to permit the achievement of more detailed knowledge in glaucomatous disease. Methods. Twenty male subjects, aged 32±5 years, attending the Italian Air Force, were enrolled for this study. The research derived from hypobaric chamber, using helmet and mask supplied to jet pilotes connected to oxygen cylinder and equipped with a preset automatic mixer. Results. The baseline values of intraocular pressure (IOP, recorded at T1, showed a mean of 16±2.23 mmHg, while climbing up to 18,000 feet the mean value was 13.7±4.17 mmHg, recorded at T2. The last assessment was performed returning to sea level (T4 where the mean IOP value was 12.8±2.57 mmHg, with a significant change (P<0.05 compared to T1. Pachymetry values related to corneal thickness in conditions of hypobarism revealed a statistically significant increase (P<0.05. Conclusions. The data collected in this research seem to confirm the increasing outflow of aqueous humor (AH in the trabecular meshwork (TM under conditions of HH.

  8. On Perfect Lenses and Nihility

    CERN Document Server

    Lakhtakia, A

    2002-01-01

    The canonical problem of a perfect lens with linear bianisotropic materials is formulated. Its solution is shown to be directly connected with the concept of nihility, the electromagnetic nilpotent. Perfect lenses as well as nihility remain unrealizable.

  9. Planar Lenses at Visible Wavelengths

    CERN Document Server

    Khorasaninejad, Mohammadreza; Devlin, Robert C; Oh, Jaewon; Zhu, Alexander Y; Capasso, Federico

    2016-01-01

    Sub-wavelength resolution imaging requires high numerical aperture (NA) lenses, which are bulky and expensive. Metasurfaces allow the miniaturization of conventional refractive optics into planar structures. We show that high-aspect-ratio titanium dioxide metasurfaces can be fabricated and designed as meta-lenses with NA = 0.8. Diffraction-limited focusing is demonstrated at wavelengths of 405 nm, 532 nm, and 660 nm with corresponding efficiencies of 86%, 73%, and 66%. The meta-lenses can resolve nanoscale features separated by sub-wavelength distances and provide magnification as high as 170x with image qualities comparable to a state-of-the-art commercial objective. Our results firmly establish that meta-lenses can have widespread applications in laser-based microscopy, imaging, and spectroscopy.

  10. Effect of a tight necktie on intraocular pressure

    OpenAIRE

    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...

  11. VISUAL ACUITY AND CLINICAL REFRACTION FOLLOWING IMPLANTATION OF VARIOUS MULTIFOCAL INTRAOCULAR LENSES

    Directory of Open Access Journals (Sweden)

    N. N. Temirov

    2015-01-01

    Full Text Available Aim. To analyze visual acuity, clinical refraction, and defocusing tolerance after the implantation of monofocal IOL with rotational asymmetric optic (Lentis Mplus 313 MF compared with Acrysof ReSTOR SN6AD1.Materials and methods. Phacoemulsification was performed in a total of 194 patients (288 eyes, i.e., 144 patients (188 eyes with cataract and 50 patients (100 eyes with presbyopia and high ametropia. The patients were divided into two groups. Study group included 132 patients (194 eyes implanted with Lentis Mplus while control group included 62 patients (94 eyes implanted with Acrysof ReSTOR. Uncorrected distance (5 m, intermediate (50‑70 cm, and near (20‑40 cm visual acuity under photopic (85 cd/m2 and mesopic (8 cd/m2 conditions were measured, objective and subjective refractometry were performed, and defocusing tolerance was evaluated.Results. Postoperatively, uncorrected distance and near visual acuity was high while intermediate visual acuity was moderately low. Lentis Mplus patients had better near and intermediate visual acuity under mesopic conditions as compared with Acrysof ReSTOR patients. Emmetropia (target refraction was achieved in 90.2% of study group patients and in 87.2% of control group patients. In patients implanted with Lentis Mplus, refraction was measured by subjective method. Optimal A-constant for Lentis Mplus and Acrysof ReSTOR was 118.0 and 118.6, respectively. Under defocusing, Lentis Mplus patients had better visual acuity than Acrysof ReSTOR patients. This indirectly confirms better intermediate vision.Conclusions. Lentis Mplus provides better vision at various distances that does not almost depend on light levels and induces minimal dysphotopsia. 

  12. VISUAL ACUITY AND CLINICAL REFRACTION FOLLOWING IMPLANTATION OF VARIOUS MULTIFOCAL INTRAOCULAR LENSES

    OpenAIRE

    N. N. Temirov; N. E. Temirov

    2015-01-01

    Aim. To analyze visual acuity, clinical refraction, and defocusing tolerance after the implantation of monofocal IOL with rotational asymmetric optic (Lentis Mplus 313 MF) compared with Acrysof ReSTOR SN6AD1.Materials and methods. Phacoemulsification was performed in a total of 194 patients (288 eyes), i.e., 144 patients (188 eyes) with cataract and 50 patients (100 eyes) with presbyopia and high ametropia. The patients were divided into two groups. Study group included 132 patients (194 eyes...

  13. Iris Claw versus Scleral Fixation Intraocular Lens Implantation during Pars Plana Vitrectomy

    Directory of Open Access Journals (Sweden)

    Fereydoun Farrahi

    2012-01-01

    Full Text Available Purpose: To compare the outcomes of iris claw anterior chamber intraocular lens (ICACIOL with that of scleral fixation posterior chamber intraocular lens (SF-PCIOL implantation during pars plana vitrectomy (PPV as initial surgery to correct aphakia. Methods: Twelve patients with complicated cataract surgery or trauma who had suffered nucleus, whole crystalline lens or intraocular lens (IOL drop into the vitreous cavity, and undergone PPV with IC-ACIOL implantation over a period of one year were evaluated for the purpose of this study. Uncorrected visual acuity (UCVA, best corrected visual acuity (BCVA, central corneal thickness (CCT, spherical equivalent (SE refractive error, astigmatism and complications were recorded. The results were compared to outcomes of another group of 13 patients who had previously undergone PPV with SF-PCIOL implantation. Results: Mean improvement of UCVA was greater in IC-ACIOL eyes as compared to the SF-PCIOL group (-1.17±0.28 versus -0.89±0.21 logMAR, P=0.01, corresponding values for postoperative BCVA were 0.24±0.17 and 0.44±0.22 logMAR (P=0.041, respectively. Average postoperative SE was comparable in the IC-ACIOL and SFPCIOL groups at 0.6±1.03 and 0.56±1.23 diopters, respectively (P=0.290. However, 10 (83.3% IC-ACIOL eyes versus 6 (46.1% SF-PCIOL eyes had SE within 1 diopter of emmetropia (P=0.048. Mean postoperative increase in CCT was comaparble between the study groups (P=0.126. Conclusion: In the absence of sufficient capsular support, the use of an IC-ACIOL for correction of aphakia during PPV can be a good alternative and seems to entail better visual outcomes as compared to SF-PCIOL.

  14. Anterior Chamber Iris Claw Lens for the Treatment of Aphakia in a Patient with Megalocornea

    Science.gov (United States)

    Saffra, Norman; Rakhamimov, Aleksandr; Masini, Robert; Rosenthal, Kenneth J.

    2015-01-01

    Megalocornea in isolation is a rare congenital enlargement of the cornea greater than 13 mm in diameter. Patients with megalocornea are prone to cataract formation, crystalline lens subluxation, zonular deficiencies and dislocation of the posterior chamber intraocular lens (PCIOL) within the capsular bag. A 55-year-old male with megalocornea in isolation developed subluxation of the capsular bag and PCIOL. The PCIOL and capsular bag were explanted, and the patient was subsequently implanted with an anterior chamber iris claw lens. An anterior chamber iris claw lens is an effective option for the correction of aphakia in patients with megalocornea. PMID:26120314

  15. 后房型有晶状体眼人工晶状体植入术矫正超高度近视的视觉质量研究%Visual quality after phakic posterior chamber intraocular lens implantation for hyper-high myopia

    Institute of Scientific and Technical Information of China (English)

    王佼佼; 张立军; 牟亚男; 韩茜

    2014-01-01

    目的 探讨后房型有晶状体眼人工矫正晶状体(intraocular corrective lens,ICL)植入术治疗超高度近视后患者的视觉质量.方法 收集2010年2月至2012年12月就诊于我院的-10.0 D以上的接受后房型有晶状体眼ICL植入术治疗高度近视患者38例(76眼)为观察组,选取同期就诊于我院的-10.0 D以上的接受角膜屈光手术的患者31例(62眼)作为对照组.术前2组患者最佳矫正视力、对比敏感度、屈光状态等指标比较,差异均无统计学意义(均为P>0.05).比较2组术前及术后10d、1个月、3个月、6个月及12个月裸眼远近视力、最佳矫正视力、屈光度、波阵面相差及对比敏感度等.结果 术后观察组患者各时间点随访的裸眼视力均超过术前最佳矫正视力,术后1个月及3个月2组裸眼视力比较均无统计学差异(均为P>0.05),术后12个月观察组裸眼视力为1.03±0.18、对照组裸眼视力为0.96±0.24,2组比较差异有统计学意义(=2.000,P=0.025);观察组最佳矫正视力为1.05±0.17、对照组最佳矫正视力为1.06±0.17,2组差异无统计学意义(t=-0.341,P=0.970).观察组术后高阶像差为(0.515±0.122) μm,与术前(0.400±0.060) μm相比差异无统计学意义(t=-7.825,P=0.128),对照组术后高阶像差为(0.818±0.151) μm,与术前(0.399±0.009) μm相比差异有统计学意义(t=22.580,P=0.037),2组术后高阶像差相比差异有统计学意义(t=13.049,p=o.005).观察组术后1个月对比敏感度恢复到术前水平,对照组对比敏感度始终低于术前,各时间点观察组对比敏感度均优于对照组,差异均有显著统计学意义.结论 ICL植入术对于超高度近视的矫正较准分子激光原位角膜磨镶术更安全、稳定、有效.

  16. Opaque perfect lenses

    CERN Document Server

    Milton, G W; McPhedran, R C; Milton, Graeme W.; Nicorovici, Nicolae-Alexandru P.; Phedran, Ross C. Mc

    2006-01-01

    The response of the ``perfect lens'', consisting of a slab of lossless material of thickness $d$ with $\\epsilon=\\mu=-1$ at one frequency $\\omega_0$ is investigated. It is shown that as time progresses the lens becomes increasingly opaque to any physical TM line dipole source located a distance $d_0lenses in the low loss limit. Contrary to the usual picture where the field intensity has a minimum at the front interface we find that the field diverges to infinity there in the long time constant limit.

  17. Effect of posterior chamber phakic intraocular lens implantation for high myopia on the stereopsis%有晶状体眼后房型人工晶状体植入术对高度近视患者立体视觉的影响

    Institute of Scientific and Technical Information of China (English)

    申笛; 姬菁文; 梁厚成; 马挺; 龙潭

    2016-01-01

    AIM:To observe the effect of posterior chamber phakic intraocuIar Iens impIantation for high myopia on the stereopsis. To evaIuate the impIantation of impIantabIe contact Iens from the highest form of visuaI angIe. METHODS:Fourty-six patients ( 92 eyes ) with high myopia were incIuded from January to December 2014. The average age of patients was 26. 13 ± 3. 37 ( 19 ~ 32 ) years, and 20 maIes ( 43%) and 26 femaIes ( 57%) were observed. AnaIysis the stereopsis of these patients before and after the impIantation of posterior chamber phakic intraocuIar Iens. RESULTS:The mean sphericaI equivaIent of aII the eyes was 10. 02±2. 71D before and -0. 02±0. 25D after surgeries. There was significant difference on the sphericaI equivaIent (t=14. 062, P=0. 000). There were 6 patients with the bIind of near stereopsis, the near stereopsis of the rest patients were 637. 50 ± 462. 08arcsec before the surgeries and there were none with the bIind of near stereopsis after surgeries. The near stereopsis of aII the patients were 126. 09 ± 165. 78arcsec after surgeries. There were 12 patients with the bIind of far stereopsis, the far stereopsis of the rest patients were 400. 59 ± 257. 00arcsec before the surgeries. After surgeries there were 2 patients with the bIind of far stereopsis, the far stereopsis of the rest patients were 152. 73 ± 111. 65arcsec. There were both significant differences on the near stereopsis ( Z=-5. 725,P=0. 000 ) and the far stereopsis ( Z=-4. 976, P=0. 000 ) before and after surgeries. CONCLUSION:Posterior chamber phakic intraocuIar Iens impIantation not onIy correct the ametropic of the high myopia, but aIso improve the visuaI acuity and the stereopsis.%目的::观察有晶状体眼人工晶状体植入术对高度近视患者立体视觉的影响,从视觉最高形式的角度评价有晶状体眼后房型人工晶状体( implantable contact lens, ICL )植入术的手术疗效。方法:分析2014-01/12于我院行有晶状体眼人工晶状体

  18. Clinical analysis of 49 cases with intraocular lens dislocation%人工晶状体脱位49例临床分析

    Institute of Scientific and Technical Information of China (English)

    王海燕; 庞秀琴; 何雷; 裴雪婷; 王绍莉; 卢海

    2012-01-01

    Objective To discuss the clinical characteristics of intraocular lens (IOL) dislocation. Design Retrospective cases series. Participants 49 eyes (49 cases) of intraocular lens dislocation in Beijing Tongren Hospital from 2004 to 2011. Methods Clinical data of intraocular lens dislocation were reviewed retrospectively. Main Outcome Measures Age, original disease, history of disease, position and type of intraocular lens, cause, surgical method, and complication. Results Majority of 49 cases of intraocular lens dislocation were cases with surgery of age-related cataract (46.9%) and traumatic cataract (28.6%). 6 cases with dislocation of intraocular lens with ciliary sulcus fixation happened 1 year after surgery. Majority of intraocular lenses dislocated located in vitreous body (53.1%) and "C" loop (89.8%). 75.5% of causes were original disease and surgery. Ciliary sulcus fixation or re-fixation of intraocular lens (47 eyes, 95.9%) could achieve good centration and stability of the intraocular lens. Naked vision of 0.1 or more accounted for 59.6% at 2 weeks after fixation or re-fixation. Conclusion Intraocular lens dislocation is related with original disease and surgery. Ciliary sulcus fixation of intraocular lens is an effective strategy to treat intraocular lens dislocation. But intraocular lens with ciliary sulcus fixation still happens to dislocate. (Ophthalmol CHN, 2012, 21: 47-51)%目的 探讨人工晶状体(IOL)脱位的临床特点.设计 回顾性病例系列.研究对象 北京同仁医院2004-2011年治疗的IOL脱位49例49眼.方法 对IOL脱位患者的临床资料进行同顾性分析.主要指标 年龄、原IOL植入原因,发病时间,脱位IOL位置及类型,IOL脱位诱因,手术治疗方法及并发症.结果 49眼IOL脱位中,老年性白内障和外伤性白内障摘除联合IOL植入术者较多,分别占46.9%、28.6%.6例睫状沟固定IOL脱位均发生于手术1年后.脱位IOL53.1%位于玻璃体腔内.89.8

  19. Ocular Toxicity after High-Dose Cefuroxime Injection into the Anterior Chamber

    Directory of Open Access Journals (Sweden)

    Harun Çakmak

    2016-08-01

    Full Text Available Cephalosporins are beta-lactam antibiotics and, like penicillin derivatives, they show bacteriostatic effect by disrupting bacterial cell wall synthesis. Cefuroxime is a second generation cephalosporin and the use of intracameral cefuroxime after cataract surgery has been widely used in the endophthalmitis prophylaxis. A 78-year-old male patient was operated for cataracts in both eyes about 8 years ago. Ocular trauma has occurred in the left eye nine months ago. Vitrectomy surgery combined with intraocular lens extraction was performed and the patient was left aphakic. Secondary intraocular lens implantation was performed. In this paper, we present postoperative ocular findings in a patient who was given cefuroxime into the anterior chamber 2.5 times higher than the recommended dose (25 mg/ml after secondary intraocular lens implantation.

  20. Application of ultrasound biomicroscope in posterior chamber intraocular lens implantation of phakic eye%超声生物显微镜在有晶状体眼后房型人工晶状体植入术中的应用

    Institute of Scientific and Technical Information of China (English)

    杜改萍; 郭慧玲; 董莹; 王丽强; 葛梅; 黄一飞

    2012-01-01

    Objective To compare the conventional white to white method with ultrasound biomicroscopic (UBM) method in estimating the sulcus-to-sulcus horizontal diameter for implantable collamer lens (ICL) length determination to 1CL vault. Methods This study was retrospective research. A total of 113 patients (191 eyes) undergoing ICL implantation were examined from May 2009 to December 2012. All patients were divided into two group, conventional group and UBM group. The central vault of ICL was assessed quantitatively at 6 months after surgery and the results were compared between the two groups. The relation between the ICL vault and ICL power was also investigated. Results There was no statistical difference in general information of patients between two groups (all P > 0. 05). The central vault at 6 months after surgery was (444. 63 ±202. 00)μm in conventional group and( 463. 67 ± 226. 00)μm in UBM group,and there was no statistical difference between two groups (P =0.094). The patients with ideal ICL vault from 250 μm to 750μm was 70 eyes(76. 1% )in conventional group and 77 eyes(77. 8% ) in UBM group, and there was no statistical difference between two groups (x2 =0. 0769, P = 0. 782). The ICL vault was not correlated with ICL power in two groups (r = 0. 002,0. 011; P = 0. 677,0. 349). Conclusion The UBM method is the best methods in terms of predicting the sulcus-to-sulcus horizontal diameter for ICL length determination. But in some hospital without UBM equipment,the conventional white to white method could be an alternative method for predicting the sulcus-to-sulcus horizontal diameter for ICL length determination.%目的 研究传统测量角膜水平直径方法和超声生物显微镜(ultrasound biomicroscopy,UBM)方法测量睫状沟水平直径来选择后房型人工晶状体(implantable collamer lenses,ICL)的长度,比较两种方法对有晶状体眼ICL术后拱高的影响.方法 回顾性研究2009年5月至2010年12

  1. Surface gravity-wave lensing.

    Science.gov (United States)

    Elandt, Ryan B; Shakeri, Mostafa; Alam, Mohammad-Reza

    2014-02-01

    Here we show that a nonlinear resonance between oceanic surface waves caused by small seabed features (the so-called Bragg resonance) can be utilized to create the equivalent of lenses and curved mirrors for surface gravity waves. Such gravity wave lenses, which are merely small changes to the seafloor topography and therefore are surface noninvasive, can focus or defocus the energy of incident waves toward or away from any desired focal point. We further show that for a broadband incident wave spectrum (i.e., a wave group composed of a multitude of different-frequency waves), a polychromatic topography (occupying no more than the area required for a monochromatic lens) can achieve a broadband lensing effect. Gravity wave lenses can be utilized to create localized high-energy wave zones (e.g., for wave energy harvesting or creating artificial surf zones) as well as to disperse waves in order to create protected areas (e.g., harbors or areas near important offshore facilities). In reverse, lensing of oceanic waves may be caused by natural seabed features and may explain the frequent appearance of very high amplitude waves in certain bodies of water. PMID:25353576

  2. Gravitational Lensing by Burkert Halos

    CERN Document Server

    Park, Y; Park, Yousin; Ferguson, Henry C.

    2003-01-01

    We investigate the gravitational lensing properties of dark matter halos with Burkert profiles. We derive an analytic expression for the lens equation and use it to compute the magnification, impact parameter and image separations for strong lensing. For the scaling relation that provides the best fits to spiral-galaxy rotation curve data, Burkert halos will not produce strong lensing, even if this scaling relation extends up to masses of galaxy clusters. Tests of a simple model of an exponential stellar disk superimposed on a Burkert-profile halo demonstrate that strong lensing is unlikely without an additional concentration of mass in the galaxy center (e.g. a bulge). The fact that most strong lenses on galactic scales are elliptical galaxies suggests that a strong central concentration of baryons is required to produce image splitting. This solution is less attractive for clusters of galaxies, which are generally considered to be dark-matter dominated even at small radii. There are three possible implicati...

  3. Cosmology with weak lensing surveys.

    Science.gov (United States)

    Munshi, Dipak; Valageas, Patrick

    2005-12-15

    Weak gravitational lensing is responsible for the shearing and magnification of the images of high-redshift sources due to the presence of intervening mass. Since the lensing effects arise from deflections of the light rays due to fluctuations of the gravitational potential, they can be directly related to the underlying density field of the large-scale structures. Weak gravitational surveys are complementary to both galaxy surveys and cosmic microwave background observations as they probe unbiased nonlinear matter power spectra at medium redshift. Ongoing CMBR experiments such as WMAP and a future Planck satellite mission will measure the standard cosmological parameters with unprecedented accuracy. The focus of attention will then shift to understanding the nature of dark matter and vacuum energy: several recent studies suggest that lensing is the best method for constraining the dark energy equation of state. During the next 5 year period, ongoing and future weak lensing surveys such as the Joint Dark Energy Mission (JDEM; e.g. SNAP) or the Large-aperture Synoptic Survey Telescope will play a major role in advancing our understanding of the universe in this direction. In this review article, we describe various aspects of probing the matter power spectrum and the bi-spectrum and other related statistics with weak lensing surveys. This can be used to probe the background dynamics of the universe as well as the nature of dark matter and dark energy. PMID:16286284

  4. Visual acuity and patient satisfaction at varied distances and lighting conditions after implantation of an aspheric diffractive multifocal one-piece intraocular lens

    Science.gov (United States)

    Chang, Daniel H

    2016-01-01

    Purpose The aim of the study is to evaluate the visual acuity and patient satisfaction at varied distances under photopic and mesopic lighting conditions in patients bilaterally implanted with aspheric diffractive multifocal one-piece intraocular lenses. Methods In this retrospective–prospective study, 16 patients with a mean age of 66.2±9.2 years (range: 50–81 years) who had undergone bilateral phacoemulsification surgery with implantation of a Tecnis multifocal one-piece intraocular lens (ZMB00) were evaluated. Monocular and binocular uncorrected and distance-corrected visual acuities were measured at distance (20 ft), intermediate (70–80 cm), and near (35–40 cm) under photopic (85 cd/m2) and mesopic (3 cd/m2) lighting conditions and were compared using the paired t-test. All patients also completed a subjective questionnaire. Results At a mean follow-up of 9.5±3.9 months, distance, near, and intermediate visual acuity improved significantly from preoperative acuity. Under photopic and mesopic conditions, 93.8% and 62.5% of patients, respectively, had binocular uncorrected intermediate visual acuity of 20/40 or better, and 62.5% and 31.3% of patients had binocular uncorrected near visual acuity of 20/20 or better. All patients were satisfied with their overall vision without using glasses and/or contact lenses when compared with before surgery. A total of 87.5% of patients reported no glare and 68.8% of patients reported no halos around lights at night. Conclusion Tecnis multifocal one-piece intraocular lenses provide good distance, intermediate, and near visual acuity under photopic as well as mesopic lighting conditions. High levels of spectacle independence with low levels of photic phenomenon were achieved, resulting in excellent patient satisfaction. PMID:27536061

  5. The M31 pixel lensing plan campaign: MACHO lensing and self-lensing signals

    Energy Technology Data Exchange (ETDEWEB)

    Calchi Novati, S.; Scarpetta, G. [Istituto Internazionale per gli Alti Studi Scientifici (IIASS), Via Pellegrino 19, I-84019 Vietri Sul Mare (Italy); Bozza, V. [Dipartimento di Fisica E. R. Caianiello, Università di Salerno, Via Giovanni Paolo II 132, I-84084 Fisciano (Italy); Bruni, I.; Gualandi, R. [INAF, Osservatorio Astronomico di Bologna, Via Ranzani 1, I-40127 Bologna (Italy); Dall' Ora, M. [INAF, Osservatorio Astronomico di Capodimonte, Salita Moiariello 16, I-80131 Napoli (Italy); De Paolis, F.; Ingrosso, G.; Nucita, A.; Strafella, F. [Dipartimento di Matematica e Fisica E. De Giorgi, Università del Salento, CP 193, I-73100 Lecce (Italy); Dominik, M. [SUPA, University of St Andrews, School of Physics and Astronomy, North Haugh, St Andrews, KY16 9SS (United Kingdom); Jetzer, Ph. [Institute for Theoretical Physics, University of Zürich, Winterthurerstrasse 190, 8057 Zürich (Switzerland); Mancini, L. [Max Planck Institute for Astronomy, Königstuhl 17, D-69117 Heidelberg (Germany); Safonova, M.; Subramaniam, A. [Indian Institute of Astrophysics, Bangalore 560 034 (India); Sereno, M. [Dipartimento di Scienza Applicata e Tecnologia, Politecnico di Torino, Corso Duca degli Abruzzi 24, I-10129 Torino (Italy); Gould, A. [Department of Astronomy, Ohio State University, 140 West 18th Avenue, Columbus, OH 43210 (United States); Collaboration: PLAN Collaboration

    2014-03-10

    We present the final analysis of the observational campaign carried out by the PLAN (Pixel Lensing Andromeda) collaboration to detect a dark matter signal in form of MACHOs through the microlensing effect. The campaign consists of about 1 month/year observations carried out over 4 years (2007-2010) at the 1.5 m Cassini telescope in Loiano (Astronomical Observatory of BOLOGNA, OAB) plus 10 days of data taken in 2010 at the 2 m Himalayan Chandra Telescope monitoring the central part of M31 (two fields of about 13' × 12.'6). We establish a fully automated pipeline for the search and the characterization of microlensing flux variations. As a result, we detect three microlensing candidates. We evaluate the expected signal through a full Monte Carlo simulation of the experiment completed by an analysis of the detection efficiency of our pipeline. We consider both 'self lensing' and 'MACHO lensing' lens populations, given by M31 stars and dark matter halo MACHOs, in M31 and the Milky Way, respectively. The total number of events is consistent with the expected self-lensing rate. Specifically, we evaluate an expected signal of about two self-lensing events. As for MACHO lensing, for full 0.5(10{sup –2}) M {sub ☉} MACHO halos, our prediction is for about four (seven) events. The comparatively small number of expected MACHO versus self-lensing events, together with the small number statistics at our disposal, do not enable us to put strong constraints on that population. Rather, the hypothesis, suggested by a previous analysis, on the MACHO nature of OAB-07-N2, one of the microlensing candidates, translates into a sizeable lower limit for the halo mass fraction in form of the would-be MACHO population, f, of about 15% for 0.5 M {sub ☉} MACHOs.

  6. Two chamber reaction furnace

    Science.gov (United States)

    Blaugher, Richard D.

    1998-05-05

    A vertical two chamber reaction furnace. The furnace comprises a lower chamber having an independently operable first heating means for heating the lower chamber and a gas inlet means for admitting a gas to create an ambient atmosphere, and an upper chamber disposed above the lower chamber and having an independently operable second heating means for heating the upper chamber. Disposed between the lower chamber and the upper chamber is a vapor permeable diffusion partition. The upper chamber has a conveyor means for conveying a reactant there through. Of particular importance is the thallinating of long-length thallium-barium-calcium-copper oxide (TBCCO) or barium-calcium-copper oxide (BCCO) precursor tapes or wires conveyed through the upper chamber to thereby effectuate the deposition of vaporized thallium (being so vaporized as the first reactant in the lower chamber at a temperature between about 700.degree. and 800.degree. C.) on TBCCO or BCCO tape or wire (the second reactant) at its simultaneous annealing temperature in the upper chamber of about 800.degree. to 950.degree. C. to thereby replace thallium oxide lost from TBCCO tape or wire because of the high annealing temperature or to deposit thallium on BCCO tape or wire. Continuously moving the tape or wire provides a single-step process that effectuates production of long-length TBCCO superconducting product.

  7. Retropupillary iris-claw intraocular lens in ectopia lentis in Marfan syndrome

    Science.gov (United States)

    Faria, Mun Yueh; Ferreira, Nuno; Neto, Eliana

    2016-01-01

    Objective To report visual outcomes, complication rate, and safety of retropupillary iris-claw intraocular lens (ICIOL) in ectopia lentis in Marfan syndrome (MFS). Design Retrospective study. Methods Six eyes of three MFS patients with ectopia lentis underwent surgery for subluxation lens and retropupillary ICIOL implantation from October 2014 to October 2015 at the Department of Ophthalmology, Santa Maria Hospital in Lisbon, Portugal. Demographics, preoperative and postoperative best-corrected visual acuity (BCVA), and intraocular pressure were evaluated. Endothelium cell count was assessed using specular microscopy; anterior chamber depth was measured using Pentacam postoperatively; and intraocular lens position was viewed by ultrasound biomicroscopy. All patients were female; mean age was 20±14.264 years (range: 7–38 years). Results The average follow-up period was 6.66 months (range: 4–16 months). Preoperative BCVA was 0.568±0.149 logMAR units, and postoperative BCVA was 0.066±0.121 logMAR units. The mean BCVA gain was −0.502±0.221 on the logMAR scale. Postoperative average astigmatism and intraocular pressure were 1.292±0.697 mmHg (range: 0.5–2.25 mmHg) and 16 mmHg (range: 12–18 mmHg), respectively. The average endothelial cell density decreased from 3,121±178 cells/mm2 before surgery to 2,835±533 cells/mm2 after surgery (measured at last follow-up visit) and in the last follow-up, representing an average endothelial cell loss of 9.16%. Mean anterior chamber depth was 4.01 mm (±0.77 mm), as measured by Pentacam. No complications were found intra- or postoperatively in any of the six studied eyes. Conclusion Retropupillary ICIOL implantation is a safe and effective procedure in the treatment of aphakia in MFS eyes, without capsular support after surgery for ectopia lens. The six eyes that underwent lensectomy and retropupillary ICIOL implantation have had excellent visual outcomes with no complications so far. PMID:27382335

  8. How to measure intraocular pressure: applanation tonometry

    Directory of Open Access Journals (Sweden)

    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’.

  9. Bilateral Pseudoexfoliation Deposits on Intraocular Lens Implants

    Directory of Open Access Journals (Sweden)

    Elena Bonafonte Marquez

    2015-01-01

    Full Text Available We present a rare case of bilateral pseudoexfoliative deposits on both intraocular lens (IOL implants in an 83-year-old woman with no other associated pathology, 5 years after cataract surgery. Pseudoexfoliation syndrome is the most common cause of secondary open-angle glaucoma worldwide and these deposits are usually found on the natural lens. The fact that pseudoexfoliative deposits have been found on IOL implants implies the need for a thorough examination in pseudophakic patients, for it could be the only sign of secondary glaucoma.

  10. Implantable intraocular pressure monitoring systems: Design considerations

    KAUST Repository

    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.

  11. Lensing smoothing of BAO wiggles

    CERN Document Server

    Di Dio, Enea

    2016-01-01

    We study non--perturbatively the effect of the deflection angle on the BAO wiggles of the matter power spectrum in real space. We show that from redshift z~2 this introduces a dispersion of roughly 1 Mpc at BAO scale, which corresponds approximately to a 1% effect. The lensing effect induced by the deflection angle, which is completely geometrical and survey independent, smears out the BAO wiggles. The effect on the power spectrum amplitude at BAO scale is about 0.1% for z~2 and 0.2% for z~4. We compare the smoothing effects induced by the lensing potential and non--linear structure formation, showing that the two effects become comparable at z~4, while the lensing effect dominates for sources at higher redshifts. We note that this effect is not accounted through BAO reconstruction techniques.

  12. Cosmology from weak lensing of CMB

    CERN Document Server

    Namikawa, Toshiya

    2014-01-01

    The weak lensing effect on the cosmic microwave background (CMB) induces distortions in spatial pattern of CMB anisotropies, and statistical properties of CMB anisotropies become a weakly non-Gaussian field. We first summarize the weak lensing effect on the CMB (CMB lensing) in the presence of scalar, vector and tensor perturbations. Then we focus on the lensing effect on CMB statistics and methods to estimate deflection angles and their power spectrum. We end by summarizing recent observational progress and future prospect.

  13. Design of spherical symmetric gradient index lenses

    OpenAIRE

    Miñano Dominguez, Juan Carlos; Grabovičkić, Dejan; Benitez Gimenez, Pablo; Gonzalez Lopez, Juan Carlos; Santamaria Galdon, Maria Asuncion

    2012-01-01

    Spherical symmetric refractive index distributions also known as Gradient Index lenses such as the Maxwell-Fish-Eye (MFE), the Luneburg or the Eaton lenses have always played an important role in Optics. The recent development of the technique called Transformation Optics has renewed the interest in these gradient index lenses. For instance, Perfect Imaging within the Wave Optics framework has recently been proved using the MFE distribution. We review here the design problem of these lenses, ...

  14. Lithographically fabricated magnifying Maxwell fisheye lenses

    CERN Document Server

    Smolyaninova, V N; Jensen, C; Johnson, A; Schaefer, D; Smolyaninov, I I

    2015-01-01

    Recently suggested transformation optics-based magnifying Maxwell fisheye lenses, which are made of two half-lenses of different radii, has been fabricated and characterized. The lens action is based on control of polarization-dependent effective refractive index in a lithographically formed tapered waveguide. We have studied wavelength and polarization dependent performance of the lenses.

  15. Comparison of the effects of two types of intraocular lens%弹性开放襻前房型与巩膜缝线固定襻后房型人工晶体植入术的疗效比较

    Institute of Scientific and Technical Information of China (English)

    陈伟蓉; 刘奕志; 王宁利; 郭彦; 何明光

    2001-01-01

    Objective To evaluate the effectiveness and safety of implantation of flexible open-loop anterior chamber intraocular lens (FOAC-IOLs) and scleral fixated posterior chamber intraocular lens (PC-IOLs).Methods Sixty-eight eyes of 68 patients with implanted intraocular lenses in the absence of posterior capsular support were reviewed retrospectively. According to the type of intraocular lens, patients were classified into two groups. In groupⅠ (30 eyes), FOAC-IOLs was implanted primarily or secondarily. In group Ⅱ (38 eyes), scleral fixated PC-IOLs was implanted primarily or secondarily. By gonioscopy and ultrasound biomicroscopy (UBM), accurate positions of IOLs' haptics and the relationship between the haptics and surrounding tissues were observed postoperatively and used to evaluate the influence of the two types of IOLs on ocular anterior segments. Follow-up was 6 to 20 months. Results Best corrected visual acuity of 20/40 or better was achieved in 27 eyes (90.0%) in group Ⅰ, and 35 eyes (92.1%) in group Ⅱ and the difference was not statistically significant (P>0.05). In group Ⅰ, 23 eyes (76.7%) had a total of 40 complications, while 13 eyes (34.2%) had 19 complications in group Ⅱ (P0.05)。在第一组有23只眼(76.7%)出现手术并发症,总并发症数为40次/眼;而在第二组分别为13只眼(34.2%)和19次/眼。两组比较有统计学意义(P<0.05)。超声生物显微镜和前房角镜检查显示:在第一组,所有的人工晶体襻均与虹膜完全接触,且不同程度压迫虹膜,甚至引起房角后退。虹膜前粘连12只眼。在60个人工晶体襻中,39个襻的固定脚板固定于睫状体带,其余21个襻(12只眼)穿过虹膜侵入到睫状体实质内,伴有反复发作的葡萄膜炎。在第二组的76个人工晶体襻中,52个襻固定于睫状体沟,8个襻(8只眼)固定在虹膜下,引起房角粘连。另外16个襻固定于睫状体冠部。结论巩膜缝线固定

  16. N-body lensed CMB maps: lensing extraction and characterization

    Energy Technology Data Exchange (ETDEWEB)

    Antolini, Claudia; Martinelli, Matteo; Baccigalupi, Carlo [SISSA, Via Bonomea 265, Trieste, I-34136 (Italy); Fantaye, Yabebal [Institute of Theoretical Astrophysics, University of Oslo, P.O. Box 1029 Blindern, Oslo, N-0315 (Norway); Carbone, Carmelita, E-mail: claudia.antolini@sissa.it, E-mail: y.t.fantaye@astro.uio.no, E-mail: mmartin@sissa.it, E-mail: carmelita.carbone@brera.inaf.it, E-mail: bacci@sissa.it [INAF-Osservatorio Astronomico di Brera, Via Bianchi 46, Merate, I-23807 (Italy)

    2014-02-01

    We reconstruct shear maps and angular power spectra from simulated weakly lensed total intensity (TT) and polarised (EB) maps of the Cosmic Microwave Background (CMB) anisotropies, obtained using Born approximated ray-tracing through the N-body simulated Cold Dark Matter (CDM) structures in the Millennium Simulations (MS). We compare the recovered signal with the ΛCDM prediction, on the whole interval of angular scales which is allowed by the finite box size, extending from the degree scale to the arcminute, by applying a quadratic estimator in the flat sky limit; we consider PRISM-like instrumental specification for future generation CMB satellites, corresponding to arcminute angular resolution of 3.2' and sensitivity of 2.43 μK-arcmin. The noise contribution in the simulations closely follows the estimator prediction, becoming dominated by limits in the angular resolution for the EB signal, at ℓ ≅ 1500. The recovered signal shows no visible departure from predictions of the weak lensing power within uncertainties, when considering TT and EB data singularly. In particular, the reconstruction precision reaches the level of a few percent in bins with Δℓ ≅ 100 in the angular multiple interval 1000∼<ℓ∼<2000 for T, and about 10% for EB. Within the adopted specifications, polarisation data do represent a significant contribution to the lensing shear, which appear to faithfully trace the underlying N-body structure down to the smallest angular scales achievable with the present setup, validating at the same time the latter with respect to semi-analytical predictions from ΛCDM cosmology at the level of CMB lensing statistics. This work demonstrates the feasibility of CMB lensing studies based on large scale simulations of cosmological structure formation in the context of the current and future high resolution and sensitivity CMB experiment.

  17. Fabrication of nanoscale electrostatic lenses

    NARCIS (Netherlands)

    Sinno, I.; Sanz-Velasco, A.; Kang, S.; Jansen, H.; Olsson, E.; Enoksson, P.; Svensson, K.

    2010-01-01

    The fabrication of cylindrical multi-element electrostatic lenses at the nanoscale presents a challenge; they are high-aspect-ratio structures that should be rotationally symmetric, well aligned and freestanding, with smooth edges and flat, clean surfaces. In this paper, we present the fabrication r

  18. Irlen Lenses and Reading Difficulties.

    Science.gov (United States)

    Hoyt, Creig S.

    1990-01-01

    The article reviews three studies (EC 600 064-066) evaluating the effectiveness of using Irlen tinted lenses with reading-disabled persons. The studies are individually critiqued, and recommendations are offered concerning the methodology of further research. Stressed is the need to determine whether a specific syndrome of scotopic sensitivity…

  19. Gravitational Lensing of Supernova Neutrinos

    OpenAIRE

    Mena Requejo, Olga; Mocioiu, Irina; Quigg, Chris

    2006-01-01

    The black hole at the center of the galaxy is a powerful lens for supernova neutrinos. In the very special circumstance of a supernova near the extended line of sight from Earth to the galactic center, lensing could dramatically enhance the neutrino flux at Earth and stretch the neutrino pulse.

  20. Optics Demonstrations Using Cylindrical Lenses

    Science.gov (United States)

    Ivanov, Dragia; Nikolov, Stefan

    2015-01-01

    In this paper we consider the main properties of cylindrical lenses and propose several demonstrational experiments that can be performed with them. Specifically we use simple glasses full of water to demonstrate some basic geometrical optics principles and phenomena. We also present some less standard experiments that can be performed with such…

  1. Advantages of toric scleral lenses.

    NARCIS (Netherlands)

    Visser, E.S.; Visser, R.; Lier, H.J.J. van

    2006-01-01

    PURPOSE: The purpose of this study was to investigate whether back surface toric scleral lenses stabilized (i.e., returned to their original position after rotation) and how long the return times were. Return time was studied in relation with actual wearing time and comfort; moreover, the performanc

  2. Effect of a tight necktie on intraocular pressure

    Directory of Open Access Journals (Sweden)

    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.

  3. 3D printed diffractive terahertz lenses.

    Science.gov (United States)

    Furlan, Walter D; Ferrando, Vicente; Monsoriu, Juan A; Zagrajek, Przemysław; Czerwińska, Elżbieta; Szustakowski, Mieczysław

    2016-04-15

    A 3D printer was used to realize custom-made diffractive THz lenses. After testing several materials, phase binary lenses with periodic and aperiodic radial profiles were designed and constructed in polyamide material to work at 0.625 THz. The nonconventional focusing properties of such lenses were assessed by computing and measuring their axial point spread function (PSF). Our results demonstrate that inexpensive 3D printed THz diffractive lenses can be reliably used in focusing and imaging THz systems. Diffractive THz lenses with unprecedented features, such as extended depth of focus or bifocalization, have been demonstrated. PMID:27082335

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

    Directory of Open Access Journals (Sweden)

    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.

  5. MicroRNA profiling in intraocular medulloepitheliomas.

    Directory of Open Access Journals (Sweden)

    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

  6. Prototype multiwire proportional chamber

    CERN Multimedia

    1975-01-01

    Chambers of this type were initially developed within the Alpha project (finally not approved). They were designed such to minimize the radiation length with a view to a mass spectrometer of high resolution meant to replace the Omega detector. The chambers were clearly forerunners for the (drift) chambers later built for R606 with the novel technique of crimping the wires. See also photo 7510039X.

  7. EDITORIAL: Focus on Gravitational Lensing

    Science.gov (United States)

    Jain, Bhuvnesh

    2007-11-01

    Gravitational lensing emerged as an observational field following the 1979 discovery of a doubly imaged quasar lensed by a foreground galaxy. In the 1980s and '90s dozens of other multiply imaged systems were observed, as well as time delay measurements, weak and strong lensing by galaxies and galaxy clusters, and the discovery of microlensing in our galaxy. The rapid pace of advances has continued into the new century. Lensing is currently one of best techniques for finding and mapping dark matter over a wide range of scales, and also addresses broader cosmological questions such as understanding the nature of dark energy. This focus issue of New Journal of Physics presents a snapshot of current research in some of the exciting areas of lensing. It provides an occasion to look back at the advances of the last decade and ahead to the potential of the coming years. Just about a decade ago, microlensing was discovered through the magnification of stars in our galaxy by invisible objects with masses between that of Jupiter and a tenth the mass of the Sun. Thus a new component of the mass of our galaxy, dubbed MACHOs, was established (though a diffuse, cold dark matter-like component is still needed to make up most of the galaxy mass). More recently, microlensing led to another exciting discovery—of extra-solar planets with masses ranging from about five times that of Earth to that of Neptune. We can expect many more planets to be discovered through ongoing surveys. Microlensing is the best technique for finding Earth mass planets, though it is not as productive overall as other methods and does not allow for follow up observations. Beyond planet hunting, microlensing has enabled us to observe previously inaccessible systems, ranging from the surfaces of other stars to the accretion disks around the black holes powering distant quasars. Galaxies and galaxy clusters at cosmological distances can produce dramatic lensing effects: multiple images of background galaxies

  8. Laser flare photometry: a noninvasive, objective, and quantitative method to measure intraocular inflammation.

    Science.gov (United States)

    Tugal-Tutkun, Ilknur; Herbort, Carl P

    2010-10-01

    Aqueous flare and cells are the two inflammatory parameters of anterior chamber inflammation resulting from disruption of the blood-ocular barriers. When examined with the slit lamp, measurement of intraocular inflammation remains subjective with considerable intra- and interobserver variations. Laser flare cell photometry is an objective quantitative method that enables accurate measurement of these parameters with very high reproducibility. Laser flare photometry allows detection of subclinical alterations in the blood-ocular barriers, identifying subtle pathological changes that could not have been recorded otherwise. With the use of this method, it has been possible to compare the effect of different surgical techniques, surgical adjuncts, and anti-inflammatory medications on intraocular inflammation. Clinical studies of uveitis patients have shown that flare measurements by laser flare photometry allowed precise monitoring of well-defined uveitic entities and prediction of disease relapse. Relationships of laser flare photometry values with complications of uveitis and visual loss further indicate that flare measurement by laser flare photometry should be included in the routine follow-up of patients with uveitis. PMID:19430730

  9. A retrospective analysis of the first Indian experience on Artisan phakic intraocular lens

    Directory of Open Access Journals (Sweden)

    Senthil Sirisha

    2006-01-01

    Full Text Available Purpose: To evaluate the efficacy, safety, predictability and stability of implanting a polymethylmethacrylate phakic intraocular lens (PIOL in high myopia. Materials and Methods: A retrospective analysis of the data of patients who underwent Artisan phakic IOL implantation between 2002 and 2003 with a follow-up of at least 24 months. Results: An Artisan myopia lens was implanted in 60 eyes of 36 patients with preoperative myopia ranging from -5.0 to -24.0 D. Mean patient age was 22.6 years. Mean spherical equivalent of manifest refraction stabilized by the first postoperative week. At three months follow-up, 54 eyes (90% had a postoperative refraction within ± 1D emmetropia and 45 eyes (75% had uncorrected visual acuity of 20/40 or better. Seven eyes (11.6% had loss of one Snellen line and none had loss of two Snellen lines or more at three months. The mean endothelial cell loss was 3.8% at three months, 5.2% at six months, 5.25% at 12 months and 6.38% at two years, which was not significant. Postoperative complications included anterior chamber reaction in two eyes (3.3%, rise in intraocular pressure in six eyes (10% and dislocation of PIOL in two eyes (3.3%. Conclusion: Implantation of Artisan myopia lens to correct high myopia resulted in a stable and fairly predictable refractive outcome with few complications. Significant endothelial damage was not detected in two years of follow-up.

  10. Primary orbital neuroblastoma with intraocular extension

    Directory of Open Access Journals (Sweden)

    Muthukrishnan Vallinayagam

    2015-01-01

    Full Text Available Neuroblastoma is an undifferentiated malignancy of primitive neuroblasts. Neuroblastoma is among the most common solid tumors of childhood. Orbital neuroblastoma is typically a metastatic tumor. In this case report, we describe a 2-year-old child with a rapidly progressing orbital tumor. Computed tomography revealed an orbital mass lesion with extraocular and intraocular components. An incisional biopsy was done, and a histopathological examination showed features suggestive of neuroblastoma. Systemic workup including ultrasonography of the abdomen, chest roentgenogram, whole body computed tomography, and bone scintigraphy showed no evidence of systemic involvement. The diagnosis of primary orbital neuroblastoma was made, and the child was subjected to chemotherapy followed by rapid melting of the tumor. Neuroblastoma should be considered in the differential diagnosis of childhood orbital tumors.

  11. Intraocular Lens Calcification; a Clinicopathologic Report

    Directory of Open Access Journals (Sweden)

    Mozhgan Rezaei-Kanavi

    2009-04-01

    Full Text Available

    PURPOSE: To describe the clinical and pathological features of a case of hydrogel intraocular lens (IOL calcification. CASE REPORT: A 48-year-old man underwent explantation of a single-piece hydrophilic acrylic intraocular lens in his left eye because of decreased visual acuity and milky white opalescence of the IOL. The opacified lens was exchanged uneventfully with a hydrophobic acrylic IOL. Gross examination of the explanted IOL disclosed opacification of the optic and haptics. Full-thickness sections of the lens optic were stained with hematoxylin and eosin (H&E, von Kossa and Gram Tworts'. Microscopic examination of the sections revealed fine and diffuse basophilic granular deposits of variable size within the lens optic parallel to the lens curvature but separated from the surface by a moderately clear zone. The deposits were of high calcium content as evident by dark brown staining with von Kossa. Gram Tworts' staining disclosed no microorganisms. CONCLUSION: This report further contributes to the existing literature on hydrogel IOL calcification.

  12. Intraocular pressure in Japanese diabetic patients

    Directory of Open Access Journals (Sweden)

    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

  13. Computational modeling of intraocular gas dynamics

    Science.gov (United States)

    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.

  14. Assessing the effect of laser beam width on quantitative evaluation of optical properties of intraocular lens implants

    Science.gov (United States)

    Walker, Bennett N.; James, Robert H.; Chakravarty, Aurin; Calogero, Don; Ilev, Ilko K.

    2014-05-01

    The design and manufacture of intraocular lenses (IOLs) depend upon the identification and quantitative preclinical evaluation of key optical properties and environmental parameters. The confocal laser method (CLM) is a new technique for measuring IOL optical properties, such as dioptric power, optical quality, refractive index, and geometrical parameters. In comparison to competing systems, the CLM utilizes a fiber-optic confocal laser design that significantly improves the resolution, accuracy, and repeatability of optical measurements. Here, we investigate the impact of changing the beam diameter on the CLM platform for the evaluation of IOL dioptric powers. Due to the Gaussian intensity profile of the CLM laser beam, the changes in focal length and dioptric power associated with changes in beam diameter are well within the tolerances specified in the ISO IOL standard. These results demonstrate some of the advanced potentials of the CLM toward more effectively and quantitatively evaluating IOL optical properties.

  15. Application of Foldable Intraocular Lens in Multiple Types of Cataract

    Institute of Scientific and Technical Information of China (English)

    Songtao Yuan; Qinghuai Liu; Qing Jiang; Nanrong Yuan

    2002-01-01

    Objective: To evaluate the clinical results of implantation of foldable intraocular lens inmultiple types of cataract.Methods: This retrospective study comprised 162 eyes of 148 patients undergoingphacoemulsification and implantation of foldable intraocular lens, some of whom under-went combined pars plana vitrectomy or trabeculectomy or silicone oil removal. Theperiod of follow-up was from 3 months to 17 months.Results: There is slight reaction postoperatively in all cases. The postoperative uncorrectedvisual acuites was from 0. 05 to 1.2, patient with 0.6 or above acuity were 70.98%. Aneodymium: YAG capsulotomy was required in 5 eyes. Posterior capsule ruptured in 1eyes, and a PMMA intraocular lens was implanted in ciliary sulcus. In one eye, a lenswas removed because of recurrence of retina detachment.Conclusions: The application of foldable intraocular lens in multiple types of cataract issafe, and there is a slight postoperative reaction. less complications , and fast visualacuity recovery.

  16. Patient acceptability of the Tecnis® multifocal intraocular lens

    Directory of Open Access Journals (Sweden)

    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 

  17. Magnetic Nanoparticles as Intraocular Drug Delivery System to Target Retinal Pigmented Epithelium (RPE)

    Science.gov (United States)

    Giannaccini, Martina; Giannini, Marianna; Calatayud, M. Pilar; Goya, Gerardo F.; Cuschieri, Alfred; Dente, Luciana; Raffa, Vittoria

    2014-01-01

    One of the most challenging efforts in drug delivery is the targeting of the eye. The eye structure and barriers render this organ poorly permeable to drugs. Quite recently the entrance of nanoscience in ocular drug delivery has improved the penetration and half-life of drugs, especially in the anterior eye chamber, while targeting the posterior chamber is still an open issue. The retina and the retinal pigment epithelium/choroid tissues, located in the posterior eye chamber, are responsible for the majority of blindness both in childhood and adulthood. In the present study, we used magnetic nanoparticles (MNPs) as a nanotool for ocular drug delivery that is capable of specific localization in the retinal pigmented epithelium (RPE) layer. We demonstrate that, following intraocular injection in Xenopus embryos, MNPs localize specifically in RPE where they are retained for several days. The specificity of the localization did not depend on particle size and surface properties of the MNPs used in this work. Moreover, through similar experiments in zebrafish, we demonstrated that the targeting of RPE by the nanoparticles is not specific for the Xenopus species. PMID:24451140

  18. Magnetic Nanoparticles as Intraocular Drug Delivery System to Target Retinal Pigmented Epithelium (RPE

    Directory of Open Access Journals (Sweden)

    Martina Giannaccini

    2014-01-01

    Full Text Available One of the most challenging efforts in drug delivery is the targeting of the eye. The eye structure and barriers render this organ poorly permeable to drugs. Quite recently the entrance of nanoscience in ocular drug delivery has improved the penetration and half-life of drugs, especially in the anterior eye chamber, while targeting the posterior chamber is still an open issue. The retina and the retinal pigment epithelium/choroid tissues, located in the posterior eye chamber, are responsible for the majority of blindness both in childhood and adulthood. In the present study, we used magnetic nanoparticles (MNPs as a nanotool for ocular drug delivery that is capable of specific localization in the retinal pigmented epithelium (RPE layer. We demonstrate that, following intraocular injection in Xenopus embryos, MNPs localize specifically in RPE where they are retained for several days. The specificity of the localization did not depend on particle size and surface properties of the MNPs used in this work. Moreover, through similar experiments in zebrafish, we demonstrated that the targeting of RPE by the nanoparticles is not specific for the Xenopus species.

  19. Associated depression in pseudophakic patients with intraocular lens with and without chromophore

    Directory of Open Access Journals (Sweden)

    Mendoza-Mendieta ME

    2016-03-01

    Full Text Available María Elena Mendoza-Mendieta, Ana Aurora Lorenzo-Mejía Association to Prevent Blindness in Mexico (APEC, Hospital “Dr Luis Sánchez Bulnes”, Mexico City, Mexico Background: With aging, the crystalline lens turns yellowish, which increases the absorption of wavelengths in the blue electromagnetic spectrum, reducing their photoreception in the retina. Since these wavelengths are the main stimulus in the regulation of the circadian rhythm, progressive reduction in their transmission is associated with chronic sleep disturbances and depression in elderly patients. Cataract extraction improves circadian photoreception at any age. However, lenses that block blue waves have 27% to 38% less melatonin suppression than lenses that block only ultraviolet (UV rays. Purpose: To assess the depression symptoms in subjects who have had bilateral phacoemulsification and intraocular lens (IOL implants, one group with yellow chromophore IOLs and the other group with transparent IOLs were compared. Setting: Association to Prevent Blindness in Mexico (APEC, Hospital “Dr Luis Sánchez Bulnes”. Design: This was an observational, cross-sectional, and single-center study. Materials and methods: Twenty-six subjects between 60 and 80 years of age, with a history of bilateral phacoemulsification and placement of the same type of IOL in both eyes from 4 to 12 months prior to the study, who attended the follow-up visits and agreed to participate in this study, and provided signed informed consent were included in the study. They were asked to answer the short version of the 15-item Geriatric Depression Scale. Results: The average age of the study participants was 72.5±5.94 years. The group without chromophore included 46.1% (n=12 of the patients and the group with chromophore included 53.9% (n=14 of the patients (P=0.088. Conclusion: In the group of patients with IOLs that block the passage of blue light, the depression rate was 21.4%, a rate similar to that

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

    OpenAIRE

    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...

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

    OpenAIRE

    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...

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

    OpenAIRE

    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...

  3. Patient acceptability of the Tecnis® multifocal intraocular lens

    OpenAIRE

    Woodward, Maria; Sood,Priyanka

    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...

  4. Target chambers for gammashpere

    Energy Technology Data Exchange (ETDEWEB)

    Carpenter, M.P.; Falout, J.W.; Nardi, B.G. [and others

    1995-08-01

    One of our responsibilities for Gammasphere, was designing and constructing two target chambers and associated beamlines to be used with the spectrometer. The first chamber was used with the early implementation phase of Gammasphere, and consisted of two spun-Al hemispheres welded together giving a wall thickness of 0.063 inches and a diameter of 12 inches.

  5. High resolution drift chambers

    International Nuclear Information System (INIS)

    High precision drift chambers capable of achieving less than or equal to 50 μm resolutions are discussed. In particular, we compare so called cool and hot gases, various charge collection geometries, several timing techniques and we also discuss some systematic problems. We also present what we would consider an ''ultimate'' design of the vertex chamber. 50 refs., 36 figs., 6 tabs

  6. CHAMBER OF COMMERCE INFORMATION

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Experience Japan The Japanese Chamber of Commerce and Industry will further promote its Japan-experience program and seek cooperation with various Chinese institutions.Between early May and June 2007,the chamber organized a Chinese college student delegation to Japan with the support from its members in China.

  7. New case of gravitational lensing

    Energy Technology Data Exchange (ETDEWEB)

    Surdej, J.; Swings, J.-P.; Magain, P.; Borgeest, U.; Kayser, R.; Refsdal, S.; Courvoisier, T.J.-L.; Kellermann, K.I.; Kuehr, H.

    1987-10-22

    The authors report a brief description of a gravitational lens system UM673 = Q0142 - 100 = PHL3703. It consists of two images, A and B, separated by 2.2 arc s at a redshift zsub(q) = 2.719. The lensing galaxy has also been found. It lies very near the line connecting the two QSO (quasi-stellar objects) images, approx. 0.8 arc s from the fainter one. Application of gravitational optometry to this system leads to a value Msub(o) or approx. = 2.4 x 10/sup 11/ M solar masses for the mass of the lensing galaxy and to ..delta..t approx. 7 weeks for the most likely travel-time difference between the two light paths to the QSO.

  8. Gravitational Lensing - Einstein's Unfinished Symphony

    CERN Document Server

    Treu, Tommaso

    2014-01-01

    Gravitational lensing - the deflection of light rays by gravitating matter - has become a major tool in the armoury of the modern cosmologist. Proposed nearly a hundred years ago as a key feature of Einstein's theory of General Relativity, we trace the historical development since its verification at a solar eclipse in 1919. Einstein was apparently cautious about its practical utility and the subject lay dormant observationally for nearly 60 years. Nonetheless there has been rapid progress over the past twenty years. The technique allows astronomers to chart the distribution of dark matter on large and small scales thereby testing predictions of the standard cosmological model which assumes dark matter comprises a massive weakly-interacting particle. By measuring distances and tracing the growth of dark matter structure over cosmic time, gravitational lensing also holds great promise in determining whether the dark energy, postulated to explain the accelerated cosmic expansion, is a vacuum energy density or a...

  9. Extinction Curves of Lensing Galaxies

    Science.gov (United States)

    Elíasdóttir, Árdís

    2006-09-01

    Dust extinction causes light from distant sources to be dimmed on itsway to the observer. In cosmological studies, such as SN Ia studies,it is of great importance that the effects of dust extinction becorrectly accounted for. However, although dust properties, andhence extinction, are expected to vary with redshift, not very muchis known about the extinction properties of high redshift galaxies.This is because the methods traditionally used to study extinctioncurves are only applicable for the most nearby galaxies. Studyinggravitationally lensed quasars is an emerging method of studying thedust extinction of high redshift galaxies. I will present an ESO VLTstudy of 10 such lensing galaxies, with redshifts up to 1. The 10systems display varying amount and type of extinction, with thedoubly imaged quasar B1152+199 showing the greatest extinction with A(V)=2.4 and R_V=2.1 for a Galactic type extinction law.

  10. Intracapsular dexamethasone implant in patients undergoing phacoemulsification and intraocular lens implantation

    Directory of Open Access Journals (Sweden)

    Lucas Monferrari Monteiro Vianna

    2013-08-01

    Full Text Available PURPOSE: To relate the outcomes of 7 eyes of 7 patients in which a dexamethasone 0.7 mg implant (Ozurdex® was placed inside the capsule bag after phacoemulsification and intraocular lens (IOL implantation and compare with the fellow eyes, that were operated by the same technique and received dexamethasone eyedrops in the post-operatory. METHODS: Report review of 7 eyes of 7 patients who received dexamethasone 0.7 mg implant after phacoemulsification and IOL, comparing them to the fellow eyes. All the patients underwent bilateral cataract surgery, with one month interval, by the same technique and by experienced surgeons, without complications. Post operatory medication consisted of moxifloxacin eye drops for all the 14 eyes and topic dexamethasone for the 7 eyes that did not received the implant. RESULTS: Nuclear cataract classification (according to LOCS III was 3.28 ± 0.69 in the implant eye group and 3.14 ± 0.83 in the fellow eye group. Postoperative best spectacle correct visual acuity (BSCVA was 0.85 ± 0.12 and 0.87 ± 0.13, respectively in the implant and fellow eye groups. The intraocular pressure remained stable and similar to the pre-operative measurements. Anterior chamber reaction and cornea edema were similar in both groups in the follow-up. Two of the four no sutured pellet migrated to the anterior chamber during the first post-operative week and had to be repositioned. Another no sutured pellet dislocated and remained partially inside the capsule bag. The 3 patients with IOL haptic-sutured pellet had no complications. CONCLUSIONS: In the present study, dexamethasone 0.7mg implant were effective in controlling the inflammation after phacoemulsification and IOL implantation, with no significant side effects.

  11. In Vivo Imaging of Intraocular Fluidics in Vitrectomized Swine Eyes Using a Digital Fluoroscopy System

    Directory of Open Access Journals (Sweden)

    Tamer Tandogan

    2016-01-01

    Full Text Available Purpose. To describe the characteristics of intraocular fluidics during cataract surgery in swine eyes with prior vitrectomy. Methods. We prepared three groups of enucleated swine eyes (nonvitrectomized, core, and totally vitrectomized. Irrigation and aspiration were performed (2.7 mm conventional sleeved phacosystem using a balanced saline solution mixed with a water-soluble radiopaque contrast medium at 1 : 1 ratio. We imaged the eyes using a digital fluoroscopy system (DFS during phacoemulsification and compared the characteristics of the intraocular fluid dynamics between the groups. Results. The anterior chamber depth (ACD after the commencement of irrigation differed between groups (2.25±0.06 mm; 2.33±0.06 mm; 3.17±0.11 mm, as well as the height of the fluid flowing from the anterior chamber into the posterior cavity that was identified by lifting up the iris to correct the infusion deviation syndrome (0.00±0.00 mm; 0.41±0.04 mm; 2.19±0.35 mm. Conclusions. DFS demonstrated differences in fluid dynamics during phacoemulsification in swine eyes with or without prior vitrectomy. In completely vitrectomized eyes, the large ACD, which developed during phacoemulsification, could be reduced by lifting the iris and allowing the fluid to shift to the posterior cavity. Recognizing the differences in fluidics of vitrectomized eyes as compared to those of the nonvitrectomized eyes may reduce the frequency of intraoperative complications.

  12. Visual Performance after Bilateral Implantation of a Four-Haptic Diffractive Toric Multifocal Intraocular Lens in High Myopes.

    Science.gov (United States)

    Chang, John S M; Chan, Vincent K C; Ng, Jack C M; Law, Antony K P

    2016-01-01

    Background. The vision with diffractive toric multifocal intraocular lenses after cataract surgery in long eyes has not been studied previously. Objectives. To report visual performance after bilateral implantation of a diffractive toric multifocal intraocular lens in high myopes. Methods. Prospective, observational case series to include patients with axial length of ≥26 mm and corneal astigmatism of >1 dioptre who underwent bilateral AT LISA 909M implantation. Postoperative examinations included photopic and mesopic distance, intermediate, and near visual acuity; photopic contrast sensitivity; visual symptoms (0-5); satisfaction (1-5); and spectacle independence rate. Results. Twenty-eight eyes (14 patients) were included. Postoperatively, mean photopic monocular uncorrected distance, intermediate, and near visual acuities (logMAR) were 0.12 ± 0.20 (standard deviation), 0.24 ± 0.16, and 0.29 ± 0.21, respectively. Corresponding binocular values were -0.01 ± 0.14, 0.13 ± 0.12, and 0.20 ± 0.19, respectively. One eye (4%) had one-line loss in vision. Under mesopic condition, intermediate vision and near vision decreased significantly (all P ≤ 0.001). Contrast sensitivity at all spatial frequencies did not improve significantly under binocular condition (all P > 0.05). Median scores for halos, night glare, starbursts, and satisfaction were 0.50, 0.00, 0.00, and 4.25, respectively. Ten patients (71%) reported complete spectacle independence. Conclusions. Bilateral implantation of the intraocular lens in high myopes appeared to be safe and achieved good visual performance and high satisfaction. PMID:27563460

  13. Visual Performance after Bilateral Implantation of a Four-Haptic Diffractive Toric Multifocal Intraocular Lens in High Myopes

    Science.gov (United States)

    Chan, Vincent K. C.

    2016-01-01

    Background. The vision with diffractive toric multifocal intraocular lenses after cataract surgery in long eyes has not been studied previously. Objectives. To report visual performance after bilateral implantation of a diffractive toric multifocal intraocular lens in high myopes. Methods. Prospective, observational case series to include patients with axial length of ≥26 mm and corneal astigmatism of >1 dioptre who underwent bilateral AT LISA 909M implantation. Postoperative examinations included photopic and mesopic distance, intermediate, and near visual acuity; photopic contrast sensitivity; visual symptoms (0–5); satisfaction (1–5); and spectacle independence rate. Results. Twenty-eight eyes (14 patients) were included. Postoperatively, mean photopic monocular uncorrected distance, intermediate, and near visual acuities (logMAR) were 0.12 ± 0.20 (standard deviation), 0.24 ± 0.16, and 0.29 ± 0.21, respectively. Corresponding binocular values were −0.01 ± 0.14, 0.13 ± 0.12, and 0.20 ± 0.19, respectively. One eye (4%) had one-line loss in vision. Under mesopic condition, intermediate vision and near vision decreased significantly (all P ≤ 0.001). Contrast sensitivity at all spatial frequencies did not improve significantly under binocular condition (all P > 0.05). Median scores for halos, night glare, starbursts, and satisfaction were 0.50, 0.00, 0.00, and 4.25, respectively. Ten patients (71%) reported complete spectacle independence. Conclusions. Bilateral implantation of the intraocular lens in high myopes appeared to be safe and achieved good visual performance and high satisfaction. PMID:27563460

  14. Visual Performance after Bilateral Implantation of a Four-Haptic Diffractive Toric Multifocal Intraocular Lens in High Myopes.

    Science.gov (United States)

    Chang, John S M; Chan, Vincent K C; Ng, Jack C M; Law, Antony K P

    2016-01-01

    Background. The vision with diffractive toric multifocal intraocular lenses after cataract surgery in long eyes has not been studied previously. Objectives. To report visual performance after bilateral implantation of a diffractive toric multifocal intraocular lens in high myopes. Methods. Prospective, observational case series to include patients with axial length of ≥26 mm and corneal astigmatism of >1 dioptre who underwent bilateral AT LISA 909M implantation. Postoperative examinations included photopic and mesopic distance, intermediate, and near visual acuity; photopic contrast sensitivity; visual symptoms (0-5); satisfaction (1-5); and spectacle independence rate. Results. Twenty-eight eyes (14 patients) were included. Postoperatively, mean photopic monocular uncorrected distance, intermediate, and near visual acuities (logMAR) were 0.12 ± 0.20 (standard deviation), 0.24 ± 0.16, and 0.29 ± 0.21, respectively. Corresponding binocular values were -0.01 ± 0.14, 0.13 ± 0.12, and 0.20 ± 0.19, respectively. One eye (4%) had one-line loss in vision. Under mesopic condition, intermediate vision and near vision decreased significantly (all P ≤ 0.001). Contrast sensitivity at all spatial frequencies did not improve significantly under binocular condition (all P > 0.05). Median scores for halos, night glare, starbursts, and satisfaction were 0.50, 0.00, 0.00, and 4.25, respectively. Ten patients (71%) reported complete spectacle independence. Conclusions. Bilateral implantation of the intraocular lens in high myopes appeared to be safe and achieved good visual performance and high satisfaction.

  15. Relation between intraocular pressure and size of transverse sinuses.

    Science.gov (United States)

    Kantarci, Mecit; Dane, Senol; Gumustekin, Kenan; Onbas, Omer; Alper, Fatih; Okur, Adnan; Aslankurt, Murat; Yazici, Ahmet Taylan

    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. PMID:15647949

  16. Relation between intraocular pressure and size of transverse sinuses

    Energy Technology Data Exchange (ETDEWEB)

    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.)

  17. 高度近视有晶状体眼人工晶状体植入对调节功能影响%The effect on accommodation of phakic intraocular lens implantation for high myopia

    Institute of Scientific and Technical Information of China (English)

    郭长锋; 王勤美; 朱双倩; 俞阿勇

    2010-01-01

    目的 分析有晶状体眼人工晶状体植入术对高度近视患者调节功能的影响.方法 收集2008年8月至2009年3月在行有晶状体眼人工晶状体植入的高度近视患者16例(32只眼),年龄(27.56±4.50)岁(19~35)岁,其中10例接受后房型有晶状体眼人工晶状体植入手术(Visian ICL),6例行虹膜夹型有晶体眼人工晶状体植入手术(Verisyse).分别于术前和术后1周及术后3个月测量屈光状态、最佳矫正远视力、调节近点、正负相对调节(PRA/NRA)、调节灵活度.数据采用SPSS15.0统计软件包行单因素方差分析.结果 术前、术后1周及术后3个月的最佳矫正远视力分别为4.84±0.12、4.91±0.11、4.92±0.11:调节近点分别为(10.02±1.92)cm、(14.38±3.59)cm、(13.19±2.91)cm.术后1周和3个月时较术前明显远移(F=19.45,P0.05).结论 高度近视有晶状体眼人工晶状体植入术后调节近点明显远移,正负相对调节和单眼调节灵活度手术前后无明显变化.%Objective To study the effect on accommodation of phakic intraocular lens implantation for high myopia. Methods In this prospective study, 32 eyes of 16 patients with high myopia received phakic intraocular lenses implantation in our hospital from August 2008 to March 2009 were collected. Age 19 to 35 years (mean age 27.56±4.50 years). Among them 10 patients received posterior chamber intraocular lens implantation surgery (PRL), 6 patients received the Verisyse iris-fixated phakic IOL surgery. The refractive diopter, best corrected visual acuity (BCVA), near point accommodation, positive/negative relation accommodation (PRA/NRA), monocular accommodation facility were measured preoperation, 1 week and 3 months postoperation, respectively. The data were analyzed with one-way ANOVA by SPSS15.0. Results The best corrected visual acuity (BCVA)of preoperation, 1 week 3 months and postoperation was 4.84±0.12, 4.91±0.11,4.92±0.11, respectively. The near point accommodationwas

  18. Uncontrolled Selling of Contact Lenses

    Directory of Open Access Journals (Sweden)

    Cem Sundu

    2015-05-01

    Full Text Available Objectives: To evaluate the opticians’ perspective about selling and applying contact lenses (CL in the provincial centre of Mersin. Materials and Methods: Twenty opticians who work in the 4 main districts in the provincial centre of Mersin were included in the study. A questionnaire form which was prepared before was filled out by the participants. Results: Seventy-eight percent of the opticians were selling CL without prescription, whereas 25% also carried out its fitting. Seventyfive percent of the participants did not get any education about contact lenses, while 65% of them were feeling themselves disqualified about CLs. Furthermore, half of the participants did not have enough knowledge about the complications associated with CL usage and 75% of them wanted to receive information about CLs. Conclusion: As a result of the questionnaire, we found out that a significant part of the participants were both selling and fitting contact lenses without prescription. We believe that auditing the opticians is as important as educating the contact lens users. (Turk J Ophthalmol 2015; 45: 102-104

  19. Gravitational Lensing: Einstein's unfinished symphony

    Science.gov (United States)

    Treu, Tommaso; Ellis, Richard S.

    2015-01-01

    Gravitational lensing - the deflection of light rays by gravitating matter - has become a major tool in the armoury of the modern cosmologist. Proposed nearly a hundred years ago as a key feature of Einstein's theory of general relativity, we trace the historical development since its verification at a solar eclipse in 1919. Einstein was apparently cautious about its practical utility and the subject lay dormant observationally for nearly 60 years. Nonetheless there has been rapid progress over the past twenty years. The technique allows astronomers to chart the distribution of dark matter on large and small scales thereby testing predictions of the standard cosmological model which assumes dark matter comprises a massive weakly-interacting particle. By measuring the distances and tracing the growth of dark matter structure over cosmic time, gravitational lensing also holds great promise in determining whether the dark energy, postulated to explain the accelerated cosmic expansion, is a vacuum energy density or a failure of general relativity on large scales. We illustrate the wide range of applications which harness the power of gravitational lensing, from searches for the earliest galaxies magnified by massive clusters to those for extrasolar planets which temporarily brighten a background star. We summarise the future prospects with dedicated ground and space-based facilities designed to exploit this remarkable physical phenomenon.

  20. Planck 2015 results. XV. Gravitational lensing

    CERN Document Server

    Ade, P A R; Arnaud, M; Ashdown, M; Aumont, J; Baccigalupi, C; Banday, A J; Barreiro, R B; Bartlett, J G; Bartolo, N; Battaner, E; Benabed, K; Benoît, A; Benoit-Lévy, A; Bernard, J -P; Bersanelli, M; Bielewicz, P; Bonaldi, A; Bonavera, L; Bond, J R; Borrill, J; Bouchet, F R; Boulanger, F; Bucher, M; Burigana, C; Butler, R C; Calabrese, E; Cardoso, J -F; Catalano, A; Challinor, A; Chamballu, A; Chiang, H C; Christensen, P R; Church, S; Clements, D L; Colombi, S; Colombo, L P L; Combet, C; Couchot, F; Coulais, A; Crill, B P; Curto, A; Cuttaia, F; Danese, L; Davies, R D; Davis, R J; de Bernardis, P; de Rosa, A; de Zotti, G; Delabrouille, J; Désert, F -X; Diego, J M; Dole, H; Donzelli, S; Doré, O; Douspis, M; Ducout, A; Dunkley, J; Dupac, X; Efstathiou, G; Elsner, F; Enßlin, T A; Eriksen, H K; Fergusson, J; Finelli, F; Forni, O; Frailis, M; Fraisse, A A; Franceschi, E; Frejsel, A; Galeotta, S; Galli, S; Ganga, K; Giard, M; Giraud-Héraud, Y; Gjerløw, E; González-Nuevo, J; Górski, K M; Gratton, S; Gregorio, A; Gruppuso, A; Gudmundsson, J E; Hansen, F K; Hanson, D; Harrison, D L; Henrot-Versillé, S; Hernández-Monteagudo, C; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Holmes, W A; Hornstrup, A; Hovest, W; Huffenberger, K M; Hurier, G; Jaffe, A H; Jaffe, T R; Jones, W C; Juvela, M; Keihänen, E; Keskitalo, R; Kisner, T S; Kneissl, R; Knoche, J; Kunz, M; Kurki-Suonio, H; Lagache, G; Lähteenmäki, A; Lamarre, J -M; Lasenby, A; Lattanzi, M; Lawrence, C R; Leonardi, R; Lesgourgues, J; Levrier, F; Lewis, A; Liguori, M; Lilje, P B; Linden-Vørnle, M; López-Caniego, M; Lubin, P M; Macías-Pérez, J F; Maggio, G; Maino, D; Mandolesi, N; Mangilli, A; Martin, P G; Martínez-González, E; Masi, S; Matarrese, S; Mazzotta, P; McGehee, P; Meinhold, P R; Melchiorri, A; Mendes, L; Mennella, A; Migliaccio, M; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Montier, L; Morgante, G; Mortlock, D; Moss, A; Munshi, D; Murphy, J A; Naselsky, P; Nati, F; Natoli, P; Netterfield, C B; Nørgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; Oxborrow, C A; Paci, F; Pagano, L; Pajot, F; Paoletti, D; Pasian, F; Patanchon, G; Perdereau, O; Perotto, L; Perrotta, F; Pettorino, V; Piacentini, F; Piat, M; Pierpaoli, E; Pietrobon, D; Plaszczynski, S; Pointecouteau, E; Polenta, G; Popa, L; Pratt, G W; Prézeau, G; Prunet, S; Puget, J -L; Rachen, J P; Reach, W T; Rebolo, R; Reinecke, M; Remazeilles, M; Renault, C; Renzi, A; Ristorcelli, I; Rocha, G; Rosset, C; Rossetti, M; Roudier, G; Rowan-Robinson, M; Rubiño-Martín, J A; Rusholme, B; Sandri, M; Santos, D; Savelainen, M; Savini, G; Scott, D; Seiffert, M D; Shellard, E P S; Spencer, L D; Stolyarov, V; Stompor, R; Sudiwala, R; Sunyaev, R; Sutton, D; Suur-Uski, A -S; Sygnet, J -F; Tauber, J A; Terenzi, L; Toffolatti, L; Tomasi, M; Tristram, M; Tucci, M; Tuovinen, J; Valenziano, L; Valiviita, J; Van Tent, B; Vielva, P; Villa, F; Wade, L A; Wandelt, B D; Wehus, I K; White, M; Yvon, D; Zacchei, A; Zonca, A

    2015-01-01

    We present the most significant measurement of the cosmic microwave background (CMB) lensing potential to date (at a level of 40 sigma), using temperature and polarization data from the Planck 2015 full-mission release. Using a polarization-only estimator we detect lensing at a significance of 5 sigma. We cross-check the accuracy of our measurement using the wide frequency coverage and complementarity of the temperature and polarization measurements. Public products based on this measurement include an estimate of the lensing potential over approximately 70% of the sky, an estimate of the lensing potential power spectrum in bandpowers for the multipole range 40lensing potential power spectrum and that found in the best-fitting LCDM model based on the Planck temperature and polarization power spectra. Using the lensing likelihood alone we obtain a percent-level measurement of ...

  1. Discovery of eight lensing clusters of galaxies

    CERN Document Server

    Liang, S M; Han, J L; Jiang, Y Y

    2013-01-01

    Clusters of galaxies have a huge mass which can act as gravitational lenses. Galaxies behind clusters can be distorted to form arcs in images by the lenses. Herein a search was done for giant lensed arcs by galaxy clusters using the SDSS data. By visually inspecting SDSS images of newly identified clusters in the SDSS DR8 and Stripe 82 data, we discover 8 strong lensing clusters together with additional 3 probable and 6 possible cases. The lensed arcs show bluer colors than the member galaxies of clusters. The masses and optical luminosities of galaxy clusters interior to the arcs are calculated, and the mass-to-light ratios are found to be in the range of a few tens of M_Solar/L_Solar, consistent with the distribution of previously known lensing clusters.

  2. Associated depression in pseudophakic patients with intraocular lens with and without chromophore

    Science.gov (United States)

    Mendoza-Mendieta, María Elena; Lorenzo-Mejía, Ana Aurora

    2016-01-01

    Background With aging, the crystalline lens turns yellowish, which increases the absorption of wavelengths in the blue electromagnetic spectrum, reducing their photoreception in the retina. Since these wavelengths are the main stimulus in the regulation of the circadian rhythm, progressive reduction in their transmission is associated with chronic sleep disturbances and depression in elderly patients. Cataract extraction improves circadian photoreception at any age. However, lenses that block blue waves have 27% to 38% less melatonin suppression than lenses that block only ultraviolet (UV) rays. Purpose To assess the depression symptoms in subjects who have had bilateral phacoemul-sification and intraocular lens (IOL) implants, one group with yellow chromophore IOLs and the other group with transparent IOLs were compared. Setting Association to Prevent Blindness in Mexico (APEC), Hospital “Dr Luis Sánchez Bulnes”. Design This was an observational, cross-sectional, and single-center study. Materials and methods Twenty-six subjects between 60 and 80 years of age, with a history of bilateral phacoemulsification and placement of the same type of IOL in both eyes from 4 to 12 months prior to the study, who attended the follow-up visits and agreed to participate in this study, and provided signed informed consent were included in the study. They were asked to answer the short version of the 15-item Geriatric Depression Scale. Results The average age of the study participants was 72.5±5.94 years. The group without chromophore included 46.1% (n=12) of the patients and the group with chromophore included 53.9% (n=14) of the patients (P=0.088). Conclusion In the group of patients with IOLs that block the passage of blue light, the depression rate was 21.4%, a rate similar to that observed in the elderly population, whereas no patients in the group with transparent IOLs had depression. PMID:27099465

  3. Intraocular Lens Opacification following Intracameral Injection of Recombinant Tissue Plasminogen Activator to Treat Inflammatory Membranes after Cataract Surgery

    Directory of Open Access Journals (Sweden)

    Simon S. M. Fung

    2015-01-01

    Full Text Available Purpose. To report 7 cases of intraocular lens (IOL opacification following treatment of postoperative anterior chamber fibrin with recombinant tissue plasminogen activator (rtPA after cataract surgery. Methods. Retrospective case series of 7 eyes in 7 patients who developed IOL opacification after receiving rtPA for anterior chamber inflammatory membrane formation resulting from phacoemulsification cataract surgery. Three explanted IOLs were investigated with light microscopy, histochemical analysis, scanning electron microscopy, and X-ray spectrometry. Results. All patients underwent uncomplicated cataract surgery and posterior chamber hydrophilic IOL implantation. Anterior chamber inflammatory membranes developed between 1 and 4 weeks of surgery and were treated with intracameral rtPA. IOL opacification was noted between 4 weeks and 6 years after rtPA treatment with reduced visual acuity, and IOL exchange was carried out in 3 patients. Light microscopy evaluation revealed diffuse fine granular deposits on the anterior surface/subsurface of IOL optic that stained positive for calcium salts. Scanning electron microscopy (SEM and energy-dispersive X-ray spectrometry (EDS confirmed the presence of calcium and phosphate on the IOL. Conclusions. Intracameral rtPA, though rapidly effective in the treatment of anterior chamber inflammatory membranes following cataract surgery, may be associated with IOL opacification.

  4. Factors influencing bacterial adhesion to contact lenses

    OpenAIRE

    Dutta, Debarun; Cole, Nerida; Willcox, Mark

    2012-01-01

    The process of any contact lens related keratitis generally starts with the adhesion of opportunistic pathogens to contact lens surface. This article focuses on identifying the factors which have been reported to affect bacterial adhesion to contact lenses. Adhesion to lenses differs between various genera/species/strains of bacteria. Pseudomonas aeruginosa, which is the predominant causative organism, adheres in the highest numbers to both hydrogel and silicone hydrogel lenses in vitro. The ...

  5. A Computer Program to Visualize Gravitational Lenses

    CERN Document Server

    Frutos-Alfaro, F

    2002-01-01

    Gravitational lenses are presently playing an important role in astrophysics. By means of these lenses the parameters of the deflector such as its mass, ellipticity, etc. and Hubble's constant can be determined. Using C, Xforms, Mesa and Imlib a computer program to visualize this lens effect has been developed. This program has been applied to generate sequences of images of a source object and its corresponding images. It has also been used to visually test different models of gravitational lenses.

  6. Instrumental systematics and weak gravitational lensing

    CERN Document Server

    Mandelbaum, Rachel

    2015-01-01

    We present a pedagogical review of the weak gravitational lensing measurement process and its connection to major scientific questions such as dark matter and dark energy. Then we describe common ways of parametrizing systematic errors and understanding how they affect weak lensing measurements. Finally, we discuss several instrumental systematics and how they fit into this context, and conclude with some future perspective on how progress can be made in understanding the impact of instrumental systematics on weak lensing measurements.

  7. Instrumental systematics and weak gravitational lensing

    Science.gov (United States)

    Mandelbaum, R.

    2015-05-01

    We present a pedagogical review of the weak gravitational lensing measurement process and its connection to major scientific questions such as dark matter and dark energy. Then we describe common ways of parametrizing systematic errors and understanding how they affect weak lensing measurements. Finally, we discuss several instrumental systematics and how they fit into this context, and conclude with some future perspective on how progress can be made in understanding the impact of instrumental systematics on weak lensing measurements.

  8. Experimental study on cyclosporine A drug delivery system in prevention of posterior capsule opacification after intraocular lens implantation in rabbits

    Institute of Scientific and Technical Information of China (English)

    Pei Cheng; Sun Naixue

    2008-01-01

    Objective To study the effect of cyclosporine A drug delivery system (CsA-DDS) on the prevention of posterior capsule opacification (PCO) after experimental intraocular lens implantation in rabbit eyes. Methods Twenty healthy New Zealand white rabbits, whose left eyes and right eyes were used respectively as experiment eyes and controls, were subjected to extracapsular lens extraction and artificial lens implantation. During the operation, CsA-DDS with poly (lactideco-glycolide) as carriers or empty DDS was implanted in the capsular bag for the experimental eyes and controls respectively. After the operation, anterior chamber reaction, intraocular pressure (IOP) and CsA concentration were monitored and twelve weeks after the operation, the eyes were extracted for histopathological and morphological examinations. Results There were no differences between the two groups in conjunctival congestion,IOP change and anterior chamber reaction. PCO was less severe in the experimental eyes than in the controls. Light microscopy revealed that posterior capsular membrane in the experimental eyes was slick, with no obvious proliferation,whereas in the controls, there were lens epithelial cell proliferation and cortex regeneration of different degrees.Morphological examination with electron microscope showed that in the experimental eyes, lens epithelial cells did not function actively and apoptosis occurred, whereas in the controls, epithelial cells presented active function. No marked ultrastructural changes were found in either group. Conclusion Cs-DDS can inhibit PCO after intraocular lens implantation in rabbit eyes and does not have toxic effects on the surrounding ocular tissues. Therefore, it has a good potential for clinical use in prevention of PCO.

  9. OPAL Jet Chamber Prototype

    CERN Multimedia

    OPAL was one of the four experiments installed at the LEP particle accelerator from 1989 - 2000. OPAL's central tracking system consists of (in order of increasing radius) a silicon microvertex detector, a vertex detector, a jet chamber, and z-chambers. All the tracking detectors work by observing the ionization of atoms by charged particles passing by: when the atoms are ionized, electrons are knocked out of their atomic orbitals, and are then able to move freely in the detector. These ionization electrons are detected in the dirfferent parts of the tracking system. This piece is a prototype of the jet chambers

  10. M31 Pixel Lensing PLAN Campaign: MACHO Lensing and Self Lensing Signals

    CERN Document Server

    Novati, S Calchi; Bruni, I; Dall'Ora, M; De Paolis, F; Dominik, M; Gualandi, R; Ingrosso, G; Jetzer, Ph; Mancini, L; Nucita, A; Safonova, M; Scarpetta, G; Sereno, M; Strafella, F; Subramaniam, A; Gould, A

    2014-01-01

    We present the final analysis of the observational campaign carried out by the PLAN (Pixel Lensing Andromeda) collaboration to detect a dark matter signal in form of MACHOs through the microlensing effect. The campaign consists of about 1 month/year observations carried out during 4 years (2007-2010) at the 1.5m Cassini telescope in Loiano ("Astronomical Observatory of BOLOGNA", OAB) plus 10 days of data taken in 2010 at the 2m Himalayan Chandra Telescope (HCT) monitoring the central part of M31 (two fields of about 13'x12.6'). We establish a fully automated pipeline for the search and the characterization of microlensing flux variations: as a result we detect 3 microlensing candidates. We evaluate the expected signal through a full Monte Carlo simulation of the experiment completed by an analysis of the detection efficiency of our pipeline. We consider both "self lensing" and "MACHO lensing" lens populations, given by M31 stars and dark matter halo MACHOs, in the M31 and the Milky Way (MW), respectively. The...

  11. Design of spherical symmetric gradient index lenses

    Science.gov (United States)

    Miñano, Juan C.; Grabovičkić, Dejan; Benítez, Pablo; González, Juan C.; Santamaría, Asunción

    2012-10-01

    Spherical symmetric refractive index distributions also known as Gradient Index lenses such as the Maxwell-Fish-Eye (MFE), the Luneburg or the Eaton lenses have always played an important role in Optics. The recent development of the technique called Transformation Optics has renewed the interest in these gradient index lenses. For instance, Perfect Imaging within the Wave Optics framework has recently been proved using the MFE distribution. We review here the design problem of these lenses, classify them in two groups (Luneburg moveable-limits and fixed-limits type), and establish a new design techniques for each type of problem.

  12. Weak Gravitational Lensing and its Cosmological Applications

    CERN Document Server

    Hoekstra, Henk

    2008-01-01

    Weak gravitational lensing is a unique probe of the dark side of the universe: it provides a direct way to map the distribution of dark matter around galaxies, clusters of galaxies and on cosmological scales. Furthermore, the measurement of lensing induced distortions of the shapes of distant galaxies is a powerful probe of dark energy. In this review we describe how lensing measurements are made and interpreted. We discuss various systematic effects that can hamper progress and how they may be overcome. We review some of the recent results in weak lensing by galaxies, galaxy clusters and cosmic shear and discuss the prospects for dark energy measurements from planned surveys.

  13. Clinical Application of Aspheric Intraocular Lens%浅谈非球面人工晶状体的临床应用

    Institute of Scientific and Technical Information of China (English)

    许玉梅

    2016-01-01

    目的:通过非球面人工晶状体植入术后视功能的变化,观察治疗效果,提出治疗建议,客观评价非球面人工晶状体的临床作用。方法从眼球面像差的特性,非球面人工晶状体的设计及矫正目标,非球面人工晶状体临床应用注意事项,非球面人工晶状体的视觉质量评价等方面进行分析。结果虽然非球面人工晶状体眼术后的高阶像差低于球面人工晶状体,但其视力和对比敏感度的结果并不完全与之相对应。由于目前我们对人眼波前像差的认识还不够深入,检测仪器不够完善,各阶像差与视功能之间的关系尚需进一步的研究。结论正常瞳孔下非球面人工晶状体眼与球面人工晶状体眼相比,非球面人工晶体可以有效减少球面像差,提高部分空间频率的对比敏感度,使患者拥有更好地视觉质量,但其不能体现减少术眼后高阶像差的优势。%Objective Through the changes of visual function after implantation of aspheric intraocular lens(IOL)observed treatment effect,treatment recommendations,and objective evaluation of non spherical intraocular lens(IOL)clinical effect. MethodsFrom the ocular wavefront aberration characteristics,the design of aspheric intraocular lens and correctional goal and clinical application of aspheric intraocular lenses note,aspheric intraocular lens visual quality evaluation were analyzed.Results Although the high order aberrations of the patients with non spherical intraocular lens were lower than that of the spherical intraocular lens,the visual acuity and contrast sensitivity were not completely corresponding with the results. Because at present we of wavefront aberration of understanding is not deep enough,detection equipment is not perfect,aberration and depending on the relationship between function stil need to further study.Conclusion With normal pupil non compared to spherical intraocular lens eyes and spherical

  14. cluster-lensing: Tools for calculating properties and weak lensing profiles of galaxy clusters

    Science.gov (United States)

    Ford, Jes

    2016-05-01

    The cluster-lensing package calculates properties and weak lensing profiles of galaxy clusters. Implemented in Python, it includes cluster mass-richness and mass-concentration scaling relations, and NFW halo profiles for weak lensing shear, the differential surface mass density ΔΣ(r), and for magnification, Σ(r). Optionally the calculation will include the effects of cluster miscentering offsets.

  15. Toxic Test Chambers

    Data.gov (United States)

    Federal Laboratory Consortium — Description/History: Hazardous material test facility Both facilities have 16,000 cubic foot chambers, equipped with 5000 CFM CBR filter systems with an air change...

  16. ALICE Time Projection Chamber

    CERN Multimedia

    Lippmann, C

    2013-01-01

    The Time Projection Chamber (TPC) is the main device in the ALICE 'central barrel' for the tracking and identification (PID) of charged particles. It has to cope with unprecedented densities of charges particles.

  17. Calorimetry with flash chambers

    International Nuclear Information System (INIS)

    The flash chambers used in the Fermilab E594 neutrino experiment are described, and their use in a calorimeter discussed. Resolutions obtained with a calibration beam are presented, and comments made about the pattern recognition capabilities of the calorimeter

  18. Vacuum chamber 'bicone'

    CERN Multimedia

    1977-01-01

    This chamber is now in the National Museum of History and Technology, Smithsonian Institution, Washington, DC, USA, where it was exposed in an exhibit on the History of High Energy Accelerators (1977).

  19. A study of brachytherapy for intraocular tumor

    International Nuclear Information System (INIS)

    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)

  20. Bubble chamber: antiproton annihilation

    CERN Multimedia

    1971-01-01

    These images show real particle tracks from the annihilation of an antiproton in the 80 cm Saclay liquid hydrogen bubble chamber. A negative kaon and a neutral kaon are produced in this process, as well as a positive pion. The invention of bubble chambers in 1952 revolutionized the field of particle physics, allowing real tracks left by particles to be seen and photographed by expanding liquid that had been heated to boiling point.

  1. Avaliação da eficácia da facectomia com implante de lente intra-ocular na infância Efficacy of pediatric cataract extraction with intraocular lens implantation

    Directory of Open Access Journals (Sweden)

    Núbia Cristina de Freitas Maia

    2005-12-01

    Full Text Available OBJETIVO: Avaliar eficácia da utilização da lente intra-ocular na correção da afacia na infância, segundo a acuidade visual e alteração refracional no pós-operatório. MÉTODOS: Foram estudados trinta e três olhos de 27 crianças portadores de catarata, unilateral ou bilateral, submetidos à cirurgia de lensectomia via pars plana com implante de lente intra-ocular, associada à capsulectomia posterior primária e vitrectomia anterior. O cálculo da lente intra-ocular foi realizado com o objetivo da emetropia no pós-operatório imediato. As crianças apresentavam idades inferiores a seis anos no momento da cirurgia e foram acompanhadas em média durante 2,9 anos. Foram divididas em três grupos: crianças portadoras de catarata unilateral operadas com idade inferior a três anos (Grupo I e superior a três anos (Grupo II e grupo III formado pelas crianças portadoras de cataratas bilaterais. RESULTADOS: Acuidade visual pós-operatória obtida no último controle igual ou superior a 20/40 foi encontrada em 85% dos olhos operados. Equivalente esférico no primeiro mês pós-operatório próximo da emetropia foi obtido em 70% das crianças do grupo III e em apenas 30% do grupo I. Quanto à variação refracional pós-operatória, a miopização foi encontrada em 81,81% dos casos, sendo maior esta alteração refracional quanto menor a idade em que a criança foi submetida à cirurgia. CONCLUSÃO: Apesar da miopização pós-operatória que ocorre com o implante de lente intra-ocular na correção da afacia em crianças com menos de seis anos de idade, o resultado visual é bastante satisfatório e a correção refracional residual de fácil execução. Um seguimento pós-operatório mais prolongado há de ser necessário para o acompanhamento dos resultados a longo prazo.PURPOSE: To evaluate the efficacy of the use of intraocular lenses in the treatment of pediatric aphakia, according to postoperative visual acuity and refraction change

  2. Comparison of two optical biometers in intraocular lens power calculation

    Directory of Open Access Journals (Sweden)

    Sheng Hui

    2014-01-01

    Full Text Available Aims: To compare the consistency and accuracy in ocular biometric measurements and intraocular lens (IOL power calculations using the new optical low-coherence reflectometry and partial coherence interferometry. Subjects and Methods: The clinical data of 122 eyes of 72 cataract patients were analyzed retrospectively. All patients were measured with a new optical low-coherence reflectometry system, using the LENSTAR LS 900 (Haag Streit AG/ALLEGRO BioGraph biometer (Wavelight., AG, and partial coherence interferometry (IOLMaster V.5.4 [Carl Zeiss., Meditec, AG] before phacoemulsification and IOL implantation. Repeated measurements, as recommended by the manufacturers, were performed by the same examiner with both devices. Using the parameters of axial length (AL, corneal refractive power (K1 and K2, and anterior chamber depth (ACD, power calculations for AcrySof SA60AT IOL were compared between the two devices using five formulas. The target was emmetropia. Statistical analysis was performed using Statistical Package for the Social Sciences software (SPSS 13.0 with t-test as well as linear regression. A P value < 0.05 was considered to be statistically significant. Results: The mean age of 72 cataract patients was 64.6 years ± 13.4 [standard deviation]. Of the biometry parameters, K1, K2 and [K1 + K2]/2 values were significantly different between the two devices (mean difference, K1: −0.05 ± 0.21 D; K2: −0.12 ± 0.20 D; [K1 + K2]/2: −0.08 ± 0.14 D. P <0.05. There was no statistically significant difference in AL and ACD between the two devices. The correlations of AL, K1, K2, and ACD between the two devices were high. The mean differences in IOL power calculations using the five formulas were not statistically significant between the two devices. Conclusions: New optical low-coherence reflectometry provides measurements that correlate well to those of partial coherence interferometry, thus it is a precise device that can be used for the

  3. Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy

    Directory of Open Access Journals (Sweden)

    Mehta N

    2014-07-01

    Full Text Available Nitish Mehta,1 Roger A Goldberg,2 Chirag P Shah21University of Massachusetts Medical School, Worcester, MA, USA; 2Department of Retina, Ophthalmic Consultants of Boston, Boston, Massachusetts, USAPurpose: Dense, vision-obscuring calcification on the posterior aspect of silicone intraocular lenses (IOLs is often not amenable to neodymium:yttrium-aluminum-garnet capsulotomy, and, in prior reports, has required IOL exchange. We report the successful removal of dense calcium deposition on the posterior surface of a three-piece silicone lens using pars plana vitrectomy (PPV.Materials and methods: A 23-gauge PPV was performed using the Stellaris® vitrectomy system. A light pipe was used to retroilluminate the IOL, and a dense fibrous tissue setting with a low cut-rate and high aspiration rate was able to clear the visual axis of the dystrophic calcification without damaging the IOL optic.Results: Visual acuity improved from 20/100 to 20/25.Conclusion: Small-gauge PPV may be utilized to remove dense dystrophic calcium deposits on the lens surface in lieu of IOL exchange. Keywords: cataract surgery, technique, Nd:YAG capsulotomy, IOL exchange

  4. The impact of multifocal intraocular lens in retinal imaging with optical coherence tomography.

    Science.gov (United States)

    Dias-Santos, Arnaldo; Costa, Lívio; Lemos, Vanessa; Anjos, Rita; Vicente, André; Ferreira, Joana; Cunha, João Paulo

    2015-02-01

    Multifocal intraocular lenses (MF IOLs) have concentric optical zones with different dioptric power, enabling patients to have good visual acuity at multiple focal points. However, several optical limitations have been attributed to this particular design. The purpose of this study is to access the effect of MF IOLs design on the accuracy of retinal optical coherence tomography (OCT). Cross-sectional study conducted at the Refractive Surgery Department of Central Lisbon Hospital Center. Twenty-three eyes of 15 patients with a diffractive MF IOL and 27 eyes of 15 patients with an aspheric monofocal IOL were included in this study. All patients underwent OCT macular scans using Heidelberg Spectralis(®). Macular thickness and volume values and image quality (Q factor) were compared between the two groups. There were no statistically significant differences between both groups regarding macular thickness or volume measurements. Retinal OCT image quality was significantly lower in the MF IOL group (p image quality. However, this fact does not seem to compromise the accuracy of spectral domain OCT retinal measurements. PMID:25381578

  5. Visual outcomes and optical quality after implantation of a diffractive multifocal toric intraocular lens

    Science.gov (United States)

    Chen, Xiangfei; Zhao, Ming; Shi, Yuhua; Yang, Liping; Lu, Yan; Huang, Zhenping

    2016-01-01

    Background: This study evaluated the visual function after implantation of a multifocal toric intraocular lenses (IOLs). Materials and Methods: This study involved 10 eyes from eight cataract patients with corneal astigmatism of 1.0 diopter (D) or higher who had received phacoemulsification with implantation of an AcrySof IQ ReSTOR Toric IOL. Six-month evaluations included visual acuity, spherical equivalent (SE), defocus curve, residual astigmatism, IOL rotation, contrast sensitivity (CS), wavefront aberrations, modulation transfer function (MTF), and patient satisfaction assessments. Results: At 6 months postoperatively, uncorrected distance visual acuity (logarithm of the minimum angle of resolution) was 0.09 ± 0.04, corrected distance visual acuity was 0.02 ± 0.11, and uncorrected near visual acuity was 0.12 ± 0.07. The mean SE was −0.095 ± 0.394 D (±0.50 D in 90%). Refractive astigmatism at the 6-month follow-up visit was significantly reduced to 0.35 ± 0.32 D from 1.50 ± 0.41 D presurgery (P 0.05). There was an increase in MTF results between preoperative and postoperative evaluations at all spatial frequencies. Conclusions: The diffractive multifocal toric IOL is able to provide a predictable astigmatic correction with apparently outstanding levels of optical quality after implantation. PMID:27221680

  6. N-body lensed CMB maps: lensing extraction and characterization

    CERN Document Server

    Antolini, Claudia; Martinelli, Matteo; Carbone, Carmelita; Baccigalupi, Carlo

    2013-01-01

    We reconstruct shear maps and angular power spectra from simulated weakly lensed total intensity (TT) and polarised (EB) maps of the Cosmic Microwave Background (CMB) anisotropies, obtained using Born approximated ray-tracing through the N-body simulated Cold Dark Matter (CDM) structures in the Millennium Simulations (MS). We compare the recovered signal with the ${\\Lambda}$CDM prediction, on the whole interval of angular scales which is allowed by the finite box size, extending from the degree scale to the arcminute, by applying a quadratic estimator in the flat sky limit; we consider PRISM-like instrumental specification for future generation CMB satellites, corresponding to arcminute angular resolution of 3.2' and sensitivity of 2.43 ${\\mu}$K-arcmin. The noise bias in the simulations closely follows the estimator prediction, becoming dominated by limits in the angular resolution for the EB signal, at l ${\\simeq}$ 1500. The de-biased signal shows no visible departure from predictions of the weak lensing pow...

  7. The Scales of Gravitational Lensing

    CERN Document Server

    De Paolis, Francesco; Ingrosso, Gabriele; Manni, Luigi; Nucita, Achille; Strafella, Francesco

    2016-01-01

    After exactly a century since the formulation of the general theory of relativity, the phenomenon of gravitational lensing is still an extremely powerful method for investigating in astrophysics and cosmology. Indeed, it is adopted to study the distribution of the stellar component in the Milky Way, to study dark matter and dark energy on very large scales and even to discover exoplanets. Moreover, thanks to technological developments, it will allow the measure of the physical parameters (mass, angular momentum and electric charge) of supermassive black holes in the center of ours and nearby galaxies.

  8. Weak lensing by galaxy troughs

    Science.gov (United States)

    Gruen, Daniel

    2016-06-01

    Galaxy troughs, i.e. underdensities in the projected galaxy field, are a weak lensing probe of the low density Universe with high signal-to-noise ratio. I present measurements of the radial distortion of background galaxy images and the de-magnification of the CMB by troughs constructed from Dark Energy Survey and Sloan Digital Sky Survey galaxy catalogs. With high statistical significance and a relatively robust modeling, these probe gravity in regimes of density and scale difficult to access for conventional statistics.

  9. The Scales of Gravitational Lensing

    Directory of Open Access Journals (Sweden)

    Francesco De Paolis

    2016-03-01

    Full Text Available After exactly a century since the formulation of the general theory of relativity, the phenomenon of gravitational lensing is still an extremely powerful method for investigating in astrophysics and cosmology. Indeed, it is adopted to study the distribution of the stellar component in the Milky Way, to study dark matter and dark energy on very large scales and even to discover exoplanets. Moreover, thanks to technological developments, it will allow the measure of the physical parameters (mass, angular momentum and electric charge of supermassive black holes in the center of ours and nearby galaxies.

  10. 外伤性晶状体全脱位人工晶状体缝线固定术%Suture fixation of intraocular lens for traumatic complete luxation of lens

    Institute of Scientific and Technical Information of China (English)

    陈海英; 李健; 黄正如

    2015-01-01

    目的 评价玻璃体切除联合人工晶状体巩膜缝线固定植入术对外伤性晶状体全脱位的疗效.方法 回顾性分析外伤性晶状体全脱位56例(56跟)经玻璃体晶状体切除联合人工晶状体缝线固定植入术后的眼压、视力、并发症等情况.结果 术后6个月术眼眼压低于术前,视力显著提高(P=0.00),无严重并发症.结论 玻璃体晶状体切除联合注射式人工晶状体巩膜缝线植入术能有效治疗外伤性晶状体脱位.%Objective To evaluate the efficacy of vitrectomy and lensectomy followed with primary implantation of scleral-fixated posterior chamber intraocular lens for the treatment of traumatic complete luxation of lens.Methods The intraocular pressure,visual acuity,and complications of 56 eyes of 56 cases with traumatic lens dislocation who underwent vitrectomy,lensectomy,and primary implantation of scleral-fixated posterior chamber intraocular lens were analysed retrospectively.Results The condition of intraocular pressure after the surgery was better than that before the surgery and the visual acuity improved significantly compared with that of pre-operation (P =0.00).There was no serious complication 6 months after the operation.Conclusion Vitrectomy and lensectomy followed with primary implantation of scleralfixated posterior chamber intraocular lens for the treatment of traumatic lens dislocation is effective.

  11. Comparison of spectacle classical progressive and office progressive lenses.

    Science.gov (United States)

    Kozlík, Marek; Knollová, Libuse Nováková

    2013-04-01

    This paper elaborates on analysis of progressive spectacle lenses, to correct presbyopia, which are nowadays offered at the market. The paper describes different types of progressive lenses, their parameters, length and width of their progressive segments. It also describes degressive spectacles lenses--progressive lenses on middle and near distance. The main part of the paper is a comparison of functional differences among different types of progressive spectacles lenses. The paper also addresses correctness of choice of progressive lenses for different works and professions. Lastly, it elaborates on differences of centration of different types of progressive lenses and parameters for correct choice of glasses frame for progressive spectacles lenses. PMID:23837232

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

  16. Lenses and Perception: Investigations with Light

    Science.gov (United States)

    Akcay, Hakan

    2005-01-01

    The main goals of these activities are to help students learn how a convex lens can serve as a magnifying lens and how light travels and creates images. These explorations will introduce middle school students to different types of lenses and how they work. Students will observe and describe how lenses bend light that passes through them and how…

  17. Modern scleral lenses part I: clinical features.

    NARCIS (Netherlands)

    Visser, E.S.; Visser, R.; Lier, H.J.J. van; Otten, H.M.

    2007-01-01

    PURPOSE: To evaluate the indications for modern scleral lenses and their clinical performance in patients who were fitted with scleral lenses at the authors' practices. METHODS: In this cross-sectional survey, all the necessary data were obtained at the first follow-up visit during the 5-month study

  18. Gravitational Lensing: Strong, Weak and Micro

    CERN Document Server

    Schneider, Peter; Wambsganss, Joachim

    2006-01-01

    The theory, observations, and applications of gravitational lensing constitute one of the most rapidly growing branches of astrophysics. The gravitational deflection of light generated by mass concentrations along a light path produces magnification, multiplicity, and distortion of images and delays photon propagation from one line of sight relative to another. The huge amount of scientific work on gravitational lensing produced over the last decade has clearly revealed its already substantial and wide impact and its potential for future astrophysical applications. The up-to-date contributions in this book are based on the lecture notes of the 33rd Saas–Fee Advanced Course of the Swiss Society of Astronomy and Astrophysics, entitled Gravitational Lensing: Strong, Weak, and Micro. The book comprises four complementary parts, written by leading experts in the field, constituting a genuine textbook about gravitational lensing: • Peter Schneider – Part 1: Introduction to Gravitational Lensing and Cosmology ...

  19. New lensed quasars from the MUSCLES survey

    CERN Document Server

    Jackson, Neal; Ofek, Eran O; Shin, Min-Su

    2011-01-01

    Gravitational lens systems containing lensed quasars are important as cosmological probes, as diagnostics of structural properties of the lensing galaxies and as tools to study the quasars themselves. The largest lensed quasar sample is the SDSS Quasar Lens Search, drawn from the Sloan Digital Sky Survey (SDSS). We are attempting to extend this survey using observations of lens candidates selected from a combination of the quasar sample from the SDSS and the UKIRT Infrared Deep Sky Survey (UKIDSS). This adds somewhat higher image quality together with a wider range of wavelength for the selection process. In previous pilot surveys we observed 5 objects, finding 2 lenses; here we present further observations of 20 objects in which we find 4 lenses, of which 2 are independently discovered in SQLS (in preparation). Following earlier work on the combination of these two surveys, we have refined our method and find that use of a colour-separation diagnostic, where we select for separations between components which...

  20. Gravitational Lensing of Cosmic Microwave Background Polarization

    CERN Document Server

    Ade, P A R; Anthony, A E; Arnold, K; Barron, D; Boettger, D; Borrill, J; Chapman, S; Chinone, Y; Dobbs, M; Elleflot, T; Errard, J; Fabbian, G; Feng, C; Flanigan, D; Gilbert, A; Grainger, W; Halverson, N W; Hasegawa, M; Hattori, K; Hazumi, M; Holzapfel, W L; Hori, Y; Howard, J; Hyland, P; Inoue, Y; Jaehnig, G C; Jaffe, A; Keating, B; Kermish, Z; Keskitalo, R; Kisner, T; Jeune, M Le; Lee, A T; Linder, E; Lungu, M; Matsuda, F; Matsumura, T; Meng, X; Miller, N J; Morii, H; Moyerman, S; Myers, M J; Navaroli, M; Nishino, H; Paar, H; Peloton, J; Quealy, E; Rebeiz, G; Reichardt, C L; Richards, P L; Ross, C; Schanning, I; Schenck, D E; Sherwin, B; Shimizu, A; Shimmin, C; Shimon, M; Siritanasak, P; Smecher, G; Spieler, H; Stebor, N; Steinbach, B; Stompor, R; Suzuki, A; Takakura, S; Tomaru, T; Wilson, B; Yadav, A; Zahn, O

    2013-01-01

    Primary fluctuations in both temperature and polarization of the Cosmic Microwave Background (CMB) reflect the properties of the Universe from the Big Bang until the photons decoupled from matter 380,000 years later. These primary fluctuations are then lensed by large-scale structures (such as clusters of galaxies and filaments of dark matter), with the result that the distribution and properties of dark matter, including the masses of neutrinos, can be determined more accurately by extracting the lensing information than through studying the primary fluctuations alone. Polarization lensing can give cleaner, higher resolution results than temperature lensing. The correlation of lensed CMB polarization with large-scale structure, traced through the Cosmic Infrared Background, was recently detected; however, this correlation does not trace all structure and depends on the relationship between the infrared flux from the galaxies and the underlying mass distribution. Here we report the detection of gravitational ...

  1. Geometry of weak lensing of CMB polarization

    CERN Document Server

    Challinor, A D; Challinor, Anthony; Chon, Gayoung

    2002-01-01

    Hu has presented a harmonic-space method for calculating the effects of weak gravitational lensing on the cosmic microwave background (CMB) over the full sky. Computing the lensed power spectra to first order in the deflection power requires one to formulate the lensing displacement beyond the tangent-space approximation. We point out that for CMB polarization this displacement must undergo geometric corrections on the spherical sky to maintain statistical isotropy of the lensed fields. Although not discussed by Hu, these geometric effects are implicit in his analysis. However, there they are hidden by an overly-compact notation that is both unconventional and rather confusing. Here we aim to ameliorate this deficiency by providing a rigorous derivation of the lensed spherical power spectra.

  2. Image processing challenges in weak gravitational lensing

    CERN Document Server

    Amara, Adam

    2011-01-01

    The field of weak gravitational lensing, which measures the basic properties of the Universe by studying the way that light from distant galaxies is perturbed as it travels towards us, is a very active field in astronomy. This short article presents a broad overview of the field, including some of the important questions that cosmologists are trying to address, such as understanding the nature of dark energy and dark matter. To do this, there is an increasing feeling within the weak lensing community that other disciplines, such as computer science, machine learning, signal processing and image processing, have the expertise that would bring enormous advantage if channelled into lensing studies. To illustrate this point, the article below outlines some of the key steps in a weak lensing analysis chain. The challenges are distinct at each step, but each could benefit from ideas developed in the signal processing domain. This article also gives a brief overview of current and planned lensing experiments that wi...

  3. Cosmology with Strong Lensing Systems

    CERN Document Server

    Cao, Shuo; Gavazzi, Raphaël; Piórkowska, Aleksandra; Zhu, Zong-Hong

    2015-01-01

    In this paper, we assemble a catalog of 118 strong gravitational lensing systems from SLACS, BELLS, LSD and SL2S surveys and use them to constrain the cosmic equation of state. In particular we consider two cases of dark energy phenomenology: $XCDM$ model where dark energy is modeled by a fluid with constant $w$ equation of state parameter and in Chevalier - Polarski - Linder (CPL) parametrization where $w$ is allowed to evolve with redshift: $w(z) = w_0 + w_1 \\frac{z}{1+z}$. We assume spherically symmetric mass distribution in lensing galaxies, but relax the rigid assumption of SIS model in favor to more general power-law index $\\gamma$, also allowing it to evolve with redshifts $\\gamma(z)$. Our results for the $XCDM$ cosmology show the agreement with values (concerning both $w$ and $\\gamma$ parameters) obtained by other authors. We go further and constrain the CPL parameters jointly with $\\gamma(z)$. The resulting confidence regions for the parameters are much better than those obtained with a similar metho...

  4. New trends in intraocular lens imaging

    Science.gov (United States)

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

    2011-08-01

    As a result of modern technological advances, cataract surgery can be seen as not only a rehabilitative operation, but a customized procedure to compensate for important sources of image degradation in the visual system of a patient, such as defocus and some aberrations. With the development of new materials, instruments and surgical techniques in ophthalmology, great progress has been achieved in the imaging capability of a pseudophakic eye implanted with an intraocular lens (IOL). From the very beginning, optical design has played an essential role in this progress. New IOL designs need, on the one hand, theoretical eye models able to predict optical imaging performance and on the other hand, testing methods, verification through in vitro and in vivo measurements, and clinical validation. The implant of an IOL requires a precise biometry of the eye, a prior calculation from physiological data, and an accurate position inside the eye. Otherwise, the effects of IOL calculation errors or misplacements degrade the image very quickly. The incorporation of wavefront aberrometry into clinical ophthalmology practice has motivated new designs of IOLs to compensate for high order aberrations in some extent. Thus, for instance, IOLs with an aspheric design have the potential to improve optical performance and contrast sensitivity by reducing the positive spherical aberration of human cornea. Monofocal IOLs cause a complete loss of accommodation that requires further correction for either distance or near vision. Multifocal IOLs address this limitation using the principle of simultaneous vision. Some multifocal IOLs include a diffractive zone that covers the aperture in part or totally. Reduced image contrast and undesired visual phenomena, such as halos and glare, have been associated to the performance of multifocal IOLs. Based on a different principle, accommodating IOLs rely on the effort of the ciliary body to increase the effective power of the optical system of the

  5. Calcium-phosphate deposits on a hydrophilic acrylic intraocular lens after silicon oil tamponade

    Directory of Open Access Journals (Sweden)

    Rashid Alsaeidi

    2008-01-01

    Full Text Available We report a 52-year-old man who underwent uncomplicated cataract operation and posterior chamber lens implantation (hydrophilic acrylic lens in his left eye 5 years prior to presentation. Two years after surgery he developed pseudophakic retinal detachment which was successfully treated with pars plana vitrectomy and silicon oil tamponade. The silicon oil was removed one year after surgery. A year later he complained of increasing blurred vision in the left eye. Clinical examination revealed vesicular alterations located superficially on the intraocular lens (IOL, which could not be removed by perflourocarbon-perflourohexloctane lavage. As the patient complained about increasing visual impairment, the IOL was removed. The IOL was investigated by electronmicroscopy and biochemical analysis. During electron microscopy and following biochemical analysis the observed alterations were identified as calcium-phosphate particles located on the superficial aspect of the IOL. The occurrence of calcium-phosphate deposits on a posterior chamber IOL after silicon oil tamponade is a rare complication and has not been described so far. As these deposits interfere with visual acuity, removal of the lens has to be considered.

  6. [Corneal metabolism with contact lenses in competitive sports].

    Science.gov (United States)

    Schnell, D; Khaireddin, R

    2013-06-01

    The corneal metabolism during the use of contact lenses plays an important role for permanent corneal health, especially in competitive sports. Thus, it is important to understand the steps of corneal metabolism in general and during highly competitive sports activity in particular. The aim of this review is to summarize the current knowledge on physiological and biochemical effects of contact lens wear. Of the energy requirements of the cornea 75 % is supplied by aerobic processes; therefore, the eye needs the highest possible amount of oxygen and sufficient glucose which can be obtained from external air and to a lesser degree from within the anterior chamber. If the oxygen supply is too low this results in hypoxic edema. Fitting athletes with contact lenses must still be viewed with caution as the visual needs of athletes are usually much more demanding than those of the general public. An indiscriminate choice of lens design can adversely affect athletic performance and may even create a hazardous situation. An intelligent choice of contact lens can provide some subtle advantages that may improve athletic performance and provide the decisive margin for victory. PMID:23783993

  7. Penetrating Scleral Injury with Intraocular Foreign Body. A Case Report

    Directory of Open Access Journals (Sweden)

    Anay Martínez Díaz

    2014-04-01

    Full Text Available Ocular trauma is a health problem in the world today and a common cause of visual impairment leading to severe sequelae and psychological disorders. The case of a 46-year-old male patient who attended the Ophthalmology emergency services of the Dr. Gustavo Aldereguía Lima University General Hospital of Cienfuegos, recounting that while hammering iron on iron he felt that something entered his right eye, is presented. He suffered from pain, tearing, red eye and blurred vision. A penetrating scleral injury with an intraocular foreign body was diagnosed. Its study was conducted through biomicroscopy, orbital x-ray and ocular ultrasound. Surgical treatment by extracapsular lens extraction with intraocular lens implantation was performed using Blumenthal technique and pars plana approach for removal of the intraocular foreign body.

  8. Planck 2015 results. XV. Gravitational lensing

    Science.gov (United States)

    Planck Collaboration; Ade, P. A. R.; Aghanim, N.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Bartolo, N.; Basak, S.; Battaner, E.; Benabed, K.; Benoît, A.; Benoit-Lévy, A.; Bernard, J.-P.; Bersanelli, M.; Bielewicz, P.; Bock, J. J.; Bonaldi, A.; Bonavera, L.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Boulanger, F.; Bucher, M.; Burigana, C.; Butler, R. C.; Calabrese, E.; Cardoso, J.-F.; Catalano, A.; Challinor, A.; Chamballu, A.; Chiang, H. C.; Christensen, P. R.; Church, S.; Clements, D. L.; Colombi, S.; Colombo, L. P. L.; Combet, C.; Couchot, F.; Coulais, A.; Crill, B. P.; Curto, A.; Cuttaia, F.; Danese, L.; Davies, R. D.; Davis, R. J.; de Bernardis, P.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Désert, F.-X.; Diego, J. M.; Dole, H.; Donzelli, S.; Doré, O.; Douspis, M.; Ducout, A.; Dunkley, J.; Dupac, X.; Efstathiou, G.; Elsner, F.; Enßlin, T. A.; Eriksen, H. K.; Fergusson, J.; Finelli, F.; Forni, O.; Frailis, M.; Fraisse, A. A.; Franceschi, E.; Frejsel, A.; Galeotta, S.; Galli, S.; Ganga, K.; Giard, M.; Giraud-Héraud, Y.; Gjerløw, E.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Gruppuso, A.; Gudmundsson, J. E.; Hansen, F. K.; Hanson, D.; Harrison, D. L.; Henrot-Versillé, S.; Hernández-Monteagudo, C.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hornstrup, A.; Hovest, W.; Huffenberger, K. M.; Hurier, G.; Jaffe, A. H.; Jaffe, T. R.; Jones, W. C.; Juvela, M.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knoche, J.; Kunz, M.; Kurki-Suonio, H.; Lagache, G.; Lähteenmäki, A.; Lamarre, J.-M.; Lasenby, A.; Lattanzi, M.; Lawrence, C. R.; Leonardi, R.; Lesgourgues, J.; Levrier, F.; Lewis, A.; Liguori, M.; Lilje, P. B.; Linden-Vørnle, M.; López-Caniego, M.; Lubin, P. M.; Macías-Pérez, J. F.; Maggio, G.; Maino, D.; Mandolesi, N.; Mangilli, A.; Maris, M.; Martin, P. G.; Martínez-González, E.; Masi, S.; Matarrese, S.; McGehee, P.; Meinhold, P. R.; Melchiorri, A.; Mendes, L.; Mennella, A.; Migliaccio, M.; Mitra, S.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Mortlock, D.; Moss, A.; Munshi, D.; Murphy, J. A.; Naselsky, P.; Nati, F.; Natoli, P.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; Oxborrow, C. A.; Paci, F.; Pagano, L.; Pajot, F.; Paoletti, D.; Pasian, F.; Patanchon, G.; Perdereau, O.; Perotto, L.; Perrotta, F.; Pettorino, V.; Piacentini, F.; Piat, M.; Pierpaoli, E.; Pietrobon, D.; Plaszczynski, S.; Pointecouteau, E.; Polenta, G.; Popa, L.; Pratt, G. W.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Reach, W. T.; Rebolo, R.; Reinecke, M.; Remazeilles, M.; Renault, C.; Renzi, A.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rossetti, M.; Roudier, G.; Rowan-Robinson, M.; Rubiño-Martín, J. A.; Rusholme, B.; Sandri, M.; Santos, D.; Savelainen, M.; Savini, G.; Scott, D.; Seiffert, M. D.; Shellard, E. P. S.; Spencer, L. D.; Stolyarov, V.; Stompor, R.; Sudiwala, R.; Sunyaev, R.; Sutton, D.; Suur-Uski, A.-S.; Sygnet, J.-F.; Tauber, J. A.; Terenzi, L.; Toffolatti, L.; Tomasi, M.; Tristram, M.; Tucci, M.; Tuovinen, J.; Valenziano, L.; Valiviita, J.; Van Tent, B.; Vielva, P.; Villa, F.; Wade, L. A.; Wandelt, B. D.; Wehus, I. K.; White, M.; Yvon, D.; Zacchei, A.; Zonca, A.

    2016-09-01

    We present the most significant measurement of the cosmic microwave background (CMB) lensing potential to date (at a level of 40σ), using temperature and polarization data from the Planck 2015 full-mission release. Using a polarization-only estimator, we detect lensing at a significance of 5σ. We cross-check the accuracy of our measurement using the wide frequency coverage and complementarity of the temperature and polarization measurements. Public products based on this measurement include an estimate of the lensing potential over approximately 70% of the sky, an estimate of the lensing potential power spectrum in bandpowers for the multipole range 40 ≤ L ≤ 400, and an associated likelihood for cosmological parameter constraints. We find good agreement between our measurement of the lensing potential power spectrum and that found in the ΛCDM model that best fits the Planck temperature and polarization power spectra. Using the lensing likelihood alone we obtain a percent-level measurement of the parameter combination σ8Ω0.25m = 0.591 ± 0.021. We combine our determination of the lensing potential with the E-mode polarization, also measured by Planck, to generate an estimate of the lensing B-mode. We show that this lensing B-mode estimate is correlated with the B-modes observed directly by Planck at the expected level and with a statistical significance of 10σ, confirming Planck's sensitivity to this known sky signal. We also correlate our lensing potential estimate with the large-scale temperature anisotropies, detecting a cross-correlation at the 3σ level, as expected because of dark energy in the concordance ΛCDM model.

  9. Facoemulsificação, vitrectomia via pars plana e implante de lente intra-ocular em olhos com retinopatia diabética proliferativa Phacoemulsification, pars plana vitrectomy and intraocular lens implant in eyes with proliferative diabetic retinopathy

    Directory of Open Access Journals (Sweden)

    Armando Belfort Mattos

    2004-06-01

    realizar a vitrectomia via pars plana, ao invés de se realizar uma segunda cirurgia, que seria somente para a remoção da catarata após a vitrectomia pars plana, é técnica segura e capaz de promover a melhora da acuidade visual além de ser menos agressiva para o paciente. O potencial para melhora da acuidade visual final é limitado pela gravidade da retinopatia diabética.PURPOSE: To evaluate the outcomes and the best technique for a combined phacoemulsification (PHACO, pars plana vitrectomy (PPV and posterior chamber intraocular lens insertion (PCIOL in one single procedure for patients with proliferative diabetic retinopathy. METHODS: We reviewed charts of 47 (53 eyes patients with proliferative diabetic retinopathy who underwent combined phacoemulsification with posterior chamber intraocular lens implant and pars plana vitrectomy performed between January 1991 and September 1998 at the Bascom Palmer Eye Institute, eye hospital affiliated with the University of Miami. The study was done in conjunction with the Federal University of São Paulo. A total of 43 eyes from 40 patients were elected to participate in the study. RESULTS: The follow-up range was three to 60 months (mean 20 months. The age ranged from 37 to 77 years with a mean of 59. Preoperative visual acuity improved two lines or more in 26 (60.4% eyes, remained the same in 9 (20.9% and got worse in 8 (18.6%. In 10 (23.2% eyes visual acuity improved to 20/40. The study showed to be statistically significant for the improvement of the final visual acuity. Recurrent vitreous hemorrhage was the most frequent postoperative complication found in 12 (27.9% eyes and it was followed by transient anterior chamber reaction in 9 (20.9% eyes. Intraoperative and postoperative complications related to phacoemulsification were rare. IOL capture was found in 2 (4.6% eyes and intraocular lens subluxation in 1 (2.3% eye. CONCLUSION: Combined phacoemulsification with posterior chamber intraocular lens implant and pars plana

  10. Automated Electrostatics Environmental Chamber

    Science.gov (United States)

    Calle, Carlos; Lewis, Dean C.; Buchanan, Randy K.; Buchanan, Aubri

    2005-01-01

    The Mars Electrostatics Chamber (MEC) is an environmental chamber designed primarily to create atmospheric conditions like those at the surface of Mars to support experiments on electrostatic effects in the Martian environment. The chamber is equipped with a vacuum system, a cryogenic cooling system, an atmospheric-gas replenishing and analysis system, and a computerized control system that can be programmed by the user and that provides both automation and options for manual control. The control system can be set to maintain steady Mars-like conditions or to impose temperature and pressure variations of a Mars diurnal cycle at any given season and latitude. In addition, the MEC can be used in other areas of research because it can create steady or varying atmospheric conditions anywhere within the wide temperature, pressure, and composition ranges between the extremes of Mars-like and Earth-like conditions.

  11. Polyvinylidene Flouride Polymer Applied in an Intraocular Pressure Sensor

    Science.gov (United States)

    González Morán, Carlos Omar; González Ballesteros, Rubén; Rodríguez Guzmán, Maria Dolores Alicia; Suaste Gómez, Ernesto

    2005-06-01

    An indentation intraocular pressure sensor (IIOPS) was designed and manufactured. It is based on piezoelectric polyvinylidene fluoride (PVDF) films. This sensor will help in the detection and diagnosis of intraocular pressure (IOP) in eye diseases like glaucoma. The pressure in the normal aqueous and vitreous phases is, on average, 15.5 mmHg and up of 21 mmHg when glaucoma exists. The proposed IIOPS offers a measurement range from 10-29 mmHg with a resolution of 1 mmHg and an accuracy of ± 0.025.

  12. micro strip gas chamber

    CERN Multimedia

    1998-01-01

    About 16 000 Micro Strip Gas Chambers like this one will be used in the CMS tracking detector. They will measure the tracks of charged particles to a hundredth of a millimetre precision in the region near the collision point where the density of particles is very high. Each chamber is filled with a gas mixture of argon and dimethyl ether. Charged particles passing through ionise the gas, knocking out electrons which are collected on the aluminium strips visible under the microscope. Such detectors are being used in radiography. They give higher resolution imaging and reduce the required dose of radiation.

  13. Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review

    Directory of Open Access Journals (Sweden)

    Andrea Russo

    2009-01-01

    Full Text Available Andrea Russo, Ivano Riva, Teodoro Pizzolante, Federico Noto, Luciano QuarantaCattedra di Malattie dell’Apparato Visivo, Università degli studi di Brescia, USVD “Centro per lo studio del Glaucoma” Spedali Civili di BresciaAbstract: Latanoprost is a prostaglandin F2-alpha isopropyl ester prodrug which is rapidly hydrolyzed by esterases in the cornea to the biologically active latanoprost acid. When latanoprost is topically administered into the eye, the cornea seems to act like as a slow-release depot to the anterior segment. One hour after administration maximum concentration is found in the iris, followed by the anterior chamber and the ciliary body. Despite extensive research, controversy remains about the real mechanism of action of this drug. Immunohistochemical data have shown that the intraocular pressure (IOP reduction with topical prostaglandin F2-alpha is associated with a reduction of collagens within the uveoscleral outflow pathway. Evidence from several experimental and clinical studies suggests that latanoprost is a valuable addition first-line treatment alternatives for glaucoma, ocular hypertension and even angle-closure glaucoma. Strong points are its efficacy, which is demonstrated to be higher than that of brimonidine, dorzolamide and timolol with fewer systemic adverse effects; a convenient administration schedule; and the IOP-controlling pattern, which is relatively flat compared with timolol and dorzolamide, and enables better control in glaucoma progression, since large fluctuations may be associated with the risk of developing glaucoma in untreated ocular hypertensive subjects.Keywords: latanoprost, intraocular pressure, glaucoma, ocular hypertension

  14. Investigations of Galaxy Clusters Using Gravitational Lensing

    Energy Technology Data Exchange (ETDEWEB)

    Wiesner, Matthew P. [Northern Illinois Univ., DeKalb, IL (United States)

    2014-08-01

    In this dissertation, we discuss the properties of galaxy clusters that have been determined using strong and weak gravitational lensing. A galaxy cluster is a collection of galaxies that are bound together by the force of gravity, while gravitational lensing is the bending of light by gravity. Strong lensing is the formation of arcs or rings of light surrounding clusters and weak lensing is a change in the apparent shapes of many galaxies. In this work we examine the properties of several samples of galaxy clusters using gravitational lensing. In Chapter 1 we introduce astrophysical theory of galaxy clusters and gravitational lensing. In Chapter 2 we examine evidence from our data that galaxy clusters are more concentrated than cosmology would predict. In Chapter 3 we investigate whether our assumptions about the number of galaxies in our clusters was valid by examining new data. In Chapter 4 we describe a determination of a relationship between mass and number of galaxies in a cluster at higher redshift than has been found before. In Chapter 5 we describe a model of the mass distribution in one of the ten lensing systems discovered by our group at Fermilab. Finally in Chapter 6 we summarize our conclusions.

  15. Incidência de opacificação de cápsula posterior em pacientes submetidos à facoemulsificação e implante de lentes intra-oculares acrílicas hidrofílicas expansíveis Incidence of posterior capsule opacification in patients submitted to phacoemulsification and expandable acrylic intraocular lens implantation

    Directory of Open Access Journals (Sweden)

    Hilton Arcoverde Gonçalves de Medeiros

    2006-06-01

    Full Text Available OBJETIVO: Avaliar prospectivamente os resultados das lentes intra-oculares de polímeros expansíveis implantadas em pacientes submetidos à facoemulsificação, quanto à incidência de opacificação de cápsula posterior, levando em consideração a biocompatibilidade das lentes expansíveis. MÉTODOS: O grupo de estudo foi composto por 830 pacientes, 1.200 olhos, que foram submetidos a facoemulsificação, utilizando a mesma técnica, variando-se apenas o diâmetro da capsulorrexe, pelo mesmo cirurgião, no período de 1998 a 2002, com implante de lente intra-ocular hidrofílica expansível. O acompanhamento médio foi de 2,4 anos, variando de seis meses a quatro anos. RESULTADOS: O número total de opacificação de cápsula posterior foi de 54 casos. CONCLUSÃO: A incidência de opacificação de cápsula posterior encontrada no grupo foi de 4,6%.PURPOSE: To evaluate prospectively the results of expandable acrylic intraocular lenses in patients submitted to phacoemulsification as regard posterior capsule opacification. METHODS: The study group consisted of 830 patients, 1,200 eyes that underwent phacoemulsification from 1998 to 2002, by the same surgeon, using the same technique but with different diameters of capsulorrhexis, with expandable hydrophilic acrylic intraocular lens implantation. The mean follow-up was 2.4 years, ranging from 6 months to 4 years. RESULTS: The total number of posterior capsule opacification was 54 cases. CONCLUSIONS: The incidence of posterior capsule opacification was 4.6% in these patients.

  16. Plasmonic Luneburg and Eaton Lenses

    CERN Document Server

    Zentgraf, Thomas; Mikkelsen, Maiken H; Valentine, Jason; Zhang, Xiang; 10.1038/NNANO.2010.282

    2011-01-01

    Plasmonics is an interdisciplinary field focusing on the unique properties of both localized and propagating surface plasmon polaritons (SPPs) - quasiparticles in which photons are coupled to the quasi-free electrons of metals. In particular, it allows for confining light in dimensions smaller than the wavelength of photons in free space, and makes it possible to match the different length scales associated with photonics and electronics in a single nanoscale device. Broad applications of plasmonics have been realized including biological sensing, sub-diffraction-limit imaging, focusing and lithography, and nano optical circuitry. Plasmonics-based optical elements such as waveguides, lenses, beam splitters and reflectors have been implemented by structuring metal surfaces or placing dielectric structures on metals, aiming to manipulate the two-dimensional surface plasmon waves. However, the abrupt discontinuities in the material properties or geometries of these elements lead to increased scattering of SPPs, ...

  17. Heavy liquid bubble chamber

    CERN Multimedia

    1965-01-01

    The CERN Heavy liquid bubble chamber being installed in the north experimental hall at the PS. On the left, the 1180 litre body; in the centre the magnet, which can produce a field of 26 800 gauss; on the right the expansion mechanism.

  18. Wire chamber conference

    International Nuclear Information System (INIS)

    This booklet contains program and the abstracts of the papers presented at the conference, most of them dealing with performance testing of various types of wire chambers. The publication of proceedings is planned as a special issue of 'Nuclear instruments and methods' later on. All abstracts are in English. An author index for the book of abstracts is given. (A.N.)

  19. Drift chamber detectors

    International Nuclear Information System (INIS)

    A review of High Energy Physics detectors based on drift chambers is presented. The ionization, drift diffusion, multiplication and detection principles are described. Most common drift media are analysied, and a classification of the detectors according to its geometry is done. Finally the standard read-out methods are displayed and the limits of the spatial resolution are discussed. (Author)

  20. LEP vacuum chamber, prototype

    CERN Multimedia

    1983-01-01

    Final prototype for the LEP vacuum chamber, see 8305170 for more details. Here we see the strips of the NEG pump, providing "distributed pumping". The strips are made from a Zr-Ti-Fe alloy. By passing an electrical current, they were heated to 700 deg C.