IVB injection reduces the need for the use of silicone oil as endotamponade in the patients who underwent PPV for DTRD at the end of surgery. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:924-929.].
Objectives: To compare the asphericity and higher-order aberration (HOA) outcomes of single-step transepithelial photorefractive keratectomy (tPRK) and conventional alcohol-assisted PRK (aaPRK) in patients with myopia and myopic astigmatism. Materials and Methods: Of the 108 eyes of 54 patients enrolled in the study, tPRK was performed on 54 (50%) eyes and aaPRK was performed on 54 (50%) eyes. The following parameters were compared: corrected distance visual acuity (CDVA), spherical equivalent (SE), flat and steep keratometry, intraocular pressure, central corneal thickness, asphericity, and HOAs including horizontal and vertical coma, horizontal and vertical trefoil, spherical aberration, second-order vertical coma, and aberration coefficient. Results: The demographic and baseline characteristics were similar between the two groups (p>0.05, for all). The aberration coefficient value was significantly lower in patients treated with aaPRK compared to patients treated with tPRK at postoperative 3 months, 6 months, and 1 year (p=0.022, p=0.019, and p=0.017, respectively). Differences in the other variables were statistically insignificant (p>0.05 for all). Conclusion: Both tPRK and aaPRK procedures obtain similar postoperative CDVA, SE, asphericity, and HOA outcomes, except the aberration coefficient value.
Capsular contraction (CC) is one of the important complication of the cataract surgery. In rare cases, CC may cause intraocular lens (IOL) decentration, dislocation or dysmorphology. 64 year-old patient underwent cataract surgery nearly 8 months ago, presented with decreased vision due to CC and full flexion of the inferior haptic onto the posterior optic surface of the single piece hydrophylic acrylic IOL. We treated this unusual complication with neodymium:yttrium-aliminum-garnet (Nd:YAG) laser posterior capsulotomy without any surgical manipulation. Folded inferior haptic of IOL was immediately repositioned after the release of posterior capsular tension. In conclusion, Nd:YAG laser posterior capsulotomy is an effective and minimally invasive treatment method in cases with full haptic flexion onto the posterior optical surface of the IOL.
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