The transabdominal approach is an alternative option that would increase the total number of oocytes retrieved with no statistical difference in complication or pregnancy rates. We also developed a scoring system that can serve as a useful screening tool for identifying women at increased risk of transabdominal oocyte retrieval.
Background
Primary Open Angle Glaucoma is a multi-factorial disease with a devastating impact on the quality of life of the patient in the moderate and severe stages of the disease. Identifying risk factors for the development of moderate to severe visual field loss may decrease the proportion of patients that experience the severe forms of this disease.
Purpose
To evaluate whether the central corneal thickness correlates inversely with the severity of visual field loss in Primary Open Angle Glaucoma.
Methods
Retrospective review of 308 charts of patients seen during a six-week period by a glaucoma specialist in his community practice in a large Hispanic area. Patients were classified as normal, ocular hypertensive, and those with Primary Open Angle Glaucoma. Odds ratios and 95% confidence interval were calculated to evaluate risk factors associated to ocular hypertension and Primary Open Angle Glaucoma. Finally, a multivariate polytomous regression model was used to evaluate central corneal thickness as an independent predictor of outcome after adjustment for age and hypertension. Statistical significance was set at p<0.05.
Results
Patients with Primary Open Angle Glaucoma show a statistically significant inverse correlation between central corneal thickness and the severity of the visual field damage.
Conclusion
Thinner corneas could be considered a risk factor for the severity of visual field loss in Primary Open Angle Glaucoma.
The purpose is to report a case and management of secondary Pigment Dispersion (PD) with severe elevation of the Intraocular Pressure (IOP) after bilateral uncomplicated phacoemulsification with implantation "within the capsular bag" of hydrophobic acrylic intra-ocular lenses (HAIOLs). The patient, a 68-year-old Hispanic male, developed severe anterior segment PD in both eyes after uncomplicated bilateral cataract surgery with implantation within-the-capsular-bag of HAIOLs one week apart. This PD was accompanied by severe elevation of the IOPs in both eyes. After filtering surgery in the worse affected eye, and medical therapy for both, the IOPs stabilized and the patient retained good distance and near uncorrected visual acuity (UCVA). HAIOLs implantation may lead to PD and IOP elevation, even when correctly placed within the capsular bag. A separation of at least two weeks between surgeries would have prevented the occurrence of this rare complication in both eyes at the same time.
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