A case of endophthalmitis associated with limbal relaxing incision

Haripriya, Aravind; Syeda, Taranum S

doi:10.4103/0301-4738.95879

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…13,14 Although technically the use of relaxing incisions for the management of astigmatism is a safe procedure, it has a correction rate of only around 77%, compared with other techniques such as laser procedures or phakic lens implantation. 14 These facts, besides the complications associated with the use of relaxing incisions, such as induction of high-order coma aberration, keratitis, neurotrophic ulcers, or endophthalmitis, [15][16][17][18][19][20] along with promising published results including follow-ups of up to 10 years, and with the certainty of reversibility, indicate that the use of toric lenses for astigmatism management is an option to consider.…”

Section: Discussionmentioning

confidence: 99%

Astigmatism correction with toric implantable collamer lens in low and high astigmatism groups

Cano-Ortiz

Sánchez-Ventosa

Membrillo

et al. 2021

European Journal of Ophthalmology

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Purpose: To analyze the target induced astigmatism (TIA), surgically induced astigmatism (SIA), difference vector (DV), and correction index (CI) in the correction of astigmatism with phakic lenses, and its influence on visual acuity, and to analyze the safety and efficacy indexes of the correction of high and low power astigmatism with toric phakic lenses. Design: Retrospective comparative study. Methods: The medical records of patients that were operated on at the research center during the period were analyzed. Results were divided into Low Astigmatism Group – LAG (33 eyes) and High Astigmatism Group – HAG (93 eyes) according to the implanted toric ICL lens power. Preoperative refraction and resultant postoperative refraction were analyzed by vector analysis. Visual acuity pre and postop, with and without optical correction, were compared. Results: A total of 126 eyes were studied. The average preop refraction was −5.02 D sphere with −2.61 D cylinder. The average ICL lens power implanted was −8.31 D sphere +2.77 D cylinder. Refractive remaining was −0.01 ± 0.11 D sphere −0.15 ± 0.28 D cylinder. The arithmetic average angle of error in the astigmatism correction was 1.08°. The resultant cylinder was −0.03 ± 0.12 D and −0.19 ± 0.30 D in the low and high astigmatism groups, respectively, with a mean UDVA −0.01 ± 0.10 and 0.01 ± 0.16 and CDVA −0.03 ± 0.08 and −0.01 ± 0.17 for each group. The safety and efficacy indexes for the low astigmatism group were 1.09 ± 0.16 and 1.05 ± 0.17, respectively, with 1.11 ± 0.17 and 1.06 ± 0.16 for the high astigmatism group. Conclusions: The correction of astigmatism by the implantation of toric phakic lenses of the posterior chamber is safe and effective, independently of the amount of cylinder corrected.

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Section: Discussionmentioning

confidence: 99%

Astigmatism correction with toric implantable collamer lens in low and high astigmatism groups

Cano-Ortiz

Sánchez-Ventosa

Membrillo

et al. 2021

European Journal of Ophthalmology

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“…In the year 2014, we performed 26,623 phacoemulsification procedures, 745 (2.8%) with a LRI. Although we have previously reported endophthalmitis associated with LRI in an eye which underwent manual small incision cataract surgery,[ 4 ] this is the first case of keratitis at LRI site in a phacoemulsification case. The LRI was partial thickness and phacoemulsification uneventful.…”

Section: Discussionmentioning

confidence: 94%

A case of keratitis associated with limbal relaxing incision

Haripriya

Anand

2016

Indian J Ophthalmol

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We report a case of keratitis associated with limbal relaxing incision (LRI). The patient presented with progressive loss of vision with best-corrected visual acuity 20/40. Immature cataract with 1.43D against the rule astigmatism was noted. Prophylactic topical antibiotic was administered before surgery. He underwent uneventful phacoemulsification with intraocular lens implantation with LRI. On the 33rd postoperative day (POD), he presented with infiltrate along LRI site with mild iritis. Corneal scraping was positive for Staphylococcus aureus. After the treatment with topical moxifloxacin and fortified cefazolin, the infiltrate started to resolve. On the 50th POD, the corneal infection was resolved with marked thinning at LRI site.

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“…[3] In India, Haripriya et al had reported a case of keratitis and a case of endophthalmitis following manual LRI in phacoemulsification. [45]…”

Section: Discussionmentioning

confidence: 99%

Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery

Biswas

Chatterjee

Batra

et al. 2019

Indian J Ophthalmol

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An 84-year-old gentleman underwent uneventful femtolaser-assisted cataract surgery (FLACS) with an arcuate keratotomy (AK) in the left eye. On the 18th post-operative day, a corneal infiltrate developed involving the AK. Staphylococcus epidermidis was the organism isolated on culture. The infiltrate resolved with topical fortified vancomycin and amikacin eyedrops, and the patient regained a visual acuity of 6/6 after 12 weeks. This is the first case from south-east Asia reported in the literature of an infective infiltrate along a femtosecond laser AK. We propose strict peri-operative recommendations to be followed to prevent and treat such infections.

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A case of endophthalmitis associated with limbal relaxing incision

Cited by 10 publications

References 8 publications

Astigmatism correction with toric implantable collamer lens in low and high astigmatism groups

Astigmatism correction with toric implantable collamer lens in low and high astigmatism groups

A case of keratitis associated with limbal relaxing incision

Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery

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