Commentary

Kaur, Kirandeep; Gurnani, Bharat

doi:10.4103/ijo.ijo_2231_22

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…A 2-3 mm incision is made in the superior or temporal cornea for this surgical procedure, and on the opposite side of the primary incision, around 2-3 o'clock, two smaller incisions are made. Small incisions are made so that the wound can heal on its own, reduce the likelihood of complications, neutralize astigmatism, and improve the anatomical strength of the wound [10].…”

Section: Discussionmentioning

confidence: 99%

Complexity of Handling Posterior Subcapsular Cataract Case

Imelda,

Siti Rain Jannah,

Sarra Mutiara Adev

et al. 2023

Heca J. Appl. Sci.

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Cataracts or “katarrhakies” in Greek means waterfall. This term is used because the vision in cataract patients is described as a closed waterfall due to the clouding of the lens. PSCs (posterior subcapsular cataracts) might cause symptoms within months. and can cause worse visual disturbances compared to other types of senile cataracts. A 63-year-old man came to the Department of Ophthalmology at RSUD Dr. Zainoel Abidin with a chief complaint of blurry vision in both eyes since two years ago and felt more severe in the left eye. The patient also complained of difficulty seeing an object and reading at close range. On physical examination, a cloudy lens was found in the central posterior part of his both eyes the iris shadow test of both eyes was positive. The patient was diagnosed with posterior subcapsular cataract oculus dexter and sinister (ODS). The patient was planned to undergo phacoemulsification and intraocular lens (IOL) implantation in his left eye. The patient came back in the next couple weeks after surgery and it shows that his left eye visual acuity was 20/20 and the ocular anatomy was in good condition. Nowadays, phacoemulsification is still the first choice in PSC therapy. This type of cataract is difficult to treat because the cataract is still thin and the lens is mostly transparent, but it often causes glare and vision impairment which can interfere with daily activities.

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Section: Discussionmentioning

confidence: 99%

Complexity of Handling Posterior Subcapsular Cataract Case

Imelda,

Siti Rain Jannah,

Sarra Mutiara Adev

et al. 2023

Heca J. Appl. Sci.

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“…85 Perhaps most prominently, phacoemulsification, a cataract surgery modality in which the lens is emulsified and aspirated from the eye, applies ultrasound to the lens in a frequency range of 27-60 kHz at variable power to break down cataractous lenticular material. 35,86,87 Phacoemulsification has rendered small-incision cataract surgery possible, and its development is considered by many ophthalmologists the major turning point in modern cataract surgery. 88,89 Moreover, ultrasound is an established modality for diagnosing and treating diseases of the posterior segment.…”

Section: Clinicalmentioning

confidence: 99%

“…Today, in cataract cases where the cataract is brunescent and shorter‐wavelength laser waves cannot penetrate the hard lens, A‐scans are still commonly deployed to obtain physical measurements of the lens during the preoperative workup to allow cataract surgeons to calculate the axial length of the eye and the optical power of the intraocular lens to be placed during cataract surgery to help patients achieve emmetropia 85 . Perhaps most prominently, phacoemulsification, a cataract surgery modality in which the lens is emulsified and aspirated from the eye, applies ultrasound to the lens in a frequency range of 27–60 kHz at variable power to break down cataractous lenticular material 35,86,87 . Phacoemulsification has rendered small‐incision cataract surgery possible, and its development is considered by many ophthalmologists the major turning point in modern cataract surgery 88,89 .…”

Section: Ultrasound As Therapymentioning

confidence: 99%

Ultrasound‐assisted ocular drug delivery: A review of current evidence

Yang

Jessen

Lin

2022

J of Clinical Ultrasound

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Efficient ocular drug delivery is a challenging clinical problem with various therapeutic options but no clearly preferred methodology. Given the ubiquity of ultrasound as a diagnostic technique, the safety profile of ultrasound in an ocular context, and the prospect of custom‐made ultrasound‐sensitive contrast agents, ultrasound presents an attractive ocular drug delivery modality. In this review, we evaluate our present understanding of ultrasound as it relates to ocular drug delivery and significant knowledge gaps in the field. In doing so, we hope to call attention to a potentially novel drug delivery pathway that could be manipulated to treat or cure ocular diseases.

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“…The suprascapular approach of phacoemulsification is the preferred, safer method. In this method, the nucleus is prolapsed and emulsified within the anterior chamber [91]. It is recommended that endothelium is coated with viscoelastic prior to phacoemulsification to avoid sudden decompression of the chamber [91].…”

Section: Surgical Recommendations In High Myopiamentioning

confidence: 99%

“…In this method, the nucleus is prolapsed and emulsified within the anterior chamber [91]. It is recommended that endothelium is coated with viscoelastic prior to phacoemulsification to avoid sudden decompression of the chamber [91]. When compared to the endocapsular technique, the suprascapular approach had an insignificant difference in cell loss, but was more advantageous in cases with zonular weakness and posterior capsular rupture [79].…”

Section: Surgical Recommendations In High Myopiamentioning

confidence: 99%

Refractive Lensectomy and Microinvasive Glaucoma Surgery (MIGS): An Initial Approach in Glaucoma Patients over 50 Years of Age

Laroche¹,

Rickford²

2022

Refractive Surgery - Types of Procedures, Risks, and Benefits

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Glaucoma is a common cause of blindness worldwide, affecting patients at an average age of 57 years old. This is a disease of ocular anatomy commonly caused by a blockage of trabecular meshwork leading to an increase in intraocular pressure and glaucomatous optic neuropathy. The lens enlarges in width with age, often contributing to this, with obstruction of the angle due to pupillary block in angle-closure glaucoma. In open-angle glaucoma, there is often increased pigment liberation and obstruction of the trabecular meshwork due to increased iridolenticular and zonular contact. Recent studies looking at cataract extraction, refractive lensectomy, and the Hydrus stent have demonstrated adequate safety and efficacy for the treatment of glaucoma. We review the latest glaucoma treatment algorithm and results with early cataract surgery/refractive lensectomy and microinvasive glaucoma surgery to be considered as initial treatment for patients with glaucoma over 50 years of age.

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Commentary

Cited by 4 publications

References 6 publications

Complexity of Handling Posterior Subcapsular Cataract Case

Complexity of Handling Posterior Subcapsular Cataract Case

Ultrasound‐assisted ocular drug delivery: A review of current evidence

Refractive Lensectomy and Microinvasive Glaucoma Surgery (MIGS): An Initial Approach in Glaucoma Patients over 50 Years of Age

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