1,721,026 research outputs found
LASIK and PRK in refractive accommodative esotropia: a retrospective study on 20 adolescent and adult patients.
Abstract
PURPOSE:
To evaluate the clinical results obtained with excimer laser treatment of fully refractive accommodative esotropia.
METHODS:
Fully refractive accommodative esotropia was corrected in 17 patients with laser in situ keratomileusis (LASIK) and in 3 patients with photorefractive keratectomy (PRK). The mean age of the patients at time of refractive surgery was 18.8 years (range 14 to 24 years). All surgical procedures were performed under local anesthesia. The preoperative and postoperative data were retrospectively analyzed with regards to visual acuity, ocular alignment, and stereopsis.
RESULTS:
The mean preoperative deviation without correction was 18.1Delta for near vision and 13.7Delta for distance vision. After refractive surgery the mean postoperative deviation was 4Delta esophoria at near, and 2.5Delta of esophoria at distance: 10 patients (50%) showed esophoria for both distance and near vision, 2 patients (10%) esophoria only for near vision, and 8 patients (40%) orthophoria for both distance and near vision. Emmetropia (-/+1.00 D) was obtained in 97.5% of eyes (39 of 40). The mean correction obtained with excimer laser was +4.62 D(range +2.25 to +7.75, SD 4.52). The preoperative BSCVA was in all eyes greater than or equal to 20/30. There were no significant differences observed between the preoperative and postoperative mean best-corrected visual acuity (p=0.32). There were no complications. The follow-up period lasted a mean of 30.2 months.
CONCLUSIONS:
The treatment of fully refractive accommodative esotropia with excimer laser was found effective and safe, even in young or adolescent patients. More studies are needed to increase the patient experience and extend the follow-up period in order to evaluate the stability of these results over time
Simultaneous surgery in bilateral congenital cataract.
PURPOSE:
To assess the efficiency of simultaneous surgery in bilateral congenital cataract not only in patients with a high anesthesiologic risk profile.
METHODS:
A retrospective study was carried out on 40 bilateral congenital cataract patients (80 eyes) who presented to the outpatient department of pediatric ophthalmology of the University Federico II of Naples in the period from 1990 to 2005. All patients had undergone cataract extraction from both eyes in a single surgical session. Visual rehabilitation was achieved in all patients by corneal lenses; successively 25 patients had a secondary intraocular lens implant in the posterior chamber after a period of 2.5-3 years.
RESULTS:
The mean age at cataract surgery was 7 months (1-17 months). Visual acuity (VA) was assessed in 52 eyes: 8 eyes (15%) presented VA or=20/40. Ocular motility disorders were seen in 28 patients (70%). Eight patients had postoperative complications: the formation of secondary membranes in five patients, and secondary glaucoma in three patients. There were no cases of endophthalmitis.
CONCLUSIONS:
Simultaneous surgery in bilateral congenital cataract may be taken into consideration not only for patients with a high anesthesiologic risk profile
Chirurgia refrattiva in età pediatrica: punto sullo stato attuale.
Il trattamento chirurgico delle ametropie dell’adulto è ormai una realtà consolidata; sempre più spesso agli oftalmologi viene chiesto se la chirurgia refrattiva possa essere usata su pazienti in età pediatrica e adolescenziale. Negli ultimi 10 anni sono
stati pubblicati diversi articoli, tra cui alcune review,
che illustrano i progressi della chirurgia refrattiva
in questo ambito(1,2). L’obiettivo del presente manoscritto è illustrare lo stato attuale delle evidenze in merito alla chirurgia
refrattiva nell’età pediatrica in Italia
Sabatino, A. C., Fimiani, F., Operto, F. F., Pastorino, G. M., Petruccelli, F., Saladino, V., ... & Coppola, G. (2021). THERAPEUTIC FILMMAKING, STRATEGIC PSYCHOTHERAPY AND AUTISM SPECTRUM DISORDER: AN INTEGRATED APPROACH. Journal of Psychological and Educational Research, 29(2), 56-89.
Photorefractive keratectomy for myopic anisometropia: a retrospective study on 18 children.
Abstract
PURPOSE:
To evaluate the safety and efficacy of photorefractive keratectomy (PRK) performed under topical anesthesia in children with myopic anisometropia.
METHODS:
Medium to high unilateral myopia was corrected in 18 patients by PRK. At the time of surgery patients were between 7 and 17 years of age (mean 10 years). All the surgical procedures were performed under topical anesthesia. Pre- and postoperative data regarding visual acuity, eye alignment, and binocular vision were analyzed.
RESULTS:
The mean correction (SE) obtained with excimer laser was -8.21 D (range: -2.25 to -14.50, SD 3.90). The mean preoperative best spectacle-corrected visual acuity (BSCVA) was 20/70, and the postoperative mean BSCVA was 20/50. A significant difference was observed between the arithmetic mean of the preoperative and postoperative BSCVA (p=0.001). Two of 18 patients improved stereopsis; furthermore, surgery variation strabismus was registered in 33.3% of the patients, following PRK. Patients were followed up for a mean of 39 months.
CONCLUSIONS:
The treatment of medium to high unilateral myopia with PRK under local anesthesia was found effective and safe in pediatric and adolescent patients. This procedure may improve ocular alignment and stereopsis. Further studies are needed to increase the patient experience and extend follow-up time in order to assess the long-term stability of the RESULT
Ocular complications of eyebrow piercing.
Piercing, a type of body art, is increasing in popularity among young people. Two patients presented with complications a few days after having an eyebrow piercing. The first had posterior cellulitis and the second had anterior cellulitis. In both cases, symptoms decreased after 1 week of therapy with antibiotics and cortisone
Evaluation of the sensory status in patients affected by infantile esotropia, who underwent surgery before and after 2 years of age
Analysis, in terms of millimeters, of different surgical approaches in infantile esotropia.
Hyperbaric oxygen and nadroparin calcium in the therapy of combined branch retinal artery and central retinal vein occlusion
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