American journal of ophthalmology
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Controlled Clinical Trial
Femtosecond laser for residual refractive error correction after refractive lens exchange with multifocal intraocular lens implantation.
To assess visual and refractive outcomes of femtosecond laser for residual refractive error correction after refractive lens exchange (RLE) with multifocal intraocular lens (IOL) implantation. ⋯ Femtosecond laser after RLE with multifocal IOL implantation is an effective procedure for correcting residual ametropia and resulted in better distance visual outcomes.
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Comparative Study
Sneezing reflex associated with intravenous sedation and periocular anesthetic injection.
To assess and compare the frequency of reflex sneezing occurring during periocular anesthetic injections with and without intravenous sedation. ⋯ Surgeons, anesthesia staff, and other operating room personnel should be aware of this unusual and potentially dangerous sneeze phenomenon when periocular anesthetic injections are delivered under intravenous sedation to reduce potential ocular complications.
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To review the current knowledge of persistent visual loss after nonocular surgeries under general anesthesia. ⋯ If, when an ophthalmologist is consulted for a patient with perioperative visual loss, an obvious ocular cause is not apparent, urgent neuroimaging should be obtained to rule out intracranial pathology. Anterior and posterior ION should be considered and careful documentation is essential. Currently, the pathogenesis of perioperative ION remains unclear, and preventive and therapeutic measures remain elusive.
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Comparative Study Clinical Trial
Oral gabapentin for the treatment of postoperative pain after photorefractive keratectomy.
To evaluate oral gabapentin for postoperative pain after photorefractive keratectomy (PRK). ⋯ We found no difference in overall subjective pain management ratings between gabapentin and oxycodone/acetaminophen for postoperative PRK pain, although gabapentin was associated with significantly more frequent use of anesthetic eye drops as required.
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To present the results of a panel consensus assessment of evaluation and therapy relating to primary open-angle glaucoma based on available evidence and expert opinion. ⋯ Given the paucity of high-quality evidence relating to many of the issues addressed in this assessment and the variability of practice patterns among ophthalmologists, consensus agreement or disagreement was reached for a high proportion of polling statements.