Ophthalmic surgery and lasers
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Ophthalmic Surg Lasers · Apr 1998
Case ReportsIsolated posterior capsule rupture in blunt trauma: pathogenesis and management.
Although blunt ocular trauma frequently-damages the crystalline lens, isolated rupture of the posterior capsule is an infrequently reported occurrence. The authors describe three patients with this unusual presentation. ⋯ All patients achieved good postoperative visual acuity with well-positioned posterior chamber IOLs (in-the-bag in two eyes, sulcus fixated in one eye). Isolated rupture of the posterior capsule in young patients can be safely managed using the limbal approach and implantation of posterior chamber IOLs, is possible.
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Ophthalmic Surg Lasers · Apr 1998
Case ReportsPenetrating keratoplasty with a valved glaucoma drainage implant for congenital glaucoma and corneal scarring secondary to hydrops.
The simultaneous management of glaucoma and corneal opacification is sometimes required in infants with severe congenital glaucoma if timely visual rehabilitation is to be achieved. A 1-month-old female infant presented with an enlarged, protuberant, opaque cornea in each eye and elevated intraocular pressure. An intrastromal, fluid-filled cleft was noted in both corneas. ⋯ No postoperative overfiltration occurred. The authors conclude that the use of a valved implant should be considered in patients who require urgent simultaneous corneal and glaucoma surgery for severe congenital glaucoma. This combination may improve early postoperative control of aqueous outflow and positively affect long-term graft survival in these difficult cases.