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- Chekitaan, S, et al.
(författare)
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The results of treatment of anisomyopic and anisohypermetropic amblyopia
- 2008
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Ingår i: International ophtalmology. - : Springer Science and Business Media LLC. - 0165-5701 .- 1573-2630. ; 29:4, s. 231-237
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Tidskriftsartikel (refereegranskat)abstract
- Purpose To analyze the results of treatment of anisomyopic and anisohypermetropic amblyopia comparing full-time and part-time occlusion. Methods Retrospective analysis of case records of 100 patients of anisometropic amblyopia was carried out. Age, visual acuity, cycloplegic refraction, response, and compliance to treatment were recorded. Full-time occlusion (FTO) or part-time occlusion (PTO) was prescribed as treatment. Results The age of children ranged from 4 to 13 years (mean 7.65 years). In total, 66% of the patients were anisomyopic and 34% were anisohypermetropic. FTO was prescribed in 64 (64%), PTO in 29 (29%). Follow-up ranged from 1 to 24 months. The paired t-test revealed significant improvement of mean visual acuity in the FTO group (t = 13.272) compared with the PTO group (t = 7.386). A final visual acuity of 6/9 or better was achieved by 51% (34/66) anisomyopic amblyopes and 52% (18/34) anisohypermetropic amblyopes. Noncompliance to the treatment was 21%. Occlusion amblyopia was seen in four (4%) of the children. Conclusion FTO is superior to PTO for the treatment of amblyopia. The greatest amount of improvement in visual acuity was seen in simple myopes and the least in simple hyperopes. Compliance is critical for successful treatment of amblyopia.
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| 2. |
- Dick, H Burkhard, et al.
(författare)
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Evaluation of clinical outcomes following implantation of a sub-2-mm hydrophilic acrylic MICS intraocular lens
- 2019
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Ingår i: International ophtalmology. - : Springer Netherlands. - 0165-5701 .- 1573-2630. ; 39:5, s. 1043-1054
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To evaluate clinical outcomes following sub-2-mm microincision cataract surgery (MICS) and intraocular lens (IOL) implantation.SETTING: Five EU clinical sites.DESIGN: Prospective, multicenter, open-label, single-arm, non-randomized.METHODS: Preoperative assessment involved visual acuity (VA), intraocular pressure and biometry measurements. 1.4-mm wound-assisted or 1.8-mm MICS was performed. Follow-up visits were made 1 day, 1-2 weeks, 1-2 and 4-6 months after surgery. The incision size, corrected distance VA (CDVA), uncorrected distance VA, manifest refraction spherical equivalent (MRSE), refraction predictability/stability and IOL decentration were assessed. At 12-, 18-, and 24-month, long-term centration, posterior capsular opacification (PCO) and Nd:YAG capsulotomy rates were investigated.RESULTS: A total of 103 eyes were implanted with the study IOL (INCISE, Bausch & Lomb), 96 of which were included in visual outcome analysis. A mean 6-month CDVA of - 0.02 logMAR (20/20 + 1) was observed and 75 eyes (79.8%) and 93 eyes (98.3%) achieved a visual acuity of at least 20/20 or 20/40. Mean MRSE was - 0.20 ± 0.60 D. Mean absolute predictive error was 0.44 ± 0.36 D, with 90.4% within 1.00 D of target. Mean total decentration was 0.35 ± 0.36 mm at 6 months and 0.32 ± 0.14 mm at 24 months (p > 0.05). 24-month evaluation of posterior capsular opacification score was 0.03 for the central area. A Nd:YAG rate of 3.4% was observed at 24 months.CONCLUSIONS: The new MICS IOL provided excellent visual outcomes and was safe and effective for the sub-2-mm procedure. The MICS IOL demonstrated long-term centration, stability and a low rate of PCO development.
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| 4. |
- Garberg, Grete, et al.
(författare)
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The prognosis of diabetic retinopathy in patients with type 2 diabetes since 1996-1998: the Skaraborg Diabetes Register
- 2015
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Ingår i: International Ophtalmology. - : Springer Science and Business Media LLC. - 1573-2630 .- 0165-5701. ; 35:4, s. 503-511
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Tidskriftsartikel (refereegranskat)abstract
- Diabetes mellitus is the main reason for visual impairment among patients of working ages. The aim of this paper was to investigate the prognosis of eye complications in patients with diabetes during 10 years of follow-up and contributing risk factors. Data from ophthalmological records (occurrence of retinopathy and laser treatment and visual acuity), and clinical data (blood pressure, glycosylated hemoglobin (HbA1c), body mass index (BMI), and antihypertensive treatment) from the Skaraborg Diabetes Register were retrieved in the Skaraborg Screening Program of 1,258 patients diagnosed during 1996-1998. Kaplan Meyer survival analysis and Log Rank test were used to analyze eye complications in 773 patients with type 2 diabetes and a parts per thousand currency sign70 years at diagnosis. Visual acuity was above the limit for driving license in 96 % of 548 patients and only nineteen patients were treated by laser. At diagnosis of diabetes, mean HbA1c was 6.7 +/- A 1.7 % (59 +/- A 7.1 mmol/mol), and systolic blood pressure was 142.9 +/- A 0.7 mmHg; neither changed significantly during follow-up. Retinopathy appeared about 1 year, and maculopathy 2 years earlier, if HbA1c a parts per thousand yen 7 % (63 mmol/mol) at diagnosis (p < 0.001 and p < 0.006). Antihypertensive treatment, higher BMI, and higher age at diagnosis were associated with less retinopathy during follow-up. Most patients with diabetes develop little retinopathy for the first 10 years after diagnosis. High HbA1c at baseline was associated with retinopathy and maculopathy during follow-up. Antihypertensive treatment, probably a proxy for regular controls and early detection of diabetes, was associated with less retinopathy.
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| 5. |
- Lundberg, Björn
(författare)
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Corneal endothelial changes seven years after phacoemulsification cataract surgery
- 2024
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Ingår i: International ophtalmology. - : Springer Science+Business Media B.V.. - 0165-5701 .- 1573-2630. ; 44:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate long-term postoperative corneal changes after phacoemulsification cataract surgery.Methods: Twenty patients who participated in a previous study regarding corneal endothelial changes after phacoemulsification cataract surgery were examined after 7 years. The patients were divided in three groups based on their initial increase in central corneal thickness day one after the surgery: < 5% increase, 6–20% increase and ≥ 20% increase. The primary outcome measures were corneal endothelial cell loss (ECL), endothelial cell count (ECC) and endothelial morphology.Results: After 7 years, a difference in cell loss between the groups was observed, except for groups 1 and 2. Endothelial cell count (ECC) differed significantly between groups 1 and 3 at 3 months. At 7 years, there was no difference in ECC between the three groups. Cell loss was found exclusively in group 1 between 3 months and 7 years. Endothelial cell morphology showed a converging pattern between 3 months and 7 years.Conclusion: After phacoemulsification cataract surgery, long-term ECC and morphology appear to converge towards a comparable steady state regardless of initial corneal swelling and endothelial cell loss.
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