ABSTRACT We describe a case of Irvine-Gass syndrome and the clinical decompensation of glaucoma after uneventful cataract surgery with resistance to conventional clinical treatment. Drainage tube implantation and intravitreal injection of dexamethasone were performed simultaneously with the resolution of cystoid macular edema and good control of intraocular pressure, which remained consistent after 1 year of follow-up.

ABSTRACT Objective: To evaluate the long-term clinical and refractive results of surgical correction of presbyopia in patients with cataracts and initial to moderate open-angle glaucoma through combined phacoemulsification surgery with multifocal intraocular lens implantation and angular surgery with trabecular implant. Methods: This is a real-world retrospective longitudinal study of a series of cases undergoing combined cataract surgery and anti-glaucoma surgery with a second-generation trabecular implant, iStent inject® (Glaukos Inc., California, USA). A statistical analysis of the entire study population was […]

ABSTRACT Objective: To evaluate the real-world long-term effectiveness and safety of the standalone use or in combination with cataract surgery of the second-generation trabecular implant, iStent inject®. Methods: A retrospective longitudinal study was carried out on a series of cases that underwent iStent inject® trabecular implantation alone and associated with cataract surgery. In addition to sociodemographic data, the parameters evaluated included intraocular pressure, number of medications, visual acuity, and possible complications from surgical interventions throughout follow-up. The effectiveness of the […]

ABSTRACT Objective To identify the epidemiological profile and visual benefit of the patient using the Unified Health System after cataract surgery. Methods This is a descriptive, cross-sectional and retrospective study with the analysis of medical records, between October and November 2020. We included 573 eyes of 319 patients that were selected for cataract surgery. Gender, age, cataract classification, pre-and post-surgery corrected acuity, smoking, presence of comorbidities, and previous ocular alterations were analyzed. Results Of the cataract surgeries performed, the mean […]

ABSTRACT Objective: To determine the association between type 2 diabetes mellitus and cataracts in Peruvian adults over 50 years of age. Methods: Cross-sectional analytical observational study corresponding to the secondary analysis of the 2019 Encuesta Demográfica y de Salud Familiar database. Type 2 diabetes mellitus was considered an independent variable and cataract as a dependent variable. A descriptive analysis was performed using absolute frequencies and weighted proportions, as well as a multivariate analysis using generalized linear models of the Poisson […]

ABSTRACT Chlorpromazine is a medication widely used in psychiatry for the treatment of psychoses, especially schizophrenia. Since 1964, published articles have been correlating this medication with the appearance of ocular alterations. In this paper, we report the case of a 65-year-old patient with ocular effects due to long-term therapy with chlorpromazine. Biomicroscopy of both eyes presented diffuse granular brown deposits, most prominent at the deep stroma and corneal endothelium level. Also showed anterior subcapsular brown deposits with a stellate pattern […]

ABSTRACT Objective To analyze and describe the coefficients found on maximum Ambrósio Relational Thickness-Maximum (ART-Max) and Belin/Ambrósio Enhanced Ectasia Display total deviation (BAD-D) in eyes with normal corneal topography subjected to cataract surgery with premium intraocular lens implantation and correlated these data with final visual acuity. Methods ART-Max and BAD-D data from 103 eyes of patients subjected to implantation of diffractive bifocal intraocular lens, with normal corneal topography who achieved visual acuity of 20/20 or 20/25 without correction after cataract […]

ABSTRACT Objective: To evaluate the efficacy of low-cost nucleus fragmenting forceps designed to reduce the use of ultrasound during phacoemulsification. Methods: A total of 60 pig eyes enucleated 10 hours before were placed in the microwave oven, at maximum power for 10 seconds, to form cataracts with hardness comparable to a grade IV nucleus in the Lens Opacities Classification System III. Cataract extraction was performed using the Centurion® phacoemulsifier (Alcon Laboratories, Geneve, Switzerland) and Leica M620 microscope. All eyes were […]