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  • Ovid Technologies (Wolters Kluwer Health)  (8)
  • 1
    Online Resource
    Online Resource
    Long-term results of a new posterior chamber phakic intraocular lens in patients with high myopia: 5-year results
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Journal of Cataract and Refractive Surgery Vol. 49, No. 4 ( 2023-04), p. 409-415
    Details
    In: Journal of Cataract and Refractive Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 49, No. 4 ( 2023-04), p. 409-415
    Abstract: To evaluate the long-term refractive outcomes of Eyecryl posterior chamber spherical phakic intraocular lens (pIOL) implantation in high myopia and endothelial cell density (ECD) change. Setting: Beyoglu Eye Training and Research Hospital, Istanbul, Turkey. Design: Retrospective. Methods: Eyes that were not suitable for corneal refractive surgery, had high myopia between −6.00 diopters (D) and −20.00 D, had Eyecryl posterior chamber spherical pIOL implantation, and had at least 5 years of follow-up were included. Preoperative ECD was ≥2300 cells/mm 2 and cylindrical value was ≤2.0 D in all cases. Preoperative and postoperative first, third, and fifth years of refraction, uncorrected and corrected distance visual acuity (UDVA/CDVA), and ECD were recorded. Results: 36 eyes of 18 patients were examined. The mean UDVA and CDVA in postoperative fifth years were 0.24 ± 0.19 logMAR and 0.12 ± 0.18 logMAR, respectively. The safety and efficacy indices were 1.52 ± 0.54 and 1.14 ± 0.38, respectively. At 5 years, the spherical equivalent was ±0.50 D in 75% of eyes and ±1.00 D in 92% of eyes. After 5 years, the mean cumulative ECD loss was 6.91% ( P = .07). The annual ECD loss was 1.57% in the first year, 0.26% between 1 year and 3 years, and 2.38% between 3 years and 5 years. Asymptomatic anterior capsule opacity developed in 1 eye 4 years after surgery. Rhegmatogenous retinal detachment developed in 1, and myopic choroidal neovascular membrane occurred in 1 eye. Conclusions: Eyecryl posterior chamber spherical pIOL implantation is one of the effective and safe refractive surgical methods in correcting high myopia with predictable and stable refractive results over a 5-year period. Longer-term studies are needed for complications such as decreased ECD, retinal complications, and lens opacity.
    Type of Medium: Online Resource
    ISSN: 0886-3350 , 1873-4502
    URL: Article
    DOI: 10.1097/j.jcrs.0000000000001110
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
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  • 2
    Online Resource
    Online Resource
    Accelerated corneal crosslinking in children with keratoconus: 5-year results and comparison of 2 protocols
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Journal of Cataract and Refractive Surgery Vol. 46, No. 4 ( 2020-04), p. 517-523
    Details
    In: Journal of Cataract and Refractive Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 46, No. 4 ( 2020-04), p. 517-523
    Abstract: To evaluate long-term clinical results of 2 different accelerated corneal crosslinking (CXL) protocols in pediatric patients with keratoconus. Setting: Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey. Design: Retrospective case-control study. Methods: Patients who were younger than 18 years were included in the study. Group 1 received 4 minutes of illumination at 30 mW/cm 2 , and Group 2 received 5 minutes of illumination at 18 mW/cm 2 . Uncorrected and corrected distance visual acuities, manifest refraction, corneal topographic parameters, and corneal higher-order aberrations (HOAs) were evaluated at baseline and during 1-, 3-, and 5-year follow-up visits. Results: A total of 143 eyes from 86 patients were included in the study. There were 30 eyes in Group 1 and 113 eyes in Group 2. The mean follow-up time was 4.15 ± 0.99 years. Mean keratometry (K) and/or maximum K progressed ≥1.00 diopter (D) in 7 eyes (23.3%) in Group 1 and 19 eyes (16.8%) in Group 2 ( P = .411). Mean K and/or maximum K decreased ≥2.00 D in 2 eyes (6.7%) in Group 1 and 24 eyes (21.2%) in Group 2 ( P = .06). In Group 1, there were no statistically significant differences in topographic parameters during follow-up. In Group 2, there was a statistically significant reduction in total HOA and coma during the 5-year visit when compared with the preoperative visit ( P = .005 and P = .045, respectively). Conclusions: Accelerated CXL is beneficial in terms of halting the progression of keratoconus in pediatric patients throughout 5 years of follow-up examinations. An increased irradiance with a reduced application time reduces the topographic effects of CXL.
    Type of Medium: Online Resource
    ISSN: 0886-3350 , 1873-4502
    URL: Article
    DOI: 10.1097/j.jcrs.0000000000000101
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    Comparative study of small-incision lenticule extraction and phakic intraocular lens implantation for the correction of high myopia: 6-year results
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Journal of Cataract and Refractive Surgery Vol. 47, No. 2 ( 2021-02), p. 221-226
    Details
    In: Journal of Cataract and Refractive Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 47, No. 2 ( 2021-02), p. 221-226
    Abstract: To compare the long-term safety, efficacy, and complications of small-incision lenticule extraction (SMILE) and flexible iris-fixated anterior chamber phakic intraocular lens (pIOL) implantation for the treatment of high myopia. Setting: University of Health Science Turkey, Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey. Design: Retrospective comparative case series. Methods: Data of patients who underwent SMILE or pIOL (Artiflex) implantation for myopia were retrospectively reviewed. Only patients with preoperative manifest refraction spherical equivalent from −6.00 to −10.00 diopters (D) were included in the study. Results: There were 47 eyes of 32 patients in the SMILE group and 52 eyes of 29 patients in the pIOL group. The mean postoperative follow-up was 63.75 ± 18.40 months in the SMILE group and 65.38 ± 16.22 months in the p-IOL group ( P = .71). At 6 years postoperatively, refractive predictability was slightly better in the pIOL group, and the percentages of eyes within ±0.50 D of the attempted correction were 77% and 83% in the SMILE and pIOL groups, respectively. Although mean uncorrected distance visual acuity was comparable (SMILE, 0.12 ± 0.06 logarithm of the minimum angle of resolution [logMAR]; p-IOL, 0.09 ± 0.05 logMAR), the safety indices (1.08 ± 0.22 vs 1.11 ± 0.20; P = .02) and the efficacy indices (0.92 ± 0.24 vs 1.11 ± 0.22; P = .03) were statistically significantly higher after pIOL implantation. Despite a mean of 11.09% of the endothelial cell being lost at 6 years after pIOL implantation, no pIOL was explanted due to endothelial cell loss. Conclusions: In this comparative and long-term study, iris-fixated anterior chamber pIOL implantation for high myopic correction showed slightly better safety and efficacy profiles but with statistically significant endothelial cell loss.
    Type of Medium: Online Resource
    ISSN: 0886-3350 , 1873-4502
    URL: Article
    DOI: 10.1097/j.jcrs.0000000000000418
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
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  • 4
    Online Resource
    Online Resource
    Management of residual lenticule and irregular astigmatism after small incision lenticule extraction
    Ovid Technologies (Wolters Kluwer Health) ; 2018
    In:  Journal of Cataract and Refractive Surgery Online Case Reports Vol. 6, No. 4 ( 2018-10), p. 65-68
    Details
    In: Journal of Cataract and Refractive Surgery Online Case Reports, Ovid Technologies (Wolters Kluwer Health), Vol. 6, No. 4 ( 2018-10), p. 65-68
    Type of Medium: Online Resource
    ISSN: 2214-1677
    URL: Article
    DOI: 10.1016/j.jcro.2018.07.001
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2018
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  • 5
    Online Resource
    Online Resource
    Anterior-Approach Versus Posterior-Approach Levator Advancement Surgery in Aponeurotic Ptosis
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Journal of Craniofacial Surgery Vol. 31, No. 5 ( 2020-07), p. 1318-1321
    Details
    In: Journal of Craniofacial Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 31, No. 5 ( 2020-07), p. 1318-1321
    Abstract: To compare the effectiveness and complications of levator reinsertion in aponeurotic ptosis surgery using anterior and posterior approaches. Methods: Seventy-eight (36 females, 42 males) patients with acquired aponeurotic ptosis were evaluated. Pre- and postoperative margin reflex distance, symmetry of height, contour and skin crease, corneal problems, and lagophthalmus were evaluated and compared between the 2 groups. Independent and paired samples t -test, Pearson Chi-square, and Fisher exact test were used to evaluate the results. Results: The anterior approach was performed on 43 eyelids and the posterior approach was performed on 35 eyelids. The mean age of the anterior-approach group was 62.1 ± 11 years, and posterior-approach group was 50.1 ± 15.1 years, respectively ( P   〈  0.001). The male-female ratio was 28/15 in the anterior-approach group, and 14/21 in the posterior approach group ( P  = 0.027). The success rate of the anterior approach was 69.8% and the posterior approach was 57.1% ( P  = 0.248). The mean margin reflex distance change was statistically significant in both anterior- and posterior-approach techniques ( P   〈  0.001, P   〈  0.001, respectively). Three (6.9%) patients in the anterior-approach group and 11 (31.4%) in the posterior-approach group required reoperation ( P  = 0.005). Lagophthalmus rates were similar (3 eyes in the anterior versus 7 eyes in the posterior group, P  = 0.103). Conclusions: Both anterior- and posterior-approaches are effective and safe techniques for aponeurotic ptosis treatment. The posterior approach seems to be preferred by female and younger patients because there is no undesirable scar formation although it has the disadvantage of higher rates of reoperation.
    Type of Medium: Online Resource
    ISSN: 1049-2275 , 1536-3732
    URL: Article
    DOI: 10.1097/SCS.0000000000006189
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
    detail.hit.zdb_id: 2060546-8
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  • 6
    Online Resource
    Online Resource
    Five-year outcomes of small-incision lenticule extraction vs femtosecond laser–assisted laser in situ keratomileusis: a contralateral eye study
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Journal of Cataract and Refractive Surgery Vol. 46, No. 3 ( 2020-03), p. 403-409
    Details
    In: Journal of Cataract and Refractive Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 46, No. 3 ( 2020-03), p. 403-409
    Abstract: To compare the long-term refractive and visual outcomes and the corneal higher-order aberrations of contralateral eyes of patients who received small-incision lenticule extraction (SMILE) in one eye and femtosecond laser–assisted laser in situ keratomileusis (FS-LASIK) in the other eye. Setting: Refractive Surgery Clinic of the University of Health Sciences Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey. Design: Retrospective case series. Methods: The medical files of patients who received SMILE in one eye and FS-LASIK in the contralateral eye for myopia and myopic astigmatism were reviewed. Postoperative examinations at 1 year, 3 years, and 5 years were evaluated. The main outcome measures were the comparison of the refractive and visual outcomes and the effect on corneal higher-order aberrations between the procedures. Results: This study included 44 eyes from 22 patients. At the 5-year follow-up, the mean uncorrected distance visual acuity improved to 0.03 ± 0.06 and 0.02 ± 0.05 logarithm of the minimum angle of resolution (range 0.15 to −0.08 and 0.10 to −0.08) for SMILE and FS-LASIK groups, respectively. There was no statistically significant difference between the groups ( P = .572). At 5 years, all eyes in both groups were within ±1.00 diopter of attempted spherical equivalent refraction, and no statistically significant difference was found between the intended and achieved correction comparing the groups at any time points. None of the aberrations showed a difference between the groups at any time. Conclusions: Both SMILE and FS-LASIK were safe and similar in terms of efficacy and predictability at long-term follow-up for the correction of myopia and myopic astigmatism.
    Type of Medium: Online Resource
    ISSN: 0886-3350 , 1873-4502
    URL: Article
    DOI: 10.1097/j.jcrs.0000000000000067
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
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  • 7
    Online Resource
    Online Resource
    Functional and Morphological Effects of Systemic Bevacizumab on Cancer Patients’ Eyes
    Ovid Technologies (Wolters Kluwer Health) ; 2015
    In:  Optometry and Vision Science Vol. 92, No. 1 ( 2015-01), p. 102-106
    Details
    In: Optometry and Vision Science, Ovid Technologies (Wolters Kluwer Health), Vol. 92, No. 1 ( 2015-01), p. 102-106
    Type of Medium: Online Resource
    ISSN: 1040-5488
    URL: Article
    DOI: 10.1097/OPX.0000000000000430
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2015
    detail.hit.zdb_id: 2083924-8
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  • 8
    Online Resource
    Online Resource
    Changes in Higher-Order Aberrations After Phototherapeutic Keratectomy for Subepithelial Corneal Infiltrates After Epidemic Keratoconjunctivitis
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  Cornea Vol. 36, No. 10 ( 2017-10), p. 1233-1236
    Details
    In: Cornea, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. 10 ( 2017-10), p. 1233-1236
    Abstract: To investigate how corneal aberrations change after phototherapeutic keratectomy (PTK) for subepithelial infiltrates after adenoviral keratoconjunctivitis. Methods: The records of patients who underwent transepithelial PTK for subepithelial infiltrates were retrospectively reviewed. Preoperative best-corrected visual acuity (VA) and the results of slit-lamp biomicroscopy examinations were recorded. The PTK procedure was performed under topical anesthesia with an Amaris excimer laser. Patients' manifest refraction values, topographical examination results, and corneal aberrations before and after surgery were analyzed. Results: Twenty-four eyes of 16 women (84.3%) and 3 men (15.7%) were treated. The mean follow-up time was 6.0 ± 2.5 (range: 3–12) months, and the mean ablation depth was 82.3 ± 1.0 (range: 80–88) μm. Postoperative median best-corrected VA increased from 0.6 (range: 0.4–1.0) logarithm of the minimum angle of resolution to 0.2 (range: 0.1–0.5) logarithm of the minimum angle of resolution ( P = 0.048), coma decreased from 0.56 (range: 0.29–0.37) to 0.44 (range: 0.07–0.74), secondary astigmatism decreased from 0.45 (range: 0.12–1.9) to 0.17 (range: 0.03–0.49), and total higher-order aberrations decreased from 1.24 (range: 0.61–6.74) to 0.9 (range: 0.33–1.64) ( P = 0.008, 0.0032, and 0.018, respectively). Conclusions: PTK is an effective method for treating corneal opacity after epidemic keratoconjunctivitis, which yields significant improvements in both VA and visual quality.
    Type of Medium: Online Resource
    ISSN: 0277-3740
    URL: Article
    DOI: 10.1097/ICO.0000000000001296
    RVK:
    XA 37258
    RVK:
    XA 10000
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
    detail.hit.zdb_id: 2045943-9
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