Month: November 2012

Modern Glaucoma Management

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Corneal Thickness in Keratoconus: Comparing Optical, Ultrasound, and Optical Coherence Tomography Pachymetry

Purpose:
To compare the central and peripheral pachymetry measurements determined using Orbscan IIz (Bausch & Lomb, Rochester, NY), Visante optical coherence tomography (OCT; Carl Zeiss Meditec, Dublin, CA), and RTVue OCT (Oculus Technologies, Wynwood, WA) with ultrasound pachymetry in eyes with established keratoconus and to evaluate the agreement between them.

Design:
Evaluation of diagnostic technologies.

Participants:
One hundred six eyes of 67 consecutive patients with a clinical diagnosis of keratoconus ranging in age from 12 to 40 years.

Methods:
Central corneal thickness (CCT) was determined by all the 4 techniques. (Read more...)

Cost-Effectiveness of Descemet’s Stripping Endothelial Keratoplasty versus Penetrating Keratoplasty

Purpose:
Selective endothelial transplantation in the form of Descemet’s stripping endothelial keratoplasty (DSEK) is rapidly replacing traditional full-thickness penetrating keratoplasty (PK) for endothelial disease. An incremental cost-effectiveness analysis was performed to determine whether the benefits of DSEK are worth the additional costs.

Design:
Retrospective cohort study.

Participants:
Patients at the Singapore National Eye Center, a tertiary eye center in Singapore, with Fuchs’ dystrophy or bullous keratopathy who underwent either PK or DSEK.

Intervention:
Patients underwent either PK (n = 171) or DSEK (n = 93) from January 2001 through December (Read more...)