Purpose: To report the endothelial cell loss and clinical outcomes in Descemet stripping automated endothelial keratoplasty (DSAEK) with internationally shipped, precut donor corneas.Design: Retrospective analysis of a noncomparative case series.Method…
Ophthalmic Randomized Controlled Trials Reports: The Statement of the Hypothesis – Corrected Proof
Purpose: To evaluate whether the ophthalmic randomized controlled trials (RCTs) were designed properly, their hypotheses stated clearly, and their conclusions drawn correctly.Design: A systematic review of 206 ophthalmic RCTs.Methods: The objective sta…
Impact of Crystalline Lens Opacification on Effective Phacoemulsification Time in Femtosecond Laser-Assisted Cataract Surgery – Corrected Proof
Purpose: To compare effective phacoemulsification time in cataract surgery performed by manual phacoemulsification vs femtosecond laser-assisted lens fragmentation.Design: Retrospective, consecutive, nonrandomized, comparative case series.Methods: The setting was the Department of Ophthalmology, Goethe-University, Frankfurt, Germany. The study population included 150 eyes of 86 patients with senile cataract. In the intervention, 88 eyes (group 1) underwent femtosecond laser-assisted surgery (corneal incisions, capsulotomy, lens fragmentation) using the LenSx platform (Alcon) and residual lens work-up with pulsed ultrasound energy (Infiniti Vision System; Alcon). In 62 eyes (group 2), complete cataract removal was performed with phacoemulsification only, using pulsed ultrasound energy with the same device (Read more...)
Randomized, Prospective, Comparative Trial of EX-PRESS Glaucoma Filtration Device versus Trabeculectomy (XVT Study) – Corrected Proof
Purpose: To compare the clinical outcomes of the EX-PRESS glaucoma filtration device placed under a partial-thickness scleral flap with trabeculectomy.Design: Randomized, prospective, multicenter trial.Methods: A total of 120 eyes in 120 subjects were analyzed, including 59 eyes treated with EX-PRESS and 61 eyes treated with trabeculectomy. Both the EX-PRESS and the trabeculectomy groups were treated intraoperatively with mitomycin C and followed postoperatively for 2 years. Surgical success was defined as 5 mm Hg ≤ intraocular pressure ≤ 18 mm Hg, with or without medications, without further glaucoma surgery.Results: Mean intraocular pressure was significantly reduced compared with baseline in both groups (P < (Read more...)
Uncategorized
Medicare payments for glaucoma care per person declined between 2002 and 2009
The annual per-patient cost of glaucoma care among Medicare beneficiaries decreased in constant dollars between 2002 and 2009, according to a study.However, cataract and retina eye care for patients with glaucoma outstripped the cost of glaucoma care, the study authors said.Investigators used data from a 5% random sample of Medicare billing information from 2002 to 2009. Data included elderly patients older than 65 years with Medicare Parts A and B coverage who underwent glaucoma care. Claims were categorized as glaucoma, other eye care or other medical care.
Uncategorized
Focal/grid laser for DME has localized effect on macular vessel diameter
Focal/grid laser photocoagulation for diabetic macular edema significantly narrowed macular arterioles and venules but had an insignificant effect on central retinal vessels around the optic disc, according to a study.The study included 69 eyes of 46 patients who underwent focal/grid laser photocoagulation for DME. Median patient age was 60 years, and overall duration of diabetes was 13 years. Matched untreated eyes served as controls.Investigators obtained retinal photographs 6 months before and 2 months and 12 months after laser treatment. They measured the diameters of retinal vessels around the macula and optic (Read more...)