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Visual and refractive outcomes and complications in FLACS versus CPS cataract surgery
This is a randomised, controlled study of 110 paired eyes from 55 patients that were randomised into either femtosecond laser-assisted cataract surgery (FLACS) or conventional phacoemulsification cataract surgery (CPS) groups. Visual, refractive outcomes, intraocular pressure (IOP) and complications were compared...
Are any precautions needed when performing cataract surgery in thrombocytopenic patients?
In this retrospective multi-centre study, charts for 196 eyes of 150 thrombocytopenic patients were reviewed. The mean preoperative platelet level was 73.0 ± 20.5 × 103/μL (median of 76.0 × 103/μL), with a range of 17 to 100 × 103/μL...
Comparison of outcomes of bilateral cataract surgery across different age groups
The authors present a retrospective records review of children who had bilateral cataract surgery between the ages of two and seven years of age over a 23-year period. Children with other ocular pathology and prior surgery were excluded. A minimum...
FSAK versus toric IOL implantation for correcting astigmatism in cataract patients
Nine studies of 590 patients were retrieved from the Ovid-Medline, EMBASE, Cochrane register of controlled trials and Scopus which compared femtosecond laser-assisted astigmatic keratotomy (FSAK) and toric IOL for astigmatism correction in cataract patients. The trial sequential analysis was used...
Outcomes of suture-less vs. sutured wound closure for paediatric cataract surgery
In this study the authors aimed to compare the incidence of postoperative complications between cases of suture-less and sutured wound closure in paediatric cataract surgery. This was a retrospective study of children aged <18 years and included 116 eyes of...Third nerve palsy following cataract surgery with sub-Tenon’s anaesthesia
Figure 1: Photograph showing partial ptosis of the right eye two months after surgery (photo by R McLeod). An 83-year-old lady had routine right eye cataract surgery under uncomplicated sub-Tenon’s anaesthesia. She presented two weeks later, explaining that following the...Changing the post cataract surgery review pathway – is patient safety compromised?
Cataract surgery continues to be the most commonly performed elective surgical procedure in the UK, with an annual rate of approximately 4150/100,000 people over the age of 65 accounting for a significant proportion of the surgical workload of most ophthalmologists...
Comparison of SIA from femtosecond laser and manual CCIs for cataract surgery
This study group compared the differences in surgically induced astigmatism (SIA) vector, flattening effect, torque and wound architecture following both femtosecond laser and manual clear corneal incisions (CCIs). A double-armed, randomised, prospective case series was conducted. Cataract surgery was performed...
Oral glycerol effect on anterior chamber depth during cataract surgery
The authors present the findings of a controlled clinical trial where cataract patients having surgery for both eyes at least seven days apart were given oral glycerol preoperatively when operating on the right eye. This meant that the left eye...Preventing refractive surprises by real time biometry during cataract surgery
A few months ago a retired lady presented for second eye cataract surgery. I noted on the pre-op ward round that the outcome of her first eye’s surgery looked like a refractive surprise as her spherical equivalent in that eye...
Prevalence of strabismus 10 years after infantile cataract surgery
The authors present a secondary analysis of the longitudinal data on ocular alignment from the Infant Aphakia Treatment Study (IATS). The details of the trial are published elsewhere. This paper focuses on the ocular alignment assessment at age 10.5 years,...
