Publications by authors named "Viraj A Vasavada"

Purpose: Evaluate long-term outcomes following Cionni modified capsule tension ring (MCTR) and in-the-bag intraocular lens (IOL) implantation in subluxated lenses.

Design: Retrospective case series.

Methods: Forty-one eyes of 31 patients from Raghudeep Eye Hospital, India, with subluxated lenses who had completed a minimum of 5 years' postoperative follow-up were included.

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Purpose: To compare real-time intraocular pressure (IOP) response to occlusion break event in 2 phacoemulsification systems.

Setting: Iladevi Cataract and IOL Research Center, India.

Design: Randomized, experimental study.

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In the present study, we describe a step-by-step technique for cortex aspiration during cataract surgery- POPS (positioning, occlusion, posterior displacement, and swiping). Firstly, the aspiration probe is positioned under the bulk of cortical fibers beyond the capsulorhexis margin. Subsequently, the aspiration port is occluded with minimal vacuum, and the occluded port is displaced posteriorly to detach the cortical fibers off the anterior capsule.

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Purpose: To evaluate long-term visual outcomes and complications after toric intraocular lens (IOL) implantation in children with preexisting corneal astigmatism undergoing cataract surgery.

Setting: Iladevi Cataract & IOL Research Center, Ahmedabad, India.

Design: Prospective, interventional case series.

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Purpose: To compare intraoperative performance and postoperative outcomes between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification in eyes with a shallow anterior chamber (AC).

Setting: Iladevi Cataract & IOL Research Centre, India.

Design: Prospective randomized masked clinical study.

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Purpose: Comparative evaluation of complications and visual outcomes following bilateral congenital cataract surgery in children up to 2 years of age with and without primary intraocular lens (IOL) implantation at 5 years follow-up.

Design: Randomized controlled clinical trial.

Methods: Sixty children (120 eyes) up to 2 years of age undergoing bilateral congenital cataract surgery were randomized to Group 1, primary aphakia (n = 30), or Group 2, primary IOL implantation (pseudophakia) (n = 30).

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Purpose: To compare complications in children up to 4 years old having cataract surgery with intraocular lens (IOL) implantation using 2 techniques: in-the-bag IOL with anterior vitrectomy or optic capture of IOL with no anterior vitrectomy.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective randomized control clinical trial.

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Article Synopsis
  • The study aimed to use anterior segment optical coherence tomography (AS-OCT) to analyze trabeculectomy blebs and correlate their features one month post-surgery with their functionality after six months.
  • 56 eyes undergoing trabeculectomy were assessed for bleb morphology, revealing that multiform wall reflectivity with microcysts was common.
  • The results indicated that 81.5% of eyes had successful bleb function at six months, and specific morphological features at one month, particularly the presence of multiform reflectivity and microcysts, were linked to a higher likelihood of success (P < 0.001).
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Purpose: To compare changes in the incision's histomorphology and denaturation of collagen I in rabbit eyes having microcoaxial phacoemulsification through 2.2 mm and 1.8 mm incision-compatible systems.

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Purpose: To compare incision integrity and clinical outcomes of 2 microcoaxial phacoemulsification systems.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective randomized clinical trial.

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We describe the subtle signs of the anterior vitreous face as a bulging structure, a homogenous staining pattern of 3 buttonholes, and a lamellar or fibrillar pattern intact. This should help surgeons correctly recognize the intact anterior vitreous face.

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We describe the use of high-speed imaging during phacoemulsification in a clinical scenario. Images captured during surgery at high frame rates are converted into a slow-motion film to view and analyze various surgical steps. This technique highlights events that are not captured in a normal-speed video recording.

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Purpose: To observe longitudinal changes in the corneal endothelium after pediatric cataract surgery with intraocular lens implantation.

Design: Prospective, longitudinal study.

Methods: settings: Iladevi Cataract and IOL Research Centre, Ahmedabad, India.

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Purpose: To determine if intraocular infusion of low-molecular-weight heparin (enoxaparin) reduces postoperative inflammation in pediatric eyes undergoing cataract surgery with IOL implantation.

Design: Prospective masked randomized controlled trial.

Methods: setting: Private, institutional practice.

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Purpose: To compare incision integrity after clear corneal microcoaxial phacoemulsification using longitudinal and torsional ultrasound (US).

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective randomized experimental clinical trial.

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Purpose: To report the intraoperative performance and postoperative outcomes of the Cionni-modified capsule tension ring (CTR) implantation in eyes with subluxated lenses.

Design: Prospective, observational case series.

Methods: This study was carried out at Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

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Posterior polar cataracts present special challenges to the cataract surgeon. These are often associated with weakness/dehiscence of the posterior capsule and thus have a higher rate of intraoperative posterior capsule rupture. The surgeon needs to adhere to special surgical strategies to minimize the risk of a posterior capsule rupture.

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Purpose: To evaluate the rotational stability of a toric intraocular lens (IOL) using purpose-designed software and to determine the influence of axial length (AL) and in-the-bag IOL alignment on IOL rotation.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Prospective observational case series.

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We describe a technique of pars plicata manual posterior capsulorhexis performed after implantation of an intraocular lens (IOL) in pediatric cataract surgery. The technique can be used to create a posterior capsulectomy of a desirable size in a controlled manner to avoid destabilization of the IOL. It can be applied selectively in cases of pediatric cataract surgery.

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Unlabelled: Management of the posterior capsule significantly affects the outcome of pediatric cataract surgery. Posterior capsule opacification (PCO) is rapid and virtually inevitable in very young children when adult-style cataract surgery is performed and the posterior capsule is left intact. In eyes with pediatric cataract, primary posterior capsulotomy and vitrectomy are considered routine surgical steps, especially in younger children.

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Purpose: To report the incidence of visual axis opacification (VAO) requiring surgery after cataract extraction with hydrophobic acrylic intraocular lens (IOL) implantation during the first year of life.

Setting: Storm Eye Institute, Charleston, South Carolina, USA; Iladevi Cataract and IOL Research Center, Ahmedabad, India.

Design: Cohort study.

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Purpose: To determine the incidence and evaluate the management and postoperative outcomes of posterior capsule plaque in pediatric eyes with cataract.

Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Design: Cohort study.

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Purpose: To evaluate whether intracameral triamcinolone has an effect on anterior segment inflammation and visual axis obscuration after pediatric cataract surgery with intraocular (IOL) implantation.

Setting: Iladevi Cataract and IOL Research Institute, Ahmedabad, India.

Methods: This retrospective age-matched case-control study comprised consecutive eyes of children having phacoaspiration, posterior capsulectomy, vitrectomy, and IOL implantation.

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Purpose: To compare the effects of fluidic parameters on the central corneal thickness (CCT), corneal endothelium, and anterior segment inflammation after phacoemulsification with longitudinal ultrasound.

Setting: Iladevi Cataract & IOL Research Center, Ahmedabad, India.

Methods: In this prospective randomized patient- and examiner-masked study, consecutive patients with age-related cataract were randomly assigned to Group 1 (low fluidic parameters: aspiration flow rate 25 cc/min; bottle height 70 cm and 90 cm; vacuum View Article and Find Full Text PDF