The influence of corneal tunnel length on surgically induced astigmatism after various types of microincision phacoemulsification.

Purpose: To evaluate the influence of the corneal tunnel length on surgically induced astigmatism (SIA) after 3 phacoemulsification techniques.

Methods: Patients who underwent a planned phacoemulsification surgery with an implantation of a foldable, acrylic IOL were selected for the study. All surgeries were performed under topical anaesthesia, with the same phaco machine.

Pupil diameter during cataract surgery after intracameral injection of the first ready-to-use combination of mydriatics and anaesthetic at the beginning of surgery in patients with a preoperative pupil diameter <6 mm.

Purpose: We evaluated, in a real-life setting, the effect of Mydrane® (ready-to-use combination of tropicamide, phenylephrine hydrochloride and lidocaine, injected into the anterior chamber at the beginning of cataract surgery to induce mydriasis and intraocular anaesthesia) on the pupil diameter during cataract surgery in patients with a preoperative pupil diameter <6 mm after the use of topical mydriatics.

Methods: We collected and analysed the data of 59 consecutive patients whose pupils dilated to a diameter <6 mm after the administration of mydriatic eye drops during the preoperative visit and who received Mydrane® during cataract surgery.

Results: In the group of 59 patients with a preoperative pupil diameter <6 mm after topical mydriatics, cataract surgery was performed in 36 patients (61.

Dry eye in Sjögren's syndrome - characteristics and therapy.

Background: Sjögren's syndrome is an autoimmune disease, and its important feature is the lymphocyte infiltration of exocrine glands, including lacrimal glands. It contributes to defects of their activity and causes that one of the main manifestation of Sjögren's syndrome is dry eye. Unfortunately, the discrimination between dry eye related and non-related to Sjögren's syndrome is difficult at the initial stages of diseases.

Optical Coherence Tomography in the Differential Diagnosis of Patients with Multiple Sclerosis and Patients with MRI Nonspecific White Matter Lesions.

In the differential diagnosis of nonspecific white matter lesions (NSWMLs) detected on magnetic resonance imaging (MRI), multiple sclerosis (MS) should be taken into consideration. Optical coherence tomography (OCT) is a promising tool applied in the differential diagnostic process of MS. We tested whether OCT may be useful in distinguishing between MS and NSWMLs patients.

Stable Mydriasis After Intracameral Injection of a Combination of Mydriatics and Anesthetic During Cataract Surgery: A Real-Life, Multicenter Study.

To evaluate the effect of Mydrane (contains tropicamide, phenylephrine hydrochloride, and lidocaine hydrochloride) on time needed to induce mydriasis and mydriasis stability during cataract surgery. This was an observational, non-interventional, multicenter study of patients undergoing cataract surgery who received Mydrane for mydriasis and intraocular anesthesia. The study was conducted at seven ophthalmology departments at university hospitals in Poland.

The effect of corneal tunnel length in patients after standard phacoemulsification through a 2.75 mm incision on surgically induced astigmatism, corneal thickness and endothelial cell density.

Purpose: The purpose was to determine the effect of the corneal tunnel length in the 2.75 mm wide clear corneal incision, created during phacoemulsification on surgically induced astigmatism, central corneal thickness and corneal endothelial cell loss.

Material And Methods: The study comprised 27 eyes (27 patients) who underwent phacoemulsification through 2.

Contrast sensitivity assessment in primary open angle glaucoma and ocular hypertension.

Introduction: Contrast sensitivity assessment is an important additional examination, which enables the full insight into the patient's quality of vision, and early diagnosis of visual disturbances.

Material And Methods: Forty six patients (92 eyes) with primary open angle glaucoma or ocular hypertension were enrolled in the study. The enrolment criteria were full or almost full visual acuity and the patients with visual field defects or any other ocular disease were excluded.

[Prospective analysis of outcomes of cataract phacoemulsification with the implantation of the Crystalens accommodative intraocular lens].

Objectives: To evaluate visual outcomes after bilateral implantation of Crystalens accommodative intraocular lenses. Material and methods: The study group consisted of 20 patients (40 eyes) who underwent uneventful phacoemulsification through a 2.8 mm wide clear corneal incision followed by the implantation of an accommodative intraocular lens Crystalens HD or Crystalens AO.

Intraoperative floppy iris syndrome – epidemiology and clinical assessment.

Purpose: To assess the incidence, and to identify medications and clinical features associated with intraoperative floppy iris syndrome in patients undergoing cataract surgery. Material and methods: The non-randomized, observational, prospective study was performed in 616 eyes (610 patients) after cataract surgery to determine the incidence of intraoperative floppy iris syndrome and the medications associated with its higher prevalence. We used a slit lamp adapted optical coherence tomography to evaluate anterior segment of 155 eyes (154 patients), measuring pupil diameter before and after the use of mydriatics and assessing the pre-dilated iris thickness at the dilator and sphincter muscle region.

[The opinion of the Expert Group of the Polish Society of Ophthalmology on using nepafenac in the prevention of postoperative macular edema after cataract surgery in diabetic patients].

Nepafenac is an innovative non-steroidal anti-inflammatory drug used in ophthalmology for the prevention of macular edema after cataract surgery. Along with its anti-inflammatory effect, nepafenac has some unique properties which distinguish it from other non-steroidal anti-inflammatory drugs. It is a prodrug activated to amfenac after it penetrates through the corneal layers to the aqueous humour and the ciliary body.

[Treatment outcomes of pars plana vitrectomy in patients with Benson’s disease].

Introduction: In Benson’s disease (scintillatio albescens or asteroid hyalosis) slight, white condensations of phospholipids are seen in the vitreous. In advanced stages, the decrease of visual acuity or subjective discomfort of vision may follow due to floaters. The pars plana vitrectomy is the treatment of choice in these patients.

The influence of a prolonged interoperative period on binocular vision after bilateral cataract extractions.

Purpose: To evaluate the influence of the extent of the interoperative period on binocular vision function in patients after consecutive bilateral cataract extractions and intraocular lens implantation.

Methods: The study included patients operated due to bilateral cataract. Presence of asthenopic symptoms, distance and near squint angle, fusional amplitudes, stereopsis, and convergence were evaluated.

The effect of the selected factors on corneal endothelial cell loss following phacoemulsification.

Introduction: Corneal endothelium is a single layer of cells, which do not regenerate. Damage to the endothelium can take place in the course of certain diseases and after intraocular operations. When the number of endothelial cells decreases, corneal decompensation can occur.

Comparative analysis of early distance visual acuity in patients after coaxial phacoemulsification through the micro-incision (1.8 mm) and after standard phacoemulsification through the small incision (2.75 mm).

Introduction: The purpose of the study was to evaluate early postoperative visual acuity outcomes of coaxial phacoemulsification with a foldable intraocular lens implantation, performed through a 1.8 mm wide clear corneal microincision (C-MICS) and to compare it with standard phacoemulsification through a 2.75 mm incision.

Evaluation of contrast sensitivity measurements after retrobulbar optic neuritis in Multiple Sclerosis.

Background: The evaluation of contrast sensitivity is an important additional examination that allows the physician to achieve the full picture of a patient's quality of vision. In low-contrast conditions, more discrete visual dysfunctions may be revealed, which could be overlooked in high-contrast tests.

Methods: The examined group consisted of 33 eyes of 27 patients with multiple sclerosis.

[Evaluation of quality of life of patients after phacoemulsification with accommodating lens implantation].

Introduction: Intraocular lens implantation is an important part of cataract surgery, as it has a significant influence on the final result. Accommodative intraocular lenses (IOLs) are the latest solution for the lack of accommodation in pseudophakic eyes.

Purpose: To evaluate the quality of life of patients who underwent cataract surgery with accommodating IOL implantation and to compare the data with results of patients after standard monofocal IOL implantation.

[Contemporary views on perioperative prophylaxis of postoperative endophthalmitis].

Introduction: Post-operative endophthalmitis, although infrequent, leads to severe, often irreversible consequences. For many years in the medical literature there have been reports on the effectiveness of various forms of prevention including antibiotics used.

Aim: The aim of this study was to systematize the principles of prevention on the basis of the literature.

[Cataract surgery in a patient with megalocornea - a case report].

Purpose: 10 describe a rare case ot a patient wiTh megalocorneas wno underwent cataract surgery.

Material And Methods: A 52 years old patient with extremely wide corneas 16 mm in diameter in both eyes, was admitted to our department with cataract diagnosis. Four other male members of his family are known to have megalocorneas.

Bilateral endogenous fungal endophthalmitis.

Endogenous endophthalmitis is a rare and severe intraocular infection which can be vision-threatening. We describe a case of bilateral fungal endogenous endophthalmitis in a 64-year-old male which was successfully treated with systemic administration of fluconazole followed by pars plana vitrectomy with an intravitreous injection of amphotericin B.

Management of persistent diplopia after surgical repair of orbital fractures.

Purpose: To present the results of management of patients with persistent diplopia after orbital reconstructive surgery with respect to the type of ocular motility impairment pattern.

Methods: All patients referred during a 2-year period because of persistent diplopia after surgical repair of orbital fracture were categorized according to the degree and pattern of ocular motility impairment on the basis of orthoptic examination 3-4 weeks postoperatively. Patients were followed for a mean period of 10.

Results of phacoemulsification with Malyugin Ring in comparison with manual iris stretching with hooks in eyes with narrow pupil.

Purpose: To evaluate the results of phacoemulsification in eyes with a narrow pupil dilated with Malyugin Ring, in comparison with manual pupillary stretching with hooks.

Setting: Department of Ophthalmology, Medical University of Lodz, Poland.

Materials And Methods: The examined group (group 1) consisted of 23 eyes of 23 patients whose pupil was dilated using Malyugin Ring.

Results of implantation a new type of foldable anterior chamber intraocular lens.

Unlabelled: In aphakic patients, lack of capsular support or insufficient capsular support require an implantation of an anterior chamber intraocular lens or a sclerally fixated lens. Rigid PMMA (polymethylmetacrylate) anterior chamber intraocular lenses or transscleral intraocular lenses require an incision 6.0-7.

[Applications of various iris retractors].

Fast development of ophthalmology which can be observed in the recent years, is connected with the development of modern technology used in the diagnostics and treatment of ocular diseases. Eyes with a narrow pupil, which doesn't respond to standard pharmacologic management applied preoperatively, are a challenge for any ophthalmic surgeon. The purpose of the study is to describe various surgical devices used for achieving adequate intraoperative pupillary diameter in cataract patients who for various reasons do not respond to pharmacologic mydriasis.

The use of modern imaging techniques in the diagnosis and treatment planning of patients with orbital floor fractures.

Background: Ocular motility impairment associated with orbital trauma may have several causes and manifest with various clinical symptoms. In some cases orbital reconstructive surgery can be very challenging and the results are often unsatisfactory. The use of modern imaging techniques aids proper diagnosis and surgical planning.

Results of coaxial phacoemulsification through a 1.8-mm microincision in hard cataracts.

Background And Objective: To assess the results of coaxial phacoemulsification through 1.8-mm coaxial microincision cataract surgery (C-MICS) phacoemulsification with foldable intraocular lens implantation in eyes with hard cataracts in comparison to eyes with soft cataracts.

Patients And Methods: Group 1 consisted of 40 eyes of 40 patients with hard cataracts (grade ≥ 4, Lens Opacities Classification System III scale) and group 2 consisted of 45 eyes of 45 patients with non-mature cataracts (grade ≤ 2, Lens Opacities Classification System III scale).