• Title/Summary/Keyword: Cataract extraction

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Phacoemulsification for Cataract Extraction in Dogs: 85 eyes (1999-2001) (개의 백내장 적출을 위한 수정체유화흡인술:85 안 (1999-2001))

  • 김완희;권오경
    • Journal of Veterinary Clinics
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    • v.19 no.4
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    • pp.411-414
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    • 2002
  • Eighty five canine eyes performed phacoemulsification for cataract extraction between January 1999 and December 2001 were reviewed. Mean age was 7.26 years old and main breed was poodle (37 dogs). Mature cataract was 51.76%, immature cataract 27.05% and hypermature 21.18%. Improvement of vision was detected in 75 (88.24%) of 85 eyes at 4 weeks after surgery. Postoperative complications were posterior capsular opacification(6), partial posterior synechia(5), glaucoma(3) and uveitis(2). Reasons for failure of visual improvement among the patients performed phacoemulsification were mainly related to development of postoperative anterior uveitis, secondary glaucoma and progressive retinal degeneration.

Intraocular Pressure Changes in the Uneventful Extra-capsular Cataract Extraction and Extra-capsular Cataract Extraction with Vitreous Loss followed by the Anterior Chamber Lens Implantation (계획적 수정체낭외적출술과 합병증이 동반된 수정체낭외적출술후 전방렌즈의 삽입술시 안압의 변화)

  • Park, Young-Hoon;Lee, Kyoo-Won;Hahn, Duk-Kee
    • Journal of Yeungnam Medical Science
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    • v.6 no.1
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    • pp.81-86
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    • 1989
  • These days the posterior chamber lens implantation following the extracapsular cataract extraction has become the standard procedure except those patients who can not take it in one reason or another. In past, however, the anterior chamber lens implantation was popular for sometimes. Even now in those patient complicated by vitreous loss, the anterior chamber lens implantation following anterior vitrectomy is indicated in some cases. We have become interested in the difference of the intraocular pressure change in the patients who underwent the uneventful extra-capsular cataract extraction followed by anterior chamber lens implantation in routine manner and in those whose extra-capsular cataract extraction were complicated by vitreous loss and eventually needed the anterior vitrectomy before the anterior chamber lens implantation. We reviewed the medical records of 15 cases of the former group and 11 cases of the latter one in 1986 through 1988. There was some difference in the postoperative pressure in the two groups, but it was not statistically significant.

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Surgical Management of Coexisting Glaucoma and Cataract (녹내장과 백내장이 동반된 환자의 수술적 치료)

  • Cha, Soon-Cheol
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.12-22
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    • 2004
  • The management of coincident glaucoma and cataract is not only a common clinical challenge but also an important research topic in the ophthalmic surgical field. The purpose of this article is to compare the different surgical options on the basis of their achievable postoperative intraocular pressure (IOP) control, success rates, and complication rates reported in the related literature, and to give advice on how to manage typical situations of patients with both glaucoma and cataract. Main topics were focused on indications and rationale of 3 surgical options (only cataract surgery first and later trabeculectomy, only trabeculectomy first and later cataract surgery, or simultaneous combined surgery). Modern clear corneal cataract extraction techniques resulted in a modest intermediate-term reduction of IOP and has considerably improved the success rates of combined glaucoma and cataract surgery. It also enabled future trabeculectomy to be successfully performed at a later date if necessary. Trabeculectomy alone achieved better IOP regulation than phacotrabeculectomy (combined surgery), but subsequent cataract surgery may compromise preexisting filtering bleb. Combined surgery augmented with mitomycin C achieved a lower IOP than combined surgery alone but had a higher complication rate. In conclusion, the choice of the preferred surgical method should be determined according to the target pressure, the amount of glaucomatous damage, and the grade of visual disturbance caused by the cataract. Phacotrabeculectomy with adjunctive mitomycin C offers visual improvement and achieves the best IOP lowering of all types of combined glaucoma and cataract surgery currently used but is associated with potentially sight-threatening complications.

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Clinical Study of Cataract Surgery in Diabetic Retinopathy (당뇨망막증 환자의 백내장 수술에 대한 임상적 고찰)

  • Park, Young-Hoon
    • Journal of Yeungnam Medical Science
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    • v.11 no.1
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    • pp.153-159
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    • 1994
  • Extracapsular cataract extraction with posterior chamber intraocular lens in 24 eyes of 24 diabetics, with and without diabetic retinopathy, were followed up postoperatively for an average of 14 months to determine the incidence of progression of diabetic retinopathy, the final visual acuity and factors predictive of progression of retinopathy and final visual acuity. Overall, retinopathy progressed in 52% of operated-on eyes. Cataract extraction was highly associated with progression of diabetic retinopathy. Women had a significantly increased risk of progression of retinopathy in the operated-on eye compared to men. Visual acuity improved in 22 of 24 orerated-on eyes : however, only 11 eyes achieved a visual acuity of 0.5 or better and only 7 eyes achieved a visual acuity of 0.7 or better. Patients treated with oral hypoglycemic agents had a worse visual prognosis than those treated with insulin. The prognosis of patients with diabetic retinopathy about to undergo cataract surgery, even extracapsular cataract extraction with placement of a posterior chamber lens, is guarded.

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Extraction of Canine Cataract Object for Developing Handy Pre-diagnostic Tool with Fuzzy Stretching and ART2 Learning

  • Kim, Kwang Baek
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.16 no.1
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    • pp.21-26
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    • 2016
  • Canine cataract is developed with aging and can cause the blindness or surgical treatment if not treated timely. The first observation must be made by pet owners but they do not have proper equipment and knowledge to see the abnormalities. In this paper, we propose an intelligent image processing method to extract canine cataract suspicious object from non-professional equipment such as ordinary digital camera and cellular phone photographs so that even casual owners of pet dog can make a pre-diagnosis of such a surgery-needed disease as soon as possible. The experiment shows that the proposed method is successful in most cases except the dog has similar colored hair to the color of cataract.

Automatic Extraction of Canine Cataract Area with Fuzzy Clustering (퍼지 클러스터링을 이용한 반려견의 백내장 영역 자동 추출)

  • Kim, Kwang Baek
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.11
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    • pp.1428-1434
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    • 2018
  • Canine cataract is developed with aging and can cause the blindness or surgical treatment if not treated timely. In this paper, we propose a method for extracting cataract suspicious areas automatically with FCM(Fuzzy C_Means) algorithm to overcome the weakness of previously attempted ART2 based method. The proposed method applies the fuzzy stretching technique and the Max-Min based average binarization technique to the dog eye images photographed by simple devices such as mobile phones. After applying the FCM algorithm in quantization, we apply the brightness average binarization method in the quantized region. The two binarization images - Max-Min basis and brightness average binarization - are ANDed, and small noises are removed to extract the final cataract suspicious areas. In the experiment with 45 dog eye images with canine cataract, the proposed method shows better performance in correct extraction rate than the ART2 based method.

The Effect of Extracapsular Cataract Extraction and Posterior Chamber Lens Implantation on Intraocular Pressure (백내장적출술 및 인공수정체삽입술이 안압에 미치는 영향)

  • Cha, Soon-Cheol;Lee, Kyoo-Won
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.277-283
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    • 1994
  • We studied the change in intraocular pressure (IOP) in 15 consecutive cataract patients who underwent extracapsular cataract extraction and posterior chamber lens implantation between Feb. 1993 and Apr. 1993 to evaluate the effect of this surgery on postoperative IOP. To evaluate the clinical usefulness of non-contact tonometer, the intraocular pressures were measured with Kowa non-contact tonometer (TM-2000, Japan) as well as Goldmann applanation tonometer. There was a decrease in IOP of $3.4{\pm}2.9$mmHg (p<0.00l) 3 months after this surgery and the intraocular pressure differences between pseudophakic eyes and contralateral phakic eyes at 3 months postoperatively were $2.4{\pm}3.8$mmHg (p<0.05). The correlation coefficient between non-contact tonometer and Goldmann tonometer was 0.8876 (p=0.001) in the postoperative 76 eyes. Therefore, our results suggest that extracapsular cataract extracion and posterior chamber lens implantation alone can be a useful surgical method in cataract patient with ocular hypertension, and non-contact tonometer was relatively accurate in measuring the postoperative intraocular pressure.

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A Case of Mitochondrial Respiratory Chain Defect with Progressive Bilateral Cararacts (진행성 양측 백내장이 동반된 미토콘드리아 질환 1례)

  • Lee, Soonie;Lee, Young-Mock
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.18 no.3
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    • pp.95-98
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    • 2018
  • A striking feature of mitochondrial disorders is the vast heterogeneity in their clinical symptoms that ranges from a single organ to severe multisystem involvement. Though a variety of ocular symptoms such as ptosis, pigmentary retinal degeneration, external ophthalmoplegia, and optic nerve atrophy can occur in association with mitochondrial cytopathies, progressive bilateral cataracts are rare among their ocular findings. A 5-year-old girl with no previous medical history came to our hospital presenting symptoms of seizure. She started showing progressive developmental regression, increased seizure frequency, hypotonia, general weakness, dysphagia and decreased vision. Lactic acidosis was noted in metabolic screening test and we confirmed mitochondrial respiratory chain complex I defect in spectrophotometric enzyme assay using the muscle tissue. Progressive bilateral cataracts then developed and were fully evident at the age of 7. She underwent cataract extraction with posterior chamber lens implantation. We are reporting a case of mitochondrial respiratory chain defect with multiorgan involvements including bilateral progressive cataract, an uncommon ocular manifestation. Ophthalmologic evaluation is highly recommended not to overlook the possible ocular manifestations in mitochondrial disorders.

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A Case of Isolated Traumatic Aniridia in a Pseudophakic Eye (위수정체안에서 발생한 외상무홍채증 1예)

  • Kwon, Mi Young;Hong, Hye Jin;Park, Dae Jin
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.12
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    • pp.1185-1189
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    • 2018
  • Purpose: We report a rare case of isolated traumatic aniridia in a pseudophakic eye. Case summary: A 69-year-old female came to our emergency department complaining of right eye pain and visual disturbance after trauma due to fall on the stairs. Five years earlier she had undergone an uncomplicated right sutureless phacoemulsification cataract extraction through a 2.2 mm temporal clear corneal incision, followed by insertion of a folding intracapsular intraocular lens. Total iris expulsion occurred through the cataract incision without extension of the wound or disruption of the posterior capsule or intraocular lens. Conclusions: We report a rare case of isolated traumatic aniridia in a pseudophakic eye, which has not been reported in the Republic of Korea.