Publications

A Rare Case of Enterococcus faecalis Keratitis in a Neurotrophic Cornea Successfully Treated With Topical Antibiotics and Amniotic Membrane

A patient in his 60s presented with severe keratitis in his right eye. He had a background of diabetes, high body mass index, arthritis and limited mobility, and high alcohol intake …

Development of a Web-Based Algorithm for Understanding the Intraocular Lens-Based Surgery in Stable and Progressing Keratoconus for Non-Specialist Ophthalmologists

Purpose: To propose an algorithm to facilitate lens-based surgery in keratoconus. Methods: A literature review was performed to prepare a software algorithm based on cone location, stability, best spectacle-corrected distance visual acuity (BSCVA) level and whether there is a clear or cataractous lens …

Amantadine-induced corneal edema: A case and literature review

Purpose: To present a case of irreversible corneal edema after 10 years of amantadine use. A literature review was carried out to describe the clinical characteristics and outcomes of amantadine-induced corneal edema. Observations: A 36-year-old woman presented with a 6-week history of gradually progressive bilateral painless visual loss with visual acuity (VA) of 20/350 and 20/300 in the right and left eye, …

Incidence and factors for pseudoaccommodation after monofocal lens implantation: the Monofocal Extended Range of Vision study

Purpose: To screen patients with a monofocal intraocular lens (IOL) for incidence of unaided 20/40 and 0.3 LogMAR for distance and near (pseudoaccommodation) and to find factors for pseudoaccommodation. Settings: University Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom …

Management of Stromal Corneal Dystrophies; Review of the Literature with a Focus on Phototherapeutic Keratectomy and Keratoplasty

Corneal dystrophies are a group of non-inflammatory inherited disorders of the cornea. This review considers treatment options for epithelial-stromal and stromal corneal dystrophies: namely Reis-Bücklers, Thiel-Behnke, lattice, Avellino, granular, macular and Schnyder corneal dystrophies. Where there is visual reduction, treatment options may include either phototherapeutic keratectomy (PTK) or …

Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops

Acute hydrops is a rare complication of corneal ectatic disease, which occurs secondary to Descemet membrane break. Spontaneous resolution of this condition is associated with longstanding ocular discomfort and corneal scar. Intracameral gas/air injection with or without corneal suturing, anterior segment ocular coherence tomography (ASOCT)-guided drainage of intrastromal fluid, and penetrating …

Ex-vivo study on the surface quality of corneal lenticule and stroma after low energy femtosecond laser lenticule extraction

This study aimed to assess the surface quality of cap, stroma and lenticular surfaces created using low-energy femtosecond laser lenticule extraction (Ziemer FEMTO LDV Z8). Twenty-four porcine eyes were divided into four groups (n = 6 each): two with optimal laser power (32%) with posterior curvature equivalent to a spherical correction of -2D and -5D, respectively and the other two with high power (64%) with …

Flattening of Central, Paracentral, and Peripheral Cones After Non-accelerated and Accelerated Epithelium-off CXL in Keratoconus: A Multicenter Study

Purpose: To assess the flattening of central, paracentral, and peripheral cones following non-accelerated (non-A-CXL) and accelerated (A-CXL) epithelium-off corneal cross-linking with 10 times higher intensity. Methods: In this multicenter study of 200 eyes (100 in each group), following 10 minutes of soak time with riboflavin 0.1%, continuous CXL was performed for 30 minutes …

Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment

Purpose: To assess the proportion of maculopathy detectable only on optical coherence tomography (OCT) versus slit lamp indirect ophthalmoscopy (SLIO) during cataract assessment. Methods: Population: Consecutive patients attending cataract assessments. Data collection: All patients underwent OCT and SLIO. SLIO findings were recorded before reviewing OCT. Scans were examined to compare …

Comparison of Anterior Corneal Aberrometry, Keratometry and Pupil Size with Scheimpflug Tomography and Ray Tracing Aberrometer

This study aimed to assess the anterior corneal wavefront aberrations, keratometry, astigmatism vectors and pupil size between Pentacam HR® (Oculus Optikgeraete GmbH, Wetzlar, Germany) and iTrace® (Tracey Technologies Corp., Houston, TX, USA). In this observational study, 100 eyes (50 healthy volunteers) were scanned in mesopic light condition with a Pentacam HR® and iTrace®. Anterior corneal aberrations …

Prophylactic Use of Nonsteroidal Anti-Inflammatory Drugs after Cataract Surgery and Corneal Melt

Purpose: To describe a case where prophylactic use of nonsteroidal anti-inflammatory drugs (NSAID) eye drops lead to recurrent corneal melt with loss of vision and a brief literature review. Methods: This is a case report of an 84-year-old diabetic female with chronic dry eye, operated by two different surgeons on each eye at different time intervals. She received topical NSAID prophylaxis after the second surgery …

Visual Acuity, Wavefront Aberrations, and Defocus Curves With an Enhanced Monofocal and a Monofocal Intraocular Lens: A Prospective, Randomized Study

Purpose: To compare uniocular and binocular visual acuity, wavefront aberrations, and defocus curves using the TECNIS Eyhance (Johnson & Johnson) and RayOne (Rayner) intraocular lenses (IOLs). Methods: In this prospective, randomized, comparative study, 50 patients (100 eyes) were randomized to receive the same IOL bilaterally (ClinicalTrials.gov Identifier: NCT04175951). Follow-up visits were at 1 and 3 …

Pericardium Patch Graft for Severe Corneal Wound Burn

Purpose: To report a novel management technique using pericardial patch graft for severe corneal wound burn following phacoemulsification of dense cataract with shallow anterior chamber (AC) and overfilled AC with viscoelastic. Methods: Case report. Results: A 46-year-old patient with a shallow AC and dense cataract, who underwent phacoemulsification using “soft shell” technique …

Descemet membrane suturing to manage recurrent graft detachment in a patient with Descemet membrane endothelial keratoplasty on failed penetrating keratoplasty

A 65-year-old patient with history of keratoconus, mild cataract and penetrating keratoplasty over 30 years ago developed corneal oedema subsequent of graft failure with best corrected visual acuity (BCVA) of counting fingers. He underwent a successful cataract surgery combined with a 7.25 mm Descemet’s Membrane Endothelial Keratoplasty (DMEK) with Sodium Hexafluoride (SF6) gas…

Recurring themes during cataract assessment and surgery

The aim of this review was to discuss frequently encountered themes such as cataract surgery in presence of age-related macular degeneration (AMD), dementia, Immediate Sequential Bilateral Cataract Surgery (ISBCS), discussing non-standard intraocular lens (IOL) options during consultation in the National Health Services (NHS) and the choice of the biometric formulae based on axial length…

Re-Endothelialization of Bare Stroma after Descemet’s Detachment due to Macroperforation during Deep Anterior Lamellar Keratoplasty

Purpose: To report a case with spontaneous re-endothelialization of bare stroma after subtotal detachment of Descemet’s membrane (DM) due to macroperforation during deep anterior lamellar keratoplasty (DALK). Methods: Case report. Results: A 64-year-old patient underwent DALK for deep stromal scarring secondary to herpetic keratitis. During manual dissection, DM macroperforation occurred, and this was …

Comparison of intraocular lens calculation methods after myopic laser-assisted in situ keratomileusis and radial keratotomy without prior refractive data

Aim: To compare intraocular lens (IOL) calculation methods not requiring refraction data prior to myopic laser-assisted in situ keratomileusis (LASIK) and radial keratotomy (RK). Methods: In post-LASIK eyes, the methods not requiring prior refraction data were Hagis-L; Shammas; Barrett True-K no-history; Wang-Koch-Maloney; ‘average’, ‘minimum’ and ‘maximum’ IOL power on the American Society of …

Autoimmune Dry Eye without Significant Ocular Surface Co-Morbidities and Mental Health

Dry eye symptoms can negatively affect the psychological, physical, and social functioning, which can potentially impair the health-related quality of life. This review evaluated the association between autoimmune related dry eye in the absence of significant ocular surface co-morbidities and mental health. This review found a significantly higher prevalence of mental health disorders …

Effect of Intraocular Lens Tilt and Decentration on Visual Acuity, Dysphotopsia and Wavefront Aberrations

Tilt and decentration of intraocular lenses (IOL) may occur secondary to a complicated cataract surgery or following an uneventful phacoemulsification. Although up to 2-3° tilt and a 0.2-0.3 mm decentration are common and clinically unnoticed for any design of IOL, larger extent of tilt and decentration has a negative impact on the optical performance and subsequently, the patients’ satisfaction…

Comparison of Optical Low-Coherence Reflectometry and Swept-Source OCT-Based Biometry Devices in Dense Cataracts

Purpose: To investigate agreement between biometric measurements obtained from the Lenstar LS 900 (Haag-Streit AG) based on optical low-coherence reflectometry (OLCR) and the Tomey OA-2000 (Tomey Corporation) based on swept-source optical coherence tomography (SS-OCT) in dense cataracts. Methods: In this prospective observational study, axial length, keratometry, anterior chamber depth (ACD), …

Aerosol generation through phacoemulsification

Purpose: To evaluate whether phacoemulsification is an aerosol-generating procedure in an ex vivo experimental model. Setting: Sussex Eye Hospital, Brighton, United Kingdom. Design: Experimental study. Methods: In this ex vivo study on 15 porcine eyes, an optical particle counter was used to measure particles of 10 µm and less using the cumulative mode based on the 6 in-built channel sizes. The 2 parts of the study …

Refractive lens exchange with a trifocal intraocular lens in Fuchs endothelial dystrophy

A 57-year-old man with myopia presented with advanced Fuchs endothelial dystrophy, a refraction of -6.00 diopters (D) and -6.25 D, an endothelial cell count of 1100 cells/mm and 1000 cells/mm in right and left eyes, respectively, and corrected distance visual acuity of 20/30 in each eye. The patient was deemed unsuitable for excimer or femtosecond laser-based refractive surgery or refractive lens exchange …

Reply to Letter to Editor: Prophylactic Use of Nonsteroidal Anti-Inflammatory Drugs after Cataract Surgery and Corneal Melt

Wavefront aberrations causing Maddox rod effect from posterior capsular striae

Scanning Electron Microscopic of Intraocular Lens Pits after Nd:YAG Capsulotomy

'Face down' anterior vitrectomy for unexpected posterior capsule rupture as an alternative to pars plana vitrectomy

Acquired lateral upper lid entropion in a child treated with Botulinum toxin

A Rare Case of Enterococcus faecalis Keratitis in a Neurotrophic Cornea .Successfully Treated ...

A patient in his 60s presented with severe keratitis in his right eye. He had a background of diabetes, high body mass index, arthritis and limited mobility, and high alcohol intake.

Publications

Reply to Letter to Editor: Prophylactic Use of Nonsteroidal Anti-Inflammatory Drugs after Cataract Surgery and Corneal Melt

Wavefront aberrations causing Maddox rod effect from posterior capsular striae

Scanning Electron Microscopic of Intraocular Lens Pits after Nd:YAG Capsulotomy

'Face down' anterior vitrectomy for unexpected posterior capsule rupture as an alternative to pars plana vitrectomy

Acquired lateral upper lid entropion in a child treated with Botulinum toxin

A Rare Case of Enterococcus faecalis Keratitis in a Neurotrophic Cornea .Successfully Treated ...

Amantadine-induced corneal edema: A case and literature review

Incidence and factors for pseudoaccommodation after monofocal lens implantation ...

Management of Stromal Corneal Dystrophies; Review of the Literature with a Focus on ...

Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in ...

Ex-vivo study on the surface quality of corneal lenticule and stroma after low energy ...

Flattening of Central, Paracentral, and Peripheral Cones After Non-accelerated and Accelerated ...

Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy ...

Comparison of Anterior Corneal Aberrometry, Keratometry and Pupil Size with Scheimpflug ...

Prophylactic Use of Nonsteroidal Anti-Inflammatory Drugs after Cataract Surgery and Corneal Melt

Visual Acuity, Wavefront Aberrations, and Defocus Curves With an Enhanced Monofocal ...

Pericardium Patch Graft for Severe Corneal Wound Burn

Descemet membrane suturing to manage recurrent graft detachment in a patient ...

Recurring themes during cataract assessment and surgery

Re-Endothelialization of Bare Stroma after Descemet's Detachment due to ...

Comparison of intraocular lens calculation methods after myopic laser-assisted in situ ...

Autoimmune Dry Eye without Significant Ocular Surface Co-Morbidities and Mental Health

Effect of Intraocular Lens Tilt and Decentration on Visual Acuity, Dysphotopsia and Wavefront ...

Comparison of Optical Low-Coherence Reflectometry and Swept-Source OCT-Based ...

Aerosol generation through phacoemulsification

Refractive lens exchange with a trifocal intraocular lens in Fuchs endothelial dystrophy

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The Sloane Hospital

Spire Hartswood Hospital

Shirley Oaks Hospital

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