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Favorable Outcome in Open Globe Injuries with Low OTS Score

Eye Science 2014年第3期29卷 170-173页

作者： Cillino Giovanni Ferraro Lucia casuccio alessandra Cillino Salvatore Department of Experimental Biomedicine and Clinical Neuroscience Ophthalmology Section University of Palermo (Italy) via Liborio Giuffrè13 90127-Palermo Italy Department of Sciences for Health Promotion and Mother-Child Care University of Palermo (Italy)via del Vespro133 90127-Palermo Italy

Purpose:Open globe eye injuries can have profound social and economic consequences. Here, we describe two cases of war and outdoor activity open globe eye injury where, despite a low OTS score,.current microsurgical technology allowed for a favorable *** report 1: A 33-year-old Libyan soldier had been treated for an open-globe grenade blast trauma to his left eye, which showed light perception and OTS score 2..He had undergone a lensectomy and PPV with silicone oil tamponade. Surgical treatment included scleral buckling,.cornea trephination, temporary Eckardt keratoprosthesis, PPV revision, intraocular lens(IOL) implantation, and corneal grafting. Six months later, his VA was improved to 20 / *** report 2:.A 35-year-old man presented with a corneal laceration in his left eye from a meat skewer,.with marked hypotony and LP..After primary corneal wound closure,.Bscan ultrasonography revealed massive vitreous hemorrhage(OTS score 2). The patient underwent open cataract extraction with IOL implantation, 23 gauge PPV, laser photocoagulation of the retinochoroidal laceration, and a gas tamponade. After three weeks,.the patient underwent a 2nd 23 G PPV due to a fibrinous reaction. Six month later, the patients exhibited 20 /25 ***:.These cases confirm that even for patients with a low OTS and poor visual prognosis,.an up-to-date surgery protocol may achieve visual results adequate for leading an autonomous daily life.

关键词： OTS 角膜移植术分数伤害开环人工晶体病例报告 PPV

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Objective electrophysiological contrast sensitivity with monofocal and multifocal intraocular lenses:a prospective clinical study

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Annals of Eye Science 2018年第1期3卷 136-146页

作者： Salvatore Cillino Giovanni Cillino Simona Di Naro Aissa Iggui Viviana Firpo Girolamo Maniscalco alessandra casuccio Department of Experimental Biomedicine and Clinical Neuroscience Ophthalmology SectionUniversity of PalermoPalermoItaly Department of Sciences for Health Promotion and Mother-Child Care“G.D’Alessandro” University of PalermoPalermoItaly

Background:To compare objective electrophysiological contrast sensitivity function(CSF)in patients implanted with either multifocal intraocular lenses(MIOLs)or monofocal intraocular lenses(IOLs)by pattern reversal visual evoked potentials(prVEP)***:Fourty-five cataract patients were randomly allocated to receive bilaterally:apodized diffractive-refractive Alcon Acrysof MIOL(A),full diffractive AMO Tecnis MIOL(B)or monofocal Alcon Acrysof IOL(C).Primary outcomes:1-year differences in objective binocular CSF measured by prVEP with sinusoid grating stimuli of 6 decreasing contrast levels at 6 spatial *** outcomes:psychophysical CSF measured with VCTS-6500,photopic uncorrected distance(UDVA),and mesopic and photopic uncorrected near and intermediate visual acuities(UNVA and UIVA respectively).Results:Electrophysiological CSF curve had an inverted U-shaped morphology in all groups,with a biphasic pattern in Group *** A showed a lower CSF than group B at 4 and 8 cpd,and a lower value than group C at 8 *** CSF in group A exhibited a lower value at 12 cpd than group *** photopic and mesopic UNVA and UIVA were worse in monofocal group compared to the multifocal *** UNVA and UIVA were better in group ***:Electrophysiological CSF behaves differently depending on the types of multifocal or monofocal *** may be related to the visual acuity under certain conditions or to IOL *** objective method might be a potential new tool to investigate on MIOL differences and on subjective device-related quality of vision.

关键词： Electrophysiological contrast sensitivity visual evoked potentials(VEPs) multifocal intraocular lens(MIOLs) prospective clinical study

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