N. Hirnschall et al. Influencing factors for morphological changes of Elschnig pearls after Nd:YAG capsulotomy Nino Hirnschall 1, 2, Thomas Neumayer 3,

Slides:

Advertisements

Similar presentations

YAG capsulotomy K.P.SHANTHA SORUBARANI.

Advertisements

Comparison of Endothelial Cell Count by Manual and Automated Methods in Normal Corneas and in Fuchs' Endothelial Dystrophy Somasheila I Murthy, Debarun.

Long-Term Follow-Up of Toric Intraocular Lens Implantation for Keratoconus Alejandro Navas, MD, MSc, Martha Jaimes, MD, Jesús Cabral, MD, Arturo Ramirez.

DEPARTMENT OF COUNSELLING

Mayank A. Nanavaty, DO, MRCOphth, MRCS(Ed) David J. Spalton, FRCP, FRCS, FRCOphth James F. Boyce, PhD Thomas J. T. P. Van den berg, PhD St. Thomas’ Hospital,

INTRAOPERATIVE FLAP COMPLICATIONS IN LASIK SURGERY PERFORMED BY OPHTHALMOLOGY RESIDENTS IN TRAINING Arturo Gómez-Bastar MD Arturo Ramirez-MirandaMD Lorena.

Anterior Chamber Depth, Iridocorneal Angle Width, and Intraocular Pressure Changes After Phacoemulsification: Narrow vs Open Iridocorneal Angles Huang.

Intraocular lens dislocation secondary to haptic torsion Lawrence E. Lohman, MD FACS Matthew C. Willett, MD.

Weidmann A. et al University of Rostock The mode of action of the calcium channel blocker Mibefradil on human lens epithelial cells – first insights Joint.

Contrast-Enhanced Corneal Wound Imaging by Optical Coherence Tomography Preeya K. Gupta, MD Justis P. Ehlers, MD Terry Kim, MD Duke Eye Center, Durham,

Association between Depression And Dry eye Sang Beom Han, MD, 1 Joon Young Hyon, MD, 1 Young Joo Shin, MD, 1 Won Ryang Wee, MD, 2 Jin Hak Lee, MD, 1 1.

Hayashi Eye Hospital, Fukuoka, Japan

Comparison of morphologic changes after continuous and micro-pulse yellow laser trabeculoplasty by scanning electron microscopy Wingard JB; Miller KV;

Y. Kondratenko. Professor, A. Novytskyi. PhD, E. Grebinnyk, A. Mishenin Our experience of using silicon glaucoma valve Ahmed in reconstructive surgery.

Occurrence of Retinal Detachment After Cataract Surgery Peter Jeppesen MD, PhD and Thomas K. Olsen, MD, DMSc Department of Ophthalmology Århus University.

A Fellow Eye Comparison of Aberrations, Modulation Transfer Function and Contrast Sensitivity After AcrySof IQ and AcrySof Natural IOL Implantation. Mayank.

EFFECT OF EYE COLOR ON SELECTIVE LASER TRABECULOPLASTY

Oliver Findl 1,2, Nino Hirnschall 1,2, Alja Crnej 2 1 VIROS Vienna Institute for Research in Ocular Surgery, Hanusch Hospital, Vienna, Austria 2 Moorfields.

Assessment of macular thickness and function by optical coherence tomography and multifocal electroretinogram in uncomplicated cataract surgery Yang Li,

Sergio Kwitko, Andressa P. Stolz, Melissa Dal Pizzol, Diane Marinho, Samuel Rymer Ophthalmology Department - Hospital de Clínicas de Porto Alegre Federal.

Results of Collagen Crosslinking followed by posterior chamber toric implantable collamer lens implantation in patients with Keratoconus & High Myopia.

Reproducibility of Optical Measurements in Pseudophakic eyes Using Double-Pass Measurement System St Thomas Hospital, London Anish Dhital, David Spalton,

Refractive impact of the yag laser after cataract surgery Dr. Daniele ARON-ROSA Paris - France.

Pattern of Pain and Analgesic use after Collagen Crosslinking for Progressive Keratoconus Ramon Coral Ghanem, MD, PhD. Renan Ferreira Oliveira, MD. Vinicius.

Partial Coherence Interferometry Failure Rate in a Teaching Hospital Leslie A. Wei 1,2, BA, Nickolaus P. Katsoulakis 2, MD, Theodoros Filippopoulos 3,

Effect of Race on Selective Laser Trabeculoplasty  1st author has no financial interest in the subject matter of this poster.  2nd and 3rd co-authors.

Introduction  Selective Laser Trabeculoplasty (SLT) uses a Q-Switched frequency- doubled (532 nm), low energy Nd:YAG laser, which targets melanocytes.

Adriana S. Forseto1, MD Walton Nosé1,2, MD

Influence of IOL optic material on posterior capsule opacification and visual function Ken Hayashi, MD Hideyuki Hayashi, MD Hayashi Eye Hospital, Fukuoka,

Angiofibrotic Response to Vascular Endothelial Growth Factor Inhibition in Diabetic Retinal Detachment: Report No. 1 Sohn EH, He S, Kim LA, et al. Angiofibrotic.

Ocular functional optical zone following hyperopic LASIK/PRK: Analysis based on polychromatic retinal image quality Mitchell P. Weikert, MD Li Wang, MD,

Johns Hopkins Hospital

Early capsular bag contraction with haptic dislocation following implantation of a flexible hydrophilic acrylic “psuedoaccomodating” IOL Nigel Morlet FRACS.

Financial Disclosure: Medical Director–Galilei R&D Consultant, Ziemer Group AG, Port, Switzerland Consultant & Territory Manager for.

Effect of East Asian Race on Selective Laser Trabeculoplasty ASCRS 2011 Minerva Kim Johns Hopkins University Lawrence F. Jindra, MD Columbia University.

Effect of Refractive State on Selective Laser Trabeculoplasty ASCRS 2011 Kevin Lai Stony Brook University School of Medicine Elaine M. Miglino Floral Park.

An Epidemic of Dislocated IOLs? Garth Stevens Jr. MD Eye Care Center of Virginia Mary Washington Eye Care Center.

Post-Operative Management of Vitreous Adhesion after DSAEK with YAG Laser Vitreolysis Sherif Idris 1, Ahmed Al-Ghoul 2 MD FRCSC DipABO 1 University of.

The authors have no conflicting interest in the subject matter of this poster. In Vivo Evaluation of DSAEK Interface with Scanning- Laser Confocal Microscopy.

COMPARISON AND EVALUATION OF OCULAR BIOMETRY USING A NEW NON-CONTACT OPTICAL LOW COHERENCE REFLECTOMETER David Goldblum 1,3, Kaspar Rohrer 1, Rudolf Waelti.

Six-Year Longevity of Selective Laser Trabeculoplasty as Primary Therapy in Patients with Glaucoma ASCRS 2009 Lawrence F. Jindra, MD Columbia University.

Dissatisfication After Multifocal Intraocular Lens Implantation in Taiwan Yu Wei Lin, MD (Presenting Author); Ching-Ju Hsieh; Lin-Chung Woung The authors.

Liquifaction Method and Extent of Posterior Capsule Opacification: Two-Year Follow-up Marie Kalfertova, Mariya Burova, Pavel Rozsival, Nada Jiraskova Nada.

Correlation of in-vivo confocal microscopy findings with clinical severity of aniridia related keratopathy. Mandal N 1 Shortt A.J. 1,2,3 1. Cornea and.

Kavita Gala David Spalton Mayank Nanavaty St Thomas’ Hospital , London

The effects of Nd:YAG (neodymium: yttrium-aluminum-garnet) laser peripheral iridotomy (PI) on contra-lateral eye anterior chamber parameters of patients.

Clinical applications of Scheimpflug imaging in cataract surgery

Authors have no any financial interest in the subject matter

R16: DOES THE CUMULATIVE FRAILTY EARLY WARNING SCORE (FEWS) AND NEWS IMPROVE PREDICTOR POWER FOR VARIOUS PATIENT OUTCOMES IN THE ELDERLY ACUTE CARE POPULATION?

A NEW INTRACANALICULAR DEVICE TO TREAT OPEN-ANGLE GLAUCOMA

Aliki Liaska, Dpt of Ophthalmology,

L Jayatilaka Sam Whitehouse, A Kaye, L Mason, A Molloy

A comparative audit of FNA Thyroid results with use of Spinal needle

Johnson CH TAN, MBBS, MRCSEd(Ophthalmology)

TITLE Authors Institution RESULTS INTRODUCTION CONCLUSION AIMS METHODS

Sarosh A. Janjua MD1, Sandra L. Cremers MD FACS1

Eric Dai MD, Pawan Prasher MD, James McCulley MD, R. Wayne Bowman MD.

کاربرد لیزر در چشم وپرستاری

Yumiko Ban,1,2,3) Seika Den,2) Jun Shimazaki,2,3)

Seasonal variation of incidence

Sun Woong Kim, M.D.1, Hae Jung Sun, M.D.1,

Protocol I A prospective observational study to detect cellular immune function in gastro-intestinal mucosal tissues and peripheral blood This study will.

Damage Control Resuscitation: for Abdominal and Pelvic Injury

Hayashi Eye Hospital, Fukuoka, Japan

Joshua C. Teichman, MD Richard Lee, MD Andrea Butler, BSc

Hayashi Eye Hospital, Fukuoka, Japan

Kellan Tetraflex KH3500 Accommodative IOLs vs. Acri

Winthrop University Hospital

Long term PCO preventive effect of capsular bending ring

Neuro-ophthalmological investigations.

Presentation transcript:

N. Hirnschall et al. Influencing factors for morphological changes of Elschnig pearls after Nd:YAG capsulotomy Nino Hirnschall 1, 2, Thomas Neumayer 3, Michael Georgopoulos 3, Oliver Findl 1, 2 1 VIROS Institute, Hanusch Hospital, Vienna, Austria 2 Moorfields Eye Hospital, London, UK 3 Department of Ophthalmology, AKH, Vienna, Austria Financial disclosure: none

N. Hirnschall et al. Aim To assess the influence of the following factors on Elschnig pearls and the YAG-opening: Nd:YAG capsulotomy settings: –number of shots –YAG-Energy –total Energy Morphological changes: –number of newly appearing pearls –size and shape changes of Elschnig pearls

N. Hirnschall et al. Methods Design: prospective observational study Patients with pronounced regeneratory posterior capsule opacification (rPCO) were included in a continuous cohort Five digital retroillumination images were taken 10 minutes before YAG-capsulotomy, and 10 minutes, 1 week, 2 weeks and 1year after YAG-capsulotomy in a standardized fashion by two experienced examiners. PreYAG 1w2w PostYAG Nd:YAG-capsulotomy 1a

N. Hirnschall et al. Methods Analysis: all image-series were analyzed with a dedicated image analysis software that allows tracing of single Elschnig pearls from image to image

N. Hirnschall et al. Alltogether 2452 pearls in 20 eyes of 19 patients were observed. In the first week after Nd:YAG-capsulotomy 6 new pearls appeared per eye (range: 0-18) with a mean size of 3000µm 2 (range: 4000 – 9000). Results 1 year after YAG One year after Nd:YAG- capsulotomy pearl formations at the capsulotomy margin were found in 84% of eyes (mean: 3.9 pearls per eye, range: 0-17). pearl formation at the capsulotomy margin

N. Hirnschall et al. Results Mean laser energy level of 1.5mJ was used for the YAG- capsulotomy (range: 1.1mJ to 2.4mJ) No correlation between the laser settings and morphological changes of Elschnig pearls, or the YAG-opening Correlation of YAG energy and changes of the YAG-opening 3210 Changes of the YAG opening1 week after Nd:YAG capsulotomy Total Nd:YAG energy r= 0.29 mm 2 mJ

N. Hirnschall et al. 11x increase in size 3x stable (±5%) 6x decrease in size 20 YAG-openings: 1 week2 weeks 1 year % Change of the YAG-opening in the first year after Nd:YAG capsulotomy

N. Hirnschall et al. Example: Decrease (6 cases) 2 weeks after YAG 1 year after YAG

N. Hirnschall et al. Early pearls - prognostic factor r = 0.834, p < 0.05 Number of appearing pearls n = 20 eyes Number of pearl strings per eye after 1 year The correlation between number of appearing pearls in the first week after capsulotomy and pearl formations at the capsulotomy- margin one year later was high.

N. Hirnschall et al. Conclusion  The appearance of new pearls in the first week after Nd:YAG-capsulotomy seems to be a prognostic factor for the long-term outcome concerning number of pearl formations at the capsulotomy margin. Pearl strings can cause glare, impede peripheral retinal examination and may necessitate secondary enlargement of the capsulotomy opening.

N. Hirnschall et al.