Journal of Ophthalmic Surgery

Journal of Ophthalmic Surgery

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Table of Content: Volume 4, Issue 1

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Review Article Pages 62-47

The 4-Snip Ampullotomy: A New Surgical Technique for Managing Acquired Punctal Stenosis

Authors: Selina Khan, MB ChB, BSc(Hons.) and Melanie Chak, MBBS, MD(CANTAB), FRCOphth

Abstract: To report on a new technique for treating acquired punctal stenosis in the outpatient clinic setting. We present outcomes from a case series of 25 eyes who underwent a 4-snip ampullotomy procedure (4 cuts to the lacrimal papilla-ampulla junction) to widen the lacrimal punctum.

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Surgical Procedure Pages 69-70

Prevalence of Ultrasound Biomicroscopic Features in a Select Group of Recurrent Angle Closure Subjects

Authors: Sugapriyan Ravichandran, BMBS and William H Morgan, PhD, FRANZCO

Abstract: A total of 59 eye scans from 38 patients were retrieved, with age ranging from 19 to 83 years (mean: 67.4 years). The scans were performed over a period of 5.5 years. Four distorted unclear scans were excluded. In our sample of 55 UBM scans, 35% were from pseudophakic and 65% were phakic eyes. Amongst the phakic eyes, 83% had cilio-lenticular contact, with 40% of these containing ciliary body cysts. Of the pseudophakic eyes, 84% had cilio-lenticular contact with large Soemmering’s ring, with 4% of those having ciliary body cysts as well. Overall, ciliary body cysts were present in 33%

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Editorial Pages 66-68

Use of Wound Closure Strips to Maximize Ocular Exposure during Cataract Surgery in Patients with Brow Ptosis

Authors: Yasmin Florence Khodeja Islam, MD and Aldo Fantin, MD

Abstract: Draping is a critical step in successful cataract surgery. Poor exposure of the globe can result in limited access during surgery, thus making the surgeon’s task more challenging. Additionally, eyelash exposure from underneath the drape can raise the risk of post-operative endophthalmitis. Maintaining adequate exposure while also retracting the lashes appropriately is particularly challenging in patients with brow ptosis. Here, we present our technique for managing brow ptosis and achieving excellent ocular exposure with the use of wound closure strips.

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Research Article Pages 55-61

12-Month Follow Up of Combined Cataract Surgery with Schlemm’s Canal Scaffolding for the Treatment of Primary Angle Closure Glaucoma

Authors: Robert Edward T Ang, MD

Abstract: The purpose of this study is to assess the potential of a surgical implant to bypass trabecular meshwork and scaffold Schlemm’s canalfor the reduction of IOP in eyes with primary angle closure or primary angle closure glaucoma and cataract.

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Original Article Pages 48-54

Evaluation of the Equality of Medial Rectus Advancement to Medial Rectus Resection for Consecutive Exotropia

Authors: Abuzer Gunduz, MD, Ercan Ozsoy, MD and Emrah Ozturk, MD

Abstract: To analyse the amount of medial rectus advancement in the treatment of consecutive exotropia by comparing with the amount of medial rectus resection in a sample of patients with constant exotropia and evaluate the effectiveness of medial rectus advancement with lateral rectus recession in the management of consecutive exotropia.

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Research Article Pages 43-47

Outcomes of Entropion Repair in Ocular Cicatricial Pemphigoid Compared to Other Cicatricial Etiologies: A Retrospective Study

Authors: Hayley A Braun, MD, MPH, Lauren Schaffer, MD, Emily F Cole, MD, MPH, Benjamin B Risk, PhD, Hee Joon Kim, MD and Ron Feldman, MD, PhD

Abstract: Ocular cicatricial pemphigoid (OCP) can lead to severe conjunctival scarring and cicatricial entropion, which often necessitates repair. Surgical manipulation can increase the risk of inflammation, scarring, and disease progression. The objective of this study was to understand the characteristics of OCP patients who received entropion repairs and determine the difference in entropion recurrence or revision in patients with OCP or other cicatricial entropion repair.

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Review Article Pages 35-42

The Aging Midface and the Role of Lower Lid Blepharoplasty

Authors: Vito Quatela C, MD, FACS and Nigar Ahmedli N, MD

Abstract: Aging of the midface has been described to involve soft tissue descent as well as volumetric change. A simplified grading system for midfacial ptosis ranging from mild to severe has recently been proposed. Midfacial ptosis results in exposure of the orbital rim and the creation of a more acute orbital rim angle, especially in conjunction with orbital fat pseudoherniation. In the authors’ opinion, the best surgical approach to address severe midfacial ptosis is the

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Short Communication Pages 33-34

Capsular Bag Irrigation to Decrease the Tendency of the Iris. A Technique for Bimanual Irrigation and Aspiration

Authors: Ahmet Colakoglu, MD and Cemile Banu Cosar, MD, Phd

Abstract: We would like to introduce a simple technique for the bimanual irrigation and aspiration (I/A) of ophthalmic viscosurgical device (OVD) and cortical material during cataract surgery. Iris prolapse occurs when the forces pulling on the iris toward the wound exceed the ability of the iris’ tone to maintain the position of the iris in the anterior chamber. Anterior wound placement should help to prevent iris prolapse. Minimizing the irrigation velocity, and hence the fluid outflow velocity should also help to prevent intraoperative prolapse. Many surgeons prefer not to place the irrigation/aspiration (I/A) tip behind the optic during removal of an ophthalmic viscosurgical device (OVD) for fear of inducing a posterior capsule rupture.

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Case Presentation Pages 30-32

Actinomyces Canaliculitis Complicated by Orbital Pyogenic Granuloma

Authors: David Merriott J, BS, Sanja Cypen G, MD, Amir Marvasti H, MD, Maria Estopinal D, MD and Lilangi Ediriwickrema S, MD

Abstract: A 92 year-old woman with no significant past ocular history presented with a one-year history of bloody tears, pruritus, and an enlarging supero-medial orbital mass with extension through the right upper eyelid punctum. Magnetic resonance imaging of the orbits demonstrated a well-circumscribed, ring enhancing mass of the right anterior supero-medial orbit. Medial orbitotomy and removal of the orbital mass was performed, and

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Research Article Pages 27-29

Endovascular Dural Venous Sinus Stenting for the Treatment of Papilledema in Idiopathic Intracranial Hypertension

Authors: Taylor G Maloney, Joseph Oros, Reshma George, Ryan Surujdin, Connor Gilliland and Joseph H Hise

Abstract: Recently a subset of patients with Benign Intracranial hypertension has been identified that have cerebral dural venous stenosis. Recent studies have demonstrated that venous sinus stenting can result in normalization of these pressures and resultant resolution of ophthalmologic findings.

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