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  1. Article ; Online: Preventing the Argentinian flag sign and managing anterior capsular tears: A review.

    LoBue, Stephen A / Rizzuti, Allison E / Martin, Curtis R / Albear, Sinan A / Gill, Ekjyot S / Shelby, Christopher L / Coleman, Wyche T / Smith, Edward F

    Indian journal of ophthalmology

    2024  Volume 72, Issue 2, Page(s) 162–173

    Abstract: The Argentinian flag sign (AFS) is a feared complication during cataract extraction. Intralenticular pressures, especially excessive posterior pressure, have been identified as potential mechanisms for capsular stress and tearing associated with AFS. ... ...

    Abstract The Argentinian flag sign (AFS) is a feared complication during cataract extraction. Intralenticular pressures, especially excessive posterior pressure, have been identified as potential mechanisms for capsular stress and tearing associated with AFS. Capsular tension is created by positive intralenticular pressures, which cause the irido-lens diaphragm to move anteriorly once the manual capsulorhexis has been initiated. This tension can cause inadvertent tears that self-propagate to the lens equator, causing an AFS, among other intraoperative complications. Thus, this review highlights the importance of identifying intumescent cataracts as well as a combination of techniques to relieve intracapsular pressures needed to prevent AFS. However, some instances of anterior capsular tears are unavoidable. Therefore, focus will also be placed on techniques during cataract extraction used to manage anterior capsular tears, mitigating extension to the posterior capsule.
    MeSH term(s) Humans ; Phacoemulsification/methods ; Cataract Extraction/methods ; Capsulorhexis/methods ; Lens Capsule, Crystalline/surgery ; Cataract/etiology ; Cataract/complications
    Language English
    Publishing date 2024-01-25
    Publishing country India
    Document type Review ; Journal Article
    ZDB-ID 187392-1
    ISSN 1998-3689 ; 0301-4738
    ISSN (online) 1998-3689
    ISSN 0301-4738
    DOI 10.4103/IJO.IJO_1418_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    Zs.MO 598: Show issues

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  2. Article: Open globe injury with an interesting intra-ocular foreign body.

    Gill, Ekjyot / Shulman, Matthew / Schechet, Sid / Grumbine, Lawson

    GMS ophthalmology cases

    2017  Volume 7, Page(s) Doc17

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2017-07-07
    Publishing country Germany
    Document type Case Reports
    ZDB-ID 2628607-5
    ISSN 2193-1496
    ISSN 2193-1496
    DOI 10.3205/oc000068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Comparison of Preoperative Parameter Measurements Using an Optical Biometer, Automated Keratometer, and a Placido-Based Topographer Module.

    Gill, Ekjyot S / Le, Christopher / Joseph, Jacob / Munir, Wuqaas M

    Eye & contact lens

    2019  Volume 46, Issue 1, Page(s) 46–51

    Abstract: Objectives: To assess the agreement of corneal power, corneal astigmatism, axis location, and astigmatic vector component measurements using a Lenstar LS900, a T-cone add-on, and an ARK 1S autorefractor, furthermore, to assess instrument agreement in a ... ...

    Abstract Objectives: To assess the agreement of corneal power, corneal astigmatism, axis location, and astigmatic vector component measurements using a Lenstar LS900, a T-cone add-on, and an ARK 1S autorefractor, furthermore, to assess instrument agreement in a subset of astigmatic eyes.
    Methods: Retrospective analysis of keratometric readings from 3 instruments for 66 eyes undergoing cataract surgery at the Maryland Veterans Affairs Medical Center from November 2014 to 2015. Agreement in corneal power, mean corneal power, axis location, and astigmatic vector components (J0, J45) between devices was evaluated. Comparability was assessed using intraclass correlation, analysis of variance (ANOVA) one-way analysis, Bland-Altman analysis, and power vector analysis. Intraclass correlation was then assessed for a subset of 42 eyes with corneal astigmatism greater than or equal to 1 D.
    Results: The intraclass correlation between instruments was 0.941 for corneal power, 0.788 for corneal astigmatism, 0.932 for J0, and 0.809 for J45. The ANOVA one-way repeated P values comparing Kf, Ks, Km, corneal astigmatism, axis location, J0, and J45 were all greater than 0.05. Power vector analysis showed nearly all values between instruments to be within ±0.5 D. Finally, the intraclass correlation between instruments in eyes with ≥1 D of corneal astigmatism as measured by the T-cone was 0.946 for corneal power, 0.837 for corneal astigmatism, 0.948 for J0, and 0.950 for J45.
    Conclusions: The high level of agreement between all devices indicates the instruments may be used interchangeably. Our data suggest that this may also be true for the subset of eyes with greater than or equal to 1 D in astigmatism, highlighting the toric intraocular lens population.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Biometry/instrumentation ; Cornea/pathology ; Corneal Diseases/diagnosis ; Corneal Diseases/physiopathology ; Corneal Topography/instrumentation ; Equipment Design ; Female ; Humans ; Male ; Middle Aged ; Refraction, Ocular/physiology ; Reproducibility of Results ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2019-04-27
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 2103049-2
    ISSN 1542-233X ; 1542-2321
    ISSN (online) 1542-233X
    ISSN 1542-2321
    DOI 10.1097/ICL.0000000000000605
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 1724: Show issues Location:
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  4. Article ; Online: Open globe injury with an interesting intra-ocular foreign body

    Gill, Ekjyot / Shulman, Matthew / Schechet, Sid / Grumbine, Lawson

    GMS Ophthalmology Cases - An Open Access Journal

    2017  Volume 7, Page(s) 17

    Abstract: Introduction: Cases of penetrating ocular trauma due to osseous material are limited, so reported incidents are valuable in determining outcomes and proper treatment courses.: Case description: We report a case of an open globe injury of the left eye ... ...

    Abstract Introduction: Cases of penetrating ocular trauma due to osseous material are limited, so reported incidents are valuable in determining outcomes and proper treatment courses.
    Case description: We report a case of an open globe injury of the left eye with an intraocular foreign body occurring after a firework exploded in the hand of a 22-year-old man. The patient presented with light perception vision in the injured eye with a full-thickness limbal laceration and dense hyphema obscuring fundoscopy. CT scan revealed a hyperdense foreign body juxtaposed to the lens. Immediate surgical intervention to repair the globe rupture revealed a defect in the anterior capsule and small, white objects in the posterior chamber that were promptly removed. Pathologic investigation determined these fragments to be cortical bone likely from the patient’s phalanges.
    Results and discussion: There was no evidence of endophthalmitis or keratitis from time of injury to the five-month follow-up, suggesting that the risk of infection may be low and therefore it may be reasonable to manage these injuries with a period of observation.
    Keywords Medizin, Gesundheit
    Publishing date 2017-07-07
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Article ; Online
    ISSN 2193-1496
    ISSN (online) 2193-1496
    DOI 10.3205/oc000068
    Database German Medical Science

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