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Article ; Online: Filtering Pseudo-Bleb Secondary to Sutured Posterior Chamber Intraocular Lens with Implications for Ocular Surgery in Marfan Syndrome.

Hoang, Tung / Clement, Colin

2023 Volume 52, Issue 6, Page(s) 440–442

Abstract: A 51-year-old female Caucasian patient with a history of Marfan syndrome and multiple previous bilateral ocular surgeries presented with increasing discomfort, epiphora, and blurred vision in her right eye for a few months. On examination, we found an ... ...

Abstract	A 51-year-old female Caucasian patient with a history of Marfan syndrome and multiple previous bilateral ocular surgeries presented with increasing discomfort, epiphora, and blurred vision in her right eye for a few months. On examination, we found an overhanging cystic Seidel-positive filtering pseudo-bleb with hypotony in her right eye and a smaller Seidel-negative filtering pseudo-bleb in the left eye secondary to sutured intraocular lens (IOL) in both eyes. Intraoperatively, two full-thickness scleral defects were found close to the limbus, suggesting a melting flap in the location of the previous sutured IOL implant in the right eye. The defects were plugged with two pieces of donor sclera and covered with a larger donor scleral patch, the ischemic conjunctiva was excised, and the remaining healthy conjunctiva was advanced and sutured along the limbus. At last follow-up, intraocular pressure and vision in the right eye increased to preoperative levels, and no pseudo-bleb or leak was detected.
MeSH term(s)	Female ; Humans ; Middle Aged ; Intraocular Pressure ; Lenses, Intraocular ; Marfan Syndrome/complications ; Ophthalmology
Language	English
Publishing date	2023-02-14
Publishing country	Turkey
Document type	Case Reports ; Journal Article
ZDB-ID	2586160-8
ISSN	2149-8709 ; 2147-2661 ; 2149-8709 ; 1300-0659
ISSN (online)	2149-8709
ISSN	2147-2661 ; 2149-8709 ; 1300-0659
DOI	10.4274/tjo.galenos.2022.54936
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Défendre et protéger son quartier de la destruction

Clément Colin

Carnets de Géographes, Vol

2016 Volume 9

Abstract: Since the 2000s, some groups of inhabitants are mobilized in the center of Santiago de Chile for a double objective. The first is the defense of their neighborhood from its potential destruction due to the rise of real estate projects in this sector of ... ...

Abstract	Since the 2000s, some groups of inhabitants are mobilized in the center of Santiago de Chile for a double objective. The first is the defense of their neighborhood from its potential destruction due to the rise of real estate projects in this sector of the city. The second objective is the heritage revalorization and the protection of the neighborhood. How are they structured and organized ? What are the meanings that they give to their actions ? From these questions, the paper proposes a reflection about the functions of the emotions felt and expressed by the participants of these heritage mobilizations. The discussion is based on an ethnographic field work conducted in 2014 and 2015 with residents of the Matta Sur neighborhood, in the center of Santiago. Participating observations, meetings with inhabitants and semi-structured interviews with the leaders of the mobilization movement are used in order to analyze these social-spatial processes.
Keywords	Heritage Mobilization ; Inhabitants ; Emotions ; Santiago du Chili ; Chili ; Geography (General) ; G1-922
Language	French
Publishing date	2016-11-01T00:00:00Z
Publisher	UMR 245 - CESSMA
Document type	Article ; Online
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Article ; Online: From fear to pride

Clément Colin

Revista Latinoamericana de Estudios sobre Cuerpos, Emociones y Sociedad, Vol 0, Iss 22, Pp 9-

emotions that drive the heritage mobilization. The case of Matta Sur neighborhood, Santiago de Chile

2016 Volume 20

Abstract: Why groups are formed for acting on heritage protection and enhancement of a space? What are the motivations of the people involved in these processes? From these questions, the paper propose a reflection on the functions of the emotions felt and ... ...

Abstract	Why groups are formed for acting on heritage protection and enhancement of a space? What are the motivations of the people involved in these processes? From these questions, the paper propose a reflection on the functions of the emotions felt and expressed by individuals as part of its mobilization for heritage protection and enhancement of neighborhoods in Santiago de Chile. Practices and claims that aim to stop the destruction of part of these neighborhoods product of multiplication of real estate projects that occur in the city since the 2000s. The article is based on field work conducted in 2014 with residents Matta Sur neighborhood, in the municipality of Santiago Centro. Through interviews and field observations, this paper aims to identify the functions of emotions in the heritage mobilization.
Keywords	Emociones ; movilización patrimonial ; acción colectiva ; barrio ; Santiago de Chile ; Social sciences (General) ; H1-99
Language	Spanish
Publishing date	2016-12-01T00:00:00Z
Publisher	Universidad de Córdova; Consejo Nacional de Investigaciones Científicas y Técnicas
Document type	Article ; Online
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Article ; Online: Défendre et protéger son quartier de la destruction

Clément Colin

Carnets de Géographes, Vol

2016 Volume 9

Abstract	Since the 2000s, some groups of inhabitants are mobilized in the center of Santiago de Chile for a double objective. The first is the defense of their neighborhood from its potential destruction due to the rise of real estate projects in this sector of the city. The second objective is the heritage revalorization and the protection of the neighborhood. How are they structured and organized ? What are the meanings that they give to their actions ? From these questions, the paper proposes a reflection about the functions of the emotions felt and expressed by the participants of these heritage mobilizations. The discussion is based on an ethnographic field work conducted in 2014 and 2015 with residents of the Matta Sur neighborhood, in the center of Santiago. Participating observations, meetings with inhabitants and semi-structured interviews with the leaders of the mobilization movement are used in order to analyze these social-spatial processes.
Keywords	Heritage mobilization ; inhabitants ; emotions ; Santiago du Chili ; Geography (General) ; G1-922
Language	French
Publishing date	2016-11-01T00:00:00Z
Publisher	UMR 245 - CESSMA
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Défendre et protéger son quartier de la destruction

Clément Colin

Carnets de Géographes, Vol

2016 Volume 9

Abstract	Since the 2000s, some groups of inhabitants are mobilized in the center of Santiago de Chile for a double objective. The first is the defense of their neighborhood from its potential destruction due to the rise of real estate projects in this sector of the city. The second objective is the heritage revalorization and the protection of the neighborhood. How are they structured and organized ? What are the meanings that they give to their actions ? From these questions, the paper proposes a reflection about the functions of the emotions felt and expressed by the participants of these heritage mobilizations. The discussion is based on an ethnographic field work conducted in 2014 and 2015 with residents of the Matta Sur neighborhood, in the center of Santiago. Participating observations, meetings with inhabitants and semi-structured interviews with the leaders of the mobilization movement are used in order to analyze these social-spatial processes.
Keywords	Heritage Mobilization ; Inhabitants ; Emotions ; Santiago du Chili ; Chili ; Geography (General) ; G1-922
Language	French
Publishing date	2016-11-01T00:00:00Z
Publisher	UMR 245 - CESSMA
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Le patrimoine, un argument de négociation pour l’aménagement d’un espace

Clément Colin

Territoire en Mouvement, Vol 21, Pp 82-

2014 Volume 92

Abstract: Regarding the consideration of the rivers as an heritage component, we are interesting in the places occupied and exploited by structures and equipments representing the engineer approach of the 20th century. What is the status given to these industrial ... ...

Abstract	Regarding the consideration of the rivers as an heritage component, we are interesting in the places occupied and exploited by structures and equipments representing the engineer approach of the 20th century. What is the status given to these industrial sites and how the river reconquest actor's approach them ? Based on the hydro-electric production site of Cusset located in the northeast of Greater Lyon, this paper examines how the local actors use the argument of “heritage” in the frame of the renegotiation of the EDF concession (1991-2002). In the frame of the debates about the different uses of the river, we analyze the actor’s strategies and the role of the equipment’s managers and owners (dams, factory-dam, and diversion canal). From this case study, we question the heritage production in its instrumental and political dimensions.
Keywords	heritage ; negotiation ; actors’ strategy ; hydroelectric plant ; Geography (General) ; G1-922
Subject code	950
Language	English
Publishing date	2014-01-01T00:00:00Z
Publisher	Université Lille 1
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Outcomes of iStent inject combined with cataract surgery in Asian eyes: Australian data from the Fight Glaucoma Blindness international registry.

Huynh, Brandon / Kibret, Getiye / Wechsler, David / Lee, Anne / Lim, Ridia / Clement, Colin / Lawlor, Mitchell

International ophthalmology

2024 Volume 44, Issue 1, Page(s) 200

Abstract: Purpose: To analyse real-world outcomes in Asian eyes of iStent inject, a second-generation trabecular micro-bypass stent, combined with phacoemulsification.: Methods: This is a multi-centre, observational study of glaucomatous Asian eyes that have ... ...

Abstract	Purpose: To analyse real-world outcomes in Asian eyes of iStent inject, a second-generation trabecular micro-bypass stent, combined with phacoemulsification. Methods: This is a multi-centre, observational study of glaucomatous Asian eyes that have undergone iStent inject implantation combined with cataract surgery. Patient data were extracted from the Fight Glaucoma Blindness! Registry. Outcome measures included those of IOP reduction, glaucoma medication reduction, and adverse events including the need for secondary surgery. Results: 123 eyes of 86 patients with a mean age of 68.4 ± 9.3 years underwent iStent inject implantation with phacoemulsification. At baseline, the mean ± SD preoperative intraocular pressure (IOP) was 16.0 ± 4.4 mmHg, and the mean preoperative number of topical glaucoma medications was 1.9 ± 1.4. At 12 months 30.8% of eyes demonstrated a reduction in IOP greater than 20%, the mean IOP reduction was 12.5% with an additional reduction of 0.7 glaucoma medications. 40% of eyes were using no medications at 12 months compared to 16.3% preoperatively. 8.2% of eyes required a subsequent procedure within the 12-month follow-up window. Conclusion: iStent inject implantation combined with phacoemulsification in Asian eyes showed a reduction of IOP and glaucoma medication use in a real-world clinical setting. The safety profile of the device is good with minimal adverse outcomes, however, a subset of patients required secondary procedures within the 12 month follow up.
MeSH term(s)	Humans ; Male ; Female ; Aged ; Registries ; Intraocular Pressure/physiology ; Middle Aged ; Glaucoma Drainage Implants ; Australia/epidemiology ; Visual Acuity ; Treatment Outcome ; Glaucoma/surgery ; Glaucoma/physiopathology ; Glaucoma/ethnology ; Glaucoma/complications ; Phacoemulsification/methods ; Follow-Up Studies ; Aged, 80 and over ; Asian People/ethnology ; Cataract/complications ; Retrospective Studies
Language	English
Publishing date	2024-04-25
Publishing country	Netherlands
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	800087-6
ISSN	1573-2630 ; 0165-5701
ISSN (online)	1573-2630
ISSN	0165-5701
DOI	10.1007/s10792-024-03104-x
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Article: Efficacy and Safety of iStent Inject Implantation in Manual and Femtosecond Laser-assisted Cataract Surgery before Lens Extraction.

Manning, David Kevin / Haider, Ali / Clement, Colin / Viswanathan, Deepa

Journal of current glaucoma practice

2022 Volume 16, Issue 2, Page(s) 105–110

Abstract: Aim: To describe the efficacy and safety of iStent implantation prior to phacoemulsification in manual as well as femtosecond laser-assisted cataract surgery (FLACS), and highlight this approach as a reasonable, if not necessary, step to advance one's ... ...

Abstract	Aim: To describe the efficacy and safety of iStent implantation prior to phacoemulsification in manual as well as femtosecond laser-assisted cataract surgery (FLACS), and highlight this approach as a reasonable, if not necessary, step to advance one's ability and confidence in the use of microinvasive glaucoma surgery (MIGS) technology in phakic patients. Methods: A retrospective consecutive case series of patients with open angle glaucoma or ocular hypertension who underwent iStent inject implantation followed by cataract surgery (manual or FLACS). All cases underwent postoperative video review and were assessed and classified for intraoperative lens injury and hyphaema. Postoperative data included intraocular pressure (IOP), medication usage and adverse events. Results: Sixty-three eyes ( Conclusion: Early implantation is safe, maximizes corneal clarity and angle visualization, avoids the risk of non-implantation due to surgical complications, and has a high success rate in both manual cataract surgery and the setting of FLACS. Clinical significance: The conventional recommended approach of iStent implantation following cataract extraction has been adopted by many, however, with the advent of stand-alone procedures and concern about potential lens injury, there is an opportunity to gain experience with minimal risk in patients undergoing MIGS procedures combined with cataract surgery by implanting iStents at the start of the procedure. There is currently little emphasis or data published in the literature on an early approach to implantation to guide surgeons. How to cite this article: Manning DK, Haider A, Clement C,
Language	English
Publishing date	2022-09-02
Publishing country	India
Document type	Journal Article
ISSN	0974-0333
ISSN	0974-0333
DOI	10.5005/jp-journals-10078-1374
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Article: Evaluation of the Early to Mid-term Efficacy and Safety of Deep Sclerectomy without an Intrascleral Spacer for Open-angle Glaucoma in an Australian Population.

Hui, Michelle M / Clement, Colin I

Journal of current glaucoma practice

2018 Volume 12, Issue 3, Page(s) 107–112

Abstract: Purpose: This study aims to evaluate the early to the midterm efficacy of deep sclerectomy (DS) without an intra-scleral spacer for open-angle glaucoma (OAG) patients.: Materials and methods: Retrospective study of 99 eyes (88 patients) with open- ... ...

Abstract	Purpose: This study aims to evaluate the early to the midterm efficacy of deep sclerectomy (DS) without an intra-scleral spacer for open-angle glaucoma (OAG) patients. Materials and methods: Retrospective study of 99 eyes (88 patients) with open-angle glaucoma who underwent DS were recruited in a consecutive order following informed consent. Intraocular pressure (IOP) was collected up to 60 months post operation (mean 19.87 ± 15.13 months). Criteria of success were defined as the qualified success (QS) or complete success (CS) with IOP level less than 21, 18 and 15 mm Hg and a reduction of more than 20% IOP from baseline. QS includes additional medication post-DS, while CS requires no other medications or surgery post-DS. Further analysis includes comparing the criteria of success based on several factors. The data were analyzed using statistical package for social sciences (SPSS version 21) statistical software. Results: The QS at 60 months for IOP less than 21, 18 and 15 mm Hg is 71.3% (45.12 ± 2.46), 63.9% (40.41 ± 2.75) and 48.7% (35.62 ± 2.85), respectively. The CS at 60 months for IOP less than 21, 18 and 15 mm Hg are 69.3% (47.51 ± 2.77), 57.9% (40.41 ± 2.75) and 45.2% (35.62 ± 2.85), respectively. There was no significant difference between QS and DS post-DS based on the level of experience of the surgeons; intraoperation complication; age and gender. There was a significant reduction in IOP post operation ( Conclusion: DS is observed to be an effective surgical method with a favorable safety profile to manage patients with open-angle glaucoma. It has a better safety profile compared to trabeculectomy (TE) and can be performed by surgeons of different experience safely and successfully. Clinical significance: To our knowledge, this is the first report of DS in an Australian population with up to 60 months of follow-up. It is an effective procedure for IOP control in patients with OAG and has fewer complications compared to TE. DS is less popular than TE primarily due to a perceived steep learning curve, but most of the literature on DS describe single surgeon results. Our study compared the outcome of five surgeons with a variety of experience and found no significant differences in the rate of success for all levels of IOP. How to cite this article: Hui MM, Clement CI. Evaluation of the Early to Mid-term Efficacy and Safety of Deep Sclerectomy without an Intrascleral Spacer for Open-angle Glaucoma in an Australian Population. J Curr Glaucoma Pract 2018;12(3):107-112.
Language	English
Publishing date	2018-12-28
Publishing country	India
Document type	Journal Article
ISSN	0974-0333
ISSN	0974-0333
DOI	10.5005/jp-journals-10028-1254
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Article: Second-Generation Trabecular Micro-Bypass (iStent inject) with Cataract Surgery in Eyes with Normal-Tension Glaucoma: One-Year Outcomes of a Multi-Centre Study.

Salimi, Ali / Clement, Colin / Shiu, Michael / Harasymowycz, Paul

Ophthalmology and therapy

2020 Volume 9, Issue 3, Page(s) 585–596

Abstract: Purpose: The efficacy and safety of the trabecular micro-bypass stents (iStent and iStent inject) have been well documented in various open-angle glaucoma subtypes. However, their outcomes remain understudied in normal-tension glaucoma (NTG). The ... ...

Abstract	Purpose: The efficacy and safety of the trabecular micro-bypass stents (iStent and iStent inject) have been well documented in various open-angle glaucoma subtypes. However, their outcomes remain understudied in normal-tension glaucoma (NTG). The present study aimed to assess the 1-year outcomes related to the implantation of two second-generation trabecular micro-bypass stents (iStent inject) concomitant with cataract surgery (CE-TMS), exclusively in eyes with NTG. Methods: This multi-center, consecutive case series included eyes with cataract and normal-tension glaucoma that underwent CE-TMS to reduce intraocular pressure or glaucoma medication use. The 12-month efficacy measures included change in average intraocular pressure (IOP) and medication burden. Safety included change in best-corrected visual acuity, cup-to-disc ratio, visual field mean-deviation and retinal nerve fiber layer thickness. Intra- or postoperative adverse events were noted. Results: A total of 62 eyes with mild-to-severe NTG and average preoperative IOP of 15.82 ± 2.94 mmHg on 1.50 ± 1.28 glaucoma medications were included. Postoperatively, IOP declined by 22% from 15.82 ± 2.94 mmHg to 12.32 ± 2.58 (p < 0.001), all eyes had IOP ≤ 18 mmHg (versus 74% preoperatively), and half had IOP ≤ 12 mmHg (versus 15% preoperatively). Medication burden decreased by 70% from 1.50 ± 1.28 to 0.45 ± 0.86 (p < 0.001), and 73% of the eyes were medication-free (versus 23% preoperatively). Safety was favorable, with no evidence of sight-threatening adverse events. Conclusion: Implantation of iStent inject (two second-generation trabecular micro-bypass stents) combined with cataract surgery is efficacious in reducing IOP and medication burden with a favorable safety profile in eyes with mild-to-severe NTG.
Language	English
Publishing date	2020-07-01
Publishing country	England
Document type	Journal Article
ISSN	2193-8245
ISSN	2193-8245
DOI	10.1007/s40123-020-00266-6
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