Eyeworld

SEP 2019

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

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N Contact information Name: by Title filtering area of the sclera. Slit lamp and anterior segment OCT showed a PRP clot filling the anterior chamber. Nd:YAG laser was performed (3–4 mJ/pulse, for 2 msec) 2 weeks later to dissolve the remnants of E-PRP stuck in the anterior chamber periphery. The patient's final mean IOP was 14 mm Hg. "The enhancing effect is attributed to platelet release growth factors: platelet derived growth factor (PDGF), vascular endothelial growth factor (VEGF), transforming growth factor beta, keratinocyte growth factor, epidermal growth factor, and fibroblast growth factor," she said. PRP was also applied in the eye of a 75-year-old female patient with a traumatic corneal opacity that led to blindness and a cosmetically deformed eye. The patient underwent keratopigmentation, with hypotony resulting from a microperforation due to thin cornea. PRP was injected in an attempt to close the corneal perforation internally. The treatment helped to regulate the patient's IOP, resulting in a final mean IOP of 13 mm Hg. Again, as in the previous case, Nd:YAG laser was success- fully carried out 12 days after the treatment to dissolve PRP remnants in the anterior chamber. Another case profiled a 7-year-old girl with juvenile rheumatoid arthritis and a cyclitic membrane that was revealed on both slit lamp and ultrasound examinations. Hypotony is an important complication in uveitis with on- set at a young age. The patient had a dramatic decrease in IOP that was not treatable by any traditional methods for 2 months. Dr. Al-Rahman injected the patient with E-PRP following the same regimen, to block the angle, reducing IOP to 12 mm Hg. Nd:YAG laser removed PRP remnants in the anterior chamber and there was a complete removal of the cyclitic membrane. The last case presented by Dr. Al-Rahman described an 88-year-old female patient who presented with ocular hypotension, macular edema, and elevated IOP following a nonfunctioning microvalve, resistant to all attempts at management. E-PRP was injected to block the iridodialysis and the outcome was a final mean IOP of 16 mm Hg. "PRP is safe and effective compared to traditional ways of hypotony management like contact lenses, silicone oil injection in the AC, viscoelastic injection in the AC, and transconjunctival flap suturing. Success is in your blood," she said. Our Charity Delivers High-Volume, Well-Equipped Phacoemulsification Projects to the Impoverished of Mexico. We are Now Recruiting Volunteer Phaco Surgeons for Our Upcoming Surgical Projects in 2020. Learn More About Us and Contact Us at: www.choseneyemission.com Are You a Phaco Surgeon Interested in Compassionate Surgery in the Developing World?

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