1.Toxic epidermal necrolysis
Rosalie Mae M. Reyes ; Jacinto Dy-Liacco
Philippine Journal of Ophthalmology 2011;36(1):42-45
Objective:
To recognize the common ocular signs and symptoms of toxic epidermal necrolysis (TEN), differentiate it from similar diseases, give the appropriate management, and provide continuity of care.
Methods:
This is a case report of a 21-year-old female patient admitted for ocular involvement of TEN secondary to an acute food reaction and an adverse drug reaction to intravenous cloxacillin.
Results:
The patient had hyperemic conjunctivae with infiltration, mucopurulent discharge, and pseudomembrane formation with a corneal epithelial defect. The ocular symptoms were treated with copious irrigation of the conjunctival sac, daily membrane peeling, topical antibiotics, and topical steroids. The patient was advised regular follow-up to prevent symblepharon formation.
Conclusion
With the appropriate diagnosis and management of TEN, ocular symptoms may be relieved and complications prevented.
Epidermal Necrolysis
;
Toxic Drug Toxicity Scalded-Skin Syndrome
2.Refractive and visual outcomes of surgical treatments for high myopia
Robert Edward T. Ang ; Maria Rachelle Katrina C. Solis ; Maria Luisa Patricia C. Solis ; Emmerson M. Cruz ; Albert G. Dela Cruz ; Rosalie Mae M. Reyes
Philippine Journal of Ophthalmology 2013;38(1):21-28
Objective:
To present the refractive and visual outcomes of refractive surgical treatment options in high myopia.
Methods
This was a retrospective review of patients diagnosed with high myopia (manifest refractive spherical
equivalent [MRSE] ≥-6.00D) who underwent one of the following procedures: laser-in-situ keratomileusis (LASIK),
photorefractive keratectomy (PRK), phakic IOL implantation with the Staar Implantable Collamer Lens (ICL), or
Alcon Cachet Phakic IOL. Eyes with best corrected distance vision of less than 20/30 due to amblyopia or other
eye pathologies were excluded.
Keratomileusis, Laser In Situ
;
Photorefractive Keratectomy
3.Incidence, indications, and outcomes of Yag Capsulotomy in eyes Implanted with an accommodating intraocular lens
Robert Edward T. Ang ; Angela Adelaida J. Samano ; Rosalie Mae M. Reyes ; Emerson M. Cruz ; Albert G. Dela Cruz ; Maria Luisa Patricia C. Solis
Philippine Journal of Ophthalmology 2013;38(1):13-20
Objectives:
To do report the incidence of capsular changes in Crystalens-implanted eyes and analyze the indications and outcomes of yag capsulotomy.
Methods:
We reviewed the records of 411 eyes of 258 patients implanted with the Crystalens IOL. Capsular change
indications for yag capsulotomy were posterior capsular opacification (PCO), lens tilt, and capsular striae. Eyes in
each indication were further subdivided into therapeutic yag (TY) and prophylactic yag (PY) groups. Outcomes
before and after yag capsulotomy were analyzed.
Results:
Ninety of 411 crystalens-implanted eyes (22%) had undergone yag capsulotomy. Sixty-one eyes had PCO,
12 had lens tilt, and 17 had striae. Twenty-seven eyes belonged to the therapeutic (TY) and 63 eyes to the prophylactic
(PY) yag subgroups. The mean interval between phacoemulsification and yag capsulotomy was 10 months. In the
TY PCO subgroup, uncorrected distance visual acuity (UDVA) changed from 20/40 pre-yag to 20/25 post-yag,
uncorrected near visual acuity (UNVA) from J3 to J2, manifest refraction spherical equivalent (MRSE) from -0.43D
to -0.2D. In the TY tilt subgroup, UDVA changed from 20/50 to 20/30, UNVA was unchanged at J2, and MRSE
from -1.21D to -0.89D. In the TY striae group, UDVA changed from 20/50 to 20/30, UNVA from J3 to J2, and
MRSE from 0.62D to -0.4D. In the PY PCO subgroup, UDVA was unchanged at 20/25, UNVA unchanged at J2,
and MRSE changed from -0.52D to -0.47D. In the PY tilt subgroup, UDVA changed from 20/25 to 20/20, UNVA
unchanged at J2, and MRSE changed from -0.87D to -0.45D. In the PY striae subgroup, UDVA was unchanged at
20/30, UNVA changed from J3 to J2, and MRSE changed from -0.62D to -0.7D.
Conclusion
Capsular changes occurred after Crystalens implantation that necessitated yag capsulotomy. Once
vision has deteriorated, a therapeutic yag treatment can help improve vision. If capsular changes have occurred but
vision has not deteriorated, a prophylactic yag capsulotomy can stabilize visual and refractive outcomes.
Multifocal Intraocular Lenses
;
YAG capsulotomy