Digital Commons Network^™

Outcomes Of Intravitreal Injection Of Ranibizumab As Primary Monotherapy For Treatment-Requiring Retinopathy Of Prematurity, Hm. El-Sobky, Hm. Marey, Am. Habib, Ag. Zaky, Rm. Ashour, Ai. Basiony

Menoufia Medical Journal

Objective: This study aims to assess structural, refractive, and biometric outcomes and safety of intravitreal ranibizumab (IVR) for treatment requiring retinopathy of prematurity (ROP) 1-year post-IVR. Background: IVR has been proposed as alternative to conventional laser photocoagulation for treatment requiring ROP in different zones to achieve better structural and functional outcomes. Methods: A prospective case series conducted in in Menoufia university hospitals, Menoufia governorate, Egypt during the period from January 2021 to December 2022. Premature infants who met the eligibility criteria with type 1 pre-threshold ROP, threshold ROP and Aggressive-ROP (A-ROP) received IVR of 0.25mg (0.025 ml). Postoperatively, patients were …

Using Margin-Reflex Distance Versus Levator Function In Diagnosing Congenital Blepharoptosis, Sameh S. Mandour, Abdelkhalik Elsaadany, Salma E.H. Elsaify, Dalia S. Saif

Menoufia Medical Journal

Objective

To compare the different methods of clinical evaluation of upper eyelid congenital blepharoptosis and discuss the utility of margin-reflex distance (MRD1) over levator muscle function (LF) in choosing the appropriate surgical procedure for congenital blepharoptosis correction.

Background

The amount of the cornea covered by the eyelid varies, resulting in visual disturbances and cosmetic problems. Surgical correction is the mainstay treatment of congenital blepharoptosis; therefore, our study uses MRD as a determinant for choosing the appropriate surgical intervention for ptosis correction.

Patients and methods

This was a prospective study conducted on 20 patients with upper eyelid ptosis based on clinical …

Relationship Between Pterygium Size And Accuracy Of Intraocular Lens Power Calculation, Sara Salah Mohamed Abd El-Hameed, Nashwa Mohamed Lamie, Asmaa Mohammed Gamal El-Deen

Al-Azhar International Medical Journal

Background: Conjunctival tissue encroaches triangularly into the cornea to form pterygium. In a progressive pterygium, it may be red, thick, and fleshy, while in an atrophic pterygium, it may be pale, thin, and membranous. The precision of the estimated intraocular lens (IOL) power can be affected by significant corneal astigmatism brought on by a big pterygium.

Objective: To detect the relationship between pterygium size and its impact on IOL power calculation. That is for accurate calculation of IOL power before cataract surgery.

Patients and Methods: A prospective, non-randomized controlled clinical trail was performed at the ophthalmology department of Al-Zahraa University …

Activated Cgas/Sting Signaling Elicits Endothelial Cell Senescence In Early Diabetic Retinopathy, Haitao Liu, Sayan Ghosh, Tanuja Vaidya, Sridhar Bammidi, Chao Huang, Peng Shang, Archana Padmanabhan Nair, Olivia Chowdhury, Nadezda A. Stepicheva, Anastasia Strizhakova, Stacey Hose, Nikolaos Mitrousis, Santosh Gopikrishna Gadde, Thirumalesh Mb, Pamela Strassburger, Gabriella Widmer, Eleonora M. Lad, Patrice E. Fort, José-Alain Sahel, J Samuel Zigler, Swaminathan Sethu, Peter D. Westenskow, A D. Proia, Akrit Sodhi, Arkasubhra Ghosh, Derrick Feenstra, Debasish Sinha

Osteopathic Medicine, Jerry M. Wallace School of

Diabetic retinopathy (DR) is a leading cause of blindness in working-age adults and remains an important public health issue worldwide. Here we demonstrate that the expression of stimulator of interferon genes (STING) is increased in patients with DR and animal models of diabetic eye disease. STING has been previously shown to regulate cell senescence and inflammation, key contributors to the development and progression of DR. To investigate the mechanism whereby STING contributes to the pathogenesis of DR, diabetes was induced in STING-KO mice and STINGGT (loss-of-function mutation) mice, and molecular alterations and pathological changes in the retina were characterized. We …

Improved Tracking And Referrals For Vision And Dental Care For Patients With Hiv, Kory Tillery, Michelle Iandiorio

Quality Improvement/Patient Safety Symposium

BACKGROUND

Regular vision and dental care are important components of healthcare for persons with HIV (PWH). HIV infection is associated with a wide array of complications for both ocular and oral health regardless of severity of HIV disease. Ocular disease can range from opportunistic or associated infections (i.e cytomegalovirus retinitis, ocular syphilis); to inflammatory or degenerative disease (i.e retinal vasculopathy, optic neuropathy), or drug effects. Oral disease similarly encompasses infectious and noninfectious etiologies, including opportunistic infections (i.e., candidiasis, oral hairy leukoplakia), comorbid infections (i.e. herpes simplex virus, human papilloma virus, periodontitis/gingivitis), or inflammatory conditions (i.e. salivary gland disease). The Health …

Orbital Emergencies, Matthew Rappelt

Aurora GME

No abstract provided.

Barriers To Screening For Diabetic Retinopathy: A Scoping Review, Amy Cooper Rn, Bsn, Lajerica Bates Rn, Bsn, Julie Bridges Rn, Bsn, Laura Reed Dnp, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background

More than 34 million people in the United States have diabetes. Diabetic retinopathy (DR) is a major complication of diabetes and a leading cause of vision loss. Risk factors for diabetic retinopathy include Type 1 and Type 2 Diabetes, hypertension, smoking, and being African American or Hispanic/Latino. This scoping review seeks to analyze the current research on ways to increase vision screenings, thus reducing cases of diabetic retinopathy in adults.

Methods

Between September 2020 and November 2021, a search was conducted using PubMed, EBSCOhost, Medline, and CINAHL to identify articles using keywords such as diabetic retinopathy and ophthalmology. This …

When Mental Health Becomes Physical, Piper Fain

Honors Theses

Glaucoma, the presence of elevated intraocular pressure, has been shown to directly correlate to elevated blood pressure levels. Likewise, numerous studies have been conducted on the relationship between elevated blood pressure and anxiety in individuals suffering from both. One might wonder, then, if there is any correlation between glaucoma and anxiety? My thesis expands upon this question utilizing a survey distributed to patients at local optometry clinics.

Assessment Of The Nanodropper Eye Drop Adaptor For Glaucoma Medications, Nicholas Pryde, Parker J. Williams, Faisal Ridha Al-Timimi, John Michael Guest

Medical Student Research Symposium

Assessment of the Nanodropper Eye Drop Adaptor for Glaucoma Medications

Nicholas Pryde, BS¹; Parker J. Williams, DO ¹; John-Michael Guest, MD¹; Bret A. Hughes, MD¹; Faisal Ridha MD¹

¹Kresge Eye Institute and Wayne State University Department of Ophthalmology, Detroit, MI, USA

Purpose: To determine the dispensed volume change for seven medications with and without the Nanodropper adaptor.

Methods: Sequentially, 100 µL of each medication was dispensed by micropipette into a 1.5 mL Eppendorf tube, and mass without the tube was determined with a precision balance (Practum, Germany). The mean mass was …

Investigation Of Dosing Interval Differences For Nepafenac Ophthalmic Suspensions: A Suspension-Specific Pbpk Model With Improved In Vitro Dissolution Data, Xu Sun

Selected Full-Text Dissertations 2020-

Nepafenac is a nonsteroidal anti-inflammatory drug (NSAID) for the treatment of inflammation associated with cataract surgery. It is marketed as two ophthalmic suspensions—NEVANAC® (0.1% administered three times a day) and ILEVRO® (0.3% administered once a day). The primary mediator of pain relief is amfenac, which is a metabolite of nepafenac. The primary goal of this project was to explain how was the dosing interval affected by changes in formulation properties. The approach incorporated three novel elements. 1) A physiologically based pharmacokinetic (PBPK) model that is specific to this application for nepafenac and amfenac was constructed, which allowed tracking the specific …

The Value Of Positive Feedback: An Underutilized Tool In Ophthalmology Resident Education, Meagan Shinbashi

Health Sciences Education Symposium

Purpose/Background/Objectives: Little research has been performed on the use of positive feedback as a teaching tool in ophthalmology postgraduate medical education settings. Additionally, there is a paucity of research assessing the effectiveness of feedback from trainees’ perspectives. To address these gaps, we explored the effects of positive feedback on resident professional identity formation, performance, and wellness through a pilot program within the ophthalmology residency program’s wellness curriculum at Virginia Commonwealth University.

Methods: This study employed quantitative data collection through surveys before and after a positive feedback exercise activity of ophthalmology residents at the Virginia Commonwealth University Health System. Participants were …

Standardized Patient Simulations: A Pilot Program In The Ophthalmology Residency Curriculum, Yusrah Hasan

Health Sciences Education Symposium

Background: Patient simulations are being used to provide a safe environment for learners to practice giving bad news to patients.

Methods: This series of simulations was implemented at Virginia Commonwealth University Ophthalmology Residency program among three cohorts of residents in 2019, 2020 and 2021. Each simulation involves a case scenario in which the learner must synthesize clinical information to recognize a patient’s diagnoses and deliver bad news to the patient in a tactful manner.

Results: Post-simulation surveys were completed by the 2020 and 2021 cohort of residents. All learners felt that the experience improved their communication skills with patients. 44% …

Comparative Study Between Subthreshold (Micropulse) Laser Direct Application To The Edematous Macula Versus Direct Application To The Peripheral Healthy Retina In The Treatment Of Diabetic Macular Edema., Eslam Mahmoud Abdou Alharif, Hamed Nasr El-Din Taha, Mohamed Abdulbadie Rashed

Al-Azhar International Medical Journal

Background: Subthreshold (micropulse) laser is an effective modality in the treatment of diabetic macular edema that avoids possible complications of conventional laser photocoagulation and anti-vascular endothelial growth factor. Regardless of where the laser is applied, the retinal pigment epithelium is crucial for repair of both outer and inner blood retinal barriers.

Aim: To evaluate both anatomical and functional outcomes of direct application of subthreshold (micropulse) laser to the edematous macula versus to the peripheral healthy retina.

Patient and methods: This prospective interventional comparative randomized study was carried out on 30 eyes with diabetic macular edema divided into two groups. Group …

Evaluation Of Endothelial Cell Count Of Corneal Graft After Penetrating Keratoplasty, Alaa Mahmoud Mohamed Younis Soliman, Mahmoud Mohamed Ismail, Mohamed Alsadawy Hassan

Al-Azhar International Medical Journal

Background: A surgical procedure known as penetrating keratoplasty (PKP) involves replacing donor tissue throughout the entire recipient corneal thickness. Good to exceptional quality donor corneal tissues are preferred by PKP surgeons because they give enough endothelial cells for a lifetime.

Objective: The aim of the study was to assess endothelial cell count one and half month after penetrating keratoplasty (PKP) by using specular microscopy. Method: It is cross-sectional, descriptive Study which done at Giza memorial institute of ophthalmic research from September 2021 to June 2022. This study WAS performed on 30 eyes of 30 patients that underwent penetrating keratoplasty. Results:Comparison …

Lower Eyelid Blepharoplasty With Fat Transposition: A Comparative Study Between Subperiosteal Plane Versus Supraperiosteal Plane Procedures, Ahmed Samy Abdelmonem, Mohamed Ahmed El Malah, Omar Hassan Salama

Al-Azhar International Medical Journal

Abstract

Background: Whether fat is moved into the subperiosteal or supraperiosteal plane, transconjunctival blepharoplasty with fat relocation is performed safely with great outcomes. Although there are differences in the two treatments' immediate postoperative course, both have comparable and great long-term outcomes.

Objective: Of the study is to assess effectiveness, technique and drawbacks of fat transposition using subperiosteal against supraperiosteal planes during transconjunctival lower blepharoplasty.

Methods: Prospective, interventional, randomised comparative research, 30 individuals (60 eye lids) with lower eyelid fat bags and tear trough abnormality were randomly chosen. Research was done between July 2019 and December 2022. At Cairo's Al-Azhar University …

Comparative Study Between Torsional Phacoemulsification And Longitudinal Phacoemulsification In Their Effect On Corneal Endothelium Using Specular Microscopy., Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background The cornea is formed of 5 layers, Endothelium is that most posterior layer which is responsible for keeping cornea dehydrated. Loss of corneal endothelium is a sideeffect of many cataract surgeries that may influence postoperative visual outcome of the patients. Our study aims to compare torsional phacoemulsification and longitudinal phacoemulsification in their effect on corneal endothelium using specular microscopy. Patients and Methods We will compare the corneal endothelium parameters (central density of cells & cell loss, alterations in shape & size) afterward torsional phacoemulsification and longitudinal phacoemulsification in this prospective randomized study. 50 eyes with nuclear cataracts in grades …

Efficacy Of Micropulse (Subthreshold) Argon Laser Trabeculoplasty In Primary Open Angle Glaucoma, Mohamed Fayez Saady, Sayed Abbas Sayed, Anas Malek Ibrahim

Al-Azhar International Medical Journal

Background: Primary open-angle glaucoma (POAG) is an adult-onset, slowly progressing optic neuropathy characterized by the atrophy of the optic nerve and the death of retinal ganglion cells and their axons over time, The introduction of micro pulse laser trabeculoplasty (MLT) has allowed for the safe and effective treatment of several retinal maculopathies. This is achieved using a duty cycle algorithm that provides subthreshold therapy to ocular tissues without scar formation. Objective: Evaluation of subthreshold (MLT) efficacy in primary open angle glaucoma management. Methods: We conduct a randomized prospective case series study of primary open angle glaucoma cases. Including 40 eyes …

Effect Of Corneal Collagen Cross Linking On Crystalline Lens Clarity Graded By Pentacam Nucleus Staging Software, Amr Ehab Fahmy, Ahmed Hassan Barrada, Mahmoud Mohammed Ahmed

Al-Azhar International Medical Journal

Background: discuss the effect of ultraviolet rays (UVR) emitted during corneal collagen crosslinking (CXL) on cataract development in keratoconic patient in Cairo, Egypt.

Methods: We performed a study that describes the effect of CXL on human lens clarity, one hundred eyes were investigated by oculus pentacam in the Egyptian armed forces hospital at kobri el kobba in collaboration with Al-Azhar university hospitals diagnosed from January 2021.

Results: Our study reported that CXL has a highly significant effect in developing lens opacities specially the older age and small anterior chamber (AC) depth and reported also its affection on visual acuity (VA). …

Pentacam Topography And Macular Optical Coherence Tomography Findings In Eyes Presenting With Refractive And Axial Myopia, Adel Abd Elaziz Hassouna, Hassan Metwally Bayoumi, Ammar Ibrahim Mohammed Nassar

Al-Azhar International Medical Journal

Background: Myopia is circular refractive error in which parallel light rays enter eye and shift point of conjugate focus anteriorly in front of retina. High myopia is usually with (>−6.00 SD) or axial length (AL) more than 26 mm. Aim and objectives: Goal of research is to identify the results in eyes presenting with refractive and axial myopia using macular optical coherence tomography & pentacam. Subjects & techniques: research is prospective research that will be carried out on 60 eyes with high myopia more than or equal -6SD. Ages ranging from 20 to 70 years old. They will be …

Effect Of Intravitreal Injection Of Ranibizumab (Lucentis) On Corneal Biomechanics, Adel Mohamed Abdul Wahab Khalil, Mona Elsayed Aly Hassan, Eman Mohamed Hassan Elkarnshawy

Al-Azhar International Medical Journal

Background: Corneal biomechanics has become an interesting material for the research and progress in modern ophthalmology due to its many uses .In the glaucoma field, biomechanically corrected IOP was measured .Also,in pre-operative assessment in refractive surgery ,KC and CXL.

Corvis ST is a dynamic Scheimpflug technology measures in details the cornea's biomechanical reaction to an air pulse. Intravitreal anti VEGF treatment causes decrease of VEGF levels and shift of CTGF /VEGF balance in favor of CTGF which is present in various tissues as cornea and sclera causing angiofibrotic switch.

Aim of the work : To assess effect of intravitreal injection …

Measurement Of Sub-Foveal Choroidal Thickness In Hyperthyroid Patients With Thyroid Associated Ophthalmopathy Using Spectral Domain Oct, Mohamed Khedr Mohamed, Mostafa El-Sayed Mostafa Elewa, Mazy Sobhy Hamed Ahmed

Al-Azhar International Medical Journal

Introduction: Thyroid associated ophthalmopathy (TAO), also identified as Graves’ ophthlamopathy or dysthyroid opthhalmopathy, is the most frequent extra-ocular manifestation of thyroid dysfunction. Aim: Purpose of this research was to measure the central choroidal thickness in hyperthyroid cases with active and inactive TAO with Optical Coherence Tomography (OCT) & compare it to the control group. Patients and methods: The research was a cross-sectionally in Al-Azhar University hospitals and National Institute of Diabetes and Endocrinology. Patients recruited for the study classified into two groups: (A): 15 eyes of hyperthyroid cases with TAO. (B): 15 eyes of healthy participants as control group. Results: …

Phacoemulsification With Goniotomy Using Kahook Dual Blade Versus Phacoemulsification With Subscleral Trabeculectomy In Management Of Primary Open Angle Glaucoma, Mahmoud Hazem Abd El Maksoud El Deeb, Mahmoud Hamed Allam, Abd Elkader Sayed Abd Elkader

Al-Azhar International Medical Journal

BACKGROUNDː Glaucoma surgeries result in substantial intaocular pressure (IOP) reductions but associated with significant risks. Recently, new surgical techniques needed to achieve more IOP reduction with satisfactory safety profile.

Aim of work: Compare phacoemulsification and goniotomy with the Kahook Dual Blade versus phacoemulsification with subscleral trabeculectomy showing their impact on glaucoma surgery.

Methodology: This prospective, randomized, comparative study included 40 patients above age of 40 of both genders diagnosed as primary open angle glaucoma. The patients were assigned into two equal groups: using the Kahook Dual Blade and traditional sub scleral trabeculectomy. Evaluation of visual acuity and measurement of IOP …

Tear Film Changes After Autologous Serum In Managment Of Dry Eye Using Ocular Surface Analyser, Mohamed Khedr Mohamed, Mostafa Elsayed Elewa, Mohamed Hussein Mohamed Alashmawi

Al-Azhar International Medical Journal

Background; The aetiology of dry eye disease includes abnormalities in the neurosensory system, ocular surface inflammation, tear film instability, as well as hyperosmolarity (DED), a multifactorial ocular surface condition with absent tear film homeostasis and uncomfortable eyes, Aim and objectives; to detect changes in the tear film in patients of sever dry eye disease (DED) after Autologous serum (AS) using ocular surface analyzer (OSA), Subjects and methods; In this interventional trial, autologous serum eye drops were administered to 10 patient eyes. who presented to the AL-Azhar University's department of ophthalmology with a moderate to severe dry eye disease. Tear .The …

Assessment Of Retinal And Choroidal Circulation In Post Covid-19 Patients, Hassan Mohammad Hegazy, Ahmad Elsayed Hodeeb, Mohammad Abdelghany Mohammad Aboseada

Al-Azhar International Medical Journal

Background: Numerous ocular signs have been documented as a result of COVID-19 infections, in addition to severe systemic disease. These manifestations included choroidal and retinal changes. This study aimed to investigate the rate of retinal and choroidal circulation in post COVID-19 patients.

Aim of the work: To assess retinal and choroidal circulation in post COVID-19 patients.

Patient and methods: In an observational cross-sectional study, 40 eyes of 20 post-COVID-19 patients attending ophthalmology outpatient clinics of Al-Azhar University hospitals were recruited in the period from mid-June 2022 for 6 months. The following data were collected: Detailed medical history, Complete ophthalmological examination …

Role Of Epithelial Mapping In Differentiation Between Early Keratoconus And High Regular Astigmatism Using Anterior Segment Optical Coherence Tomography, Mustafa Muhammed Badawi, Ahmed Salah Abdel Rehim, Abdel Ghany Ali El Gabbar

Al-Azhar International Medical Journal

Background: Epithelial thickness mappig can be used adjunctive tool for sensitivity and specificity improvement in early detection of keratoconus screening using Anterior Segment Optical Coherence Tomography. Aim: to detect the role of epithelial thickness mapping in early detection and differentiation between early keratoconus and high regular astigmatism. Patients and Methods: A cross-sectional observational study included 25 eyes of early keratoconus cases and 25 eyes of high regular astigmatism controls conducted at Magrabi Eye Hospital –Tanta between October 2021 and August 2022. Results: our findings revealed that the mean central epithelial thickness was significantly thinner in early keratoconus eyes (49.84 ± …

Effect Of Corneal Collagen Cross Linking For Keratoconus On The Ocular Higher Order Aberrations Corneal Collagen Cross Linking Effect, Mohamed Abd El-Hamid Abo El-Enin, Abd El-Maged Mohamed Tag El-Din, Ahmed Shaker Abu-Elkhier Zordok

Al-Azhar International Medical Journal

Background: Keratoconus (KC) is a non-inflammatory progressive central or paracentral thinning of the cornea that leads to poor vision, irregular astigmatism, development of myopia, and rising higher-order aberrations (HOAs). Aim and objectives: The purpose of this research is to determine the efficacy of corneal collagen cross linking in addressing higher order aberrations in keratoconic eyes. Subjects and methods: This study was a prospective interventional study. Fifty eyes diagnosed with keratoconus had originally scheduled corneal collagen Cross linking. Results: The Root Mean Squar RMS of higher order aberrations decreased from 1.62 ± 0.86 to 1.48 ± 0.75, Coma decreased from 0.73 …

Central Corneal Thickness And Corneal Hysteresis Together With Corrected Intraocular Pressure In Normal Population, Ghada Mohammed Rasheed Abdelaziz, Sawsan Abdelsabour Shalaby, Hossam Abdelmonem Ziada

Al-Azhar International Medical Journal

Background: Cornea is the transparent window on the front of the eye with a dome shape. The cornea forms the anterior part of the eye outer coat. This coat's primary function is to protect the intra ocular components. The cornea serves as a structural barrier and guards the eye against infections. It offers the eye's anterior refractive surface with the tear film. Two-thirds of the eye's refractive power contributed by the cornea

Objective: The study aims to report and correlate central corneal thickness (CCT) by Pentacam, .corneal hysteresis (CH), corneal resistance factor. (CRF), corneal compensated intraocular pressure. (IOP cc), and …

Assessment Of Contrast Sensitivity And Wavefront Analysis After Aspheric And Spherical Intraocular Lens Implantation., Mohamed Hassan Ali Mohamed, Mohamed Amin El Masry, Hassan Metwally Baiuomy

Al-Azhar International Medical Journal

Purpose: to evaluate the changes in contrast sensitivity and wavefront high-order aberrations of eyes implanted with aspheric intraocular lenses in comparison with those with standard spherical intraocular lenses.

Methods: The 40 patients' eyes were included in this comparative prospective investigation. There were two sets of participants in this study, A and B, each with an equal number of eyes. (20). Group (A): underwent standard phacoemulsification with the implantation of an AcrySof IOL (SA60AT), a single-piece, spherical monofocal IOL Alcon Laboratories, Inc. The AcrySof IQ IOL (SN60WF), an aspheric monofocal IOL, was implanted in Group B using standard phacoemulsification techniques; Alcon …

Tear Film Changes After Dacryocystorhinostomy Using Ocular Surface Analyzer, Omar O. Abdrabbou, Mohamed A. E. Mahdy, Mostafa O. Hussien

Al-Azhar International Medical Journal

Background: Tear film experience some changes after dacryocystorhinostomy. Detecting these changes is mandatory to reach the proper treatment and good postoperative outcomes.

Objective: This study aims to detect changes in the tear film in patients after dacryocystorhinostomy (DCR) using ocular surface analyzer (OSA).

Patients and Methods: Thirty eyes of twenty studied cases with primary developed nasolacrimal duct obstruction (PANDO) had been contained. They underwent DCR and tear film was assessed clinically, using OSA and shirmer test.

Results: The research found that lipid layer thickness (LLT) was rised from 63.5 nm preoperative to (76.4 nm and 68.07 nm) at one and …

Foldable Intra Ocular Lens Hydroimplantation Versus Viscoimplantation During Phacoemulsification: Comparative Study, Mahmoud Ali Kotb Koritenah, Mohamed Abdel-Monem Mahdy, Mostafa Osman Hussein

Al-Azhar International Medical Journal

Background: Viscosurgical devices created a revolution in progress of cataract surgery but with great advancement in cataract surgery and their corneal incisions, anterior chamber and bag stability can be achieved with other methods otherwise viscosurgecal devices and the best method is hydroimplantation. Hydroimplantation can achieve the same effect like viscoimplantation with achieving approximate safety on ocular structures especially corneal endothelium and posterior capsule.

Purpose: To compare implantation of a singl-piece, foldable intraocular lens (IOL) using hydroimplantation to that of a standard implantation using an ophthalmic viscoelastic device ( OVD) in terms of safety, frequency of complications during implantation, influence of …