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M S Osher

Publications and source records attributed to M S Osher.

5 recordsLinked to original sources

Intraocular lenses: visual results and complications. A comparative study.

The visual results, and the complications, in 100 consecutive Copeland lens implantations combined with intracapsular cataract extraction, are compared with 100 age matched intracapsular cataract extractions without intraocular lens implantations. The visual results are not significantly different (Tables I and II). Patient satisfaction was excellent. The complications, likewise, are not significantly different (Tables III and IV). There were only two dislocations and one implant corneal touch that can definitely be attributed to the presence of an intraocular lens. The dislocations, although a nuisance, left no residual damage. Cystoid macular edema was no more frequent than without implantation. There were no retrolental membranes causing impairment of vision, no late anterior chamber hemorrhages from lens iris chafing or pressure and no lens related glaucoma. Iritis was insignificant and easily controlled with steroids in the few cases observed.

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The simple approach to intraocular lens implantation.

The Copeland intraocular lens implant combined with the intracapsular cataract extraction technique is relatively easy to do when first starting intraocular lens surgery. It does not require switching over to the extracapsular technique or using suture material to secure the implant. It can be done with a Loupe by those who do not use a microscope. The lens is hinged securely in the plane of the pupil and is immobile even with extensive eye movement. The planned implantation should be cancelled if the eye is not soft with a shrunken vitreous body immediately after the lens is extracted. The talked about complications of uveitis and posterior lens membrane may be avoided by the use of steroids and No. 10-0 Ethylon or No. 9-0 silk sutures. After doing, over the past two years, 55 Copeland iris plane lenses combined with intracapsular cataract extraction, I find it to be a relatively simple procedure. It is certainly easier than using intraocular lenses that require either the remnants of lens cortex or capsule for implant fixation, or the tying of No. 10-0 Ethylon suture inside the anterior chamber.

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