Ophthalmic surgery Journal Impact Factor & Information

Journal description

Current impact factor: 0.00

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2002 Impact Factor 0.531
2001 Impact Factor 0.745
2000 Impact Factor 0.775
1999 Impact Factor 0.681
1998 Impact Factor 0.388
1997 Impact Factor 0.321

Impact factor over time

Impact factor

Additional details

5-year impact 0.00
Cited half-life 0.00
Immediacy index 0.00
Eigenfactor 0.00
Article influence 0.00
Other titles Ophthalmic surgery
ISSN 0022-023X
OCLC 1761334
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: We report seven cases of congenital absence of the lacrimal puncta, a condition that may be either an isolated finding or associated with other developmental anomalies. General pediatric evaluation of two patients with punctal agenesis revealed no additional abnormalities; these cases were managed by probing and silicone intubation. The other five cases were associated with other significant, clinically obvious abnormalities; several of these patients required more aggressive management of their lacrimal disorders, including dacryocystorhinostomy and conjunctivo-dacryocystorhinostomy. Previous reports support the impression generated by this series that otherwise normal appearing children with congenital absence of the lacrimal puncta do not require an extensive work-up. Probably many children with absent puncta are asymptomatic and remain undiagnosed.
    Ophthalmic surgery 12/1997; 26(1):53-6. DOI:10.1097/00002341-199712000-00018
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    ABSTRACT: Trabeculectomy outcome in pseudophakic glaucoma patients treated with mitomycin C (MMC) or 5-fluorouracil (5-FU) was analyzed retrospectively in 46 cases (46 eyes). Thirty patients received intraoperative MMC; 16, 5-FU. There were no significant differences between the two groups in terms of preoperative data (demographics, number of previous filtering procedures, visual acuity, and intraocular pressure [IOP]). After a mean follow up of 13.4 +/- 8.1 and 11.5 +/- 5.8 months for the 5-FU and MMC groups, respectively, 12 5-FU eyes (75%) and 21 MMC eyes (70%) were deemed at least qualified successes (IOP < or = 21 mm Hg with or without antiglaucoma medications). Six (37.5%) of the 5-FU eyes and 13 (43.3%) of the MMC eyes were complete successes (IOP < or = 21 mm Hg without antiglaucoma medications). There were no significant differences between the two groups in terms of duration of follow up, number of qualified successes, and number of complete successes (P = .35, .9, and .7, respectively). Nor were there any significant differences in the mean final IOPs and visual acuities. Excluding transient corneal effects associated with 5-FU therapy, there were no significant differences in the frequency of postoperative complications. These results suggest that 5-FU and MMC antiproliferative therapy are associated with similar short-term success rates and postoperative complications.
    Ophthalmic surgery 01/1995; 26(1):73-7.
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    ABSTRACT: In a prospective case series (consecutive patients) of 30 eyes from 30 subjects with medically uncontrolled glaucoma being treated at a hospital-based, referral glaucoma service, we sought to ascertain if a surgically obtained reduction of intraocular pressure (IOP) in human glaucomatous eyes is paralleled by an improvement of the visual field. Uncomplicated limbus-based trabeculectomy was performed in 13 men and 17 women familiar with computerized perimetry testing, with a pupil diameter of at least 4 mm (measured at the Goldmann perimeter bowl), a best-corrected visual acuity of 20/20 in both eyes, and a Mean Sensitivity (MS) index greater than 10 dB. The main outcomes measured were: visual field data (Octopus, program G1) and IOP (mean of the two highest values during the diurnal curve) obtained 3 days before and 3 months after surgery in both the operated and the fellow eyes. In the operated eyes, an increase of MS (from 17.2 +/- 2.4 to 18.9 +/- 2.8, P < .000001, paired samples two-tailed t test) was observed. Meanwhile, the Corrected Loss Variance (CLV) remained substantially the same (46.8 +/- 12.2 before, vs 47.3 +/- 13.4 after; P = .87, paired samples two-tailed t test). The increase in MS was positively correlated with the amount of IOP reduction (linear regression: r = 0.901, P < .00001). No statistically significant change of either MS or CLV values occurred in the fellow eyes. The correlation between the amount of IOP reduction and the increased MS suggests that, in the short term, reducing the IOP may improve visual function to some extent. The apparent lack of correlation between the amount of IOP reduction and the CLV may indicate that the depth of the preexistent glaucomatous scotomas remains unchanged.
    Ophthalmic surgery 01/1995; 26(2):121-6.
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    ABSTRACT: A 92-year-old man has had multiple recurrent oncocytic tumors involving the right paranasal sinuses and orbit. A benign oncocytoma that arose from the right lacrimal sac was initially diagnosed at age 80 years. The tumor recurred at 3 and 7 years after initial resection. There was greater histologic atypia in the first recurrent tumor, which extended into the right paranasal sinuses. The second recurrence had zones on oncocytic adenocarcinoma exhibiting prominent nuclear atypia and mitotic activity; this tumor massively invaded the right paranasal sinuses and orbit. We describe the clinical and pathologic features of this rare case.
    Ophthalmic surgery 01/1995; 26(4):377-9.
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    ABSTRACT: Excavated defects of the optic disc have been associated with retinal detachment in the macula and beyond. Included among these defects are congenital pits of the optic disc, optic nerve colobomas, and the morning glory syndrome. We report eight consecutive patients with congenital, excavated defects of the optic disc and associated retinal detachment managed with pars plana vitrectomy, laser photocoagulation, and intravitreal gas injection.
    Ophthalmic surgery 01/1995; 26(1):11-5.
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    ABSTRACT: Characteristics of alkalinized local anesthetics are poorly described with regard to stability and precipitation. Current fixed-volume methods of alkalinization often result in unstable, precipitated solutions of unpredictable pH. We determined a stable, nonprecipitating, anesthetic mixture and used it in a randomized double-blind crossover study of 21 patients to evaluate alkalinized anesthetic solutions in reducing pain on injection. Our solution significantly reduced pain associated with retrobulbar injection (analysis of variance, P = .0362) but not that associated with Nadbath injection. Fixed-volume alkalinization is not recommended because complications can result with the use of precipitated anesthetics.
    Ophthalmic surgery 01/1995; 26(3):194-9.
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    ABSTRACT: Mechanisms of posterior lens dislocation during phacoemulsification have been suggested, but the actual mechanism involved has not been demonstrated. Chart reviews of cataract surgeries performed at Indiana University from 1991 until the present identified nine cases of posterior lens dislocation that occurred during phacoemulsification. In four, the procedure was converted early to a can-opener capsulotomy. Cadaver eye studies showed the role of an imperfect capsulorhexis in extending tears while a "trap door" was being formed for posterior nuclear dislocation during phacoemulsification.
    Ophthalmic surgery 01/1995; 26(2):114-6.
  • Ophthalmic surgery 01/1995; 26(3):274-5.
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    ABSTRACT: This study evaluates the association between congenital ptosis and amblyopia. Amblyopia was detected in 7 of 36 (19%) patients with congenital ptosis. Two patients (6%) with amblyopia had no contributing factors other than the presence of congenital ptosis. A statistically significant correlation between severe nonocclusive ptosis (greater than or equal to 4 mm) and the development of amblyopia was identified. No new cases of amblyopia developed after surgical repair of the ptosis, suggesting early surgery for severe nonocclusive congenital ptosis may decrease the incidence of amblyopia.
    Ophthalmic surgery 01/1995; 26(4):334-7.
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    ABSTRACT: Arteriovenous malformations (AVMs) of the orbit are progressively enlarging communications between arteries and veins that bypass normal capillary beds. In contrast to arteriovenous fistulas (AVFs), AVMs are congenital lesions with multiple large feeding arteries, a central nidus, and numerous dilated draining veins. Management of AVMs of the orbit may be difficult due to the threat of hemorrhage, vascular occlusion during treatment, and collateral damage to surrounding organs. We managed AVM of the orbit and periorbital tissues in four patients. Neuroimaging studies, clinical decision making, operative experience, and long-term postoperative results were retrospectively reviewed. Four cases of AVM of the orbit and periorbital tissues were successfully treated with preoperative embolization and subsequent excision of the central nidus of the AVM. There was no evidence of recurrence in any of the cases over follow up ranging from 2 to 5 years. We conclude that identification of all arterial feeders, from both internal and external carotid systems, is critical in developing a therapeutic plan. AVMs may be treated by surgical excision alone, or embolization alone. However, in the hands of an experienced interventional neuroradiologist and an appropriately chosen surgical team, most AVMs can and should be treated by a combined approach of preoperative embolization followed by surgical excision of the vascular mass. The goal of therapy is closure of the low-resistance shunt.
    Ophthalmic surgery 01/1995; 26(2):145-52. DOI:10.1097/00002341-199712000-00015
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    ABSTRACT: The giant-pulse Neodymium:YAG laser, a recently developed laser source, delivers up to 200 W of peak power at pulse widths of 20 or 40 msec. The instrument can create a sclerostomy with minimal surrounding damage and, consequently, relatively little postsurgical inflammation and scarring. We tested its efficacy in performing ab-externo sclerostomy in 10 adult pigmented rabbits and in five patients with end-stage glaucoma. All of the animal eyes were hypotonus immediately after the procedure. However, the intraocular pressure increased gradually, and by the third day, returned to presurgical levels in all of the eyes. All five of the glaucoma patients treated had patent sclerostomies following the procedure. They all had early hypotony, but after 3 months, four of the five sclerostomies apparently failed. The giant-pulse Nd:YAG laser appears useful for performing sclerostomy, but modifications are needed to solve the problems of early hypotony and late closure of the fistulula.
    Ophthalmic surgery 01/1995; 26(1):68-72.
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    ABSTRACT: Results of penetrating keratoplasty in 443 eyes of 439 patients of active infective corneal ulcers, from a period of 10 years, were analyzed. All these eyes were proven refractory to maximal medical therapy for extended periods of time, in some cases more than 6 weeks. As the surgery was performed during the active stage, the outcome was not favorable functionally. Clinical cure was obtained, however, by therapeutic penetrating keratoplasty in all but 27 of these eyes. Of unsuccessful cases, 16 could be saved with additional medical therapy, two led to phthisis bulbi, and nine required repeat therapeutic penetrating keratoplasty. Complications encountered included disturbances in intraocular dynamics such as extrusion of the lens and vitreous during surgery, secondary rise of intraocular pressure leading to damage of the optic nerve, loss of the eye due to above factors, and reinfection. The anatomical success achieved was 97% with graft clarity of 2+ or more in 39% of eyes. Useful vision, ie, better than or equal to 6/60, was possible in 33% of eyes. Thus, therapeutic keratoplasty in refractory corneal ulcer still has scope in a Third-World country.
    Ophthalmic surgery 01/1995; 26(4):325-9.
  • Ophthalmic surgery 01/1995; 26(2):170.
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    ABSTRACT: Anterior synechiae that develop following keratoplasty may induce immunological graft rejection or graft failure. Current surgical techniques designed to remove the synechiae early on are quite cumbersome. We describe a simple technique of anterior synechiolysis, performed 1 to 4 weeks postoperatively, using a bent 26-gauge needle, that proved safe and effective in seven cases. The only complication was a hyphema in one case. None of the synechiae had recurred at the final follow up at 3 months.
    Ophthalmic surgery 01/1995; 26(3):264-6.
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    ABSTRACT: We describe two cases in which a new retinotomy technique is used to remove subretinal neovascular membranes. The direction and location of the retinotomy are of ultimate importance in prevention of damage to retinal nerve fibers and the corresponding visual field loss. The retinotomy is made with an angled 20-gauge needle in nondiathermized retina. The direction of the retinotomy is parallel to the nerve fiber layer and located over the subretinal neovascular membrane. No laser retinopexy was necessary after removal of the subretinal neovascular membrane.
    Ophthalmic surgery 01/1995; 26(4):330-3.
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    ABSTRACT: We investigated the use of tissue plasminogen activator (t-PA) as an adjunct to the surgical removal of subfoveal choroidal neovascular membranes. t-PA in a concentration of 6 micrograms/0.1 cc dissolved the fibrin rim surrounding recent subfoveal membranes but was less effective on more mature lesions. t-PA may be a useful intraoperative tool to limit the damage to surrounding structures during the surgical excision of recent subfoveal choroidal neovascular membranes with surrounding fibrin rims.
    Ophthalmic surgery 01/1995; 26(4):374-6.
  • Ophthalmic surgery 01/1995; 26(1):88.
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    ABSTRACT: This single-injection, peribulbar technique provides a painless and efficacious block without the need for intravenous supplements. One hundred consecutive patients achieved lid akinesia and complete akinesia and anesthesia of the globe by the transconjunctival route. Only 1% needed a supplemental injection, and complications were minor and infrequent.
    Ophthalmic surgery 01/1995; 26(3):200-4.
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    ABSTRACT: Tissue adhesive are commonly used in ophthalmology to seal small corneal perforations. We report a case of inadvertent instillation of cyanoacrylate adhesive (Histoacryl) in the anterior chamber resulting in polymerization of the glue on the corneal endothelial surface, with iridocorneal and iridolenticular adhesion.
    Ophthalmic surgery 01/1995; 26(3):256-8.
  • Ophthalmic surgery 01/1995; 26(4):383-4.