19 results on '"Patnaik, Jennifer L"'
Search Results
2. Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery.
- Author
-
Gill ZS, Marin AI, Caldwell AS, Mehta N, Grove N, Seibold LK, Puente MA, De Carlo Forest TE, Oliver SCN, Patnaik JL, and Manoharan N
- Subjects
- Humans, Female, Diabetic Retinopathy diagnosis, Diabetic Retinopathy epidemiology, Ophthalmology, Diabetes Mellitus, Type 2 complications, Limited English Proficiency, Macular Edema epidemiology, Macular Edema etiology, Cataract complications, Cataract epidemiology
- Abstract
Purpose: To investigate the relationship between limited English proficiency (LEP) and diabetic retinopathy (DR) in patients presenting for cataract surgery., Methods: This is a retrospective observational study of patients who underwent cataract surgery between January 2014 and February 2020. Patients who self-identified as needing or preferring an interpreter were defined as having LEP. Differences in demographics, characteristics, and outcomes including history of type 2 diabetes (T2DM), DR, preoperative best corrected visual acuity (BCVA), macular edema, and anti-vascular endothelial growth factor injections were analyzed. Statistical comparisons were assessed using logistic regression with generalized estimating equations., Results: We included 13,590 eyes. Of these, 868 (6.4%) were from LEP patients. Patients with LEP were more likely to be Hispanic (P < 0.001), female sex (P = 0.008), or older age (P = 0.003) and have worse mean BCVA at presentation (P < 0.001). Patients with LEP had a significantly higher rate of T2DM (P < 0.001), macular edema (P = 0.033), and DR (18.1% vs. 5.8%, P < 0.001). Findings remained significant when controlling for age, sex, race/ethnicity, and type of health insurance. Patients with LEP and DR were more likely to have had later stages of DR (P = 0.023)., Conclusions: Patients with LEP presenting for cataract surgery had a higher rate of DR and associated complications compared to patients with English proficiency. Further studies are needed to understand how language disparities influence health and what measures could be taken to improve healthcare in this vulnerable population., Translational Relevance: Our study highlights healthcare disparities within ophthalmology and emphasizes the importance of advocating for improved healthcare delivery for patients with LEP.
- Published
- 2023
- Full Text
- View/download PDF
3. Outcomes and Risk Factors for Complications in Cataract Patients with Hepatitis C Virus Infection.
- Author
-
Christopher KL, Patnaik JL, Penland KJ, Pantcheva MB, Lynch AM, and Ifantides C
- Subjects
- Humans, Hepacivirus, Lens Implantation, Intraocular adverse effects, Retrospective Studies, Alanine Transaminase, Postoperative Complications epidemiology, Postoperative Complications etiology, Risk Factors, Intraoperative Complications etiology, Cataract complications, Cataract epidemiology, Cataract Extraction adverse effects, Hepatitis C complications, Hepatitis C epidemiology
- Abstract
Purpose: To describe outcomes of patients with hepatitis C virus (HCV) seropositivity undergoing cataract surgery, as well as investigate risk factors for surgical complications., Methods: This is a retrospective cohort study of all consecutive patients who underwent cataract surgery at a tertiary care hospital in the United States between 2014 and 2019. The exposure of interest was HCV seropositivity and outcomes included surgical complications and associated risk factors, visual acuity, and post-operative complications., Results: A total of 11,276 eyes of 6,858 patients were included in the study, of which 122 patients (1.78%) and 210 eyes (1.86%) were HCV positive. Average age at surgery was 63.4 (8.4) years for HCV positive patients and 69.1 (10.6) years for HCV negative patients. Patients with HCV were more likely to suffer a complication during cataract surgery, 2.9% versus 1.2% (OR 2.27, 95% CI 1.03 to 5.01, p = .0415). Postoperative best corrected visual acuity was excellent: median and range 0.00 (-0.13, 3.00) logMAR for HCV positive eyes versus 0.00 (-0.30, 3.00) logMAR for HCV negative eyes. Among HCV positive patients, elevated alanine transaminase (>52 U/L) was associated with a higher intraoperative complication rate (10.0% vs 1.8%, OR 5.53, 95% CI 1.05 to 29.2, p = .044)., Conclusion: While patients with HCV are more likely to have complications during cataract surgery, final best corrected visual acuity was excellent regardless of HCV status. Patients with HCV are more likely to undergo cataract surgery at a younger age, and those with elevated alanine transaminase are at highest risk for complications.
- Published
- 2023
- Full Text
- View/download PDF
4. Comparison of cataract surgery outcomes in patients with type 1 vs type 2 diabetes mellitus and patients without diabetes mellitus.
- Author
-
Xia JL, Patnaik JL, Lynch AM, and Christopher KL
- Subjects
- Humans, Retrospective Studies, Diabetes Mellitus, Type 2 complications, Diabetes Mellitus, Type 1 complications, Diabetes Mellitus, Type 1 surgery, Cataract Extraction, Cataract complications, Diabetic Retinopathy complications, Retinal Detachment surgery
- Abstract
Purpose: To report outcomes of cataract surgery in type 1 diabetes mellitus (T1DM) compared with type 2 diabetes mellitus (T2DM) and patients without diabetes mellitus (DM)., Setting: Academic tertiary referral university hospital eye center, Aurora, Colorado., Design: Retrospective chart review using the University of Colorado Cataract Outcomes Database for all cataract surgeries between 2014 and 2020., Methods: Demographics, ocular history, and postoperative outcomes were compared across groups using general linear and logistic regression modeling with estimating equations to account for some patients having 2 eyes included., Results: 8117 patients and 13 383 eyes were included. Compared with T2DM eyes undergoing cataract surgery (n = 3115), T1DM eyes (n = 233) were more likely to have a history of diabetic retinopathy (DR) (60.5% vs 23.6%, P < .0001), of which proliferative DR was the most common (63.1% vs 42.4%, P < .0001). T1DM eyes were also more likely to have a history of retinal detachment (RD) (9.0% vs 2.9%, P < .0001) and prior vitrectomy surgery (12.9% vs 4.0%, P < .0001). Despite having similar preoperative corrected distance visual acuity (CDVA) as T2DM eyes (logMAR 0.52 vs 0.44, P = .092), T1DM eyes had worse CDVA after cataract surgery (logMAR 0.27 vs 0.15, P = .0003). In a multivariate analysis, a history of proliferative DR and prior RD were significant predictors of worse postoperative CDVA ( P < .0001) but type of DM was not ( P = .894)., Conclusions: T1DM eyes have worse visual outcomes after cataract surgery compared with T2DM eyes. Worse postoperative visual acuity was associated with worse preoperative DR and history of RD rather than type of DM., (Copyright © 2023 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.)
- Published
- 2023
- Full Text
- View/download PDF
5. Comparison of cataract surgery outcomes in English proficient and limited English proficiency patients.
- Author
-
Gill ZS, Caldwell AS, Patnaik JL, Marin AI, Mudie LI, Grove N, Ifantides C, Ertel MK, Puente MA, and Seibold LK
- Subjects
- Humans, Retrospective Studies, Communication Barriers, Limited English Proficiency, Cataract, Phacoemulsification
- Abstract
Purpose: To determine differences in cataract surgery outcomes between English proficient (EP) and limited English proficiency (LEP) patients., Setting: Sue Anschutz-Rodgers Eye Center, Aurora, Colorado., Design: Retrospective., Methods: Patients who underwent phacoemulsification at the Sue Anschutz-Rogers Eye Center between January 2014 and February 2020 were included. Patients who self-identified as needing or preferring an interpreter in medical encounters were defined as LEP. Differences in surgical characteristics and outcomes including cataract maturity, surgical complexity, and surgical complications were analyzed., Results: 868 eyes (6.4%) were identified from LEP patients. LEP patients were more likely to have mature cataracts (5.1% vs 2.3%, P < .0001). LEP patients' surgeries were more likely to be considered complex (27.8% vs 15.3%, P < .0001) and use higher cumulative dissipated energy (mean of 9.5 [SD = 9.5] vs 7.2 [SD = 7.1], P < .0001). Preoperative visual acuity was worse in LEP patients (logMAR 0.566 [SD = 0.64] vs 0.366 [SD = 0.51], P < .0001) but showed greater improvement after surgery (logMAR 0.366 [SD = 0.54] vs 0.254 [SD = 0.41], P < .0001). There were no significant differences in operative time, intraoperative or postoperative complications. More LEP patients were on steroids 4 weeks postoperatively when compared with EP patients (14.6% vs 10.1%, P < .0002). LEP patients were less likely to undergo subsequent YAG capsulotomy (7.3% vs 12.8%, P < .0001)., Conclusions: Disparities in cataract outcomes between EP and LEP patients was demonstrated. Further research into ophthalmic health disparities for LEP patients is needed to understand the root causes and how they can be addressed., (Copyright © 2023 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.)
- Published
- 2023
- Full Text
- View/download PDF
6. Risk of posterior capsule rupture in patients with type 2 diabetes mellitus and diabetic retinopathy during phacoemulsification cataract surgery.
- Author
-
Dawson VJ, Patnaik JL, Wildes M, Bonnell LN, Miller DC, Taravella MJ, Lynch AM, and Christopher KL
- Subjects
- Humans, Cataract complications, Cataract Extraction, Diabetes Mellitus, Type 2 complications, Diabetic Retinopathy diagnosis, Diabetic Retinopathy etiology, Phacoemulsification adverse effects
- Published
- 2022
- Full Text
- View/download PDF
7. Predictors of Pseudophakic Retinal Tears at a Tertiary Care Academic Medical Center.
- Author
-
Fonteh CN, Patnaik JL, Grove NC, Lynch AM, and Christopher KL
- Subjects
- Academic Medical Centers, Case-Control Studies, Female, Humans, Intraoperative Complications epidemiology, Lens Implantation, Intraocular methods, Male, Retrospective Studies, Tertiary Healthcare, Cataract complications, Myopia complications, Retinal Detachment surgery, Retinal Perforations diagnosis, Retinal Perforations epidemiology, Retinal Perforations etiology
- Abstract
Purpose: To describe the incidence and identify risk factors for retinal tears (RTs) among patients who underwent cataract phacoemulsification surgery and to describe the timing and features of the RTs., Design: Retrospective case-control study., Subjects: Patients who underwent cataract phacoemulsification surgery between January 2014 and December 2019 at an academic eye center in Colorado., Methods: Information was extracted from medical chart review into a cataract outcomes database. Measures of association and P values were determined from logistic regression models with generalized estimating equations to account for some patients having 2 eyes included in the database., Main Outcome Measures: The diagnosis of RTs within 1 year after cataract surgery. The incidences of RTs were analyzed by demographics, comorbid medical history, ocular characteristics, surgical characteristics, and intraoperative complications., Results: In total, 13 007 cataract surgeries were included in the analysis, of which 79 (0.6%) eyes developed RTs within 1 year after cataract surgery. Men and patients aged <65 years had higher incidences of RTs (0.8% vs. 0.5% [men vs. women], P = 0.0175; 1.0% vs. 0.2% [age <65 years vs. age >75 years], P = 0.0001). The mean preoperative best-corrected visual acuity was better for the RT group (logarithm of the minimum angle of resolution 0.252 vs. 0.366, P = 0.0073). Patients with RTs had a higher rate of pre-operative high myopia (<=-6.0D) (1.4%) in comparison with patients with low myopia (<-1D and >-6D) (0.7%), emmetropia (<1.0D and >-1.0D) (0.4%), and hyperopia (>1.0D) (0.2%), P = 0.0006. Patients with intraoperative complications had a higher incidence of RTs (4.2%, P < 0.0001). The mean time from cataract surgery to RTs was 128 (standard deviation, 110) days. Most RTs were symptomatic (57.0%), located in the superior hemisphere (83.5%), and 40.5% were diagnosed concurrently with a retinal detachment. The multivariable model resulted in intraoperative complications, axial length, and preoperative visual acuity having the strongest association with RT., Conclusions: Patients with better preoperative visual acuity, eyes with longer axial length, and eyes with intraoperative complications were at an increased risk of RTs after cataract surgery. Careful counseling is important, and postoperative follow-up is advised for patients identified preoperatively as being at an elevated risk of RTs, given the large rate of asymptomatic RTs and high rate of progression to retinal detachment., (Copyright © 2022 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
8. Cataract Surgery Outcomes in Human Immunodeficiency Virus Positive Patients at a Tertiary Care Academic Medical Center in the United States.
- Author
-
Miller DC, Patnaik JL, Palestine AG, Lynch AM, and Christopher KL
- Subjects
- Academic Medical Centers, HIV, Humans, Postoperative Complications, Retrospective Studies, Tertiary Healthcare, Treatment Outcome, United States epidemiology, Cataract
- Abstract
Purpose : To compare cataract surgery complications and visual outcomes in patients with and without human immunodeficiency virus (HIV). Methods : A retrospective cohort study was conducted on eyes undergoing phacoemulsification cataract surgery at an academic eye center from 1/1/2014 to 8/31/18. Outcomes included best corrected distance visual acuity (CDVA), intraoperative complications, cystoid macular edema (CME), and persistent anterior uveitis (PAU). Binary outcomes were analyzed using logistic regressions with generalized estimating equations. Visual outcomes were analyzed using a linear mixed model. Results : 9756 eyes from 5988 patients were included in the analysis. Of these, 66 eyes from 39 patients were HIV positive (HIV+). HIV+ patients were significantly younger at the time of surgery than HIV negative patients ( p < .0001). Among HIV+ patients with available lab data, the mean CD4 count was 697.3 (SD = 335.7), and 48.7% of subjects had an undetectable viral load. Five eyes from three HIV+ patients had a history of cytomegalovirus retinitis (CMVR). Positive HIV status was not associated with increased risk of intraoperative complications. Post-operative CDVA was better in the HIV negative group compared to the HIV+ group but not significantly different (about 20/24 vs. 20/28, p = .0829). Eyes from HIV+ patients were at increased risk of developing PAU after surgery (adjusted OR = 6.04, 95% CI: 2.42-15.1, p = .0001), as well as CME (adjusted OR = 3.25, 95% CI: 1.02-10.4, p = .0470). Conclusions : Eyes from HIV+ patients were at greater risk of developing PAU and clinically significant CME; however, HIV+ patients had similar CDVA after cataract surgery compared to HIV negative patients.
- Published
- 2021
- Full Text
- View/download PDF
9. Advanced glycation end products in human diabetic lens capsules.
- Author
-
Rankenberg J, Rakete S, Wagner BD, Patnaik JL, Henning C, Lynch A, Glomb MA, and Nagaraj RH
- Subjects
- Aged, Blood Glucose metabolism, Capsulorhexis, Cataract pathology, Chromatography, Liquid, Diabetes Mellitus metabolism, Diabetes Mellitus pathology, Diabetic Retinopathy pathology, Female, Glycated Hemoglobin metabolism, Humans, Lens Capsule, Crystalline pathology, Male, Middle Aged, Tandem Mass Spectrometry, Cataract metabolism, Diabetic Retinopathy metabolism, Glycation End Products, Advanced metabolism, Lens Capsule, Crystalline metabolism
- Abstract
Advanced glycation end products (AGEs) accumulate with age in human lens capsules. AGEs in lens capsules potentiate the transforming growth factor beta-2-mediated mesenchymal transition of lens epithelial cells, which suggests that they play a role in posterior capsule opacification after cataract surgery. We measured AGEs by liquid chromatography-mass spectrometry in capsulorhexis specimens obtained during cataract surgery from nondiabetic and diabetic patients with and without established retinopathy. Our data showed that the levels of most AGEs (12 out of 13 measured) were unaltered in diabetic patients and diabetic patients with retinopathy compared to nondiabetic patients. There was one exception: glucosepane, which was significantly higher in diabetic patients, both with (6.85 pmol/μmol OH-proline) and without retinopathy (8.32 pmol/μmol OH-proline), than in nondiabetic patients (4.01 pmol/μmol OH-proline). Our study provides an explanation for the similar incidence of posterior capsule opacification between nondiabetic and diabetic cataract patients observed in several studies., (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
10. Comparison of refractive prediction for intraoperative aberrometry and Barrett True K no history formula in cataract surgery patients with prior radial keratotomy.
- Author
-
Dawson VJ, Patnaik JL, Ifantides C, Miller DC, Lynch AM, and Christopher KL
- Subjects
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Intraoperative Period, Lenses, Intraocular, Male, Middle Aged, Myopia complications, Myopia physiopathology, Retrospective Studies, Aberrometry methods, Cataract complications, Cataract Extraction methods, Keratotomy, Radial methods, Myopia surgery, Optics and Photonics, Refraction, Ocular physiology
- Abstract
Purpose: To compare prediction errors of the Barrett True K No History (Barrett TKNH) formula and intraoperative aberrometry (IA) in eyes with prior radial keratotomy (RK)., Methods: A retrospective, non-randomized study of all patients with RK who underwent cataract surgery using IA at the UCHealth Sue Anschutz-Rodgers Eye Center from 2014 to 2019 was conducted. Refraction prediction error (RPE) for IA and Barrett TKNH was compared. General linear modelling accounting for the correlation between eyes was used to determine whether absolute RPE differed significantly between Barrett TKNH and IA. Outcome by number of RK cuts was also compared between the two methods., Results: Forty-seven eyes (31 patients) were included. The mean RPEs for Barrett TKNH and IA were 0.04 ± 0.92D and 0.01 ± 0.92D, respectively, neither was significantly different than zero (p = 0.77, p = 0.91). The median absolute RPEs were 0.50D and 0.48D, respectively (p = 0.70). The refractive outcome fell within ± 0.50D of prediction for 51.1% of eyes with Barrett TKNH and 55.3% with IA, and 80.8% were within ± 1.00D for both techniques. Mean absolute RPE increased with a higher number of RK cuts (grouped into < 8 cuts and ≥ 8 cuts) for both Barrett TKNH (0.35D and 0.74D, p = 0.008) and IA (0.30D and 0.80D, p = 0.0001)., Conclusions: There is no statistically significant difference between Barrett TKNH and IA in predicting postoperative refractive error in eyes with prior RK. Both are reasonable methods for choosing intraocular lens power. Eyes with more RK cuts have higher prediction errors., (© 2020 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.)
- Published
- 2021
- Full Text
- View/download PDF
11. Posterior Capsule Rupture during Cataract Surgery in Eyes Receiving Intravitreal anti-VEGF Injections.
- Author
-
Miller DC, Christopher KL, Patnaik JL, Lynch AM, Seibold LK, Mandava N, and Taravella MJ
- Subjects
- Aged, Angiogenesis Inhibitors administration & dosage, Ethnicity, Female, Follow-Up Studies, Humans, Intraoperative Complications diagnosis, Intraoperative Complications epidemiology, Intravitreal Injections adverse effects, Male, Posterior Capsular Rupture, Ocular diagnosis, Posterior Capsular Rupture, Ocular ethnology, Retinal Diseases complications, Retrospective Studies, United States epidemiology, Vascular Endothelial Growth Factor A antagonists & inhibitors, Angiogenesis Inhibitors adverse effects, Cataract complications, Intraoperative Complications etiology, Phacoemulsification adverse effects, Posterior Capsular Rupture, Ocular etiology, Retinal Diseases drug therapy, Visual Acuity
- Abstract
Purpose: To examine the risk of posterior capsule rupture (PCR) during phacoemulsification cataract surgery in patients who received intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections prior to surgery., Methods: A retrospective study was conducted of cataract surgeries at the Sue Anschutz-Rodgers UCHealth Eye Center from January 1, 2014, through December 31, 2018. The primary outcome was the occurrence of PCR during surgery. Other variables of interest included age, race, sex, ocular comorbidities, diabetes, mature cataract, primary surgeon, injection frequency and type, and date of most recent injection. Predictors of PCR were assessed using logistic regression with generalized estimating equations to account for correlation between patient eyes. Additional sub-analysis was performed on eyes with PCR with and without anti-VEGF injection history to compare intraoperative characteristics, post-operative complications, and visual outcomes., Results: In total 10,327 cataract surgeries were included in the analysis, and 308 of these eyes received anti-VEGF injections prior to surgery. Of the 308 eyes that received anti-VEGF injections, eight (2.6%) had a PCR during surgery compared to 45 of 10,019 eyes (0.5%) that did not receive injections (unadjusted OR = 5.9, 95% CI: 2.8-12.7, p < .0001). Males and diabetics were more likely to have received injections and had higher rates of PCR, so these variables were adjusted for in the multivariate analysis of the association between injections and PCR (adjusted OR = 4.7, 95% CI: 2.1-10.4, p -value = 0.0001). Eyes with mature cataracts and those that underwent surgery with a resident as the primary surgeon were also at higher risk of PCR, but these variables were not associated with the anti-VEGF injection. Injection frequency, time between most recent injection and surgery, and type of anti-VEGF agent were not significantly associated with PCR., Conclusions: History of intravitreal anti-VEGF injections was associated with higher odds of PCR during cataract surgery.
- Published
- 2021
- Full Text
- View/download PDF
12. Long-term follow-up and clinical evaluation of the light-adjustable intraocular lens implanted after cataract removal: 7-year results.
- Author
-
Patnaik JL and Kahook MY
- Subjects
- Follow-Up Studies, Humans, Lens Implantation, Intraocular, Cataract, Lens, Crystalline, Lenses, Intraocular
- Published
- 2020
- Full Text
- View/download PDF
13. Optimum time for angle visualization during ab interno glaucoma surgery: Before or after phacoemulsification.
- Author
-
Epstein RS, Scott AT, Capitena Young CE, Patnaik JL, Pantcheva MB, SooHoo JR, Kahook MY, and Seibold LK
- Subjects
- Aged, Cataract physiopathology, Female, Glaucoma complications, Glaucoma physiopathology, Humans, Male, Postoperative Period, Preoperative Period, Retrospective Studies, Cataract complications, Glaucoma surgery, Intraocular Pressure physiology, Phacoemulsification methods, Trabeculectomy methods, Visual Acuity
- Abstract
Purpose: To determine whether it is more advantageous to perform ab interno glaucoma surgeries involving the angle before or after phacoemulsification., Setting: University of Colorado Health Eye Center, Aurora, USA., Design: Retrospective case series., Methods: Video recordings were taken of eyes having phacoemulsification with or without angle surgery. From the videos, still images of the angle before and after cataract surgery were obtained. Four glaucoma physicians independently reviewed the images and were masked to whether the images presented side-by-side were captured before or after cataract surgery. The reviewers used a 5-point rating scale to assess which of the 2 presented images showed the best visualization of the angle. Patient and ocular characteristics were analyzed to determine predictive factors for better view before or after phacoemulsification., Results: Twenty side-by-side comparisons (20 eyes of 20 patients) were reviewed and rated. The mean rating of all surgeons was 2.93, nearing the "3-no difference" response. The most common response was "3-no difference" between each photograph (32.5%), followed by "4-post phacoemulsification image somewhat better" (30%), and "2-pre-phacoemulsification image somewhat better" (27.5%). No ocular characteristic, including anterior chamber depth, angle pigmentation, or cumulative dissipation energy, was found to be predictive of surgeon preference., Conclusion: In combination phacoemulsification and angle-based glaucoma procedures, there appears to be no significant angle visualization difference whether the surgeon chooses to complete angle surgery before or after phacoemulsification; therefore, the decision of surgical order should rely on surgeon preference., (Copyright © 2019 ASCRS and ESCRS. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
14. Frequency of pediatric traumatic cataract and simultaneous retinal detachment.
- Author
-
Qiu H, Fischer NA, Patnaik JL, Jung JL, Singh JK, and McCourt EA
- Subjects
- Adolescent, Cataract diagnosis, Cataract etiology, Child, Child, Preschool, Colorado epidemiology, Eye Injuries complications, Eye Injuries diagnosis, Female, Humans, Incidence, Infant, Infant, Newborn, Male, Microscopy, Acoustic, Ophthalmoscopy, Retinal Detachment etiology, Retinal Detachment surgery, Retrospective Studies, Risk Factors, Cataract epidemiology, Cataract Extraction methods, Eye Injuries epidemiology, Retinal Detachment epidemiology, Visual Acuity, Vitrectomy methods
- Abstract
Purpose: Traumatic cataract in children is a treatable cause of vision loss. In cases of simultaneous retinal detachment, the prognosis for visual recovery is often poor. The purpose of this study was to investigate risk factors for concurrent retinal detachment in patients with traumatic cataract., Methods: A retrospective review of patients diagnosed with traumatic cataract at Children's Hospital Colorado between 2005 and 2014 was conducted. Demographics, mechanism of injury, and incidence of retinal detachment were recorded. Logistic modeling with generalized estimating equations to account for correlation of eyes within patients was used to analyze associations between potential risk factors and retinal detachment., Results: A total of 62 total eyes with traumatic cataract were included: 52 patients presented with unilateral cataract; 5 presented with bilateral cataracts. Mean patient age was 8.4 ± 4.1 years (range, 0-16 years), and 83% of patients were male. A total of 9 eyes (14.5%) had comorbid retinal detachment. Traumatic cataracts caused by self-injurious hitting were more likely to present with simultaneous retinal detachment than those caused by other mechanisms of injury (OR = 24.0; 95% CI, 3.8-153.3; P = 0.0010)., Conclusions: Patients with traumatic cataract who display self-injurious behavior are at higher risk for concurrent retinal detachment. These patients can often only be examined under sedation. Ophthalmologists should counsel families of high-risk patients and consider involving retinal specialists in surgical planning., (Copyright © 2018 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
15. Outcomes of Kahook Dual Blade Goniotomy with and without Phacoemulsification Cataract Extraction.
- Author
-
Sieck EG, Epstein RS, Kennedy JB, SooHoo JR, Pantcheva MB, Patnaik JL, Wagner BD, Lynch AM, Kahook MY, and Seibold LK
- Subjects
- Adult, Aged, Aged, 80 and over, Equipment Design, Female, Glaucoma complications, Glaucoma physiopathology, Humans, Male, Middle Aged, Retrospective Studies, Tonometry, Ocular, Cataract complications, Glaucoma surgery, Intraocular Pressure physiology, Phacoemulsification instrumentation, Trabecular Meshwork surgery, Trabeculectomy instrumentation, Visual Acuity
- Abstract
Purpose: To determine the effectiveness and safety of Kahook Dual Blade (KDB) goniotomy in reducing intraocular pressure (IOP) and medication need in glaucoma patients when combined with phacoemulsification or as a standalone procedure., Design: Retrospective study., Participants: A total of 197 eyes from 143 patients were reviewed., Methods: Thirty-two eyes underwent KDB goniotomy alone and 165 eyes underwent KDB goniotomy combined with phacoemulsification cataract surgery (phaco-KDB)., Main Outcome Measures: Surgical success, defined as IOP reduction of at least 20% from baseline at 12 months, and/or reduction of at least 1 glaucoma medication., Results: At 12 months, the success rate was 71.8% for the phaco-KDB group and 68.8% for the KDB-alone group. In the phaco-KDB group at 12 months (n = 124), mean IOP was significantly reduced from 16.7 (standard error [SE] 0.4) mmHg on 1.9 (SE 0.1) medications to 13.8 (SE 0.4) mmHg on 1.5 (SE 0.1) medications. In the KDB-alone group at 12 months (n = 16), mean IOP was significantly reduced from 20.4 (SE 1.3) mmHg on 3.1 (SE 0.2) medications to 14.1 (SE 0.9) mmHg on 2.3 (SE 0.4) medications. The most common complications were transient hyphema (17.3% at day 1) and IOP spike >10 mmHg from baseline at 1 week (10.2%). LogMAR visual acuity at 12 months was unchanged from baseline in the KDB-alone group (0.218 [SE 0.07] and 0.306 [SE 0.09], respectively, P = 0.244) and significantly improved in the phaco-KDB group (0.184 [SE 0.02] and 0.340 [SE 0.03], P < 0.001)., Conclusions: Goniotomy with the KDB has a favorable safety profile and is an effective procedure at reducing IOP and medication burden as a standalone procedure or combined with phacoemulsification., (Copyright © 2018 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
16. Cataract Phacoemulsification in People with Dementia: Characterization and Outcomes.
- Author
-
Grove, Nathan C., Pelak, Victoria S., Christopher, Karen L., Wagner, Brandie D., Lynch, Anne M., and Patnaik, Jennifer L.
- Abstract
Purpose: To characterize cataract surgery in people with dementia (PWD) using a cataract surgery outcomes database. Methods: Demographics, medical and ocular history, surgical characteristics, and postoperative measures were analyzed for differences between PWD and non-PWD cohorts. Patient-level data were analyzed with Fisher's Exact Test, and eye-level data were analyzed with logistic regression using generalized estimating equations to account for correlation of eyes from the same individual. Results: 507 eyes from 296 PWD were identified using appropriate ICD codes and cross-referenced to a cataract surgery outcomes database containing 12,949 eyes from 7,853 patients who underwent cataract phacoemulsification at a single center between January 2014 and October 2019. PWD were older (p <.001), had shorter duration cataract surgeries (p =.006), and were more likely to have mature cataract (p =.017). The rate of general anesthesia was higher in PWD (p =.005). There were no differences in complication rates between PWD and non-PWD cohorts. Both preoperative best corrected LogMAR distance visual acuity (CDVA) (p <.001) and postoperative CDVA (p <.001) were worse in PWD. CDVA significantly improved in both groups (p <.001); however, the average magnitude of improvement in CDVA was not significantly different between groups (p =.169). Conclusions: PWD present for cataract surgery at a later age and were more likely to have mature cataracts and general anesthesia, but did not have higher rates of complication, and showed significant improvement in CDVA following surgery. These findings should be encouraging to PWD undergoing counseling for cataract surgery, and for the potential for improved function in PWD. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
17. Refractive outcomes among glaucoma patients undergoing phacoemulsification cataract extraction with and without Kahook Dual Blade goniotomy
- Author
-
Sieck, Erin G., Capitena Young, Cara E., Epstein, Rebecca S., SooHoo, Jeffrey R., Pantcheva, Mina B., Patnaik, Jennifer L., Lynch, Anne M., Kahook, Malik Y., and Seibold, Leonard K.
- Published
- 2019
- Full Text
- View/download PDF
18. A Cross-Sectional Online Survey Identifies Subspecialty Differences in the Management of Pediatric Cataracts Associated with Uveitis.
- Author
-
Carpentier, Samuel J., Jung, Jennifer L., Patnaik, Jennifer L., Pecen, Paula E., and Palestine, Alan G.
- Subjects
UVEITIS ,INTERNET surveys ,INTRAOCULAR lenses ,CATARACT ,IRIDOCYCLITIS ,PHACOEMULSIFICATION ,ABERROMETRY - Abstract
Introduction: To determine if differences exist between pediatric ophthalmologists and uveitis ophthalmologists in the treatment of pediatric uveitic cataracts and placement of intraocular lenses. Methods: Uveitis ophthalmologists and pediatric ophthalmologists were surveyed via an online poll regarding their therapeutic management of pediatric uveitic cataract and intraocular lens (IOL) placement. Results: Sixty-two responses from uveitis ophthalmologists and 47 responses from pediatric ophthalmologists were recorded. According to 79% of all responses, uveitis was not a contraindication for primary IOL implantation in patients with controlled intraocular inflammation. Pediatric ophthalmologists were more likely to respond that the presence of chronic juvenile idiopathic arthritis-associated iridocyclitis, pars planitis, or recurrent acute anterior uveitis is a contraindication for primary IOL implantation in pediatric cases with full control of intraocular inflammation. There was no consensus within either specialty with regard to the preferred IOL material for lens implantation. Uveitis ophthalmologists were more likely to report the use of intravenous and intravitreal steroids for perioperative treatment. In cataract surgery for a child with recurrent acute anterior uveitis, a higher percentage of uveitis ophthalmologists (71%) than pediatric ophthalmologists (50%) responded that the posterior capsule should be primarily opened. A higher percentage of uveitis ophthalmologists also stated that anterior vitrectomy should be performed at the time of cataract surgery in all three uveitis types. Conclusions: Pediatric ophthalmologists and uveitis ophthalmologists have similar approaches to the management of pediatric uveitic cataract removal and IOL insertion, but several differences remain between these subspecialties. Continued collaboration between the subspecialties would be helpful to better develop consistent criteria to improve patient care. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
19. Results of genetic, infectious, and metabolic testing in the work-up of bilateral pediatric cataracts at a tertiary pediatric hospital.
- Author
-
Puente, Michael A., Patnaik, Jennifer L., Deitz, Galia, McCourt, Emily A., Jung, Jennifer L., Singh, Jasleen K., and Lynch, Anne M.
- Subjects
CHILDREN'S hospitals ,CATARACT - Published
- 2021
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.