60 results on '"Cillino, G"'
Search Results
2. Biodegradable collagen matrix implant vs mitomycin-C as an adjuvant in trabeculectomy: a 24-month, randomized clinical trial
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Cillino, S, primary, Di Pace, F, additional, Cillino, G, additional, and Casuccio, A, additional
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- 2011
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3. Favorable outcome in open globe injuries with low OTS score
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Cillino, G., Ferraro, L., alessandra casuccio, Cillino Salvatore, cillino, g, ferraro, ll, casuccio, a, and cillino, s
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Settore MED/30 - Malattie Apparato Visivo ,ocular trauma ,open globe injury ,penetrating keratoplasty ,ocular trauma score ,Settore MED/42 - Igiene Generale E Applicata - Abstract
Purpose:.Open globe eye injuries can have profound social and economic consequences. Here, we describe two cases of war and outdoor activity open globe eye injury where, despite a low OTS score,.current microsurgical technology allowed for a favorable outcome.Case report 1: A 33-year-old Libyan soldier had been treated for an open-globe grenade blast trauma to his left eye, which showed light perception and OTS score 2..He had undergone a lensectomy and PPV with silicone oil tamponade. Surgical treatment included scleral buckling,.cornea trephination, tem-porary Eckardt keratoprosthesis, PPV revision, intraocular lens (IOL) implantation, and corneal grafting. Six months later, his VA was improved to 20 / 70.Case report 2:.A 35-year-old man presented with a corneal laceration in his left eye from a meat skewer,.with marked hypotony and LP..After primary corneal wound closure,.B-scan ultrasonography revealed massive vitreous hemorrhage (OTS score 2). The patient underwent open cataract extraction with IOL implantation, 23 gauge PPV, laser photocoagulation of the retinochoroidal laceration, and a gas tamponade. After three weeks,.the patient underwent a 2nd 23G PPV due to a fibrinous reaction. Six month later, the patients exhibited 20 /25 VA.Conclusion:.These cases confirm that even for patients with a low OTS and poor visual prognosis,.an up-to-date surgery protocol may achieve visual results adequate for leading an autonomous daily life.
4. A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area.
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Cillino S, Casuccio A, Di Pace F, Pillitteri F, Cillino G, Cillino, Salvatore, Casuccio, Alessandra, Di Pace, Francesco, Pillitteri, Francesco, and Cillino, Giovanni
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Background: To determine the epidemiological characteristics and visual outcome of ocular trauma in southern Italy.Methods: All cases of ocular trauma admitted to Department of Ophthalmology of Palermo University, Italy, from January 2001-December 2005 were retrospectively reviewed for open- or closed-globe injury (OGI or CGI). Data extracted included age, sex, residence, initial and final visual acuity (VA), cause and treatment of injury, hospitalization. The injuries were classified by Ocular Trauma Classification System (OTCS) and Birmingham Eye Trauma Terminology (BETT). We also referred to the Ocular Trauma Score (OTS) in evaluating the final visual outcome.Results: Of the 298 eyes, there were 146 OGI and 152 CGI. Fifty eyes (16.8%) had an intraocular foreign body (IOFB). The annual incidence of eye injuries was 4.9 per 100,000. Most injuries occurred in men (84.6%, p < 0.0005), with an average age of 33.0 vs. 49.9 for women (p = 0.005). Cause of injury differed significantly by gender (p = 0.001) and urban vs. rural location (p = 0.009). The most frequent causes in men were outdoor activities related injuries (30.9%), work-related (25.4%), and sport-related (17.5%), and in women were home-related (52.2%) and outdoor activities related injuries (30.4%). In urban areas, road accidents were more frequent; in rural areas, work-related injuries were more frequent with a greater rate of IOFBs than in urban areas (p = 0.002). The incidence of OGI and CGI differed in work-related injuries (p < 0.0005), sport-related injuries (p < 0.0005), and assaults (p = 0.033). The final visual acuity was 20/40 (6/12) or better in 144 eyes (48.3%), 20/40-20/200 (6/12-6/60) in 90 eyes (30.2%), and <20/200 (6/60) or less in 46 eyes (15.5%). Eighteen eyes (6%) had a final acuity of no light perception. Of those eyes that presented with hand motion vision or better, 220 (86.6%) had a final vision of better than 20/200 (6/60). Initial visual acuity was found to be correlated with final visual acuity (Spearman's correlation coefficient = 0.658; p < 0.001). The likelihood of the final visual acuities in the OTS categories was correlated to that of the OTS study group in 12 of 14 cases (85.7%).Conclusion: This analysis provides insight into the epidemiology of patients hospitalized for ocular trauma. The findings indicate that ocular trauma is a significant cause of visual loss in this population. [ABSTRACT FROM AUTHOR]- Published
- 2008
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5. Preoperative, Intraoperative and Postoperative Corticosteroid Use as an Adjunctive Treatment for Rhegmatogenous Retinal Detachment
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Maria Vadalà, Michele Reibaldi, Alessandra Pizzo, Andrea Russo, Michele Rinaldi, Salvatore Cillino, Teresio Avitabile, Mario Damiano Toro, Elina Ortisi, Clara Patane, Giovanni Cillino, Matteo Fallico, Robert Rejdak, Corrado Pizzo, Iacopo Macchi, Vincenza Bonfiglio, Antonio Longo, Katarzyna Nowomiejska, Bonfiglio, V., Reibaldi, M., Macchi, I., Fallico, M., Pizzo, C., Patane, C., Russo, A., Longo, A., Pizzo, A., Cillino, G., Cillino, S., Vadala, M., Rinaldi, M., Rejdak, R., Nowomiejska, K., Toro, M. D., Avitabile, T., Ortisi, E., Bonfiglio, V, Reibaldi, M, Macchi, I, Fallico, M, Pizzo, C, Patane, C, Russo, A, Longo, A, Pizzo, A, Cillino, G, Cillino, S, Vadalà, M, Rinaldi, M, Rejdak, R, Nowomiejska, K, Toro, Md, Avitabile, T, Toro, MD, and Ortisi, E
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Pars plana ,medicine.medical_specialty ,Proliferative vitreoretinopathy ,Triamcinolone acetonide ,medicine.medical_treatment ,vitrectomy ,lcsh:Medicine ,Vitrectomy ,dexamethasone ,Review ,triamcinolone ,corticosteroids ,03 medical and health sciences ,0302 clinical medicine ,fluocinolone ,rhegmatogenous retinal detachment ,scleral buckling ,Prednisone ,Medicine ,Corticosteroid ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,lcsh:R ,Retinal detachment ,General Medicine ,Fluocinolone ,medicine.disease ,eye diseases ,Surgery ,medicine.anatomical_structure ,Adjunctive treatment ,030221 ophthalmology & optometry ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
The treatment for rhegmatogenous retinal detachment (RRD) is surgery, including pars plana vitrectomy (PPV) and scleral buckling (SB). Despite surgical advances, degeneration of the photoreceptors and post-operative complications, such as proliferative vitreoretinopathy (PVR), often occurs as the result of inflammation, preventing complete visual recovery or causing RRD recurrence. There is increasing evidence that in the presence of RRD, the activation of inflammatory processes occurs and the surgery itself induces an inflammatory response. This comprehensive review focuses on the use of different formulations of corticosteroids (CCS), as an adjunctive treatment to surgery, either PPV or SB, for RRD repair. The purpose was to review the efficacy and safety of CCS in improving functional and anatomical outcomes and in preventing postoperative complications. This review is organized according to the timing of CCS administration: preoperative, intraoperative, and postoperative. The evidence reviewed supported the role of the pre-operative use of CCS in the treatment of combined RRD and choroidal detachment (CD), reducing CD height. No solid consensus exists on intraoperative and postoperative use of CCS to treat and prevent postoperative complications. However, a large randomized clinical trial including more than 200 eyes suggested that oral prednisone after surgery decreases the rate of postoperative grade B PVR.
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- 2020
6. Polypoidal choroidal vasculopathy in pachychoroid: combined treatment with photodynamic therapy and aflibercept
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Massimo Castellucci, Salvatore Cillino, Maria Vadalà, Vincenza Bonfiglio, Giulia Guarrasi, Giovanni Cillino, Alessandra Casuccio, Vadala M., Castellucci M., Guarrasi G., Cillino G., Bonfiglio V.M.E., Casuccio A., and Cillino S.
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Oncology ,medicine.medical_specialty ,genetic structures ,Recombinant Fusion Proteins ,medicine.medical_treatment ,Angiogenesis Inhibitors ,Photodynamic therapy ,Combined treatment ,Internal medicine ,Polypoidal choroidal vasculopathy ,Humans ,Medicine ,Pachychoroid ,Fluorescein Angiography ,Aged ,Retrospective Studies ,Aflibercept ,business.industry ,eye diseases ,Ophthalmology ,Receptors, Vascular Endothelial Growth Factor ,Treatment Outcome ,Photochemotherapy ,Intravitreal Injections ,business ,Swept Source OCT ,Tomography, Optical Coherence ,medicine.drug - Abstract
Introduction To evaluate the effects of combined therapy using intravitreal Aflibercept (IVA) and photodynamic therapy (PDT) on polypoidal choroidal vasculopathy related to pachychoroid disease (PPCV).Methods Patients with PPCV were treated with PDT combined with 3 IVA injections on a monthly basis, followed by pro re nata criteria. The 12-month follow-up consisted of multiple revaluations of visual acuity and SSOCT parameters of clinical activity.Results Nineteen eyes were included in the study; mean age was 65.5 years. Visual acuity improved after 12 months (0.35 ± 0.25 to 0.2 ± 0.20 logMAR, p = 0.005). Percentage of eyes with intraretinal and subretinal fluid reduced from baseline to the 12-month follow-up (from 52.6–10.5%, p = 0.12, and from 89.5–5.3% p = 0.0009, respectively). Central retinal and mean macular thicknesses reduced (258 ± 39.6 to 204.8 ± 38.8 µm p = 0.04 and 293.8 ± 32.1 to 248.1 ± 29.6 µm p = 0.017 respectively). Central choroidal and mean choroidal thicknesses also displayed a reduction (328.6 ± 54.9 to 289.8 ± 44.6 µm p = 0.001 and 314.5 ± 55.3 to 287.9 ± 47.6 µm p = 0.015 respectively). The mean number of injections was 4.6/year.Conclusion The results support the use of a combined therapy with Aflibercept and PDT in PPCV. This treatment would act in synergy, with anti-VEGF controlling exudation and PDT closing the aneurysmal vessel and reducing choroidal congestion.
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- 2022
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7. Infracyanine Green vs. Brilliant Blue G in Inverted Flap Surgery for Large Macular Holes: A Long-Term Swept-Source OCT Analysis
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Valentina Sunseri, Francesco Pace, Giovanni Cillino, Massimo Castellucci, Maria Vadalà, Vincenza Bonfiglio, Salvatore Cillino, Costanza Novara, Alessandra Casuccio, Cillino S., Castellucci M., Cillino G., Sunseri V., Novara C., Di Pace F., Vadala M., Bonfiglio V., and Casuccio A.
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Indocyanine Green ,Male ,medicine.medical_specialty ,Distance visual acuity ,genetic structures ,swept-source OCT ,large macular hole ,Nerve fiber layer ,Contrast Media ,Infracyanine green ,Retina ,Surgical Flaps ,Article ,chemistry.chemical_compound ,Rosaniline Dyes ,medicine ,Humans ,External limiting membrane ,brilliant blue G ,Aged ,Aged, 80 and over ,lcsh:R5-920 ,inverted flap surgery ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,Internal limiting membrane ,Retinal ,General Medicine ,Middle Aged ,Retinal Perforations ,eye diseases ,Surgery ,Ganglion ,Treatment Outcome ,medicine.anatomical_structure ,chemistry ,Female ,business ,lcsh:Medicine (General) ,Tomography, Optical Coherence ,Brilliant blue G - Abstract
Background and Objectives: To compare the long-term toxicity of infracyanine green (IFCG) to brilliant blue G (BBG) in inverted internal limiting membrane flap surgery (I-ILMFS) for large, full-thickness macular holes (FTMHs). Materials and Methods: Prospective randomized study including 39 eyes with &ge, 400 µ, m idiopathic FTMH who underwent I-ILMFS with either IFCG or BBG. Postoperative 6- and 12-month corrected distance visual acuity (CDVA), closure rate, and swept-source optical coherence tomography parameters, including ellipsoid zone (EZ) and external limiting membrane (ELM) mean defect length, central foveal thicknesses (CFT), parafoveal macular thickness (MT), ganglion cells and inner plexiform layer (GCL++) thickness, and peripapillary nerve fiber layer (pRNFL) thickness, were compared. Results: Nineteen eyes were included in the IFCG group and 20 eyes in the BBG group. In all cases a FTMH closure was found. CDVA improved at 6 and 12 months in both groups (p <, 0.0005), the increase at 12 months was greater in the BBG group (p = 0.036). EZ and ELM defects did not differ between groups at either follow-up time. CFT at 12 months was greater in the BBG group (p = 0.041). A 12-months compared to 6-months MT decrease was present in both groups (p <, 0.01). The GCL++ superior inner sector was thicker in the BBG group at 12 months (p = 0.036), as were the superior outer sector (p = 0.039 and p = 0.027 at 6 and 12 months, respectively) and inferior outer sector (p = 0.011 and p = 0.009 at 6 and 12 months, respectively). Conclusion: In our study BBG in I-ILMFS exhibits better long-term CDVA and retinal thickness than does IFCG, suggesting a lesser toxicity from BBG. These findings support the use of BBG over IFCG in I-ILMFS.
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- 2020
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8. TREATMENT OF PERSISTENTLY OPEN MACULAR HOLES WITH HEAVY SILICONE OIL (DENSIRON 68) VERSUS C2F6. A PROSPECTIVE RANDOMIZED STUDY
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Lucia Lee Ferraro, Salvatore Cillino, Alessandra Casuccio, Giovanni Cillino, Cillino, S., Cillino, G., Ferraro, L., and Casuccio, A.
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Male ,Reoperation ,medicine.medical_specialty ,Visual acuity ,genetic structures ,medicine.medical_treatment ,Visual Acuity ,Vitrectomy ,Endotamponade ,law.invention ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Randomized controlled trial ,law ,medicine ,Humans ,Silicone Oils ,Macular hole, Densiron, Silicone oil ,Prospective randomized study ,Prospective Studies ,Heavy silicone oil ,Prospective cohort study ,Aged ,Aged, 80 and over ,Fluorocarbons ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,General Medicine ,Middle Aged ,Retinal Perforations ,Silicone oil ,Surgery ,Ophthalmology ,chemistry ,030221 ophthalmology & optometry ,Female ,medicine.symptom ,business ,Tomography, Optical Coherence ,030217 neurology & neurosurgery - Abstract
PURPOSE: To compare the efficacy of a mixture of silicone oil and perfluorohexyloctane (Densiron 68) with C2F6 gas endotamponade in the retreatment of persistently open full-thickness macular holes. METHODS: In this prospective randomized study, 21 consecutive patients who were unsuccessfully operated on for large idiopathic full-thickness macular hole were randomly assigned to undergo a second vitrectomy with 20% perfluoroethane gas (C2F6, Group A) or with Densiron 68 tamponade (Group B). PRIMARY OUTCOMES: Endpoint (12 months) full-thickness macular hole closure rate by spectral domain optical coherence tomography and logMAR corrected distance visual acuity. SECONDARY OUTCOMES: postoperative adverse events. RESULTS: The mean diameter of macular holes before the second pars plana vitrectomy was 680.3 ± 120.8 μm and 740.5 ± 105.3 μm in Groups A and B, respectively (P = 0.237); mean preoperative corrected distance visual acuity was 0.96 ± 0.36 logMAR and 1.12 ± 0.35 logMAR, respectively (P = 0.315). Endpoint full-thickness macular hole closure was obtained in 30% of patients (3/10) in Group A and in 82% (9/11) in Group B (P = 0.030). Corrected distance visual acuities were, respectively, 0.80 ± 0.25 logMAR and 0.55 ± 0.20 logMAR, with significant intergroup difference (P = 0.019); corrected distance visual acuity increased in Group B only (P = 0.003). No differences in complications were found. CONCLUSION: The results indicate that Densiron 68 tamponade could be a useful, safe, and more efficacious method than gas tamponade to retreat persisting macular holes.
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- 2016
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9. Carbonic anhydrase inhibitor with topical NSAID therapy to manage cystoid macular edema in a case of gyrate atrophy
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Marco Mazza, Aissa Iggui, Elena Piozzi, Salvatore Cillino, Salvatore Alessi, Giovanni Cillino, Silvia Santambrogio, Piozzi E., Alessi S., Santambrogio S., Cillino G., Mazza M., Iggui A., and Cillino S.
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Ornithine ,Pathology ,genetic structures ,Indomethacin ,Visual Acuity ,Administration, Oral ,Administration, Ophthalmic ,0302 clinical medicine ,Nonsteroidal anti-inflammatory drug ,Carbonic anhydrase inhibitor ,Carbonic Anhydrase Inhibitors ,chemistry.chemical_classification ,Ornithine-Oxo-Acid Transaminase ,Anti-Inflammatory Agents, Non-Steroidal ,General Medicine ,medicine.anatomical_structure ,Drug Therapy, Combination ,Female ,Tomography, Optical Coherence ,Human ,medicine.medical_specialty ,Adolescent ,Carbonic Anhydrase Inhibitor ,medicine.drug_class ,Ornithine aminotransferase ,education ,Gyrate atrophy of the choroid and retina ,Ophthalmic Solution ,03 medical and health sciences ,Atrophy ,Gyrate atrophy ,Internal medicine ,medicine ,Humans ,Gyrate Atrophy ,Macular edema ,Retina ,business.industry ,medicine.disease ,Acetazolamide ,Ophthalmology ,Enzyme ,Endocrinology ,chemistry ,030221 ophthalmology & optometry ,sense organs ,Choroid ,Ophthalmic Solutions ,business ,030217 neurology & neurosurgery - Abstract
Purpose Gyrate atrophy of the choroid and retina (GACR) is a rare chorioretinal dystrophy characterized by a deficiency of the enzyme ornithine aminotransferase, inherited in an autosomal recessive pattern. Case Report We report a case of a 17-year-old girl with GACR, for whom the level of serum ornithine had been reduced by an arginine-restricted diet. The patient was responsive to an association of topical nonsteroidal anti-inflammatory drugs (NSAIDs) and a carbonic anhydrase inhibitor (CAI) to reduce cystoid macular edema (CME). Conclusions The efficacy of topical NSAIDs and systemic CAI association indicates that the imbalance in the distribution of retinal pigment epithelium membrane-bound carbonic anhydrase could play a major role in CME pathogenesis in GACR. To our knowledge, this is the first case of therapy with CAI treatment for GACR-related CME.
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- 2017
10. One-Year Outcomes with New-Generation Multifocal Intraocular Lenses
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Raffaella Morreale, Francesco Pace, Giovanni Cillino, Salvatore Cillino, Gaetano Lodato, Francesco Pillitteri, Alessandra Casuccio, Cillino, S, Casuccio, A, Di Pace, F, Morreale Bubella, R, Pillitteri, F, Cillino, G, and Lodato, G
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Male ,medicine.medical_specialty ,genetic structures ,medicine.medical_treatment ,media_common.quotation_subject ,Visual Acuity ,Intraocular lens ,Prosthesis Design ,Glare ,Contrast Sensitivity ,Lens Implantation, Intraocular ,Surveys and Questionnaires ,Ophthalmology ,lente refrattiva, chirurgia della cataratta ,Humans ,Medicine ,Contrast (vision) ,Prospective Studies ,Dioptre ,Aged ,media_common ,Lenses, Intraocular ,Depth Perception ,Phacoemulsification ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,Le lenti multifocali intraoculari di nuova generazione ,Glare (vision) ,Middle Aged ,Multifocal intraocular lens ,University hospital ,eye diseases ,Treatment Outcome ,lente diffrattiva ,Patient Satisfaction ,Quality of Life ,Optometry ,Multifocal IOLs ,Female ,sense organs ,business - Abstract
Purpose: To compare new-generation multifocal intraocular lenses (IOLs) with monofocal IOLs. Design: Randomized prospective clinical trial. Participants: Sixty-two consecutive patients with cataract, seen between January of 2005 and January of 2006 at the Department of Ophthalmology of Palermo University Hospital in Italy, were bilaterally implanted with monofocal (AR 40, Advanced Medical Optics [AMO], Santa Ana, CA; 15 patients), multifocal refractive (Array SA40N, AMO; 16 patients), multifocal refractive (ReZoom, AMO; 15 patients), or multifocal diffractive pupil-independent (Tecnis ZM900, AMO; 16 patients) IOLs. Intervention: Bimanual phacoemulsification. Main Outcome Measures: Primary outcomes were far, near, and intermediate visual acuity of the 4 IOL-implanted groups. Secondary outcomes were defocusing curves, contrast sensitivity, patients' quality of life (7-item visual function questionnaire [VF-7], halos and glare presence, overall satisfaction), and spectacle independence. Snellen visual acuity was measured as uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), uncorrected near visual acuity (UCNVA), best distance corrected near visual acuity (BDCNVA), best corrected near visual acuity (BCNVA), uncorrected intermediate visual acuity (UCIVA), and best distance corrected intermediate visual acuity (BDCIVA). Results: UCNVA was 20/50 in the monofocal IOL group, compared with 20/32 or better in the multifocal IOL groups (P
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- 2008
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11. Biodegradable collagen matrix implant versus mitomycin-C in trabeculectomy: five-year follow-up
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Lucia Lee Ferraro, Francesco Pace, Salvatore Cillino, Carlo Cagini, Alessandra Casuccio, Giovanni Cillino, Cillino, S., Casuccio, A., Di Pace, F., Cagini, C., Ferraro, L., and Cillino, G.
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Male ,Intraocular pressure ,Visual acuity ,genetic structures ,medicine.medical_treatment ,Visual Acuity ,Glaucoma ,Exfoliation Syndrome ,0302 clinical medicine ,Absorbable Implants ,Trabeculectomy ,Extended 5-yrs follow-up ,Mitomycin-C ,Ologen ,Glycosaminoglycans ,General Medicine ,Middle Aged ,Female ,Collagen ,medicine.symptom ,Glaucoma, Open-Angle ,Tomography, Optical Coherence ,Human ,Research Article ,Adult ,medicine.medical_specialty ,Alkylating Agents ,Mitomycin ,Follow-Up Studie ,03 medical and health sciences ,Absorbable Implant ,Ophthalmology ,medicine ,Humans ,Intraocular Pressure ,Aged ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,Mitomycin C ,Five year follow up ,ANTIGLAUCOMA MEDICATIONS ,Alkylating Agent ,medicine.disease ,eye diseases ,Surgery ,Glycosaminoglycan ,030221 ophthalmology & optometry ,Implant ,sense organs ,business ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
Background Clinical studies comparing trabeculectomy augmented with Ologen implant (OLO) versus trabeculectomy plus mitomycin-C (MMC) show contradictory results. To obtain long-term data, we report an extended 5-year follow-up trial evaluating the safety and efficacy of OLO as adjuvant compared to low-dosage MMC in trabeculectomy. Methods Forty glaucoma patients (40 eyes) assigned to trabeculectomy with MMC or Ologen. Primary outcome: target IOP at ≤21, ≤17 and ≤15 mmHg; complete and qualified success endpoint rates. Secondary outcomes: visual acuity (VA), mean deviation (MD), bleb evaluation, according to Moorfields Bleb Grading System (MBGS); spectral domain OCT (SD-OCT) bleb examination; number of glaucoma medications; frequency of postoperative complications. Results The mean preoperative IOP was 26.7(±5.2) in MMC and 27.3(±6.0) in OLO eyes. Mean 60-month percentage reduction in IOP was significant in both groups [40.9 (±14.2) and 42.1(±13.3) P = 0.01], with an endpoint value of 15.2 (±3.2) and 15.8 (±2.3) mmHg in MMC and OLO, respectively. Complete success rates at ≤ 21 mmHg target IOP were 65 % and 70 %, at ≤17 mm Hg 60 % and 55 %, and at the ≤15 mm Hg target IOP 35 % and 45 % in MMC and OLO, respectively. The Kaplan–Meier curves did not differ both for complete and qualified success at any target IOP, with no significant endpoint intergroup difference at ≤ 15 mm Hg (log-rank P = 0.595).The intergroup MBGS scores differed due to reduced central and peripheral vascularity in MMC group (P = 0.027; P = 0.041). SD-OCT analysis denied differences in bleb height between MMC vs OLO (140.5 ± 20.3 μ vs 129.2 ± 19.3 μ respectively; P =0.079). Mean antiglaucoma medications were significantly reduced (P
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- 2015
12. DSAEK sottile e ultrasottile
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CILLINO, Giovanni and Cillino, G
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Dsaek, cornea, transplantation - Published
- 2014
13. A PUTATIVE PROTEOMIC SIGNATURE FOR STROMAL FIBROBLAST-LIKE STEM CELLS
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CANCEMI, Patrizia, TOMASELLO, Laura, CARINA, Valeria, PIZZOLANTI, Giuseppe, GIORDANO, Carla, CILLINO, Giovanni, Cancemi, P, Tomasello, L, Carina, V, Pizzolanti, G, Giordano, C, and Cillino, G
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stem cells - Published
- 2014
14. Working-Age Cataract Patients: Visual Results, Reading Performance, and Quality of Life with Three Diffractive Multifocal Intraocular Lenses
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Salvatore Cillino, Alessandra Casuccio, Valeria Bono, Giovanni Cillino, Mattia Pasti, Rita Mencucci, Cillino, G, Casuccio, A, Pasti, M, Bono, V, Mencucci, R, and Cillino, S
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Male ,Refractive error ,Visual acuity ,genetic structures ,Mesopic vision ,medicine.medical_treatment ,Mesopic Vision ,Visual Acuity ,Settore MED/42 - Igiene Generale E Applicata ,Lens Implantation, Intraocular ,Sickness Impact Profile ,Surveys and Questionnaires ,Medicine ,Contrast (vision) ,Prospective Studies ,Prospective cohort study ,OPTICAL-QUALITY ,media_common ,Lenses, Intraocular ,Vision, Binocular ,OUTCOMES ,Middle Aged ,RESTOR ,Female ,medicine.symptom ,A+3.00 D ,Photopic vision ,DIOPTER ADDITION ,medicine.medical_specialty ,INSTITUTE-REFRACTIVE ERROR ,media_common.quotation_subject ,MODELS ,Prosthesis Design ,Cataract ,Double-Blind Method ,Ophthalmology ,CONTRAST SENSITIVITY ,Humans ,BILATERAL IMPLANTATION ,Phacoemulsification ,Color Vision ,business.industry ,Settore MED/30 - Malattie Apparato Visivo ,Multifocal intraocular lens ,medicine.disease ,eye diseases ,VISION ,Reading ,Quality of Life ,Optometry ,Multifocal IOL, diffractive, Quality of life ,business ,Follow-Up Studies - Abstract
Purpose To compare the visual outcomes, reading performance, and quality of life (QoL) of working-age cataractous patients bilaterally implanted with 3 different diffractive multifocal intraocular lenses (MIOLs). Design Two-center, randomized, prospective, double-masked study. Participants Sixty-three consecutive patients (126 eyes) seen at Ophthalmology Section, Palermo and Florence University, Italy, randomized to receive the ReSTOR SN6AD3 (Alcon Laboratories, Inc, Irvine, CA) (20 patients, group A), ReSTOR SN6AD1 (Alcon Laboratories, Inc) (21 patients, group B), or TECNIS ZMA00 (Abbott Medical Optics, Santa Ana, CA) (22 patients, group C) MIOL. Intervention Phacoemulsification. Main Outcome Measures One-year follow-up differences among the 3 MIOL groups in visual acuity, reading performance by MNREAD (Minnesota Laboratory for Low-Vision Research, University of Minnesota, Minneapolis, MN) reading acuity (RA), critical print size (CPS), and maximum reading speed (MRS) under mesopic and photopic conditions. Secondary Outcome Measures Photopic and mesopic contrast sensitivity (CS) by Pelli–Robson test and patient satisfaction by National Eye Institute Refractive Error Quality of Life Instrument-42 (NEI RQL-42) questionnaire. Results Mean photopic uncorrected near visual acuity (UNVA), distance-corrected near visual acuity (DCNVA), and corrected near visual acuity (CNVA) did not differ among groups, with a preferred reading distance greater in group B ( P 0.0005). Photopic distance-corrected intermediate visual acuity (DCIVA) was best in group B ( P = 0.001) and better in group C than in group A. Mesopic UNVA and DCNVA were worse in groups A and B compared with group C ( P 0.0005 in both cases), with better DCNVA in group B than in group A ( P = 0.031). Mesopic uncorrected intermediate visual acuity (UIVA) and DCIVA were worst in group A, with better results in group C ( P 0.0005 and P = 0.001, respectively). Mesopic MNREAD RA was better in group C ( P = 0.02), and mesopic MRS was higher in groups B and C than in group A ( P = 0.002). The QoL scores by the NEI RQL-42 test exhibited no differences among groups in 9 over 13 scales. "Near vision" ( P = 0.005), "symptoms" ( P = 0.001), and "satisfaction with correction" scale scores ( P = 0.030) were lowest in group A, and "appearance" scale score was lowest in group B ( P = 0.045). Conclusions Newer-generation aspheric diffractive MIOLs, especially low-add hybrid apodized or full diffractive, are highly suited for working-age cataractous patients in terms of visual outcomes, reading performance, and QoL. Intrinsic optical differences, such as optimization for computer or dim-light working, or night driving, could be useful tools to customize the IOL in each single case.
- Published
- 2014
15. La Tomografia corneale
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CILLINO, Giovanni and Cillino, G
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cornea, tomography - Published
- 2014
16. trabeculectomia con adiuvanti (matrice collagene-GAG e MMC)in casi particolari
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CILLINO, Giovanni, CASUCCIO, Alessandra, DI PACE, Francesco, CILLINO, Salvatore, Cillino, G, Casuccio, A, Di Pace, F, and Cillino, S
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Settore MED/30 - Malattie Apparato Visivo ,trabeculectomia ,adiuvanti ,MMC ,collagene-GAG - Published
- 2013
17. Effetto ipotensivo della Palmitoiletanolamide nei pazienti con pressione oculare borderline
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CILLINO, Giovanni and Cillino, G
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PEA, glaucoma, ipertesi oculari - Published
- 2013
18. dilatazione pupillare farmacologica come test predittivo del rischio di IFIS
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BONO, Valeria, CILLINO, Giovanni, SPITALE, Emanuela Rosaria, CASUCCIO, Alessandra, CILLINO, Salvatore, Bono, V, Cillino, G, Spitale, ER, Casuccio, A, and Cillino, S
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Settore MED/30 - Malattie Apparato Visivo ,floppy iris syndrome ,predittività rischio IFIS, dilatazione pupillare - Published
- 2013
19. CXL epi-on: esperienza personale
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CILLINO, Giovanni and Cillino, G
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CXL - Published
- 2013
20. Trabeculectomia con adiuvanti in casi particolari
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CILLINO, Salvatore, CILLINO, Giovanni, DI PACE, Francesco, Cillino, S, Di Pace, F, and Cillino, G
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chirurgia del glaucoma ,Trabeculectomia ,Settore MED/30 - Malattie Apparato Visivo ,adiuvanti - Published
- 2013
21. Bernard-Horner Syndrome after accidental lesion of carotid artery: case report
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G, Spinelli, G, Damiano, V D, Palumbo, G, Cillino, A I, Lo Monte, Spinelli, G, Damiano, G, Palumbo, VD, Cillino, G, and Lo Monte, AI
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Male ,Settore MED/18 - Chirurgia Generale ,Horner Syndrome ,Bernard-Horner syndrome, central venous catheterization ,Humans ,Settore MED/41 - Anestesiologia ,Middle Aged ,Carotid Artery Injuries - Abstract
Among the complications of internal jugular vein insertion there is the lesion of the cervical sympathetic trunk with the onset of Bernard-Horner syndrome, consisting of miosis, eyelid ptosis, enophthalmos and anhidrosis on the same side of the lesion. The neurological damage can be caused by the direct puncture of the trunk or by the irritating and compressive action of a hematoma during the puncture of the internal jugular; the clinical picture, when reversible, resolves in a few months. The case we report is about the onset of the syndrome after accidental puncture of carotid artery, followed by the total disappearance of signs in a few days.
- Published
- 2012
22. OLOGEN COLLAGEN MATRIX IMPLANT IN PIGMENTARY GLAUCOMA : A CASE STUDY
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CILLINO, Salvatore, CILLINO, Giovanni, Cillino, S, and Cillino, G
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glaucoma surgery, ologen - Published
- 2012
23. Intravitreal Pegaptanib in Ischemic CRVO Refractory Exudative Macular Detachment
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Salvatore Cillino, Giovanni Cillino, Cillino, S, and Cillino, G
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medicine.medical_specialty ,Visual acuity ,genetic structures ,Pegaptanib ,Intravitreal pegaptanib ,Central retinal vein occlusion ,Ophthalmology ,medicine ,Pegaptanib Sodium ,Exudative macular detachment ,Medical history ,Macular edema ,medicine.diagnostic_test ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,medicine.disease ,Fluorescein angiography ,eye diseases ,Surgery ,sense organs ,medicine.symptom ,Ranibizumab ,business ,medicine.drug - Abstract
Recent literature data reported evidence of the visual and/or anatomical benefits of all clinically available anti-VEGF drugs for the treatment of macular edema (ME) following Central Retinal Vein Occlusion (CRVO), up to 1-year followup. There are no randomized clinical trial data on anti-VEGF agents in ischemic CRVO-ME and the use of anti-VEGF agents to treat this condition. A 73-year old caucasian man, with a medical history of diabetes and systemic hypertension and an ophthalmic history of ischemic CRVO with cystoid macular edema was referred to our division on January 2011. The ophthalmic examination showed in right eye a visual acuity of 20/2000, a C2N1 cataract and an exudative macular detachment. On February 2011, a 0.5mg ranibizumab intravitreal injection (Lucentis®, Novartis, Basel, Switzerland) was carried out in the right eye. 15 and 25 days later the OCT showed no changes. On March 2011, we performed a 0.3mg pegaptanib sodium intravitreal injection (Macugen, Eyetech Pharmaceuticals, Inc. and Pfizer Inc, New York, NY) in the right eye and 15 days later the fluorescein angiography and the OCT examination showed reabsorption of subretinal fluid, complete disappearing of macular detachment and normalization of foveal profile, with a thickness of 240 μm and visual acuity of 20/400. Three months later, foveal profile and visual acuity were unchanged. In our refractory ischemic CRVO-ME patient, pegaptanib sodium showed prompt clinical response. In some cases, even if it is selective for the VEGF165 isoform only, pegaptanib sodium could represent a further possibility in such a therapeutic challenge.
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- 2012
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24. Biodegradable collagen matrix implant vs mitomycin-C as an adjuvant in trabeculectomy: a 24-month, randomized clinical trial
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F Di Pace, Giovanni Cillino, Alessandra Casuccio, Salvatore Cillino, Cillino, S, Di Pace, F, Cillino, G, and Casuccio, A
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Male ,Intraocular pressure ,medicine.medical_specialty ,medicine.medical_treatment ,Mitomycin ,Glaucoma ,Trabeculectomy ,Matrix (biology) ,law.invention ,Randomized controlled trial ,law ,Absorbable Implants ,medicine ,Humans ,Prospective Studies ,Intraocular Pressure ,Aged ,Glycosaminoglycans ,Intraoperative Care ,Settore MED/30 - Malattie Apparato Visivo ,business.industry ,Mitomycin C ,Prostheses and Implants ,Middle Aged ,Ologen, MMC, trabeculectomy ,medicine.disease ,Surgery ,Ophthalmology ,Cross-Linking Reagents ,Clinical Study ,Female ,Implant ,Collagen ,business ,Adjuvant ,Tomography, Optical Coherence - Abstract
AIM: To verify the safety and efficacy of Ologen (OLO) implant as adjuvant compared with low-dosage mitomycin-C (MMC) in trabeculectomy. METHODS: This was a prospective randomized clinical trial with a 24-month follow-up. Forty glaucoma patients (40 eyes) were assigned to trabeculectomy with MMC or OLO. Primary outcome includes target IOP at ≤21, ≤17, and ≤15 mm Hg; complete (target IOP without medications), and qualified success (target IOP regardless of medications). Secondary outcomes include bleb evaluation, according to Moorfields Bleb Grading System (MBGS); spectral domain optical coherence tomography (SD-OCT) examination; number of glaucoma medications; and frequency of postoperative adjunctive procedures and complications. RESULTS: The mean preoperative IOP was 26.5 (±5.2) in MMC and 27.3 (±6.0) in OLO eyes, without statistical significance. One-day postoperatively, the IOP dropped to 5.2 (±3.5) and 9.2 (±5.5) mm Hg, respectively (P=0.009). The IOP reduction was significant at end point in all groups (P=0.01), with a mean IOP of 16.0 (±2.9) and 16.5 (±2.1) mm Hg in MMC and OLO, respectively. The rates and Kaplan-Meier curves did not differ for both complete and qualified success at any target IOP. The bleb height in OLO group was higher than MMC one (P
- Published
- 2011
25. Pharmacologic pupil dilation as a predictive test for the risk for intraoperative floppy-iris syndrome
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Emanuela Rosaria Spitale, Alessandra Casuccio, Giovanni Cillino, Salvatore Cillino, Carlo Pavone, Casuccio, A, Cillino, G, Pavone, C, Spitale, E, and Cillino, S
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Male ,Tamsulosin ,medicine.medical_specialty ,Mydriatics ,medicine.medical_treatment ,Intraoperative floppy iris syndrome ,Sensitivity and Specificity ,Pupil ,Cohort Studies ,Phenylephrine ,Tropicamide ,Predictive Value of Tests ,Risk Factors ,medicine ,Pupillary response ,Humans ,Prospective Studies ,Prospective cohort study ,Intraoperative Complications ,Aged ,Sulfonamides ,Phacoemulsification ,business.industry ,Settore MED/30 - Malattie Apparato Visivo ,Doxazosin ,food and beverages ,Muscle, Smooth ,Prazosin ,Syndrome ,biochemical phenomena, metabolism, and nutrition ,medicine.disease ,Sensory Systems ,Surgery ,carbohydrates (lipids) ,Ophthalmology ,Drug Combinations ,Ifis, pupil dilation, tamsulosin ,Iris Diseases ,Predictive value of tests ,Adrenergic alpha-1 Receptor Antagonists ,business ,Cohort study ,medicine.drug - Abstract
PURPOSE: To evaluate the effect of α1-adrenergic receptor antagonists (α1-ARAs) on pupil diameter and determine whether the diameter predicts intraoperative floppy-iris syndrome (IFIS). SETTING: Ophthalmology Section, Palermo University, Palermo, Italy. DESIGN: Prospective cohort study. METHODS: Male outpatients taking tamsulosin, α(1)-ARAs, or no α(1)-ARAs having phacoemulsification were recruited. Pupils were measured 1 month preoperatively, immediately preoperatively, and postoperatively under mesopic low (0.4 lux) and high (4.0 lux) illumination after pharmacologic dilation. The IFIS severity was graded. RESULTS: Each group comprised 50 patients. Pharmacologic dilation in both α(1)-ARA groups was statistically significantly less than in the no α1-ARA group 1 month preoperatively, immediately before surgery, and postoperatively (P=.001, P
- Published
- 2011
26. IOL Multifocali di II e III generazione: performance visiva e capacità di lettura
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CILLINO, Giovanni, CASUCCIO, Alessandra, BONO, Valeria, Maniscalco, G., Cillino, G, Casuccio, A, Bono, V, and Maniscalco, G
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Multifocal IOL, reading speed, contrast sensitivity - Published
- 2011
27. Impiego di colla di fibrina (tissucol) nella pterigectomia. Nostra esperienza
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CILLINO, Giovanni, SPITALE, Emanuela Rosaria, DI PACE, Francesco, CILLINO, Salvatore, Cillino, G, Spitale, E, Di Pace, F, and Cillino, S
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fibrin glue, pterygium - Published
- 2011
28. Diffractive multifocal intraocular lenses: reading performance and quality of life evaluation
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CILLINO, Salvatore, CASUCCIO, Alessandra, CILLINO, Giovanni, Pasti, M, Beni, L, Mencucci, R., Cillino, S, Casuccio, A, Cillino, G, Pasti, M, Beni, L, and Mencucci, R
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QUALITY OF VISION ,Settore MED/30 - Malattie Apparato Visivo ,DIFFRACTIVE MULTIFOCAL LENSES ,REFRACTIVE SURGERY - Abstract
Purpose: To evaluate the reading performance and changes in quality of life after cataract surgery with multifocal diffractive (IOLs) implantation Setting: Section of Ophthalmology - Department of Experimental Biomedicine and Clinical Neuroscience, University of Palermo, Italy; Eye Clinic - Department of Preclinical and Clinical Pharmacology, University of Florence, Italy. Methods: 160 Consecutive eyes of cataract patients were divided into two groups. One group (20 patients, 40 eyes) received aspheric monofocal IOLs (Acrysof SN60WF). One group (60 patients, 120 eyes) was implanted with a diffractive aspheric multifocal IOL produced by different manufacturers: 20 patients with Acrysof RESTORE SN6AD3 -with a +4 sph addiction, 20 patients with Acrysof RESTORE SN6AD1 with a +3 sph addiction, and 20 patients with AMO Tecnis ZMA00 with a +4 sph addiction. Visual acuity and constrast sensitivity outcomes were evaluate after a 6 months follow up. Additionally reading performance (MN Read chart and REX test chart), a 42 item quality of life questionnaire (National Eye Institute Refractive Quality of Life questionnaire, NEI RQL-42) and a similar 14 items questionnaire (VF14) were determined. Results: Significant improvement after surgery in uncorrected (for MIOLs) and corrected distance and near visual acuity (for standar monofocal IOLs) was observed in both groups (p
- Published
- 2011
29. Bevacizumab intravitreale e trabeculectomia con mitomicina C nel trattamento del glaucoma neovascolare
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DI PACE, Francesco, CILLINO, Giovanni, SPITALE, E, CASUCCIO, Alessandra, CILLINO, Salvatore, DI PACE, F, CILLINO, G, SPITALE, E, CASUCCIO, A, and CILLINO, S
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Settore MED/30 - Malattie Apparato Visivo ,trabeculectomia con MMC ,bevacizumab intravitreale ,glaucoma neovascolare - Published
- 2011
30. Evoluzione degli adiuvanti nella trabeculectomia: risultati di uno studio randomizzato su un inserto di collagene biodegradabile versus mitomicina C
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CILLINO, Salvatore, DI PACE, Francesco, CILLINO, Giovanni, CASUCCIO, Alessandra, Cillino, S, Di Pace, F, Cillino, G, and Casuccio, A
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glaucoma surgery, ologen, MMC - Published
- 2011
31. Inserto di collagene biodegradabile vs mitomicina-C nella trabeculectomia: risultati a medio termine di uno studio prospettico di fase II
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CILLINO, Salvatore, CASUCCIO, Alessandra, DI PACE, Francesco, CILLINO, Giovanni, PILLITTERI, F, LODATO, G., CILLINO, S, CASUCCIO, A, DI PACE, F, CILLINO, G, PILLITTERI, F, and LODATO, G.
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chirurgia del glaucoma ,Settore MED/30 - Malattie Apparato Visivo ,trabeculectomia ,collagene biodegradabile - Published
- 2010
32. Chirurgia dell’interfaccia vitreoretinica: studio randomizzato su tecnica 20G Vs 23G
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CILLINO, Giovanni, CASUCCIO, Alessandra, SPITALE, Emanuela Rosaria, FERRARO, Lucia Lee, LODATO, Gaetano, CILLINO, Salvatore, Cillino, G, Casuccio, A, Spitale, E, Ferraro, L, Lodato, G, and Cillino, S
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vitrectomy, vitreoretinal interface - Published
- 2010
33. Sicurezza ed Efficacia dell’ Inserto Ologen™ Nella Chirurgia Del Glaucoma: Risultati Di Uno Studio Prospettico Di Fase II
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CILLINO, Salvatore, CASUCCIO, Alessandra, CILLINO, Giovanni, PILLITTERI, Francesco, DI PACE, Francesco, Cillino, S, Casuccio, A, Cillino, G, Pillitteri, F, and Di Pace, F
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Glaucoma surgery, Ologen, MMC - Published
- 2009
34. A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area
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Salvatore Cillino, Francesco Pillitteri, Alessandra Casuccio, Giovanni Cillino, Francesco Pace, CILLINO S, CASUCCIO A, DI PACE F, PILLITTERI F, and CILLINO G
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Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Visual acuity ,Time Factors ,genetic structures ,retrospective study ,ocular trauma ,Population ,Visual Acuity ,Poison control ,Eye injuries ,Age Distribution ,Eye Injuries ,lcsh:Ophthalmology ,Injury prevention ,Epidemiology ,Medicine ,Humans ,Sex Distribution ,education ,Retrospective Studies ,education.field_of_study ,Trauma Severity Indices ,business.industry ,Settore MED/30 - Malattie Apparato Visivo ,Incidence (epidemiology) ,Incidence ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,eye diseases ,Hospitalization ,Ophthalmology ,Italy ,lcsh:RE1-994 ,visual outcomes ,Female ,visual outcome ,medicine.symptom ,business ,Research Article ,Follow-Up Studies - Abstract
Background To determine the epidemiological characteristics and visual outcome of ocular trauma in southern Italy. Methods All cases of ocular trauma admitted to Department of Ophthalmology of Palermo University, Italy, from January 2001–December 2005 were retrospectively reviewed for open- or closed-globe injury (OGI or CGI). Data extracted included age, sex, residence, initial and final visual acuity (VA), cause and treatment of injury, hospitalization. The injuries were classified by Ocular Trauma Classification System (OTCS) and Birmingham Eye Trauma Terminology (BETT). We also referred to the Ocular Trauma Score (OTS) in evaluating the final visual outcome. Results Of the 298 eyes, there were 146 OGI and 152 CGI. Fifty eyes (16.8%) had an intraocular foreign body (IOFB). The annual incidence of eye injuries was 4.9 per 100,000. Most injuries occurred in men (84.6%, p < 0.0005), with an average age of 33.0 vs. 49.9 for women (p = 0.005). Cause of injury differed significantly by gender (p = 0.001) and urban vs. rural location (p = 0.009). The most frequent causes in men were outdoor activities related injuries (30.9%), work-related (25.4%), and sport-related (17.5%), and in women were home-related (52.2%) and outdoor activities related injuries (30.4%). In urban areas, road accidents were more frequent; in rural areas, work-related injuries were more frequent with a greater rate of IOFBs than in urban areas (p = 0.002). The incidence of OGI and CGI differed in work-related injuries (p < 0.0005), sport-related injuries (p < 0.0005), and assaults (p = 0.033). The final visual acuity was 20/40 (6/12) or better in 144 eyes (48.3%), 20/40–20/200 (6/12–6/60) in 90 eyes (30.2%), and Conclusion This analysis provides insight into the epidemiology of patients hospitalized for ocular trauma. The findings indicate that ocular trauma is a significant cause of visual loss in this population.
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- 2008
35. Comfort visivo e indipendenza da occhiali con IOLs multifocali di nuova generazione: follow-up a 1 anno
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CILLINO, Giovanni, CASUCCIO, Alessandra, DI PACE, Francesco, PILLITTERI, Francesco, LODATO, Gaetano, CILLINO, Salvatore, Cillino, G, Casuccio, A, Di Pace, F, Pillitteri, F, Lodato, G, and Cillino, S
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Multifocal IOLs, presbyopia, cataract - Published
- 2008
36. Deep sclerectomy versus trabeculectomy with low-dosage mitomycin C: four-year follow-up
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Salvatore Cillino, Francesco Pace, Alessandra Casuccio, Giovanni Cillino, Gaetano Lodato, CILLINO S, DI PACE F, CASUCCIO A, CILLINO G, and LODATO G
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Male ,Intraocular pressure ,medicine.medical_specialty ,genetic structures ,Mitomycin ,medicine.medical_treatment ,Eye disease ,Glaucoma ,Kaplan-Meier Estimate ,Exfoliation Syndrome ,law.invention ,Postoperative Complications ,Randomized controlled trial ,law ,Ophthalmology ,Glaucoma surgery ,medicine ,Humans ,Trabeculectomy ,Intraocular Pressure ,Aged ,mitomycin C ,Intraoperative Care ,Dose-Response Relationship, Drug ,business.industry ,Settore MED/30 - Malattie Apparato Visivo ,Mitomycin C ,trabeculectomy ,deep sclerectomy ,clinical trial ,General Medicine ,Middle Aged ,medicine.disease ,eye diseases ,Sensory Systems ,Surgery ,Clinical trial ,Treatment Outcome ,Sclerostomy ,Female ,sense organs ,business ,Glaucoma, Open-Angle ,Follow-Up Studies - Abstract
Aims: To compare the long-term effects of low-dosage mitomycin C (MMC) in both deep sclerectomy (DSMMC) and trabeculectomy (TPMMC) on intraocular pressure (IOP). Methods: Analysis of extended follow-up of data from a prospective clinical trial. Forty patients were originally randomised to undergo either DSMMC (19 eyes) or TPMMC (21 eyes). Follow-up was performed at postoperative day 1, weeks 1, 2 and 3, as well as months 1, 3, 6, 9, 12, 18, 24, 36 and 48. Two- to three-week data were not included in the statistical analysis. Postoperative complications, number of antiglaucoma medications and IOP were recorded at each visit. Complete (no medications) and qualified (with or without medications) successes were assessed at 2 target IOPs (≤21 and ≤17 mm Hg) and evaluated by Kaplan-Meier curves. Results: At 48 months, the mean IOP (± SD) was 17.6 ± 3.4 and 17.8 ± 3.6 mm Hg in the DSMMC and TPMMC eyes, respectively, a significant reduction from preoperative IOP in each group (p < 0.0005). Complete success was achieved at the ≤21 mm Hg target IOP in 10 (52.6%) and 14 (66.6%) eyes and qualified success in 15 (78.9%) and 18 (85.7%) eyes in the DSMMC and TPMMC groups, respectively. There were no differences in the Kaplan-Meier curves. Hypotony and shallow anterior chamber were significantly more frequent in the TPMMC group. Conclusions: Either procedure controlled IOP efficaciously at our endpoint. Low-dosage MMC can be considered a mild enhancement of deep sclerectomy IOP-lowering effect.
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- 2008
37. Studio clinico randomizzato e controllato sull'efficacia clinica dell'uso di lenti multifocali refrattive versus diffrattive nella chirurgia della cataratta
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CILLINO, Salvatore, DI PACE, Francesco, CASUCCIO, Alessandra, MORREALE BUBELLA, Raffaella, Bocchetta, F, PILLITTERI, Francesco, CILLINO, Giovanni, LODATO, Gaetano, Cillino, S, Di Pace, F, Casuccio, A, Morreale, R, Bocchetta, F, Pillitteri, F, Cillino, G, and Lodato, G
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IOL multifocali, IOL diffrattive - Published
- 2006
38. ACUITA’ VISIVA, PERFORMANCE DI LETTURA, QUALITA’ DELLA VITA E SENSIBILITA’ AL CONTRASTO SOGGETTIVA ED ELETTROFUNZIONALE IN PAZIENTI AFFETTI DA CATARATTA E PRESBIOPIA, IMPIANTATI CON CRISTALLINI ARTIFICIALI MULTIFOCALI
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CILLINO, Giovanni, Cillino, G., DI PACE, FRANCESCO, and FERRARO, GIUSEPPE
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Settore MED/30 - Malattie Apparato Visivo ,Multifocal IOLs, VEPs, presbyopia, contrast sensitivity
39. Donor age and long-term culture do not negatively influence the stem potential of limbal fibroblast-like stem cells
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Giovanni Cillino, Giuseppe Pizzolanti, Gianluca Di Cara, Salvatore Cillino, Ida Pucci-Minafra, Maria Pitrone, Laura Tomasello, Carla Giordano, Rosa Musso, Walter Arancio, Antonina Coppola, Tomasello, L., Musso, R., Cillino, G., Pitrone, M., Pizzolanti, G., Coppola, A., Arancio, W., Di Cara, G., Pucci-Minafra, I., Cillino, S., and Giordano, C.
- Subjects
0301 basic medicine ,Homeobox protein NANOG ,Cellular differentiation ,Medicine (miscellaneous) ,Biology ,Stem cell marker ,Biochemistry, Genetics and Molecular Biology (miscellaneous) ,Settore MED/13 - Endocrinologia ,03 medical and health sciences ,Adult stem cell pluripotency ,Fibroblast-like stem cells ,Limbal stem cells ,Proteomic profile ,Regenerative medicine ,Limbal stem cell ,Stem cell transplantation for articular cartilage repair ,Induced stem cells ,Research ,Fibroblast-like stem cell ,Cell Biology ,Cell biology ,Endothelial stem cell ,030104 developmental biology ,Molecular Medicine ,Stem cell ,Adult stem cell - Abstract
BackgroundIn regenerative medicine the maintenance of stem cell properties is of crucial importance. Ageing is considered a cause of reduced stemness capability. The limbus is a stem niche of easy access and harbors two stem cell populations: epithelial stem cells and fibroblast-like stem cells. Our aim was to investigate whether donor age and/or long-term culture have any influence on stem cell marker expression and the profiles in the fibroblast-like stem cell population.MethodsFibroblast-like stem cells were isolated and digested from 25 limbus samples of normal human corneo-scleral rings and long-term cultures were obtained. SSEA4 expression and sphere-forming capability were evaluated; cytofluorimetric assay was performed to detect the immunophenotypes HLA-DR, CD45, and CD34 and the principle stem cell markers ABCG2, OCT3/4, and NANOG. Molecular expression of the principal mesenchymal stem cell genes was investigated by real-time PCR. Two-dimensional gel electrophoresis and mass spectrometric sequencing were performed and a stable proteomic profile was identified. The proteins detected were explored by gene ontology and STRING analysis. The data were reported as means ± SD, compared by Student’s unpairedttest and consideringp ResultsThe isolated cells did not display any hematopoietic surface marker (CD34 and CD45) and HLA-DR and they maintained these features in long-term culture. The expression of the stemness genes and the multilineage differentiation under in-vitro culture conditions proved to be well maintained. Proteomic analysis revealed a fibroblast-like stem cell profile of 164 proteins with higher expression levels. Eighty of these showed stable expression levels and were involved in maintenance of “the stem gene profile”; 84 were differentially expressed and were involved in structural activity.ConclusionsThe fibroblast-like limbal stem cells confirmed that they are a robust source of adult stem cells and that they have good plasticity, good proliferative capability, and long-term maintenance of stem cell properties, independently of donor age and long-term culture conditions. Our findings confirm that limbal fibroblast-like stem cells are highly promising for application in regenerative medicine and that in-vitro culture steps do not influence their stem cell properties. Moreover, the proteomic data enrich our knowledge of fibroblast-like stem cells.
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40. Bilateral Ultrathin Descemet's Stripping Automated Endothelial Keratoplasty vs. Bilateral Penetrating Keratoplasty in Fuchs' Dystrophy: Corneal Higher-Order Aberrations, Contrast Sensitivity and Quality of Life.
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Castellucci M, Novara C, Casuccio A, Cillino G, Giordano C, Failla V, Bonfiglio V, Vadalà M, and Cillino S
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- Cohort Studies, Contrast Sensitivity, Humans, Keratoplasty, Penetrating, Quality of Life, Retrospective Studies, Descemet Stripping Endothelial Keratoplasty, Fuchs' Endothelial Dystrophy surgery
- Abstract
Background and Objectives: The objective of this paper is to compare the visual outcomes and quality of life (QoL) after bilateral ultrathin Descemet's stripping automated endothelial keratoplasty (UT-DSAEK) with bilateral penetrating keratoplasty (PK) for Fuchs' endothelial dystrophy (FED). Materials and Methods: Retrospective comparative cohort study, including 11 patients with FED who underwent bilateral PK and 13 patients with FED who underwent bilateral UT-DSAEK. All patients were already pseudophakic or had undergone a combined cataract procedure. The main outcomes were corrected distance visual acuity (CDVA) corneal higher-order aberrations (HOAs), contrast sensitivity (CS) and quality of life (QoL). Results: The mean follow-up after the second eye surgery was 32.5 ± 10.2 months in PK and 19.6 ± 8.6 months in UT-DSAEK patients. The CDVA in the UT-DSAEK group was significantly better than in the PK one (0.18 ± 0.07 vs. 0.35 ± 0.16 logMAR, p < 0.0001). The mean anterior corneal total HOAs of the central 5 mm were significantly lower in UT-DSAEK eyes than in PK eyes (0.438 ± 0.078 µ and 1.282 ± 0.330 µ respectively, p < 0.0001), whilst the mean posterior total HOAs did not differ between groups (0.196 ± 0.056 µ and 0.231 ± 0.089 µ, respectively, p = 0.253). The CS was lower at 0.75 and 1.5 cycles/degree in P the K group when compared to the DSAEK one ( p = 0.008 and 0.005, respectively). The QoL scores by the NEI RQL-42 test exhibited better values in DSAEK patients in 9 out of 13 scales. Conclusion: Our study confirms that UT-DSAEK provides a better visual function in terms of CDVA and CS, together with lower HOAs, when compared to PK. Hence, the vision-related QoL, binocularly evaluated by the NEI RQL-42 items, indicates a higher satisfaction in UT-DSAEK eyes.
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- 2021
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41. Preoperative, Intraoperative and Postoperative Corticosteroid Use as an Adjunctive Treatment for Rhegmatogenous Retinal Detachment.
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Bonfiglio V, Reibaldi M, Macchi I, Fallico M, Pizzo C, Patane C, Russo A, Longo A, Pizzo A, Cillino G, Cillino S, Vadalà M, Rinaldi M, Rejdak R, Nowomiejska K, Toro MD, Avitabile T, and Ortisi E
- Abstract
The treatment for rhegmatogenous retinal detachment (RRD) is surgery, including pars plana vitrectomy (PPV) and scleral buckling (SB). Despite surgical advances, degeneration of the photoreceptors and post-operative complications, such as proliferative vitreoretinopathy (PVR), often occurs as the result of inflammation, preventing complete visual recovery or causing RRD recurrence. There is increasing evidence that in the presence of RRD, the activation of inflammatory processes occurs and the surgery itself induces an inflammatory response. This comprehensive review focuses on the use of different formulations of corticosteroids (CCS), as an adjunctive treatment to surgery, either PPV or SB, for RRD repair. The purpose was to review the efficacy and safety of CCS in improving functional and anatomical outcomes and in preventing postoperative complications. This review is organized according to the timing of CCS administration: preoperative, intraoperative, and postoperative. The evidence reviewed supported the role of the pre-operative use of CCS in the treatment of combined RRD and choroidal detachment (CD), reducing CD height. No solid consensus exists on intraoperative and postoperative use of CCS to treat and prevent postoperative complications. However, a large randomized clinical trial including more than 200 eyes suggested that oral prednisone after surgery decreases the rate of postoperative grade B PVR.
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- 2020
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42. Determinants of inappropriate hospitalization in cataract surgery in the south of Italy: a retrospective study.
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Cillino S, Iggui A, Di Naro S, Cillino G, Matranga D, Mazzucco W, Pojero F, and Casuccio A
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- Aged, Aged, 80 and over, Case-Control Studies, Female, Humans, Italy, Length of Stay statistics & numerical data, Logistic Models, Male, Middle Aged, Retrospective Studies, Risk Factors, Cataract Extraction, Health Services Misuse statistics & numerical data, Hospitalization statistics & numerical data
- Abstract
Purpose: To analyze the frequency of inappropriate hospitalization in cataract surgery and the type of related determinants., Methods: A nested retrospective case-control study was carried out on 2708 consecutive cataract surgery patients operated between January 2013 and December 2015. All cases with inappropriate hospitalization (day surgery or ordinary hospitalization) were compared with a control group of cases treated in an appropriate (day service) regimen. The predictive value for inappropriate admissions to the hospital was assessed using a logistic regression model. Significant variables from the univariate analysis were included in a multivariate model., Results: Forty-five cases (< 2%) of inappropriate hospital admissions were recorded. Residence, heart disease, tremors, anticoagulants, intraoperative floppy iris syndrome were not related to appropriateness, while psychotic disorder (OR 12.571, p = 0.018), anxiety-depressive syndrome (OR 7.818, p = 0.010) and use of antipsychotropic drugs (OR 7.724, p = 0.002) were related to the inappropriateness of admission by univariate and multivariate analysis. Previous systemic surgeries were predictors of ordinary hospitalization by logistic regression analysis. A greater presence of hypertension, diabetes mellitus and fellow eye pseudophakia was noticed in appropriate hospitalization cases., Conclusions: This study detects the predictive role of psychiatric disorders as determinants of hospitalization inappropriateness in cataract surgery. The negative correlation between inappropriate hospitalization and conditions such as hypertension and diabetes points out that in the elderly population common diseases are effectively addressed, in contrast to the difficult management of psychiatric patients. Prior systemic interventions represent factors inducing transfer from day service to ordinary hospitalization, highlighting communication problems related to difficult coping with an outpatient surgery setting.
- Published
- 2019
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43. Carbonic Anhydrase Inhibitor with Topical NSAID Therapy to Manage Cystoid Macular Edema in a Case of Gyrate Atrophy.
- Author
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Piozzi E, Alessi S, Santambrogio S, Cillino G, Mazza M, Iggui A, and Cillino S
- Subjects
- Administration, Ophthalmic, Administration, Oral, Adolescent, Drug Therapy, Combination, Female, Gyrate Atrophy diagnosis, Humans, Macular Edema diagnostic imaging, Macular Edema etiology, Ophthalmic Solutions, Ornithine blood, Ornithine-Oxo-Acid Transaminase, Tomography, Optical Coherence, Visual Acuity physiology, Acetazolamide therapeutic use, Anti-Inflammatory Agents, Non-Steroidal administration & dosage, Carbonic Anhydrase Inhibitors therapeutic use, Gyrate Atrophy complications, Indomethacin administration & dosage, Macular Edema drug therapy
- Abstract
Purpose: Gyrate atrophy of the choroid and retina (GACR) is a rare chorioretinal dystrophy characterized by a deficiency of the enzyme ornithine aminotransferase, inherited in an autosomal recessive pattern., Case Report: We report a case of a 17-year-old girl with GACR, for whom the level of serum ornithine had been reduced by an arginine-restricted diet. The patient was responsive to an association of topical nonsteroidal anti-inflammatory drugs (NSAIDs) and a carbonic anhydrase inhibitor (CAI) to reduce cystoid macular edema (CME)., Conclusions: The efficacy of topical NSAIDs and systemic CAI association indicates that the imbalance in the distribution of retinal pigment epithelium membrane-bound carbonic anhydrase could play a major role in CME pathogenesis in GACR. To our knowledge, this is the first case of therapy with CAI treatment for GACR-related CME.
- Published
- 2017
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44. Erratum to: Donor age and long-term culture do not negatively influence the stem potential of limbal fibroblast-like stem cells.
- Author
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Tomasello L, Musso R, Cillino G, Pitrone M, Pizzolanti G, Coppola A, Arancio W, Di Cara G, Pucci-Minafra I, Cillino S, and Giordano C
- Published
- 2016
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45. TREATMENT OF PERSISTENTLY OPEN MACULAR HOLES WITH HEAVY SILICONE OIL (DENSIRON 68) VERSUS C2F6. A PROSPECTIVE RANDOMIZED STUDY.
- Author
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Cillino S, Cillino G, Ferraro LL, and Casuccio A
- Subjects
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Prospective Studies, Reoperation, Retinal Perforations diagnosis, Retinal Perforations physiopathology, Tomography, Optical Coherence, Visual Acuity physiology, Endotamponade, Fluorocarbons administration & dosage, Retinal Perforations therapy, Silicone Oils administration & dosage, Vitrectomy
- Abstract
Purpose: To compare the efficacy of a mixture of silicone oil and perfluorohexyloctane (Densiron 68) with C2F6 gas endotamponade in the retreatment of persistently open full-thickness macular holes., Methods: In this prospective randomized study, 21 consecutive patients who were unsuccessfully operated on for large idiopathic full-thickness macular hole were randomly assigned to undergo a second vitrectomy with 20% perfluoroethane gas (C2F6, Group A) or with Densiron 68 tamponade (Group B)., Primary Outcomes: Endpoint (12 months) full-thickness macular hole closure rate by spectral domain optical coherence tomography and logMAR corrected distance visual acuity., Secondary Outcomes: postoperative adverse events., Results: The mean diameter of macular holes before the second pars plana vitrectomy was 680.3 ± 120.8 μm and 740.5 ± 105.3 μm in Groups A and B, respectively (P = 0.237); mean preoperative corrected distance visual acuity was 0.96 ± 0.36 logMAR and 1.12 ± 0.35 logMAR, respectively (P = 0.315). Endpoint full-thickness macular hole closure was obtained in 30% of patients (3/10) in Group A and in 82% (9/11) in Group B (P = 0.030). Corrected distance visual acuities were, respectively, 0.80 ± 0.25 logMAR and 0.55 ± 0.20 logMAR, with significant intergroup difference (P = 0.019); corrected distance visual acuity increased in Group B only (P = 0.003). No differences in complications were found., Conclusion: The results indicate that Densiron 68 tamponade could be a useful, safe, and more efficacious method than gas tamponade to retreat persisting macular holes.
- Published
- 2016
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46. Biodegradable collagen matrix implant versus mitomycin-C in trabeculectomy: five-year follow-up.
- Author
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Cillino S, Casuccio A, Di Pace F, Cagini C, Ferraro LL, and Cillino G
- Subjects
- Adult, Aged, Exfoliation Syndrome physiopathology, Exfoliation Syndrome surgery, Female, Follow-Up Studies, Glaucoma, Open-Angle physiopathology, Humans, Intraocular Pressure physiology, Male, Middle Aged, Tomography, Optical Coherence, Visual Acuity physiology, Absorbable Implants, Alkylating Agents administration & dosage, Collagen, Glaucoma, Open-Angle surgery, Glycosaminoglycans, Mitomycin administration & dosage, Trabeculectomy methods
- Abstract
Background: Clinical studies comparing trabeculectomy augmented with Ologen implant (OLO) versus trabeculectomy plus mitomycin-C (MMC) show contradictory results. To obtain long-term data, we report an extended 5-year follow-up trial evaluating the safety and efficacy of OLO as adjuvant compared to low-dosage MMC in trabeculectomy., Methods: Forty glaucoma patients (40 eyes) assigned to trabeculectomy with MMC or Ologen., Primary Outcome: target IOP at ≤21, ≤17 and ≤15 mmHg; complete and qualified success endpoint rates., Secondary Outcomes: visual acuity (VA), mean deviation (MD), bleb evaluation, according to Moorfields Bleb Grading System (MBGS); spectral domain OCT (SD-OCT) bleb examination; number of glaucoma medications; frequency of postoperative complications., Results: The mean preoperative IOP was 26.7(±5.2) in MMC and 27.3(±6.0) in OLO eyes. Mean 60-month percentage reduction in IOP was significant in both groups [40.9 (±14.2) and 42.1(±13.3) P = 0.01], with an endpoint value of 15.2 (±3.2) and 15.8 (±2.3) mmHg in MMC and OLO, respectively. Complete success rates at ≤ 21 mmHg target IOP were 65% and 70%, at ≤17 mm Hg 60% and 55%, and at the ≤15 mm Hg target IOP 35% and 45% in MMC and OLO, respectively. The Kaplan-Meier curves did not differ both for complete and qualified success at any target IOP, with no significant endpoint intergroup difference at ≤ 15 mm Hg (log-rank P = 0.595).The intergroup MBGS scores differed due to reduced central and peripheral vascularity in MMC group (P = 0.027; P = 0.041). SD-OCT analysis denied differences in bleb height between MMC vs OLO (140.5 ± 20.3 μ vs 129.2 ± 19.3 μ respectively; P =0.079). Mean antiglaucoma medications were significantly reduced (P < 0.0005) from 2.5 (±0.3) to 1.2 (±0.4) in MMC and from 2.6 (±0.2) to 1.4 (±0.3) in OLO group, with no intergroup differences (P = 0.08). Six (30%) cystic thin avascular blebs without oozing were recorded in the MMC group and 2 (10%) in the OLO group, without intergroup difference (P = 0.235)., Conclusions: Our extended follow-up results confirm that Ologen implant yields efficacy and long-term success rates quite similar to MMC, with at least equivalent safety.
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- 2016
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47. Favorable outcome in open globe injuries with low OTS score.
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Cillino G, Ferraro L, Casuccio A, and Cillino Salvatore
- Subjects
- Adult, Cataract Extraction, Eye Injuries, Penetrating etiology, Humans, Male, Scleral Buckling, Silicone Oils therapeutic use, Treatment Outcome, Ultrasonography, Visual Acuity, Vitreous Hemorrhage diagnostic imaging, Blast Injuries surgery, Eye Injuries, Penetrating surgery, Injury Severity Score, Military Personnel
- Abstract
Purpose: Open globe eye injuries can have profound social and economic consequences. Here, we describe two cases of war and outdoor activity open globe eye injury where, despite a low OTS score, current microsurgical technology allowed for a favorable outcome., Case Report 1: A 33-year-old Libyan soldier had been treated for an open-globe grenade blast trauma to his left eye, which showed light perception and OTS score 2. He had undergone a lensectomy and PPV with silicone oil tamponade. Surgical treatment included scleral buckling, cornea trephination, temporary Eckardt keratoprosthesis, PPV revision, intraocular lens (IOL) implantation, and corneal grafting. Six months later, his VA was improved to 20/70. CASE REPORT 2: A 35-year-old man presented with a corneal laceration in his left eye from a meat skewer, with marked hypotony and LP. After primary corneal wound closure, B-scan ultrasonography revealed massive vitreous hemorrhage (OTS score 2). The patient underwent open cataract extraction with IOL implantation, 23 gauge PPV, laser photocoagulation of the retinochoroidal laceration, and a gas tamponade. After three weeks, the patient underwent a 2nd 23G PPV due to a fibrinous reaction. Six month later, the patients exhibited 20/25 VA., Conclusion: These cases confirm that even for patients with a low OTS and poor visual prognosis, an up-to-date surgery protocol may achieve visual results adequate for leading an autonomous daily life.
- Published
- 2014
48. Working-age cataract patients: visual results, reading performance, and quality of life with three diffractive multifocal intraocular lenses.
- Author
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Cillino G, Casuccio A, Pasti M, Bono V, Mencucci R, and Cillino S
- Subjects
- Cataract etiology, Color Vision physiology, Contrast Sensitivity physiology, Double-Blind Method, Female, Follow-Up Studies, Humans, Lens Implantation, Intraocular, Male, Mesopic Vision physiology, Middle Aged, Prospective Studies, Prosthesis Design, Sickness Impact Profile, Surveys and Questionnaires, Vision, Binocular physiology, Lenses, Intraocular, Phacoemulsification, Quality of Life, Reading, Visual Acuity physiology
- Abstract
Purpose: To compare the visual outcomes, reading performance, and quality of life (QoL) of working-age cataractous patients bilaterally implanted with 3 different diffractive multifocal intraocular lenses (MIOLs)., Design: Two-center, randomized, prospective, double-masked study., Participants: Sixty-three consecutive patients (126 eyes) seen at Ophthalmology Section, Palermo and Florence University, Italy, randomized to receive the ReSTOR SN6AD3 (Alcon Laboratories, Inc, Irvine, CA) (20 patients, group A), ReSTOR SN6AD1 (Alcon Laboratories, Inc) (21 patients, group B), or TECNIS ZMA00 (Abbott Medical Optics, Santa Ana, CA) (22 patients, group C) MIOL., Intervention: Phacoemulsification., Main Outcome Measures: One-year follow-up differences among the 3 MIOL groups in visual acuity, reading performance by MNREAD (Minnesota Laboratory for Low-Vision Research, University of Minnesota, Minneapolis, MN) reading acuity (RA), critical print size (CPS), and maximum reading speed (MRS) under mesopic and photopic conditions., Secondary Outcome Measures: Photopic and mesopic contrast sensitivity (CS) by Pelli-Robson test and patient satisfaction by National Eye Institute Refractive Error Quality of Life Instrument-42 (NEI RQL-42) questionnaire., Results: Mean photopic uncorrected near visual acuity (UNVA), distance-corrected near visual acuity (DCNVA), and corrected near visual acuity (CNVA) did not differ among groups, with a preferred reading distance greater in group B (P< 0.0005). Photopic distance-corrected intermediate visual acuity (DCIVA) was best in group B (P = 0.001) and better in group C than in group A. Mesopic UNVA and DCNVA were worse in groups A and B compared with group C (P< 0.0005 in both cases), with better DCNVA in group B than in group A (P = 0.031). Mesopic uncorrected intermediate visual acuity (UIVA) and DCIVA were worst in group A, with better results in group C (P< 0.0005 and P = 0.001, respectively). Mesopic MNREAD RA was better in group C (P = 0.02), and mesopic MRS was higher in groups B and C than in group A (P = 0.002). The QoL scores by the NEI RQL-42 test exhibited no differences among groups in 9 over 13 scales. "Near vision" (P = 0.005), "symptoms" (P = 0.001), and "satisfaction with correction" scale scores (P = 0.030) were lowest in group A, and "appearance" scale score was lowest in group B (P = 0.045)., Conclusions: Newer-generation aspheric diffractive MIOLs, especially low-add hybrid apodized or full diffractive, are highly suited for working-age cataractous patients in terms of visual outcomes, reading performance, and QoL. Intrinsic optical differences, such as optimization for computer or dim-light working, or night driving, could be useful tools to customize the IOL in each single case., (Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
- Published
- 2014
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49. [Bernard-Horner syndrome after accidental lesion of carotid artery: case report].
- Author
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Spinelli G, Damiano G, Palumbo VD, Cillino G, and Lo Monte AI
- Subjects
- Humans, Male, Middle Aged, Carotid Artery Injuries complications, Horner Syndrome etiology
- Abstract
Among the complications of internal jugular vein insertion there is the lesion of the cervical sympathetic trunk with the onset of Bernard-Horner syndrome, consisting of miosis, eyelid ptosis, enophthalmos and anhidrosis on the same side of the lesion. The neurological damage can be caused by the direct puncture of the trunk or by the irritating and compressive action of a hematoma during the puncture of the internal jugular; the clinical picture, when reversible, resolves in a few months. The case we report is about the onset of the syndrome after accidental puncture of carotid artery, followed by the total disappearance of signs in a few days.
- Published
- 2012
50. Pharmacologic pupil dilation as a predictive test for the risk for intraoperative floppy-iris syndrome.
- Author
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Casuccio A, Cillino G, Pavone C, Spitale E, and Cillino S
- Subjects
- Aged, Cohort Studies, Doxazosin adverse effects, Drug Combinations, Humans, Iris Diseases chemically induced, Male, Muscle, Smooth drug effects, Phenylephrine pharmacology, Prazosin adverse effects, Prazosin analogs & derivatives, Predictive Value of Tests, Prospective Studies, Risk Factors, Sensitivity and Specificity, Sulfonamides adverse effects, Syndrome, Tamsulosin, Tropicamide pharmacology, Adrenergic alpha-1 Receptor Antagonists adverse effects, Intraoperative Complications, Iris Diseases diagnosis, Mydriatics pharmacology, Phacoemulsification, Pupil drug effects
- Abstract
Purpose: To evaluate the effect of α1-adrenergic receptor antagonists (α1-ARAs) on pupil diameter and determine whether the diameter predicts intraoperative floppy-iris syndrome (IFIS)., Setting: Ophthalmology Section, Palermo University, Palermo, Italy., Design: Prospective cohort study., Methods: Male outpatients taking tamsulosin, α(1)-ARAs, or no α(1)-ARAs having phacoemulsification were recruited. Pupils were measured 1 month preoperatively, immediately preoperatively, and postoperatively under mesopic low (0.4 lux) and high (4.0 lux) illumination after pharmacologic dilation. The IFIS severity was graded., Results: Each group comprised 50 patients. Pharmacologic dilation in both α(1)-ARA groups was statistically significantly less than in the no α1-ARA group 1 month preoperatively, immediately before surgery, and postoperatively (P=.001, P<.0005, and P<.0005, respectively). The IFIS incidence differed significantly between the tamsulosin and other α(1)-ARA groups and the no α1-ARA group (P<.0005 and P=.017, respectively) and between the tamsulosin group and the other α1-ARA group (P=.027). On regression analysis, the hazard ratio for overall IFIS incidence was 3.8 in the other α(1)-ARA group (P=.012) and 10.1 in the tamsulosin group (P<.0005). Pupil size was inversely related to IFIS incidence and severity (P<.0005). A dilated pupil of 7.0 mm or smaller had 73% sensitivity and 95% specificity for predicting IFIS (P=.0001)., Conclusions: Pupil dilation was inhibited by α(1)-ARAs, in particular tamsulosin. For a pupil 7.0 mm or smaller, the risk for IFIS existed regardless of α(1)-ARAs treatment, which surgeons should take into consideration., (Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
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