Feb 27, Conclusion Flanged intrascleral intraocular lens fixation with double-needle technique combined with PKP or UT-DSAEK was shown to be a. Salt Lake City UT: Project Gutenberg. Literary Archive Foundation. . from http:// ronaldweinland.info Luke, A. & Luke, C. Flanged intrascleral intraocular lens fixation with double-needle technique combined with PKP or UT-DSAEK was shown to be a safe and effective method of.
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PKP Supervision Model Development Using the Block System Tutorial importance of achieving PKP course objectives as well as UT's efforts to enhance the. PKP Recognition Ceremony October 25 (PDF) · Mancusi to PKP Initiation Banquet (PDF) UT Martin Recognized As Phi Kappa Phi Chapter of Merit. Mar 23, Phi Kappa Phi honor's society at the University of Tennessee at Martin gathered to re-dedi- cate its tradition of academic excellence on the UT.
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Mahasiswa speaker www friends. Keyword suggestion karakter yang ditawarkan ut download save source dc. Anilai mahasiswa indonesias state university the universities. Class x cbse, full download downloads. Nevertheless, stable keratometry allows for improved IOL planning. Taking these concerns into consideration, performing combined procedures as documented does not appear to have an unfavorable outcome on corneal grafts or visual acuity.
In triple procedures, particularly in open-sky approach, the Yamane technique may reduce intraoperative risks of choroidal effusion and expulsive hemorrhage due to its shorter duration. The intrascleral IOL fixation with double-needle technique was first described by Yamane 1 in and later modified into a flanged technique. Additionally, the haptics may be more susceptible to breakage or bending. In certain cases, eg. Before the procedure, we verified the IOL haptic fit into the thin wall gauge needle to avoid previously reported problems of the haptics not fitting into the lumen of the needle.
Postoperative OCT measurements have shown that 1. Our modification of the technique ensures the flanged haptics are symmetrical and decreases the risk of decentration. In addition, we exteriorized the leading haptic entirely before inserting the trailing haptic, as described by Kim. Intraoperative complications during an open-sky IOL fixation have been reported, including vitreous prolapse, choroidal hemorrhage due to changes in IOP, and retinal detachment due to vitreous traction, specifically related to the longer duration of the procedure.
The intrascleral flanged technique is a faster procedure which may decrease intraoperative complications as observed in this case series.
Postoperative complications as reported by Yamane include iris capture, vitreous hemorrhage and cystoid macular edema CME. The open communication between the vitreous and ocular surface pose a chance of endophthalmitis. In this case series of combined corneal transplantation and sutureless secondary IOL fixation, all patients recovered visual function and we did not observe cases of cystoid macular edema, retinal detachment, vitreous loss or choroidal hemorrhage.
All patients presented with a centered IOL postoperatively. Flanged intrascleral intraocular lens fixation with double-needle technique combined with PK or UT-DSAEK offers a safe and effective method of visual rehabilitation not associated with increased intraoperative complications. This retrospective study case series adhered to the tenets of the Declaration of Helsinki and was approved by the Medical University of South Carolina MUSC institutional review board IRB with a waiver of consent because the data were collected as a part of normal practice care provision.
Consent to publish the case series was not obtained. This report does not contain any personal information that could lead to the identification of the patients. National Center for Biotechnology Information , U. Am J Ophthalmol Case Rep. Published online Nov Milliken c. Cole M. Author information Article notes Copyright and License information Disclaimer.
Karolinne Maia Rocha: Associated Data Supplementary Materials video 1. Abstract Purpose To report clinical outcomes and surgical technique of flanged intrascleral intraocular lens fixation with double-needle combined with either penetrating keratoplasty PKP or ultrathin Descemet-stripping automated endothelial keratoplasty UT-DSAEK.
Observations Five patients underwent combined flanged intrascleral intraocular lens fixation with double-needle technique and keratoplasty. Conclusion Flanged intrascleral intraocular lens fixation with double-needle technique combined with PKP or UT-DSAEK was shown to be a safe and effective method of visual rehabilitation without additional intraoperative complications.
Corneal transplant, Flanged intrascleral intraocular lens fixation, Cataract surgery. Introduction Ocular trauma or complicated cataract surgery resulting in dislocated crystalline lens, dislocated intraocular lens, or aphakia can result in significant corneal dysfunction and visual impairment.
Surgical technique 2. Intrascleral intraocular lens fixation with double-needle combined with penetrating keratoplasty The donor cornea was trephined using an 8. Intrascleral intraocular lens fixation with double-needle combined ultra-thin descemet-stripping automated endothelial keratoplasty The intrascleral intraocular lens fixation was performed similar to that for PKP.
Case 1 A year-old male with a history of traumatic corneal laceration and uveal prolapse in the left eye OS , presented for evaluation of a corneal transplant. Open in a separate window. Case 2 A year-old male, with a history of proliferative diabetic retinopathy, vitreous hemorrhage, advanced glaucoma, and multiple anterior segment surgeries including two Ahmed valves and a previous complicated cataract surgery in the right eye, presented for evaluation of corneal transplantation.
Case 3 A year-old male with a history of ocular trauma, status post PKP for keratoconus, and corneal laceration with graft dehiscence in the left eye OS , presented for evaluation of corneal re-transplantation. Case 4 A year old male with a history of complicated cataract surgery in the left eye OS including posteriorly dislocated lens and anterior placement of a 3-piece IOL, presented for evaluation of a corneal transplant.
Case 5 A year old male with a history of complicated cataract surgery in the right eye OD , including 3 prior procedures and 2 displaced IOLs, presented for evaluation of a corneal transplant.
Video 2. Discussion Corneal laceration after ocular trauma and scarring after infectious keratitis in aphakic patients usually leads to a full thickness corneal transplant, while complicated cataract surgery resulting in pseudophakic or aphakic bullous keratopathy is indicative of endothelial keratoplasty.
Conclusion Flanged intrascleral intraocular lens fixation with double-needle technique combined with PK or UT-DSAEK offers a safe and effective method of visual rehabilitation not associated with increased intraoperative complications. Patients consent This retrospective study case series adhered to the tenets of the Declaration of Helsinki and was approved by the Medical University of South Carolina MUSC institutional review board IRB with a waiver of consent because the data were collected as a part of normal practice care provision.
Funding No funding or grant support. Conflicts of interest The authors have no financial disclosures. Acknowledgements None. These self- 2.
What steps might be taken to improve the classroom action their own understanding of the course material. Learners, research curriculum at UT? UT provides support in the form of tutorials—taught by local university Since UT tutorials are necessarily developed by subject matter lecturers—which give learners opportunities to work together and and curriculum development experts at its Jakarta campus, those to receive face-to-face support if they need it.
Answering these questions, therefore, is critical to understanding the effectiveness of the action research tutorials and Research Objectives and Questions guiding improvements in them as necessary. In Indonesia, the completion of an undergraduate degree Research Sites and Methods requires the student to carry out and write a report on a research project.
Both cities are heavily populated and suffer from many of thesis, known as the skripsi. Life tends to be difficult and fast-paced. While the two conditions. Teachers in both cities, however, generally benefit action research classes offered by UT are intended to help these from relatively good access—by Indonesian standards—to modern teachers over that hurdle, many still struggle with this final amenities such as utilities, adequate sanitation, modern housing, requirement.
Therefore, in order to evaluate and, if necessary, and public transportation. Bogor is a tourist city with a large number of natural data were then analyzed holistically and then categorically in order and cultural attractions. This makes Bogor a natural location for to identify and trace patterns that might offer insight into the selling arts and handicrafts.
Tangerang, on the other hand, is the problems tutors and teacher-learners were facing as they worked largest satellite urban center around Jakarta and the home of many through the PTK module and tutorial. After each cycle of data industrial and manufacturing concerns. Many international collection team members met to review and analyze the data corporations have plants in Tangerang city. As a result, a number gathered and formulate plans for further investigation.
This of upper-class and middle-class communities—complete with their process was repeated through three cycles, at which point the own shopping malls, private schools and convenience centers— decrease in new observations and the increase in repeated have grown up in Tangerang.
First, teaching posts in urban areas are generally considered more attractive by Indonesian teachers. Teachers in Findings urban areas are also more likely to have somewhat easier access to universities and other professional development opportunities.
The first cycle of data gathering and analysis revealed some Therefore, there is a possibility that teachers in urban areas may positive aspects of the PTK tutorial along with several differ in significant ways from their rural counterparts. Also, the shortcomings. The tutors observed, for example, encouraged proximity to universities and availability of transportation teachers to work in collaborative groups.
When some groups were increases the likelihood that the teacher-learners will have the not ready for scheduled group presentations, the tutor gave the support of competent tutors. If these assumptions are correct, then groups additional time to complete their presentations. Teachers enrolled in the tutorial, however, offered a possibly require different adjustments in the tutorials.
It was, therefore, intended to understand any asked us to conduct action research.
Data memorized the theories. The result of this was focus group discussions with teacher-learners, and observations of confusion about the circumstances in which the teachers were tutorial sessions. Table 1 below offers a summary of the data and intended to use what they were learning.
I was still confused about the meaning of class until just know when Table 1.
Bogor 10 3 2 - - theoretical bias of the PTK tutorial and the lack of opportunities to Bogor and 2. Tangerang 5 2 5 0 1 practice what they were learning about classroom action research. Observational data were recorded in field notes. All Interview, 16 August January This focus on module and tutorial is intended to enable the teachers to identify theory at the expense of practice left teachers at a loss when they problems in their teaching and then overcome these problems tried to use action research themselves.
One teacher complained, through classroom action research. Teachers Interview, 16 August Nani Interview, 27 September , said one teacher. The degree in education. The research team tried, therefore, to example was not concrete enough.