Displaying publications 1 - 20 of 101 in total

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  1. Towards Vision 2020 -Trends of Cataract Surgery in Melaka Hospital, A Malaysian Tertiary Center: 2007-2014
    Thevi T, Abas AL
    Kathmandu Univ Med J (KUMJ), 2021 2 18;18(70):122-132.
    PMID: 33594017
    Background Cataract surgery which is the only scientific method to treat cataracts has evolved from large incisions of intracapsular cataract excision to extracapsular cataract exicison and now modern day phacoemulsification. Anaesthesia too has progressed from general anaesthesia to local and topical anaesthesia. A variety of intraocular lenses are available ranging from rigid to foldable, multifocal and toric. Day care surgeries are becoming the norm these days. Objective Cataract surgery has advanced with new techniques and modalities. We studied the trends of cataract surgery and outcomes over the years. Method We performed secondary data analysis (National Eye Database) of cataract surgery patients in Hospital Melaka (2007 - 2014). Result Most patients were 60-69 years (mean 65.0 years). Primary cataract rose (p<0.05) but there was no difference in laterality and first or second eye (p>0.05). More patients presented with Hypertension and Diabetes (p<0.05). Pterygium encroaching the cornea showed a rise (p<0.05). Phacoemulsification (80.8%) showed a rise while Extracapsular Cataract Extraction (ECCE) (15.4%) declined (p<0.05). More Specialists operated and fewer combined surgeries were performed (p<0.001). Type of anaesthesia did not change (p>0.05). Operative complications reduced (p<0.001). Anterior chamber, scleral fixated and foldable intraocular lenses usage reduced (p<0.05). There was no change in pre-operative visual acuity (p>0.05) but postoperative vision showed a rise in good outcomes (p<0.05). Conclusion Melaka Hospital shows a rise in phacoemulsification and a decline in Extracapsular Cataract Extraction. More patients presented with primary cataracts. More Specialists operated and there was a reduction in intraoperative and postoperative complications. Post-operative visual outcomes showed a remarkable improvement. This improvement is in keeping with the aim of improved vision for all by 2020.
    Matched MeSH terms: Lenses, Intraocular*
  2. Stratigraphic Succession and Depositional Framework of the Sandakan Formation, Sabah
    Khor Wei Chung, Chow Weng Sum, Abd. Hadi A. Rahman
    Sains Malaysiana, 2015;44:931-940.
    The Sandakan Formation of the Segama Group is exposed across the Sandakan Peninsular in eastern Sabah. This Upper Miocene part of the Segama Group unconformably overlies the Garinono Formation and is conformably overlain by the Bongaya Formation. This formation was investigated with detailed logging of outcrops and microfossils analysis in order to map the depositional facies and sedimentary environment. This study showed the presence of seven lithofacies: Thick amalgamated sandstone; thin, lenticular interbedded HCS sandstones and mudstone; laminated mudstone with Rhizophora; trough cross-bedded sandstone; laminated mudstone; strip mudstone with thin sandstone and siltstone; and interbedded HCS sandstone and mudstone. Based on the presence of Rhizophora, Brownlowia, Florchuetia sp., Polypodium, Stenochleana palustris, Ascidian spicule low angle cross bedding, very fine grained sandstone, thin alternations of very fine sandstone, silt and clay layers showing cyclicity (muddy rhythemites), rocks in the Sandakan Formation are interpreted as mangal estuary and open marine facies. Three facies associations could be deduced from the seven lithofacies: Gradual coarsening upwards shoreface; abrupt change facies and prograding estuary facies association.
    Matched MeSH terms: Lenses
  3. Fulltext Contact lens related Elizabethkingia meningoseptica keratitis-a first Southeast ASEAN case report & literature review
    Ang, Wen-Jeat, Embong Zunaina, Raja Omar Raja Norliza, Abdul Jalil Fadzillah
    Journal of Biomedical and Clinical Sciences, 2017;2(1):1-4.
    MyJurnal
    We describe the first clinical case of contact lens related corneal ulcer caused by Elizabethkingia meningosepticaregistered in Southeast Asia. A 20-year-old female student who wasa regular soft contact lens wearer, presented with pain, photophobia and blurring of vision of the right eye for 3 days. On slit lamp examination, there was a small paracentral anterior stromal infiltrate with an overlying epithelial defect. Microbiological cultures from corneal scrapings, contact lens and its casing were positive for E.meningoseptica. Due to high likelihood of contact lens contamination causing keratitis, topical fortified gentamicin0.9% and ceftazidime 5% were administered empirically. Topical vancomycin 5% was later added tailoring to the culture and sensitivity of the organism. After 8 weeks of treatment, the keratitis subsided and corneal epithelial defect completely healed with residual corneal opacity. Even though uncommon, contact lens related E.meningosepticakeratitis can occur in healthy immunocompetent individuals with no ocular comorbidities.
    Matched MeSH terms: Contact Lenses, Hydrophilic
  4. Fulltext Preliminary study of cosmetic coloured contact lenses chemical elements analysis using energy dispersive X-ray spectroscopy
    Syazwan Hafiz Mohd, Wan Elhami Wan Omar, Ai-Hong Chen
    Pertanika Journal of Science & Technology, 2017;25(103):73-82.
    MyJurnal
    This paper examines the chemical elements used as colour additives in cosmetic coloured contact lenses (Cos-CCL) using Field Emission Scanning Electron Microscope equipped with Energy Dispersive X-ray Spectroscopy (FESEM-EDX) analysis. The samples comprised two different Cos-CCL brands and colours (sample A1-black iris colour & B1-gray iris colour) with their respective clear contact lens counterparts as controls (sample A2 & B2). The parameters of Cos-CCL were observed carefully so that they resembled their respective controls. All the samples were analysed for chemical element characterisation by using EDX spectroscopy surface mapping analysis on both front and back surfaces. EDX spectroscopy point analysis was done on cross-section surface of Cos-CCL when colour additive pattern could not be detected by FESEM on either surface. FESEM-EDX spectroscopy analysis has revealed iron element in the colour additives of the A1 sample and aluminium elements in the B2 sample. These two elements were not present in the respective control samples. It can be concluded that iron and aluminium elements are exclusively attributed to the colour additive in Cos-CCL samples. It is important for manufacturers of Cos-CCL to disclose information of their products and create greater awareness on the risks facing users.
    Matched MeSH terms: Contact Lenses
  5. Chronic illness and sustainable careers: How individuals with multiple sclerosis negotiate work transitions in a middle-income country
    Vijayasingham L, Jogulu U, Allotey P
    Soc Sci Med, 2020 01;245:112699.
    PMID: 31785425 DOI: 10.1016/j.socscimed.2019.112699
    Reports of work change and transitions are common amongst individuals with chronic illnesses such as multiple sclerosis (MS). However, there is little research on the lived experience of these work transitions. The scarcity of this research is particularly evident within low-and-middle-income countries, where protection laws and resources such as anti-discrimination laws and reasonable work modifications may not exist or be well enforced. In this paper, we explore how and why individuals with MS seek and achieve work transitions in the structural context of Malaysia. We interviewed ten working individuals with MS (July-december 2015) using a joint hermeneutic phenomenology and constructivist grounded theory approach. Using a broad conceptual lens of 'sustainable careers', we examine their careers as a series of experiences, decisions, and events, paying attention to the influences of context, time, their personal levels of agency and sense of meaning. Participants described work transitions as early as within the first year of diagnosis, that were prompted by voluntary, involuntary and semi-voluntary reasons. Key aspects of the process of seeking new roles included an exploration of alternative roles and paths, and then acquiring, trialing/adapting and remaining engaged in their new roles. Participants identified the perception and experience of 'being unemployable', based on how their diagnosis and short-term symptoms were responded to by employers. Nevertheless, participants used various strategies and career resources to obtain and maintain meaningful work roles. However, success in obtaining or maintaining new roles were not equally achieved. This research draws attention to the cumulative economic disadvantage of a chronic illness diagnosis, even at milder and episodic stages. Furthermore, it reiterates the need for cohesive structural protection in low-and-middle-income countries to facilitate a more equal ability to remain economically resilient and capable of engaging in meaningful long-term careers when living with a chronic illness.
    Matched MeSH terms: Lenses
  6. Fulltext Comparison between point-based and ring-based technologies in Keratometric measurement among Post Myopic Laser Refractive surgery patients
    Md Muziman Syah, Khairidzan Mohd Kamal, Mahfuzah Mokhtar, Aminul Hakim Sofian Sauri
    International Medical Journal Malaysia, 2017;16(11):17-17.
    MyJurnal
    Corneal power or keratometric value represents two-third of total
    refractive power of the eye. It is an important parameter in intraocular lens calculation.
    Purpose of the study was to evaluate repeatability and agreement of keratometric
    measurements obtained from a six points-based keratometry device; IOLMaster 500 (Carl
    Zeiss Meditec AG, Jena, Germany) and two Placido disc-based keratometry devices;
    Atlas Topographer 995 and 9000 models (Carl Zeiss Meditec AG, Jena, Germany). (Copied from article).
    Matched MeSH terms: Lenses, Intraocular
  7. Fulltext In vitro effects of multi-purpose contact lens disinfecting solutions towards survivability of Acanthamoeba genotype T4 in Malaysia
    Mohd Hussain RH, Afiqah WN, Abdul Ghani MK, Khan NA, Siddiqui R, Anuar TS
    Saudi J Biol Sci, 2021 Apr;28(4):2352-2359.
    PMID: 33911949 DOI: 10.1016/j.sjbs.2021.01.030
    The incidence of Acanthamoeba keratitis has been increasing since the previous decades, especially among contact lens users. This infection is majorly caused by the use of ineffective contact lens disinfecting solution. Thus, this study was conducted to evaluate the in vitro effects of multi-purpose disinfecting solutions (MPDS) against Acanthamoeba trophozoites and cysts. Acanthamoeba genotype T4 isolated from contact lens paraphernalia and an environmental strains were propagated for trophozoite or cyst-containing culture and adjusted in final concentration of 1 × 105 cells/ml. Amoebicidal and cysticidal assays were conducted by incubating trophozoites and cysts with OPTI-FREE® Express®, ReNu® Fresh™, Complete® Multi-Purpose Solution and AVIZOR Unica® Sensitive according to the manufacturer's minimum recommended disinfectant time (MMRDT) for up to 12 h at 30 ⁰C. Trypan blue hemocytometer-based microscopic counts determined amoebicidal and cysticidal effects. The viability of Acanthamoeba trophozoites and cysts was confirmed by re-inoculated them in the 1.5% non-nutrient agar plates. It was found that none of the MPDS showed amoebicidal and cysticidal effects during the MMRDT. However, OPTI-FREE® Express® demonstrated a significant differences in average cell reduction for both stages within MMRDT. When subjected to 12 h exposure, both OPTI-FREE® Express® and ReNu® Fresh™ led to significant reduction in the number of trophozoite and cyst cells. Notably, Complete® Multi-Purpose Solution and AVIZOR Unica® Sensitive did appreciably improve the solution effectiveness towards trophozoite cells when incubated for 12 h. All MPDS were largely ineffective, with 100% survival of all isolates at MMRDT, while OPTI-FREE® Express® showed limited amoebicidal activity against the contact lens paraphernalia isolate, however, it was more against the environmental strains after 12 h incubation time. The commercially available MPDS employed in this research offered minimal effectiveness against the protozoa despite the contact time. Improvement or development of new solution should consider the adjustment of the appropriate disinfectant concentration, adequate exposure time or the incorporation of novel chemical elements, which are effective against Acanthamoeba for accelerated disinfecting and more reduction of potential exposure of contact lens users to Acanthamoeba keratitis.
    Matched MeSH terms: Contact Lenses
  8. Fulltext Crystal deposits in cornea from the use of vitamin C eye drops
    Choong YY, Arumugam G
    Med J Malaysia, 1999 Dec;54(4):526-7.
    PMID: 11072476
    There are a number of differential diagnoses for crystal deposits in the cornea. With the presence of a corneal epithelial defect, the differential diagnosis can be narrowed down to either infective causes or deposits from topical medications. This report describes a case of crystal deposits in the cornea from the use of Vitamin C eye drops.
    Matched MeSH terms: Lenses, Intraocular
  9. Histomorphometric profile of the corneal response to short-term reverse-geometry orthokeratology lens wear in primate corneas: a pilot study
    Cheah PS, Norhani M, Bariah MA, Myint M, Lye MS, Azian AL
    Cornea, 2008 May;27(4):461-70.
    PMID: 18434851 DOI: 10.1097/ICO.0b013e318165642c
    To investigate the histological changes in primate cornea induced by short-term overnight orthokeratology (OK).
    Matched MeSH terms: Contact Lenses*
  10. Fulltext Risk factors associated with contact lens related microbial keratitis
    Lili Asma Ismail, Lekhraj Rampal, Hejar Abdul Rahman, Nazri Omar, Habshah Midi, Azrin Esmady Ariffin
    Malaysian Journal of Medicine and Health Sciences, 2016;12(1):1-8.
    MyJurnal
    Microbial keratitis is one of the most challenging complications of contact lens (CL) wear. Proper CL practice plays an important role to reduce the risk for contact lens related microbial keratitis (CLRMK). Methods: This multi-centre case-control study was conducted from January 2008 until June 2009 to determine the risk factors associated with CLRMK. Cases were defined as respondents who were treated for CLRMK, whilst controls were respondents who were contact lens wearers without microbial keratitis. Ninety four cases were compared to 94 controls to determine the risk factors for
    CLRMK. Results: The predictors for CLRMK were: Not washing hands with soap before handling CL (aOR 2.979, CI 1.020, 8.701 p=0.046), not performing rubbing technique whilst cleaning the CL (aOR 3.006, CI 1.198, 7.538 p=0.019) and, not cleaning the lens case with multipurpose solution daily (aOR 3.242 CI 1.463, 7.186 p=0.004). Sleeping overnight with the CL in the eye (aOR 2.864, CI 0.978, 8.386 p=0.049) and overall non-compliance with lens care procedures (aOR 2.590, CI 1.003, 6.689 p=0.049) contributed significantly to CLRMK. Conclusion: Health education and promotion in contact lens care are important and should be conducted by eye care practitioners to reduce the occurrence of CLRMK.
    Matched MeSH terms: Contact Lenses
  11. Fulltext Intracameral injection of ranibizumab caused regression of iris neovascularisation and clearance of hyphaema in a non-diabetic patient with ischaemic remnant retinal flap in a silicone filled eye
    Bastion ML
    BMJ Case Rep, 2010;2010.
    PMID: 22242074 DOI: 10.1136/bcr.10.2009.2398
    The use of 0.5 mg/0.05 ml of ranibizumab intracamerally, to induce regression of iris neovascularisation in a non-diabetic patient, is reported. A 55-year-old Malay man presented with left eye rubeosis and hyphaema secondary to ischaemic remnant retinal flap in his silicone filled pseudophakic eye. Regression of rubeosis and resolution of hyphaema was noted within 4 days of injection of intracameral ranibizumab, allowing repeat vitrectomy to be performed without much bleeding, thus facilitating removal of his intraocular lens and laser to remaining flap. One month postoperatively he remained comfortable with counting fingers vision similar to the pre-hyphaema period.
    Matched MeSH terms: Lenses, Intraocular
  12. Fulltext Dislocated posterior chamber intraocular lens (PCOIL) in patients with retinitis pigmentosa (RP)
    Lam, C.S., Mushawiahti, M., Bastion, M.L.C.
    Journal of Surgical Academia, 2017;7(1):38-42.
    MyJurnal
    Subluxation or dislocation of PCIOL is one of the complications of cataract operation in RP patients. This paper reports the presentation of PCIOL dislocation and subluxation and the management and outcome in 3 eyes of 2 RP patients. Two medical records of patients with RP who developed dislocated or subluxated PCIOL and subsequently underwent explantation of the dropped IOL were evaluated. Two patients had bilateral eye cataract operation done and had PCIOL implanted. Patient 1 developed left eye subluxated PCIOL inferiorly after 2 years of the cataract operation and right eye dislocated PCIOL anteriorly 4 years after cataract operation. Patient 2 develop right eye subluxated PCIOL inferiorly after 12 years of the cataract operation. Patient 1 with right eye dislocated PCIOL underwent intraocular lens (IOL) explantation and was left aphakic as her visual prognosis was poor due to advanced RP. The left IOL remained within the visual axis despite subluxation and no intervention has been done. Patient 2 with right eye subluxated PCIOL underwent IOL explantation and anterior chamber intraocular lens (ACIOL) implantation. ACIOL remained stable and visual acuity improved post-operation. Both the operations were uneventful. Post-operatively, there was no elevated intraocular pressure and no prolonged ocular inflammation, which required prolonged anti-inflammatory and no retinal detachment was seen. Both patient and surgeon should be aware of potential PCIOL subluxation or dislocation in RP. The presentation may be as late as more than a decade after the cataract operation.
    Matched MeSH terms: Lenses, Intraocular
  13. Global trends in myopia management attitudes and strategies in clinical practice - 2019 Update
    Wolffsohn JS, Calossi A, Cho P, Gifford K, Jones L, Jones D, et al.
    Cont Lens Anterior Eye, 2020 02;43(1):9-17.
    PMID: 31761738 DOI: 10.1016/j.clae.2019.11.002
    PURPOSE: A survey in 2015 identified a high level of eye care practitioner concern about myopia with a reported moderately high level of activity, but the vast majority still prescribed single vision interventions to young myopes. This research aimed to update these findings 4 years later.

    METHODS: A self-administrated, internet-based questionnaire was distributed in eight languages, through professional bodies to eye care practitioners globally. The questions examined: awareness of increasing myopia prevalence, perceived efficacy of available strategies and adoption levels of such strategies, and reasons for not adopting specific strategies.

    RESULTS: Of the 1336 respondents, concern was highest (9.0 ± 1.6; p 

    Matched MeSH terms: Contact Lenses, Hydrophilic
  14. The morphology of corneal endothelial cells in long term soft contact lens wearers in Kuala Lumpur
    Mohd-Ali B, Chen LY
    Cont Lens Anterior Eye, 2021 02;44(1):72-75.
    PMID: 32624364 DOI: 10.1016/j.clae.2020.06.007
    PURPOSE: To analyse and compare the alterations in corneal endothelium morphology induced by different materials and durations of wearing soft contact lenses (CL) among young adults living in Kuala Lumpur.

    METHODS: Healthy soft CL wearers were invited to participate in this study. Visual acuity (VA) was measured using the Snellen chart, and subjective refraction was performed using cross-cylinder technique. Standard ocular assessments were conducted using a slit lamp biomicroscope and morphology of corneal endothelial cells (endothelial cell density, ECD, coefficient variation, COV, hexagonality, HEX and central corneal thickness, CCT) were evaluated using a non-contact specular microscope. Statistical analysis was conducted using ANOVA and data from the right eye only is included.

    RESULTS: A total of 72 subjects (32 SiHy and 40 HCL wearers) and 24 non-CL wearers (control) participated in this study. The gender distribution for study subjects was 13 males and 59 females, with a mean age 22.15 ± 1.84 years old. The mean refraction was -1.86 ± 1.25DS. The duration of wearing CL ranged from 1 to 9 years. Subjects were later divided into 2 groups following duration of CL wear: Group 1 (<5 years) and Group 2 (≥5 years) for analysis purposes. Statistical analysis showed significant alterations in ECD, COV and HEX of CL wearers (p 

    Matched MeSH terms: Contact Lenses, Hydrophilic/adverse effects*
  15. Combinational system of a truncated ball lens and a hyperbolic lens for collimating a highly divergent source
    Chen LC, Low AL, Chien SF
    Appl Opt, 2004 Dec 10;43(35):6380-3.
    PMID: 15617273
    We propose the use of a truncated ball lens in a collimating system to transform a spherical wave from a highly divergent source into a plane wave. The proposed scheme, which incorporates a hyperbolic lens, is discussed, and the overall system is found to have a large acceptance angle and to be free of spherical aberration. Diffraction and polarization effects are neglected, as well as skew rays.
    Matched MeSH terms: Lenses
  16. Special tinted contact lens on colour-defects
    Mutilab HA, Sharanjeet-Kaur, Keu LK, Choo PF
    Clin Ter, 2012;163(3):199-204.
    PMID: 22964691
    PURPOSE: The objective of this study was to determine the visual function of colour-deficient subjects when wearing special red tint contact lenses.
    MATERIALS AND METHODS: A total of 17 subjects with congenital colour vision deficiency (14 deutans and 3 protans), voluntarily participated in this study. The average age for the subjects was 23.00 ± 4.06 years old. Visual functions tested were visual acuity (LogMAR), contrast sensitivity (FACT Chart) and stereopsis (TNO and Howard Dolman tests). Two types of special red tint lenses were used in this study; Type I (light red) and Type II (dark red).
    RESULTS: The protans and deutans showed no significant changes in visual acuity and contrast sensitivity when wearing either type of contact lens. Stereopsis testing using the Horward-Dolman test gave no significant changes but significant differences were seen using the TNO test. Stereopsis using the TNO test was significantly poorer with the red tinted contact lenses compared to without for both protons and deutans. Testing binocularly with Ishihara plates showed that 88% (n=15) of patients passed the test with Type I and Type II contact lenses. When D15 test was done, 3 patients (17.6%) were 'normal' when using the Type I contact lenses and 2 patients (11.8%) were 'normal' when using the Type II contact lenses. However, with FM100Hue test, most patients showed deutan responses. Total error scores (TES) were found to be higher with Type I and Type II contact lenses compared to without.
    CONCLUSIONS: The Type I and II special tinted contact lens used in this study did not cause a reduction of visual acuity and contrast sensitivity for the colour defects. Stereopsis was also not reduced with the Type I and Type II contact lenses for the colour defects except when tested with the TNO test. Colour vision defects became difficult to detect using the Ishihara plates but FM100Hue test did not show any improvement with the Type I and Type II contact lenses.
    Matched MeSH terms: Contact Lenses*
  17. Fulltext Acanthamoeba-mediated cytopathic effect correlates with MBP and AhLBP mRNA expression
    Ng SL, Nordin A, Abd Ghafar N, Suboh Y, Ab Rahim N, Chua KH
    Parasit Vectors, 2017 12 28;10(1):625.
    PMID: 29282148 DOI: 10.1186/s13071-017-2547-0
    BACKGROUND: In recent years, the concern of Acanthamoeba keratitis has increased since the infection is often associated with contact lens use. Partial 18S rRNA genotypic identification of Acanthamoeba isolates is important to correlate with pathophysiological properties in order to evaluate the degree of virulence. This is the first report of genotypic identification for clinical isolates of Acanthamoeba from corneal scrapings of keratitis in Malaysia. This study is also the first to correlate the mRNA expression of MBP and AhLBP as virulent markers for axenic strains of Acanthamoeba.

    RESULTS: In this study, ten clinical isolates were obtained from corneal scrapings. Rns genotype and intra-genotypic variation at the DF3 region of the isolates were identified. Results revealed that all clinical isolates belonged to the T4 genotype, with T4/6 (4 isolates), T4/2 (3 isolates), T4/16 (2 isolates) and one new genotype T4 sequence (T4/36), being determined. The axenic clinical isolates were cytopathogenic to rabbit corneal fibroblasts. MBP and AhLBP mRNA expression are directly correlated to Acanthamoeba cytopathic effect.

    CONCLUSIONS: All ten Malaysian clinical isolates were identified as genotype T4 which is predominantly associated with AK. Measuring the mRNA expression of Acanthamoeba virulent markers could be useful in the understanding of the pathogenesis of Acanthamoeba keratitis.

    Matched MeSH terms: Contact Lenses
  18. Nanoparticle-laden contact lens for controlled release of vancomycin with enhanced antibiotic efficacy
    Tong WY, Tan WN, Kamarul Azizi MA, Leong CR, El Azab IH, Lim JW, et al.
    Chemosphere, 2023 Oct;338:139492.
    PMID: 37451643 DOI: 10.1016/j.chemosphere.2023.139492
    Vancomycin is the last resort antibiotic for the treatment of severe bacterial keratitis. Its clinical application is limited due to its hydrophilicity and high molecular weight. To overcome this, this study aims to develop nanoparticles-laden contact lens for controlled ocular delivery of vancomycin. Polyvinyl alcohol (PVA) was used as encapsulant material. The nanoparticles had a negative surface charge and an average size of 147.6 nm. A satisfactory encapsulation efficiency (61.24%) was obtained. The release profile was observed to be slow and sustained, with a release rate of 1.29 μL mg-1 h-1 for 48 h. Five out of 6 test bacteria were suppressed by vancomycin nanoparticles-laden contact lens. Vancomycin is generally ineffective against Gram-negative bacteria and unable to pass through the outer membrane barrier. In this study, vancomycin inhibited Proteus mirabilis and Pseudomonas aeruginosa. Nano-encapsulation enables vancomycin to penetrate the Gram-negative cell wall and further destroy the bacterial cells. On Hohenstein challenge test, all test bacteria exhibited significant reduction in growth when exposed to vancomycin nanoparticles-laden contact lens. This study created an effective and long-lasting vancomycin delivery system via silicone hydrogel contact lenses, by using PVA as encapsulant. The antibiotic efficacy and vancomycin release should be further studied using ocular in vivo models.
    Matched MeSH terms: Contact Lenses*
  19. Significance of intraocular lens power calculation
    Singh M, Dahalan A
    Br J Ophthalmol, 1987 Nov;71(11):850-3.
    PMID: 3689737
    A total of 94 patients underwent extracapsular cataract extraction and insertion of Sinsky style two-loop posterior chamber intraocular lenses. Forty-six eyes received a standard power IOL and 48 eyes were given a preoperatively calculated IOL. A significant difference was found in the two groups with regard to the postoperative refractive error and uncorrected visual acuity.
    Matched MeSH terms: Lenses, Intraocular*
  20. Novel Polyvinyl Pyrrolidone-Loaded Olopatadine HCl-Laden Doughnut Contact Lens to Treat Allergic Conjunctivitis
    Xue Y, Zhang W, Lei Y, Dang M
    J Pharm Sci, 2020 05;109(5):1714-1724.
    PMID: 32007507 DOI: 10.1016/j.xphs.2020.01.022
    Olopatadine HCl is an antiallergic drug used for the management of allergic conjunctivitis. Currently, it is delivered via eye drop solution, which is highly inefficient due to low bioavailability. Silicone contact lenses can be used to sustain the release of ophthalmic drugs. However, the presence of drug alters the optical transmittance and physical properties of the contact lens. The objective was to design a novel polyvinyl pyrrolidone (PVP)-coated olopatadine-ethyl cellulose microparticles-laden doughnut contact lens to sustained ocular delivery with limited alteration to the optical and swelling properties of the contact lens. The doughnut was implanted within the periphery of the lens using modified casting technique. Olopatadine HCl was loaded by soaking (SM-OL), direct loading (DL-OL), and doughnut casting method (DNT-OL). PVP (comfort agent) was loaded on the surface of contact lens for all the batches via novel curing technique. The in vitro olopatadine HCl release data of SM-OL (up to 48-72 h) and DL-OL batches (up to 72 h) showed high burst release, whereas DNT-OL batch showed sustained release up to 120 h without significant (p > 0.05) alteration in the optical and swelling properties of contact lens. All the batches showed sustained release of PVP up to 120 h. The in vivo studies in the rabbit tear fluid showed improvement in the olopatadine HCl and PVP retention time in comparison to eye drop solution. The PVP-loaded DNT-OL-500 lens showed tear stabilization (comfort wear) in Schirmer strip test (rabbits) with no protein adherence in comparison to DNT-OL-500 lens without PVP. The study demonstrated the successful delivery of olopatadine HCl and PVP-K30 from the doughnut contact lens for the extended period with limited alteration to the optical and swelling properties of contact lens.
    Matched MeSH terms: Contact Lenses
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