Cole Eye Institute - Cleveland Clinic

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Difference Between Actual and Target Refractive Error Percent 60 50 100 40 30 80 20 60 10 40 0 20 0 After cataract Text surgery, 7.5 point the Roman great majority of patients achieved a refractive outcome that was near the anticipated refractive error. Axis labels Regardless 7.5 Bold of the large number of patients with other conditions that can influence the refractive outcome, 81 percent of patients achieved a final spherical equivalent refractive error within 1 diopter of the expected result. Axis line weight = 1 Line weight for bars and pie pieces = 0.5 Use stacked bar sequence shown Change in Visual Acuity by Ocular Comorbidity ETDRS* Visual Acuity Score * Early Treatment of Diabetic Retinopathy Study 100 80 60 40 20 0 2 -2 to -1 -1 to 0 Dashed line weight = 0.75 Dash 2 Gap 1 None Cornea Glaucoma Retina Uveitis Other Text 7.5 point Roman Axis labels 7.5 Bold Diopters Ocular Comorbidities 0 to +1 +1 to +2 2 Preop VA Postop VA The goal of Axis cataract line weight surgery = 1is to improve visual acuity, which was accomplished in the vast majority of our patients. The Line mean weight improvement for bars and in pie the pieces ETDRS = 0.5 visual acuity score following cataract surgery was 14.5 letters, representing Use an stacked improvement bar sequence in vision shown of three lines on the visual acuity chart. The overall improvement in vision was seen in patients with or without other eye disease, with significant improvement occurring in patients with other problems Dashed including line weight corneal = 0.75 disease, Dash retinal 2 Gap disease, 1 uveitis and glaucoma. In patients without other eye disease, the mean visual acuity score with best glasses correction after surgery was 79.1 letters, corresponding to nearly 20/20 vision. Outcomes 2007 8
Cornea Surgery Corneal transplant surgeons at the Cole Eye Institute perform state-of-the-art transplants for numerous conditions that distort or cloud this normally transparent tissue. The traditional full-thickness procedure, known as penetrating keratoplasty (PK), makes up the bulk of grafts that are performed in our institution. From January 2006 through September 2007, 137 PKs were performed, with 95.6 percent of these grafts remaining clear at three months. Cole Eye corneal transplant surgeons have also embarked on cutting-edge lamellar corneal transplant procedures in which only the portion of the cornea that is diseased is replaced. Using a procedure called descemet stripping automated endothelial keratoplasty (DSAEK), surgeons may now selectively transplant the endothelium for conditions such as pseudophakic bullous keratopathy and Fuchs endothelial dystrophy. Recipients of this procedure are provided faster visual recovery and more stable and predictable refractive outcomes than with traditional PK. During the above-mentioned period, 45 DSAEKs were performed, with 100 percent of the grafts remaining clear at three months. Corneal surgeons are also transplanting just the anterior portion of the cornea for conditions such as keratoconus and corneal scarring. This procedure, deep anterior lamellar keratoplasty (DALK), affords the advantage of allowing patients to retain their own healthy endothelium, avoiding the risk of endothelial rejection and other potential complications associated with PK. Over the past two years, 23 DALKs were performed, with 100 percent of the grafts remaining clear at three months. Yes No Graft Clear at 3 Months Percent Surgeries 100 80 60 40 20 0 Anterior Lamellar Posterior Lamellar Type of Procedure Penetrating Keratoplasty 9 Cole Eye Institute
Page 1 and 2: 1 Cole Eye Institute Outcomes | 200
Page 3 and 4: 1 Outcomes 2007 Quality counts when
Page 5 and 6: what’s inside Chairman’s Letter
Page 7 and 8: Institute Overview At Cleveland Cli
Page 9: Cataract Surgery 7 Complications du
Page 13 and 14: Postoperative Complications 80 60 4
Page 15 and 16: Change in Intraocular Pressure Intr
Page 17 and 18: Oculoplastic Surgery Oculoplastic s
Page 19 and 20: Ocular Oncology Surgery A melanoma
Page 21 and 22: Refractive Surgery 100 Outcomes 80
Page 23 and 24: Vitreoretinal Surgery 60 50 The vit
Page 25 and 26: An analysis of intraoperative compl
Page 27 and 28: Surgical Outcome for Adults N=151 1
Page 29 and 30: Innovations Retinopathy of Prematur
Page 31 and 32: Advanced Corneal Imaging Sheds Ligh
Page 33 and 34: Jeng BH, Holland GN, Lowder CY, Dee
Page 35 and 36: Book Chapters Bollinger K, Smith SD
Page 37 and 38: Uveitis Careen Y. Lowder, MD, PhD O
Page 39 and 40: Cleveland Clinic Overview Online Se

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