Management of coincidental corneal disease and cataract.

Abstract:

:The status of the cornea is crucial to a good outcome with cataract extraction. Preexisting corneal disease must be managed appropriately to get the high quality results that we have come to expect with modern day cataract surgery. It is now more common to perform cataract surgery on patients who have had previous corneal refractive surgery, and in these patients intraocular lens power calculation is more challenging. Complications following cataract surgery and lens implantation that involve the cornea are uncommon because of advances in surgical techniques. Corneal complications can include mechanical or toxic injury of the endothelium, stripped Descemet's membrane, epithelial toxicity and disruption, infectious keratitis, or epithelial ingrowth. Endothelial cell survival after cataract extraction and lens implantation is still the major concern. Healing of the cornea following clear corneal incisions has become more important, as this technique is used more frequently. There are several recent studies looking at the results of clear corneal incisions performed for cataract surgery. Patients with ocular surface disease still require extra lubrication and management of blepharitis to prevent epithelial toxicity at the time of surgery as well as postoperatively. Clear corneal cataract extraction and lens implantation cause minimal disruption of the conjunctiva, allowing cataract surgery to be performed in patients with severe ocular surface disease such as ocular cicatricial pemphigoid. Overall, modern day cataract extraction is very safe for the cornea.

journal_name

Curr Opin Ophthalmol

authors

Preschel N,Hardten DR

doi

10.1097/00055735-199802000-00008

keywords:

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

39-45

issue

1

eissn

1040-8738

issn

1531-7021

journal_volume

9

pub_type

杂志文章,评审
  • Does general anesthesia or intravitreal injection affect neurodevelopment in children undergoing ophthalmic procedures?

    abstract:PURPOSE OF REVIEW:To review recent studies on potential neurodevelopmental impacts on the pediatric population through general anesthesia events or intravitreal anti-vascular endothelial growth factor (VEGF) injection. RECENT FINDINGS:Studies on this topic have been extensive with varied reported neurodevelopmental ou...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000598

    authors: De Andrade LM,Isenberg SJ

    更新日期:2019-09-01 00:00:00

  • Biologics in the treatment of uveitis.

    abstract:PURPOSE OF REVIEW:This review summarizes the current evidence for biologic therapies in the treatment of uveitis. The review emphasizes published research in this field since 2005. RECENT FINDINGS:The anti-tumour necrosis factor-alpha infliximab and adalimumab have demonstrated significant efficacy in controlling uvei...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3282f03d42

    authors: Imrie FR,Dick AD

    更新日期:2007-11-01 00:00:00

  • Pharmacologic considerations for cataract surgery.

    abstract:PURPOSE OF REVIEW:A variety of options exist for perioperative, intraoperative, and postoperative medications in cataract surgery. This article reviews some of the more timely literature on "controversial" subjects in this area. RECENT FINDINGS:Recent literature may support the rationale for intracameral vancomycin at...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200402000-00010

    authors: Tipperman R

    更新日期:2004-02-01 00:00:00

  • Update on retinal detachment surgery.

    abstract:PURPOSE OF REVIEW:Update on controversies in the surgical management of rhegmatogenous retinal detachment. RECENT FINDINGS:There are multiple new reports regarding the development and management of retinal detachment. Current use of oral fluoroquinolones may be associated with onset of retinal detachment, although the...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32835f8e6b

    authors: Schwartz SG,Flynn HW Jr,Mieler WF

    更新日期:2013-05-01 00:00:00

  • Myelin oligodendrocyte glycoprotein-IgG-associated optic neuritis.

    abstract:PURPOSE OF REVIEW:Myelin oligodendrocyte glycoprotein (MOG)-IgG-associated optic neuritis has been established as a new entity of optic neuropathy. We will review recent advances in pathophysiology, diagnosis, and clinical manifestations of MOG-IgG-associated optic neuritis to better understand its distinctive characte...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000520

    authors: Chun BY,Cestari DM

    更新日期:2018-11-01 00:00:00

  • Selectivity of site of action and systemic effects of topical alpha agonists.

    abstract::Clonidine hydrochloride, apraclonidine hydrochloride, and brimonidine tartrate constitute the three topical alpha agonists that are used in the treatment of elevated intraocular pressure. All the alpha agonists have prejunctional (alpha 2) as well as postjunctional (alpha 1) effects. Within the past year, questions ha...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199804000-00006

    authors: Robin AL,Burnstein Y

    更新日期:1998-04-01 00:00:00

  • Pediatric phakic intraocular lens surgery: review of clinical studies.

    abstract:PURPOSE OF REVIEW:To report on the accumulating peer-reviewed data of phakic intraocular lens (pIOL) implantation in the pediatric population. I evaluate and compare the published peer-reviewed articles for the reported efficacy and complications of phakic intraocular lens implantations in children for correction of cl...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32833a9a9f

    authors: Pirouzian A

    更新日期:2010-07-01 00:00:00

  • Extracellular matrix and growth factors in corneal wound healing.

    abstract::Healing of corneal wounds is a complex process involving epithelial, keratocyte, and endothelial interactions that are affected by their associations with wound bed matrix and by cytokine availability and activation. The spectrum of possible cellular-matrix-growth factor interactions is indeed great and growing. Sever...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199508000-00002

    authors: Gipson IK,Inatomi T

    更新日期:1995-08-01 00:00:00

  • Ethnic differences in glaucoma: prevalence, management, and outcome.

    abstract:PURPOSE OF REVIEW:Glaucoma has a disproportionate prevalence among specific ethnic groups. Therefore, the issue of 'race' and glaucoma has been the focus of much discussion. The purpose of this article is to provide a review of the literature regarding the prevalence, management, and outcome of glaucoma among different...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000156137.28193.48

    authors: Wadhwa SD,Higginbotham EJ

    更新日期:2005-04-01 00:00:00

  • Optical coherence tomography platforms and parameters for glaucoma diagnosis and progression.

    abstract:PURPOSE OF REVIEW:Optical coherence tomography (OCT) aids in the diagnosis and long-term monitoring of various ocular diseases, including glaucoma. Initially, the retinal nerve fiber layer was the only OCT structural parameter used in glaucoma. Subsequent research has resulted in more retinal and optic nerve head param...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000231

    authors: Mwanza JC,Budenz DL

    更新日期:2016-03-01 00:00:00

  • Comparison of femtosecond and excimer laser platforms available for corneal refractive surgery.

    abstract:PURPOSE OF REVIEW:The evolution of laser technology has left today's refractive surgeon with a choice between multiple laser platforms. The purpose of this review is to compare currently available femtosecond and excimer laser platforms, providing a summary of current evidence. RECENT FINDINGS:Femtosecond lasers creat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000268

    authors: Chen LY,Manche EE

    更新日期:2016-07-01 00:00:00

  • Ocular manifestations of systemic malignancies.

    abstract::Ocular manifestations of systemic malignancy are important for both the ophthalmologist and the internist to recognize because they may precede the diagnosis of cancer. This review of the current literature discusses the clinical manifestations, etiology, and potential therapeutic interventions for a group of visual p...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199912000-00013

    authors: Solomon SD,Smith JH,O'Brien J

    更新日期:1999-12-01 00:00:00

  • Teleophthalmology: an essential tool in the era of the novel coronavirus 2019.

    abstract:PURPOSE OF REVIEW:The aim of this article is to assess the current state of teleophthalmology given the sudden surge in telemedicine demand in response to the novel coronavirus 2019 (COVID-19). RECENT FINDINGS:Recommendations and policies from government and national health organizations, combined with social distanci...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000689

    authors: Kalavar M,Hua HU,Sridhar J

    更新日期:2020-09-01 00:00:00

  • Resident laser refractive surgery training.

    abstract:PURPOSE OF REVIEW:The Residency Review Committee Ophthalmology of the Accreditation Council for Graduate Medical Education has recently established guidelines pertaining to the minimum operative requirements for training ophthalmology residents in refractive surgery. Despite being one of the most frequently performed o...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32833a8967

    authors: Madu AA,Ali T

    更新日期:2010-07-01 00:00:00

  • Age-related macular degeneration therapy: a review.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to describe the current clinical landscape of potential future therapies for both nonexudative (dry) and exudative (wet) age-related macular degeneration (AMD). We highlight some of the more promising treatments that are furthest along in development. RECENT FINDINGS:Pat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000657

    authors: Ammar MJ,Hsu J,Chiang A,Ho AC,Regillo CD

    更新日期:2020-05-01 00:00:00

  • Enucleation versus evisceration.

    abstract::Removal of the eye may be necessary after severe ocular trauma, to control pain in a blind eye, to treat some intraocular malignancies, in endophthalmitis unresponsive to medical therapy, and for cosmetic improvement of a disfigured eye. The choice of procedure to accomplish this is best made by an informed patient. E...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200210000-00002

    authors: Migliori ME

    更新日期:2002-10-01 00:00:00

  • Trends in corneal transplantation: indications and techniques.

    abstract:PURPOSE OF REVIEW:To describe trends in corneal transplantation surgery, including indications for surgery, evolution of lamellar keratoplasty, current surgical techniques, and future directions. RECENT FINDINGS:Over the past decade, anterior and posterior lamellar keratoplasty have begun to supplant penetrating kerat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000080

    authors: Ple-Plakon PA,Shtein RM

    更新日期:2014-07-01 00:00:00

  • eyeGENE(R): a novel approach to combine clinical testing and researching genetic ocular disease.

    abstract:PURPOSE OF REVIEW:Molecular genetics is revolutionizing the diagnosis and treatment of inherited eye diseases. The National Eye Institute of the National Institutes of Health (NIH), in an effort to facilitate future basic and clinical research in inherited eye disease, created The National Ophthalmic Disease Genotyping...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32835715c9

    authors: Goetz KE,Reeves MJ,Tumminia SJ,Brooks BP

    更新日期:2012-09-01 00:00:00

  • Evaluation of the macula prior to cataract surgery.

    abstract:PURPOSE OF REVIEW:To describe recent evidence regarding methods of evaluation of retinal structure and function prior to cataract surgery. RECENT FINDINGS:Studies in patients with cataract but no clinically detectable retinal disease have shown that routine use of optical coherence tomography (OCT) prior to cataract s...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000432

    authors: McKeague M,Sharma P,Ho AC

    更新日期:2018-01-01 00:00:00

  • Review of optical coherence tomography for intraocular tumors.

    abstract:PURPOSE OF REVIEW:Optical coherence tomography has assumed an important role in the management of numerous ocular conditions. With regard to ocular oncology, optical coherence tomography can illustrate retinal changes overlying choroidal tumors. Some of these features include photoreceptor loss, intraretinal edema, and...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000158258.01681.40

    authors: Shields CL,Materin MA,Shields JA

    更新日期:2005-06-01 00:00:00

  • Surgical techniques for difficult cataracts.

    abstract::This article reviews some of the advances that have taken place in the surgical techniques for difficult cataracts such as rock-hard, white, and posterior polar cataracts. Fashioning a central space, modified chopping maneuvers, and creation of multiple small fragments have enabled the surgeon to consistently achieve ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199902000-00009

    authors: Vasavada A,Singh R

    更新日期:1999-02-01 00:00:00

  • Strabismus surgery in the treatment of paralytic strabismus.

    abstract::Strabismus surgery may restore limited binocular function and improve cosmesis in patients with paralytic strabismus. Evaluation of the amount of residual function of the affected extraocular muscles is essential to determine which surgical procedure will yield the best results. Standard muscle resection techniques ar...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200112000-00005

    authors: Phillips PH

    更新日期:2001-12-01 00:00:00

  • Pediatric glaucoma: review of recent literature.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to update the clinician on the recent work in the field of pediatric glaucoma. RECENT FINDINGS:Using the iCare tonometer to measure intraocular pressure (IOP) in children is highly successful. New data from the Infant Aphakia Treatment Study show that after 5 years of fo...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000349

    authors: Giangiacomo A,Beck A

    更新日期:2017-03-01 00:00:00

  • The changing face of the genetics of corneal dystrophies.

    abstract::Modern molecular genetics has had a profound effect on our understanding of corneal dystrophies. Mutations in the BIGH3 gene are responsible for four autosomal dominant corneal dystrophies. The mutation spectrum reveals the phenotypically diverse possibilities stemming from mutations of a single gene. Dystrophies have...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200208000-00002

    authors: Siddiqui N,Afshari NA

    更新日期:2002-08-01 00:00:00

  • Pediatric pseudotumor cerebri.

    abstract:PURPOSE OF REVIEW:Recent findings in the literature regarding the epidemiology, diagnosis, and treatment of pediatric pseudotumor cerebri (PTC) are described. In the past, children with PTC have been treated like adult cases; however, the literature highlights important differences between children and adults with PTC....

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000300

    authors: Rook BS,Phillips PH

    更新日期:2016-09-01 00:00:00

  • Toward a new definition of glaucomatous optic neuropathy for clinical research.

    abstract:PURPOSE OF REVIEW:A process is ongoing to produce a definition of glaucomatous optic neuropathy (GON) using quantitative, objective data from structural and functional tests. At present, a common practice is to define GON by subjective features said to be 'characteristic' as judged by those experienced in glaucoma care...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000644

    authors: Iyer J,Vianna JR,Chauhan BC,Quigley HA

    更新日期:2020-03-01 00:00:00

  • Biometry in cataract surgery: a review of the current literature.

    abstract:PURPOSE OF REVIEW:To review the literature in 2017 and 2018 pertaining to biometry for cataract surgery and report pertinent findings. RECENT FINDINGS:New devices using swept-source ocular coherence tomography can measure axial length in dense cataracts more frequently than common biometers. Computer-assisted registra...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000536

    authors: Moshirfar M,Buckner B,Ronquillo YC,Hofstedt D

    更新日期:2019-01-01 00:00:00

  • Is there treatment for traumatic optic neuropathy?

    abstract:PURPOSE OF REVIEW:The purpose of this study is to discuss current controversies surrounding the proposed treatments for traumatic optic neuropathy (TON) and review recent evidence from the literature relating to these therapeutic options. RECENT FINDINGS:No recent randomized controlled trials investigating surgical or...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000198

    authors: Chaon BC,Lee MS

    更新日期:2015-11-01 00:00:00

  • Perspectives in the medical treatment of glaucoma.

    abstract::Many advances in medical therapy for chronic glaucoma have taken place in the past few years that have altered previous concepts of stepwise medical therapy for glaucoma. beta-adrenergic blockers are still the most common medicine prescribed as monotherapy. However, latanoprost and brimonidine are often given as monot...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199904000-00004

    authors: Stewart WC

    更新日期:1999-04-01 00:00:00

  • Simple limbal epithelial transplantation.

    abstract:PURPOSE OF REVIEW:Simple limbal epithelial transplant (SLET) is a technique for addressing limbal stem cell deficiency. Limbal tissue from a donor eye, typically the patient's fellow healthy eye, is transplanted onto an amniotic membrane attached to the surface of the diseased eye. SLET was developed to address limitat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000377

    authors: Sangwan VS,Sharp JAH

    更新日期:2017-07-01 00:00:00