Abstract:
PURPOSE:To evaluate the efficacy and safety of intracameral recombinant tissue plasminogen activator (rt-PA) application for fibrinolysis of fibrin formation after cataract surgery in children. SETTING:Johann Wolfgang Goethe-University, Department of Ophthalmology, Frankfurt am Main, Germany. METHODS:This study comprised 11 eyes of 10 patients aged 3 to 13 years (mean 7.2 +/- 3.68 [SD]) who developed severe fibrin formation after cataract surgery and IOL implantation despite intensive topical steroid therapy. Under general anesthesia, fibrinolysis was performed with 10 micrograms of rt-PA 7.18 +/- 2.04 days after intraocular surgery. Follow-up included slitlamp examination, tonometry, visual acuity testing, and-ophthalmoscopy. Anterior chamber flare measurements could be performed in 6 eyes. RESULTS:Complete resolution of fibrin formations occurred in 90% of the patients in these cases, no recurrent fibrinous reaction or adverse effects were noted. In 2 eyes of the same patient with a history of juvenile rheumatoid arthritis and chronic uveitis, fibrin clot dissolution was incomplete. A recurrent fibrinous formation could be observed after 2 and 4 weeks, respectively. A beginning band keratopathy excluding the central and limbal cornea was noted after 6 and 8 weeks, respectively. CONCLUSION:Intraocular application of rt-PA appears to be a safe and efficacious therapeutic approach in the management of severe fibrinous reactions after pediatric cataract surgery.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Klais CM,Hattenbach LO,Steinkamp GW,Zubcov AA,Kohnen Tdoi
10.1016/s0886-3350(99)80083-2subject
Has Abstractpub_date
1999-03-01 00:00:00pages
357-62issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(99)80083-2journal_volume
25pub_type
临床试验,杂志文章abstract::Penetrating keratoplasty in the presence of a perforated cornea is a relatively common and difficult surgical problem. In the worst scenario, there may be extrusion of ocular contents during trephination. Two cases of perforated corneas are presented in which a new technique was used to close the perforation and norma...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.10.060
更新日期:2005-05-01 00:00:00
abstract::We report 2 patients who experienced progressive blurring of vision following myopic laser in situ keratomileusis (LASIK) in 1 eye (Case 1) and bilaterally (Case 2). High against-the-rule astigmatism, associated with perilimbal thinning inferiorly, was seen on refraction in all eyes. Regional corneal pachymetry confir...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00047-6
更新日期:2003-04-01 00:00:00
abstract::Oscillopsia associated with near fixation after multifocal intraocular lens (IOL) implantation has not been fully recognized. A 46-year-old woman presented with shaking of vision in both eyes during near fixation after uneventful implantation of a single-piece multifocal posterior chamber IOL in both eyes. There was n...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000360
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To evaluate and compare the predictability and safety of immediate small-incision lenticule extraction, also known as SMILE, after suction loss during the procedure with those of uneventful small-incision lenticule extraction. SETTING:Nunemiso Eye Center, Seoul, South Korea. DESIGN:Retrospective case series. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.12.034
更新日期:2017-04-01 00:00:00
abstract:PURPOSE:To identify prognostic factors that determine the visual acuity after penetrating keratoplasty (PKP) for bullous keratopathy secondary to cataract surgery. SETTING:Department of Ophthalmology, University Hospital Antwerp, Antwerp, Belgium. METHODS:Twenty-six patients who had PKP for bullous keratopathy were e...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01742-x
更新日期:2003-03-01 00:00:00
abstract::We present a series of nine cases involving primary intraocular lens implantation in congenital cataracts. Because of the problems encountered with the technique used in the earlier cases, we developed a new surgical technique that may be described as primary epilenticular posterior chamber lens implantation followed ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(88)80088-9
更新日期:1988-03-01 00:00:00
abstract:PURPOSE:To determine whether residual myopia after primary laser-assisted subepithelial keratectomy (LASEK) can be corrected by repeated LASEK and whether this procedure is safe and effective. SETTING:University Eye Clinic, University of Regensburg, Regensburg, Germany. METHODS:Laser-assisted subepithelial keratectom...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00253-0
更新日期:2003-07-01 00:00:00
abstract:PURPOSE:To observe changes in intraocular pressure (IOP), the manner in which the eye is suctioned, and the effect of the number of suction ports. SETTING:Department of Ophthalmology, Tokyo Dental College, Suidobashi Hospital, Tokyo, Japan. METHODS:Suction rings with single or dual ports were made of transparent acry...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.06.085
更新日期:2005-03-01 00:00:00
abstract::We report 3 cases of bilateral piggyback lens implantation in which late hyperopic shift occurred associated with Elschnig pearl formation in the peripheral interface between the 2 lenses. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00034-6
更新日期:1999-06-01 00:00:00
abstract:PURPOSE:To prospectively investigate the incidence, associated factors, and prognostic significance of relative afferent pupillary defects (RAPDs) in eyes with less severe cataract than in contralateral eyes. SETTING:Department of Ophthalmology, Seoul Municipal Boramae Hospital, College of Medicine, Seoul National Uni...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.11.022
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of cyanopsia using the neutralization method in eyes in which clear or yellow intraocular lenses (IOLs) were implanted. SETTING:Miyata Eye Clinic, Hiroshima, Japan. DESIGN:Retrospective comparative study. METHODS:Patients who had cataract surgery with the implantation of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.040
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:To determine whether there is a difference in intraocular pressure (IOP) control between extracapsular cataract extraction (ECCE) and phacoemulsification performed after successful trabeculectomy. SETTING:Eye Unit, St. Woolos Hospital, Newport, United Kingdom. METHODS:This retrospective study comprised 55 pat...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00321-1
更新日期:2000-01-01 00:00:00
abstract::This report describes a series of six children who had a retropseudophakic vitrectomy performed via a limbal approach (limbal approach retropseudophakic vitrectomy, LARV). This technique ensures a permanently clear visual axis when performed at the time of cataract/implant surgery and can also be used to excise second...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80985-6
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:To find the conditions that prevent posterior capsule opacification through in vitro analysis of the relationship between intraocular lens (IOL) optic configuration and lens epithelial cell (LEC) migration. SETTING:Division of Morphogenesis, Department of Developmental Biology, National Institute for Basic Bio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80245-3
更新日期:1997-07-01 00:00:00
abstract:PURPOSE:To evaluate patients' vision-related activity limitation before and after bilateral cataract surgery using the German version of the Catquest-9SF questionnaire. SETTING:Hanusch Hospital, Vienna, Austria, and Ophthalmic Clinic, Minden, Germany. DESIGN:Questionnaire development. METHODS:This prospective 2-cent...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2012.11.028
更新日期:2013-05-01 00:00:00
abstract::A 56-year-old man developed a nasal field defect in his left eye 3 months after a traumatic accident. An examination showed a posterior subcapsular cataract in the left eye with no neurologic deficits. Humphrey 24-2 visual field testing revealed a nasal hemianopsia in the left eye. After cataract extraction and intrao...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00152-2
更新日期:1999-09-01 00:00:00
abstract::We report a patient who developed an anaphylactic reaction several minutes after intracameral injection of cefuroxime at the end of uneventful phacoemulsification and intraocular lens implantation surgery. The patient had a known allergy to penicillin but not to cefuroxime. This rare life-threatening complication was ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.06.008
更新日期:2013-09-01 00:00:00
abstract::The Galand lens is a closed J-loop implant for capsular-bag fixation. We present a retrospective study of 214 eyes implanted with this lens. Eyes were examined at three months, six months, one year, and two years after surgery. Results indicate that 82.2% of eyes obtained a visual acuity of 20/40 or better at two year...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80028-1
更新日期:1986-03-01 00:00:00
abstract:PURPOSE:To compare 2-year neodymium:YAG (Nd:YAG) laser capsulotomy rates after bilateral implantation of hydrophobic or hydrophilic multifocal intraocular lenses (IOLs). SETTING:Private practice, southwest France. METHODS:This retrospective study included patients with cataract or clear lenses who had bilateral impla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.01.027
更新日期:2010-07-01 00:00:00
abstract:UNLABELLED:Laser in situ keratomileusis (LASIK) articles published between 2008 and 2015 that contain clinical outcomes data were reviewed and graded for quality, impression, and potential bias. All 97 relevant articles (representing 67 893 eyes) provided a positive or neutral impression of LASIK. Industry bias was not...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2016.07.012
更新日期:2016-08-01 00:00:00
abstract:PURPOSE:To assess the pain experienced by patients with small pupils during pupil stretching in phacoemulsification performed using topical anesthesia. SETTING:Royal Victoria Eye & Ear Hospital and Mater Misericordiae University Hospital, Dublin, Ireland. METHODS:This was a prospective study that included 26 eyes wit...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.02.044
更新日期:2005-09-01 00:00:00
abstract:PURPOSE:To analyze the repeatability of corneal astigmatism measurements with 2 autokeratometers (IOLMaster 500 and Lenstar LS 900), 2 Placido topographers (Keratron Scout and Atlas 9000), and a Scheimpflug tomographer (Pentacam HR). SETTING:Department of Ophthalmology, Goethe University, Frankfurt, Germany. DESIGN:P...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.11.046
更新日期:2016-04-01 00:00:00
abstract:PURPOSE:To compare the efficacy of intracameral cefuroxime versus subconjunctival cefuroxime in reducing the rate of endophthalmitis after cataract surgery. SETTING:Single-specialty eye hospital, Sunderland, United Kingdom. METHODS:A retrospective analysis of all presumed infectious endophthalmitis cases from January...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.10.041
更新日期:2008-03-01 00:00:00
abstract:PURPOSE:To evaluate the 12-month U.S. phase II clinical trial results of the Crystalens AT-45 (eyeonics, Inc.) intraocular lens (IOL) used to provide uncorrected distance, intermediate, and near visual acuities in patients having cataract extraction and to compare in a substudy the contrast sensitivity and near visual ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2006.02.007
更新日期:2006-05-01 00:00:00
abstract::We modified our surgical techniques after analyzing the mechanisms responsible for posterior capsule-zonular disruption with or without vitreous loss in 250 consecutive extracapsular cataract extraction cases. We applied the derived principles and prospectively studied the subsequent 1,500 cases. Modifications in our ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80704-3
更新日期:1990-05-01 00:00:00
abstract:PURPOSE:To present a complex surgical technique used for the management of luxated crystalline lenses and evaluate treatment results. SETTING:Department of Ophthalmology, Medical University of Lodz, Lodz, Poland. METHODS:This prospective study involved 29 consecutive patients (30 eyes) with the mean age of 60.3 years...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.04.039
更新日期:2005-11-01 00:00:00
abstract:PURPOSE:To study the microanatomic edge structures of anterior lens capsule specimens derived from manual and femtosecond laser-assisted capsulotomies. SETTING:Department of Ophthalmology, Goethe-University, Frankfurt, Germany. DESIGN:Experimental study. METHODS:Of 60 eyes with lens removal and intraocular lens impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.024
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:To describe 7 patients who developed ectasia following laser in situ kerato-mileusis (LASIK). SETTING:Instituto de la Visión, Buenos Aires, Argentina. METHODS:In this retrospective study of 7 patients, visual acuity, refraction, pachymetry, and corneal topography were examined before and after the refractive ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00799-4
更新日期:2001-09-01 00:00:00
abstract:PURPOSE:To evaluate the position of posterior chamber intraocular lenses (PC IOLs) at distance and near and the amplitude of pseudoaccommodation in young eyes. SETTING:Department of Ophthalmology, University School of Medical Sciences, Bydgoszcz, Poland. METHODS:This study comprised 45 eyes of 38 patients aged 12 to ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00407-1
更新日期:2000-04-01 00:00:00
abstract:PURPOSE:To evaluate changes in anterior chamber depth (ACD) and intraocular pressure (IOP) after phacoemulsification in eyes with occludable angles and compare the results with those in eyes with normal open angles. SETTING:Eye Clinic, Ipoh General Hospital, Ipoh, Perak, Malaysia. METHODS:Patients with nonglaucomatou...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.02.024
更新日期:2010-08-01 00:00:00