Abstract：
PURPOSE:To evaluate the results of ab externo 4-point scleral fixation of posterior chamber intraocular lenses (PC IOLs) as a primary or secondary procedure. SETTING:Aravind Eye Hospital, Madurai, India. METHODS:This retrospective study comprised 25 patients: 17 aphakic and 8 with traumatic subluxated lenses. The subluxated cataracts were removed intracapsularly. All patients had ab externo 4-point flapless scleral fixation of a PC IOL. Preoperative status, intraoperative details, and postoperative outcome were analyzed. RESULTS:Mean follow-up was 8.02 months (range 6 to 26 months). The preoperative findings included sector iridectomy (n = 6), peripheral anterior synechias (n = 5), corneal scar (n = 2), vitreous hemorrhage (n = 2), traumatic angle recession (n = 1), retinitis pigmentosa (n = 1), primary open-angle glaucoma (n = 1), and macular pigmentary mottling (n = 1). There were no intraoperative problems related to scleral fixation. Postoperative complications and findings included cystoid macular edema (CME) (n = 2), uveitis (n = 1), and a healed macular choroidal tear (n = 1). No patient had suture exposure, IOL tilt/decentration, or infection. Twenty-two patients (88.0%) had a visual acuity of 6/12 or better at final follow-up. The cause of poor visual recovery in 3 patients included pre-existing macular degeneration, healed macular choroidal tear, and CME in 1 patient each. CONCLUSION:Four-point scleral fixation is a simple technique that in this series of 25 patients was not associated with major intraoperative or postoperative complications and gave satisfactory visual results.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Chakrabarti A,Gandhi RK,Chakrabarti Mdoi
10.1016/s0886-3350(99)80093-5subject
Has Abstractpub_date
1999-03-01 00:00:00pages
420-6issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(99)80093-5journal_volume
25pub_type
杂志文章abstract：:Visual acuity and contrast sensitivity after cataract surgery were evaluated in best-case eyes that received a Storz bifocal zonal intraocular lens (IOL) or a 3M diffractive multifocal IOL. A group of eyes with a monofocal IOL was used as a control. Postoperatively, all eyes had a best corrected visual acuity of 20/40...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80536-6
更新日期：1995-07-01 00:00:00
abstract：PURPOSE:To assess the effect of preoperative tear function on early changes in functional visual acuity (FVA) after laser in situ keratomileusis (LASIK). SETTING:Minamiaoyama Eye Clinic, Tokyo, Japan. METHODS:This prospective single-center study assessed the effect of preoperative and postoperative tear functions on ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.086
更新日期：2004-11-01 00:00:00
abstract：PURPOSE:To ascertain whether the change in refraction caused by paired lamellating corneal incisions in cadaver eyes could be achieved in living eyes and whether wound healing influences this effect. SETTING:Virchow Hospital Eye Clinic, Humboldt University, Berlin, Germany. METHODS:This prospective study included 45 ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80342-2
更新日期：1997-03-01 00:00:00
abstract：PURPOSE:To evaluate the safety and predictability of laser in situ keratomileusis (LASIK) retreatment following primary procedures for high myopia and astigmatism. SETTING:Corneal Diseases and Excimer Laser Research Unit, Department of Ophthalmology, University of Dundee, Dundee, United Kingdom. METHODS:This prospect...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00765-9
更新日期：2001-04-01 00:00:00
abstract：PURPOSE:To compare the extension of peripheral visual fields in phakic and pseudophakic patients and to evaluate whether Goldmann kinetic perimetry can be used as an objective measure of negative dysphotopsia. SETTING:University Eye Clinic, Maastricht University Medical Centre, Maastricht, the Netherlands. DESIGN:Pro...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.09.016
更新日期：2016-11-01 00:00:00
abstract：:After the ultrasonic tip is introduced into the highly myopic eye and inflow is activated, the anterior chamber deepens, the lens-iris diaphragm is displaced posteriorly, the iris becomes concave, and the pupil dilates from the weight of the water column above the eye. We define a known but undescribed syndrome--the l...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80043-0
更新日期：1994-01-01 00:00:00
abstract：:Interlenticular opacification (ILO) developed 7 months after secondary acrylic piggyback lens implantation in which the anterior lens was placed in the bag. This resulted in glare and a hyperopic shift. Treating the ILO with the neodymium:YAG laser successfully reduced the glare and corrected the hyperopic shift. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00865-3
更新日期：2001-09-01 00:00:00
abstract：PURPOSE:To evaluate the efficacy and safety of phenylephrine 1.0%-ketorolac 0.3% (Omidria) for maintenance of mydriasis during, and reduction of ocular pain after, cataract surgery. SETTING:Twenty centers in the United States and the Netherlands. DESIGN:Prospective randomized clinical trials. METHODS:Patients having...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jcrs.2015.10.053
更新日期：2015-10-01 00:00:00
abstract：PURPOSE:To compare the outcomes of topography-guided and wavefront-optimized surgery in patients having laser in situ keratomileusis (LASIK) for myopia. SETTING:Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, and BALGEUN-EYE21 Operation Center, Gwangju, South Korea. DESIGN:Prospective case ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.01.031
更新日期：2019-07-01 00:00:00
abstract：PURPOSE:To report the outcomes of implantation of intraocular lenses (IOLs) with a prosthetic iris to correct traumatic iris deficiency. SETTING:Department of Ophthalmology, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada. DESIGN:Case series. METHODS:The medical records of consecutive p...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.10.038
更新日期：2011-03-01 00:00:00
abstract：:We describe a case of corneal chromoblastomycosis with Cladophialophora carrionii in a 69-year-old woman 4 weeks after clear corneal cataract surgery. The patient presented with right eye pain and decreased visual acuity of 20/100. Examination showed a deep posterior stromal keratitis accompanied by a dense fibrinous ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.03.007
更新日期：2011-05-01 00:00:00
abstract：:We report one-year follow-up results on 23 eyes in which we performed myopic keratomileusis. The mean refraction changed from -11.09 diopters (D) preoperatively to -3.66 D postoperatively. In all but two cases, keratometry was reduced one year postoperatively. The average corneal thickness decrease was 0.139 mm. In ni...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80042-1
更新日期：1987-07-01 00:00:00
abstract：PURPOSE:To analyze risk factors and management of pupillary intraocular lens (IOL) capture after IOL transscleral fixation. SETTING:Department of Ophthalmology, Seoul National University Hospital, Seoul, South Korea. DESIGN:Retrospective case series. METHODS:A chart review was performed of patients who had transscle...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.08.021
更新日期：2017-12-01 00:00:00
abstract：PURPOSE:To evaluate a new diffractive multifocal intraocular lens (IOL) as an additional (add-on) IOL for sulcus-based implantation. SETTING:Augenklinik am Neumarkt, Köln, Germany. METHODS:In this prospective study, cataract patients had phacoemulsification and IOL implantation. After phacoemulsification, an aspheric...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jcrs.2009.07.014
更新日期：2009-12-01 00:00:00
abstract：PURPOSE:Comparison of lens capsule-related complications resulting from femtosecond laser-assisted capsulotomy and manual capsulorhexis in patients with white cataracts. SETTING:Eye Center, Second Affiliated Hospital, Zhejiang Medical School, Hangzhou, China. DESIGN:Prospective consecutive nonrandomized comparative c...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.10.037
更新日期：2019-03-01 00:00:00
abstract：PURPOSE:To compare the outcome of treatment for myopia by phakic intraocular lens (IOL) implantation or by clear lens extraction (CLE). SETTING:Service d'Ophtalmologie, Hopital Purpan, Toulouse, France. METHODS:Thirty-nine patients from 32 to 49 years of age were studied. Forty-one eyes of 21 patients received a phak...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.082
更新日期：2004-10-01 00:00:00
abstract：:Most surgical procedures involving the anterior segment of the eye disrupt the normal organization of corneal innervation. Since denervation of the cornea results in impaired epithelial wound healing, increased epithelial permeability, decreased epithelial metabolic activity, and loss of cytoskeletal structures associ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/s0886-3350(98)80237-x
更新日期：1998-10-01 00:00:00
abstract：PURPOSE:To evaluate intrastromal concentrations of riboflavin with and without epithelium to ensure the efficacy and safety of corneal crosslinking (CXL) by the standard and transepithelial procedures. SETTING:Department of Ophthalmology and Department of Pharmacology G. Segre, Siena University, Siena, Italy. METHODS...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.01.009
更新日期：2009-05-01 00:00:00
abstract：PURPOSE:To assess the safety, efficacy, stability, and predictability of collagen copolymer toric phakic intraocular lens (pIOL) implantation to correct myopia and astigmatism in eyes with keratoconus. SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:This prospective study comprised keratocon...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.11.032
更新日期：2010-06-01 00:00:00
abstract：PURPOSE:To report results of the National French Observational Database for Endophthalmitis (Observatoire National Des Endophtalmies [ONDE]). SETTING:Departments of ophthalmology at universities, general hospitals, and private clinics. METHODS:In this multicenter national interventional case series, data were collect...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jcrs.2008.10.018
更新日期：2009-01-01 00:00:00
abstract：PURPOSE:To develop a technique to quantify biomechanical changes in the cornea after microkeratome incisions as would be performed in laser in situ keratomileusis. SETTING:St Thomas' Hospital, London, and the Wolfson School of Mechanical and Manufacturing Engineering, Loughborough University, Loughborough, United King...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.10.038
更新日期：2005-01-01 00:00:00
abstract：:In eyes with absent or insufficient capsule support, three-piece posterior chamber intraocular lens (PC IOL) may be fixed to the sclera. Previous techniques involve the use of sutures, flaps, glue, needles, trocars, or intrascleral tunnels to fixate the distal tips of the haptics intrasclerally. Herein we describe a m...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.06.019
更新日期：2019-10-01 00:00:00
abstract：PURPOSE:To determine whether donor eyes had previous refractive surgery using Orbscan (Bausch & Lomb Surgical) corneal topography. SETTING:Lions Eye Bank of Oregon, Portland, Oregon, USA, and Maisonneuve-Rosemont, Hospital, Montreal, Quebec, Canada. METHODS:Orbscan corneal topographies of 50 donor eyes from the Lions...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.12.035
更新日期：2006-02-01 00:00:00
abstract：PURPOSE:To compare the early postoperative visual rehabilitation after laser-assisted subepithelial keratectomy (LASEK) and photorefractive keratectomy (PRK) for the correction of myopia. SETTING:CODET Aris Vision Institute, Tijuana, Mexico. METHODS:This prospective study included 50 eyes of 25 patients with myopia w...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(02)01376-7
更新日期：2002-08-01 00:00:00
abstract：:Surgery is a major source of errors in patient care. Preventing complications from surgical errors in the operating room is estimated to lead to reduction of up to 41,846 readmissions and save $620.3 million per year. It is now established that poor technical skill is associated with an increased risk of severe advers...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000322
更新日期：2020-07-13 00:00:00
abstract：PURPOSE:To prospectively evaluate the no-history method for intraocular lens (IOL) power calculation in 15 cataractous eyes that had previous myopic laser in situ keratomileusis (LASIK) and for which the pre-LASIK K-readings were not available. SETTING:Private practice, Lynwood, California, USA. METHODS:The predicted...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.08.045
更新日期：2007-01-01 00:00:00
abstract：PURPOSE:To evaluate the efficacy of using forward second harmonic generation (SHG) and 2-dimensional fast Fourier-transform (2D-FFT) analysis for the label-free characterization and quantification of morphologic changes in the corneal stroma after collagen crosslinking (CXL). SETTING:Department of Physics, National Ta...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.11.036
更新日期：2013-05-01 00:00:00
abstract：PURPOSE:To compare epithelial remodeling in keratoconic eyes that had photorefractive keratectomy and corneal collagen crosslinking (Athens protocol) with that in untreated keratoconic eyes and healthy eyes. SETTING:Private clinical practice, Athens, Greece. DESIGN:Comparative case series. METHODS:Fourier-domain ant...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.02.036
更新日期：2014-10-01 00:00:00
abstract：PURPOSE:To determine the sex hormone levels in the serum and aqueous humor in patients with age-related cataract and the corresponding hormone receptors in cataract lens epithelial cells (LECs). SETTING:Research Laboratory, International Intraocular Implant Training Center, Tianjin Medical University, Tianjin, China. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01436-0
更新日期：2003-01-01 00:00:00
abstract：PURPOSE:Previous studies have reported conflicting results on the influence of seasons on post-cataract surgery endophthalmitis incidences. This study aimed to investigate the seasonality associated with the incidence of postoperative endophthalmitis, and to evaluate its association with climate variables in South Kore...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.07.022
更新日期：2019-12-01 00:00:00
