Abstract:
PURPOSE:To evaluate dissatisfied patients and those with subjectively worse visual ability after cataract surgery and to analyze how these factors relate to poor visual acuity results (worse than 20/40). SETTING:Department of Ophthalmology, Norrlands University Hospital, Umeå, Sweden. METHODS:A prospective, population-based study of cataract surgery outcome was conducted. All patients (459 surgeries) who had cataract surgery during a 1 year period were studied using self-administered questionnaires and data from patient records. Outcome measures were (1) patient degree of satisfaction with the result, (2) subjective visual ability after surgery of visually demanding tasks such as reading, television viewing, orientation in unfamiliar surroundings, and distance estimation far and near, and (3) visual acuity results. RESULTS:After surgery, 37 of the 459 cases (8%) were dissatisfied. These patients had a significantly lower age-corrected visual acuity in the operated eye than the satisfied patients (P < .0001). Ten percent said 1 or more visual ability was worse after their cataract surgery. Logistic regression analysis revealed that the visual acuity in the better eye before surgery and age-related maculopathy were the most significant risk factors. Poor visual acuity after surgery in the operated eye was found in 22%, mostly as a result of concurrent age-related maculopathy, diabetes, or glaucoma. Four percent had no improvement in visual acuity in the operated eye. CONCLUSIONS:Dissatisfaction seemed to rely mostly on visual acuity in the operated eye. Low visual acuity in the better eye before surgery and age-related maculopathy were the most significant risk factors for subjectively worse visual ability after surgery. The degree of satisfaction after cataract surgery and changes in visual ability differed in important ways from visual acuity as a measure of visual function.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Mönestam E,Wachtmeister Ldoi
10.1016/s0886-3350(99)00135-2subject
Has Abstractpub_date
1999-08-01 00:00:00pages
1127-34issue
8eissn
0886-3350issn
1873-4502pii
S0886335099001352journal_volume
25pub_type
杂志文章abstract::We describe a technique for making an optimal flange in intraocular lenses (IOLs) used for flanged intrascleral IOL fixation. The flange shape varies in poly(methyl methacrylate) (PMMA) haptics of different IOLs of different manufacturers. We identified the distance between the forceps grip of the haptic and the end o...
journal_title:Journal of cataract and refractive surgery
pub_type: 评论,杂志文章
doi:10.1016/j.jcrs.2018.07.042
更新日期:2018-11-01 00:00:00
abstract::Eighty-two keratotomy procedures were performed for both idiopathic and postsurgical astigmatism or myopic astigmatism and analyzed for efficacy using vector and linear regression analysis. Delta keratometry values (delta K) were computed for each case as delta K in the desired axis of effect using vector analysis. Si...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80134-8
更新日期:1989-01-01 00:00:00
abstract:PURPOSE:To compare tilt and some higher-order aberrations (HOAs) in patients who had cataract surgery and implantation of 2 types of acrylic intraocular lens (IOL), the hydrophobic MA60AC (Alcon) or the hydrophilic XLSTABI (Ioltech). SETTING:Fondation Ophtalmologique Adolphe de Rothschild, Department of Pr Hoang-Xuan,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.01.099
更新日期:2006-07-01 00:00:00
abstract:PURPOSE:To describe the refractive outcomes of triple Descemet membrane endothelial keratoplasty (DMEK). DESIGN:Retrospective case series. METHODS:The study included patients with Fuchs endothelial dystrophy and cataract without coincident pathology. RESULTS:Outcomes of 108 sequential triple DMEK procedures were eva...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.09.042
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:To evaluate the repeatability and reliability of Belin-Ambrósio Enhanced Ectasia Display-III indices and topometric indices with a Scheimpflug system (Pentacam HR) in normal eyes and keratoconic eyes. SETTING:Ulucanlar Eye Research and Training Hospital, Ankara, Turkey. DESIGN:Prospective case series. METHOD...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.10.042
更新日期:2018-01-01 00:00:00
abstract::We introduce a technique for iris fixation of a posterior chamber intraocular lens (IOL) in which most of the procedure is done outside the eye. This minimizes intraocular manipulation, maximizes corneal endothelial preservation, and avoids the risk for IOL drop into the vitreous cavity intraoperatively. The IOL is fi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.10.008
更新日期:2016-12-01 00:00:00
abstract:PURPOSE:To determine the appropriate correction of predicted intraocular lens (IOL) power for sulcus fixation and to prospectively assess the validity of the obtained correction value in patients having sulcus fixation. SETTING:Department of Ophthalmology, Saiseikai Kurihashi Hospital, Saitama, Japan. METHODS:The pos...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00250-5
更新日期:2003-10-01 00:00:00
abstract:PURPOSE:To evaluate the refractive accuracy of intraocular lens (IOL) power calculation after phacovitrectomy. SETTING:Eye Hospital Zonnestraal and Department of Ophthalmology Academic Medical Center, Amsterdam, the Netherlands. DESIGN:Retrospective comparative case series. METHODS:Refraction results 1 month after p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.03.034
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:To determine the risk factors, intraoperative and postoperative complications, therapeutic interventions, and visual outcomes for persistent postoperative inflammation in primary resident-performed cataract surgeries. SETTING:Ben Taub General Hospital, Houston, Texas, USA. DESIGN:Retrospective case series. M...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.05.006
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of using anterior chamber irrigation of unpreserved lidocaine 1% as anesthesia during cataract surgery. SETTING:Private group ophthalmology practice. METHODS:This study prospectively evaluated 1000 of 1012 consecutive eyes having temporal corneal incision cataract surgery to determ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(97)80212-x
更新日期:1997-05-01 00:00:00
abstract:UNLABELLED:We report a case of immediate severe anaphylaxis to hydroxypropyl methylcellulose (HPMC) on 2 separate occasions during cataract surgery in a 71-year-old patient. Skin prick tests were positive for HPMC, a constituent of Ocucoat and Xylocaine gel, which were administered intraocularly during surgery. Skin pr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.02.034
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:To evaluate the clinical feasibility of the prototype version of a commercial partial coherence interferometry instrument (axial length measurement, ALM, Carl Zeiss Jena) for noninvasive, high-precision biometry in cataractous eyes. SETTING:Department of Ophthalmology, Vienna General Hospital, and Institute of...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(01)01272-x
更新日期:2002-02-01 00:00:00
abstract:PURPOSE:To investigate the clinical outcomes after implantation of a new hydrophobic acrylic intraocular lens (IOL) with hydroxyethyl methacrylate (HEMA) at 1 year and 9 years postoperatively. SETTING:Three surgical sites in Japan. DESIGN:Prospective case series and retrospective review. METHODS:In 110 eyes of 110 p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000142
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:To compare the optical performance of 6 presbyopia-correcting intraocular lenses (IOLs) of different designs (accommodating or multifocal and aspheric or spheric). SETTING:Alcon Laboratories, Inc., Fort Worth, Texas, USA. METHODS:The optical performance of 6 IOLs were compared using modulation transfer functi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.026
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To determine the typical in vitro straylight levels for intraocular lenses (IOLs) of different materials and designs. SETTING:Abbott Medical Optics, Inc., Groningen, the Netherlands. DESIGN:Experimental study. METHODS:Two optical bench setups were used to determine baseline straylight levels of IOLs placed i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.10.017
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:To evaluate whether photorefractive keratectomy (PRK) for moderate myopia using a solid-state laser with a wavelength of 213 nm alters the corneal endothelial cell density. SETTING:University refractive surgery center. METHODS:The corneal endothelium was analyzed preoperatively and 1, 6, and 12 months postope...
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.2007.06.042
更新日期:2007-11-01 00:00:00
abstract::We report a case of bilateral infectious keratitis occurring as a complication of bilateral simultaneous laser in situ keratomileusis enhancement procedures. Corneal scraping from the interface of both eyes grew Staphylococcus aureus. The infection cleared after treatment with fortified cefazolin, fortified gentamicin...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01232-9
更新日期:2002-04-01 00:00:00
abstract:PURPOSE:To compare visual outcomes in patients with cataract surgery and bilateral implantation of a trifocal or bifocal intraocular lens (IOL). SETTING:University Eye Clinic Maastricht, the Netherlands. DESIGN:Prospective randomized clinical trial. METHODS:Eyes with cataract and less than 1.0 diopter (D) of corneal...
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.2015.08.011
更新日期:2015-08-01 00:00:00
abstract:PURPOSE:To evaluate the source of organisms causing an epidemic of postoperative endophthalmitis and to emphasize the importance of prompt intervention with an early diagnosis. SETTING:S.B. Ankara Hospital Eye Department, Ankara, Turkey. METHODS:Thirteen patients who had surgery on the same day and developed acute po...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80128-3
更新日期:1996-10-01 00:00:00
abstract:PURPOSE:To measure the rheological behaviour of artificial tears to gain insight into the potential role of rheology in predicting the efficacy of artificial tear solutions for the treatment of dry eye disease (DED). SETTING:Research laboratories of I-MED Pharma, Canada, Rohn and Associates, Inc., New Jersey, and Hyda...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000507
更新日期:2020-11-30 00:00:00
abstract::A 48-year-old man with cataract had uncomplicated phacoemulsification and implantation of a posterior chamber intraocular lens (IOL) into the continuous capsulorhexis. Three years later, part of the capsular bag and a haptic subluxated into the anterior chamber. At the time of repositioning surgery, partial zonular de...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80127-7
更新日期:1997-11-01 00:00:00
abstract:PURPOSE:To evaluate an outbreak of infectious keratitis after laser in situ keratomileusis (LASIK) at a single laser center in Japan. SETTING:Tokyo Dental College, Chiba, Japan. DESIGN:Case series. METHODS:Relevant demographic and clinical data were obtained from case records using a standardized multicenter questio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2010.11.034
更新日期:2011-05-01 00:00:00
abstract:UNLABELLED:Spontaneous late subluxation of an intraocular lens (IOL) is a rare but serious complication of cataract surgery, often associated with poor zonular support. The management of this complication with a conventional forceps is difficult because the forceps often cannot adequately grasp the optic or haptic to f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.12.004
更新日期:2013-02-01 00:00:00
abstract:PURPOSE:To evaluate the safety of a new suprachoroidal device, the Cypass micro-stent, for the surgical treatment of open-angle glaucoma (OAG) implanted in conjunction with cataract surgery. SETTING:Multicenter clinical study. DESIGN:Prospective interventional case series. METHODS:This is an interim report of an ong...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2012.10.040
更新日期:2013-03-01 00:00:00
abstract::We describe a small-incision technique that reduces the phacoemulsification time. It reduces the risk for strong intraocular inflammation after surgery and posterior capsule rupture during surgery in young patients with uveitis. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.03.047
更新日期:2008-08-01 00:00:00
abstract::A 56-year-old woman was referred with recurrent interface infiltration and hypopyon after astigmatic laser in situ keratomileusis (LASIK) on a corneal graft. Pseudomonas aeruginosa was isolated as the causative pathogen. Penetrating keratoplasty had been performed 2 years before refractive surgery. After the antibioti...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.05.001
更新日期:2004-01-01 00:00:00
abstract::We describe a technique for stromal expansion of thin and ultrathin corneas in keratoconus patients that uses refractive stromal lenticules of patients having small-incision lenticule extraction for myopic correction. The stromal lenticule is placed and spread over the host cornea following epithelial debridement so t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.04.007
更新日期:2015-05-01 00:00:00
abstract::The infrequent postoperative complication of intraocular lens decentration in the presence of an intact fibrosed capsule has traditionally been treated with lens explantation and exchange for a sulcus-fixated lens. Many of these patients can be managed by reopening the fibrosed capsular bag and repositioning the lens ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80069-7
更新日期:1997-09-01 00:00:00
abstract:PURPOSE:To compare the efficacy of 30 minute preoperative versus 1 day postoperative administration of ketorolac tromethamine 0.5% ophthalmic solution (Acular) in reducing anterior chamber inflammation after cataract surgery. SETTING:The Hermann Eye Center, The University of Texas Health Science Center-Houston, Texas,...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0886-3350(00)00519-8
更新日期:2000-11-01 00:00:00
abstract:PURPOSE:To evaluate the formation of glistenings in foldable intraocular lenses (IOLs) of various materials after cataract surgery. SETTING:University Eye Clinic of Trieste, Trieste, Italy. METHODS:In this prospective study, 273 patients were randomized to have implantation of 1 of 7 types of foldable IOLs in the cap...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0886-3350(02)01353-6
更新日期:2002-07-01 00:00:00