Abstract:
OBJECTIVE:To objectively measure and compare halo, flicker, and glare disability in pseudophakic eyes with monofocal (MONO) and multifocal (MULTI) intraocular lenses (IOLs) with respect to the influence of corneal surface quality, astigmatism, and age. DESIGN:Prospective case series. PARTICIPANTS:This clinical trial involved 28 eyes of 28 patients after small-incision cataract surgery with a MONO silicone IOL and 28 eyes of 28 patients with zonal-progressive silicone IOL. INTERVENTION:A computer program objectively determined halo, glare, and flicker. Corneal surface quality and astigmatism were measured using computerized videokeratography. Ray-tracing analysis was performed based on the videokeratography data to calculate retinal peak distance and distortion index. A questionnaire was sent to all patients to evaluate the incidence of subjective photic phenomena. RESULTS:Mean halo size (square degrees +/- standard deviation) valued 6.1 (+/- 1.3) in the MONO group and 7.2 (+/- 2.3) in the MULTI group with no statistically significant difference between MONO and MULTI. Flicker (in % contrast to add) was -0.7 (+/- 2.9) in the MONO group and -1.0 (+/- 4.2) in the MULTI group with no statistical differences. Glare (in % contrast to add) was 5.5 (+/- 16.5) in the MONO group and 6.5 (+/- 18.0) in the MULTI group with no statistical differences. Patients in the MONO group older than 70 years of age had significantly more glare than those younger than 70 years (P = 0.017). In the MULTI group, patients with corneal shape irregularities (peak distance > 6.0 microm) or astigmatism (> 1 diopter) had statistically significant greater halos than did patients with regular corneal shape (peak distance < or = 6.0 microm) or astigmatism (< or = 1 diopter) (P < 0.005). Three of 27 MONO patients and 9 of 28 MULTI patients noticed light sensations (mainly halos) after surgery that were not present before surgery, with the majority not being bothered by these at all. CONCLUSION:In monofocal as well as in multifocal eyes, halo and glare disability occurred. Patient age, corneal surface quality, and IOL design played an important role in these photic phenomena. Because these photic phenomena may be more prevalent in night driving conditions, the authors' study suggests that night driving ability, especially in the elderly patient with pseudophakia, should be examined carefully.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Dick HB,Krummenauer F,Schwenn O,Krist R,Pfeiffer Ndoi
10.1016/S0161-6420(99)90396-2subject
Has Abstractpub_date
1999-10-01 00:00:00pages
1878-86issue
10eissn
0161-6420issn
1549-4713pii
S0161-6420(99)90396-2journal_volume
106pub_type
临床试验,杂志文章相关文献
OPHTHALMOLOGY文献大全abstract::The authors compared the additive intraocular pressure (IOP)-lowering effects of two different topical medications, apraclonidine hydrochloride and dipivefrin hydrochloride, when used in conjunction with timolol maleate. Eighteen patients with elevated IOPs entered a randomized, double-masked, cross-over study. Each u...
journal_title:Ophthalmology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0161-6420(89)32977-0
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:To determine the association between glaucomatous visual field (VF) loss and the amount of physical activity and walking in normal life. DESIGN:Prospective, observational study. PARTICIPANTS:Glaucoma suspects without significant VF or visual acuity loss (controls) and glaucoma subjects with bilateral VF los...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2012.01.013
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To evaluate the relationship between intraocular pressure (IOP) measurements obtained by dynamic contour tonometry (DCT) and Goldmann applanation tonometry (GAT) in African Americans and to assess whether these measures were influenced by ocular parameters including corneal thickness, corneal curvature, and axi...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2006.06.065
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Beta-radiation has been used since 1950 as a postoperative measure to reduce the recurrence of pterygia. Scleral necrosis has been a major complication after radiotherapy that has led to perforation of the globe, endophthalmitis, and visual loss in some cases. METHOD:A patient is presented in whom scleral n...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(95)30914-1
更新日期:1995-07-01 00:00:00
abstract::Twenty-five ambulatory patients with acquired immunodeficiency syndrome (AIDS) were studied over a 6-month period. Fourteen (56%) of the patients were heterosexuals with a history of intravenous drug abuse. Ocular involvement was seen in 40% of patients, cotton-wool spots being the major manifestation. Findings consis...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:
更新日期:1983-08-01 00:00:00
abstract::A cross-sectional study was undertaken to determine the prevalence of ocular and oculodermal melanocytosis. Thirteen thousand one hundred fifty patients were examined for ocular and oculodermal melanocytosis. Fifty-three percent of these patients were black, 40% were white, and 7% were of other racial groups. In the w...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:
更新日期:1982-08-01 00:00:00
abstract:PURPOSE:To assess quantitatively the depth of retinal nerve fiber layer (RNFL) defects using a Cirrus high-definition (HD) optical coherence tomography (OCT)-derived RNFL thickness deviation map. DESIGN:Prospective, cross-sectional study. PARTICIPANTS:Three-hundred fifteen eyes with localized and diffuse RNFL defects...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2014.01.013
更新日期:2014-07-01 00:00:00
abstract:PURPOSE:The authors describe the rare condition of an abscess within a hydroxyapatite orbital implant in two patients who had undergone seemingly uncomplicated enucleation and orbital implant surgery. METHODS:In the first patient, 14 weeks postoperatively, a chronic discharge developed and the socket became uncomforta...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(96)30427-2
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:To describe the initial experience and to evaluate the safety and feasibility of using the 25-gauge Transconjunctival Sutureless Vitrectomy System (TSV) for a variety of vitreoretinal procedures. DESIGN:Retrospective review of a consecutive interventional case series. PARTICIPANTS:Thirty-five eyes of 33 pat...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(02)01119-3
更新日期:2002-10-01 00:00:00
abstract:AIM:To report a rare presentation of colloid milium occurring only on the upper eyelid margins. DESIGN:Interventional case report. METHODS:(1) Slit-lamp examination of eyelids and eyes and clinical examination including the face and a general physical examination; (2) photography of the lesions on the lids; and (3) e...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(02)01180-6
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Histopathologic studies of this unusual keratitis caused by Capnocytophaga species have not been reported previously. METHODS:The authors report the light microscopic and ultrastructural findings of three patients with a distinctive necrotizing keratitis caused by an anaerobic gram-negative bacillus. In thr...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(94)31081-5
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:Sterile corneal ulceration is a rare complication of rheumatoid arthritis and may lead to corneal perforation. Surgical management for visual restoration frequently is unsuccessful. The authors analyze the factors that may determine the failure of corneal surgery in perforations associated with rheumatoid ar...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(95)30867-6
更新日期:1995-09-01 00:00:00
abstract:PURPOSE:To identify ophthalmologic manifestations of the blue rubber bleb nevus syndrome, a rare cutaneovisceral hemangiomatosis. METHODS:The authors report two patients with a diagnosis of blue rubber bleb nevus syndrome with orbital hemangiomas. RESULTS:In one patient, the orbital lesion presented with signs and sy...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(96)30584-8
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:To report the outcomes of ipsilateral rotational autokeratoplasty (RAK) for nonprogressive paracentral corneal opacities in children <16 years of age. DESIGN:Retrospective, consecutive, interventional case series. PARTICIPANTS:Thirty-three eyes of 33 children aged <16 years undergoing RAK for nonprogressive...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2012.06.045
更新日期:2012-12-01 00:00:00
abstract::Gardner syndrome is a dominantly inherited familial cancer syndrome characterized by intestinal polyposis, bony hamartomata, and various soft tissue tumors. The risk of malignancy during adult life is essentially 100%, but as yet no phenotypic marker nor biochemical or serological linkage have been useful to identify ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(84)34213-0
更新日期:1984-08-01 00:00:00
abstract:OBJECTIVE:To document the long-term effect of argon laser peripheral iridoplasty (ALPI) in eyes with plateau iris syndrome. DESIGN:Retrospective, noncomparative, interventional case series. SETTING:New York Eye and Ear Infirmary. METHODS:The charts of all patients with plateau iris syndrome treated with ALPI from 19...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2003.05.001
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of single-dose oral azithromycin in the treatment of Chlamydia trachomatis through monitoring of tear and serum levels. DESIGN:Nonrandomized, clinical trial. PARTICIPANTS:Fourteen school-age children with active trachoma (one failed to complete the study). INTERVENTION:A sing...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/S0161-6420(98)94020-9
更新日期:1998-04-01 00:00:00
abstract::The interactions between rabbit corneal epithelium and endothelium were investigated in an organ culture model using scanning electron microscopy and correlative light microscopy. Following mechanical removal of corneal endothelium, corneal epithelium was observed to migrate across the cut surface of the corneal strom...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(84)34250-6
更新日期:1984-06-01 00:00:00
abstract::An entire family (father, mother, and three daughters) were given thiabendazole because one of the children had acquired pinworm infestation. The mother and one daughter (non-infected) developed a sicca complex (keratoconjunctivitis sicca and xerostomia) accompanied by cholangiostatic jaundice. Sjögren's syndrome is a...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(79)35334-9
更新日期:1979-10-01 00:00:00
abstract::Enophthalmos with an associated superior sulcus syndrome is a common finding in the anophthalmic socket. Two common causes are: (1) progressive relaxation of the lower eyelid leading to downward migration of the prosthesis and associated ectropion formation; and (2) decreased volume of the orbit. Relaxation of the low...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(80)35091-4
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVE:To investigate the multifocal electroretinogram (mfERG) in myopic children in relation to the rate of myopia progression. DESIGN:Observational study. PARTICIPANTS:Eighty-one school children with myopia. METHODS:Cycloplegic refraction, ocular biometry, and mfERG recordings were performed in myopic children ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2006.11.030
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:To evaluate and compare the extent of corneal flattening and the anatomy of the incision grooves produced by centrifugal, centripetal, and combined incisions in a human donor eye model. METHODS:Twenty-seven eyes, divided into three groups of nine, received eight-incision radial keratotomy using the centrifugal...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(94)31271-1
更新日期:1994-04-01 00:00:00
abstract:PURPOSE:To analyze the clinical characteristics of a serous retinopathy associated with mitogen-activated protein kinase kinase (MEK) inhibition with binimetinib treatment for metastatic cutaneous melanoma (CM) and uveal melanoma (UM), and to determine possible pathogenetic mechanisms that may lead to this retinopathy....
journal_title:Ophthalmology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ophtha.2015.05.027
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:To study the 3-year effect of oral nilvadipine, a calcium antagonist, on visual field performance and ocular circulation in open-angle glaucoma (OAG) with low-normal intraocular pressure (IOP). DESIGN:A randomized, placebo-controlled, double-masked, single-center trial. PARTICIPANTS:Patients with OAG who were...
journal_title:Ophthalmology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ophtha.2008.05.015
更新日期:2008-11-01 00:00:00
abstract::Argon laser intraocular photocoagulation is now available during vitreous surgery, to treat retinal breaks and to give panretinal photocoagulation. Twenty patients, including phakic patients with gas-filled eyes, were treated using a new operative contact lens without complication. This intraoperative technique allows...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(82)34723-5
更新日期:1982-07-01 00:00:00
abstract::Three patients with idiopathic central serous chorioretinopathy (ICSC) and bullous retinal detachment (RD) were examined at least 2 years after the onset of the disease in one patient and over 10 years in the other two patients. There were large areas of retinal pigment epithelium (RPE) degeneration in each patient. I...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(87)33243-9
更新日期:1987-12-01 00:00:00
abstract::Twelve patients with hypereosinophilic syndrome were studied to determine the frequency and type of eye involvement in this systemic disease. Four patients (33%) had visual symptoms, including blurred vision in one or both eyes, and one patient had an episode of complete blindness following cardiac surgery. Five patie...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(82)34625-4
更新日期:1982-12-01 00:00:00
abstract:TOPIC:The incidence and morbidity of herpes zoster (HZ) and HZ ophthalmicus (HZO), and the potential impact of varicella vaccine on their epidemiology. CLINICAL RELEVANCE:Herpes zoster affects 20% to 30% of the population at some point in their lifetime; approximately 10% to 20% of these individuals will have HZO. ME...
journal_title:Ophthalmology
pub_type: 杂志文章,评审
doi:10.1016/j.ophtha.2007.10.009
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:To describe the safety and effectiveness of using autologous serum-based eye drops for the treatment of severe dry eye and persistent corneal epithelial defect. METHODS:Literature searches of the PubMed and Cochrane Library databases were conducted most recently in March 2019. The searches identified 281 citat...
journal_title:Ophthalmology
pub_type: 杂志文章,评审
doi:10.1016/j.ophtha.2019.08.018
更新日期:2020-01-01 00:00:00
abstract::Measurements were made on fundus photographs of the diameters of retinal arterioles in a series of cases with various nonvascular lesions of the anterior visual pathways, before and after the development of fundus signs of optic atrophy. A simple method was devised for reliable estimation of the diameter of the centra...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(84)34144-6
更新日期:1984-11-01 00:00:00