Abstract:
PURPOSE:To study the pattern of postoperative complications following extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation in pediatric eyes. SETTING:Tertiary eye care center, New Delhi, India. METHODS:A retrospective analysis of 39 eyes of 28 children referred for complications after ECCE with IOL implantation was performed. The results evaluated were visual acuity, iridocapsular problems, and IOL-related complications. Additional interventions such as neodymium:YAG (Nd:YAG) capsulotomy, surgical membranectomy, and penetrating keratoplasty (PKP) were done when necessary. Visual acuity was measured 1 week following intervention and at the last follow-up. RESULTS:Congenital (17 eyes, 43.6%), developmental (11 eyes, 28.2%), and traumatic (11 eyes, 28.2%) cataract were the indications for surgery. Posterior capsule opacification (34 eyes, 87.2%), updrawn pupil (15 eyes, 38.5%), decentered IOL (13 eyes, 33.3%), and pupillary capture (12 eyes, 30.8%) were the major complications. An Nd:YAG capsulotomy was attempted in 19 eyes (48.7%). Surgical membranectomy was performed in 10 eyes (25.6%); PKP was performed in 2 eyes (5.1%) to treat pseudophakic bullous keratopathy. One eye had to be eviscerated because of uncontrolled endophthalmitis. In 31 eyes in which visual acuity could be measured, 27 had an acuity of 6/60 or worse at the time of presentation. Following intervention and amblyopia therapy, 19 eyes achieved a visual acuity of 6/18 or better. CONCLUSION:Routine ECCE with IOL implantation in pediatric eyes is associated with various problems and may lead to permanent visual disability.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Sharma N,Pushker N,Dada T,Vajpayee RB,Dada VKdoi
10.1016/s0886-3350(99)00296-5subject
Has Abstractpub_date
1999-12-01 00:00:00pages
1585-8issue
12eissn
0886-3350issn
1873-4502pii
S0886-3350(99)00296-5journal_volume
25pub_type
杂志文章abstract::Since the inception of small-incision lenticule extraction (SMILE), many surgeons have speculated the lack of an adequate and standard retreatment procedure will impede its popularity. However, more than 1 million patients worldwide have had this surgery, with visual outcomes nearly equivalent to current laser in situ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2018.07.047
更新日期:2018-11-01 00:00:00
abstract::Descemet-stripping automated endothelial keratoplasty (DSAEK) is an alternative to penetrating keratoplasty for the treatment of corneal endothelial disease that involves stripping diseased Descemet membrane (DM) from the recipient. Descemet membrane stripping is currently performed with a generic balanced salt soluti...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.01.037
更新日期:2008-06-01 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::We report a case of bacterial keratitis that occurred after implantation of intrastromal corneal ring segments (Intacs). The patient presented with decreased vision, inflammation, and stromal infiltrates localized at the extremity of an Intacs channel 3 months after surgery. Culture were positive for Clostridium perfr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01484-0
更新日期:2003-02-01 00:00:00
abstract::We describe a previously unreported complication of a posterior chamber intraocular lens (IOL) implanted in a phakic eye. The left eye of a 25-year-old patient with high myopia was treated prophylactically with neodymium: YAG (Nd: YAG) laser iridotomy prior to phakic IOL implantation. Slitlamp examination of the left ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)80062-5
更新日期:1999-04-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy, safety, predictability, and surgically induced astigmatism (SIA) of laser in situ keratomileusis (LASIK) for the correction of myopia and myopic astigmatism. SETTING:Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. METHODS:This retrospective study com...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01071-9
更新日期:2001-12-01 00:00:00
abstract::We developed a formula to measure the posterior curvature of the cornea. In our study, real corneal power in 51 eyes was calculated by using anterior and posterior curvatures and corneal thickness. The corneal refractive index was found to be a variable value between 1.3243 and 1.3339 (mean 1.3304 +/- 0.0003). ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80151-4
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To examine the safety and efficacy of myopic keratomileusis in situ (automated lamellar keratoplasty) using an automated microkeratome. SETTING:Jules Stein Eye Institute and the Department of Ophthalmology, UCLA School of Medicine, Los Angeles, California. METHODS:A retrospective study was done on 135 consecu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80145-3
更新日期:1996-12-01 00:00:00
abstract::We describe a technique for femtosecond laser-assisted bag-in-the-lens (BIL) intraocular lens (IOL) implantation. Anterior capsulotomy and lens division into small pieces are performed by the laser. A fluid-filled interface makes it possible to re-dock the laser to the eye for posterior capsulotomy after the eye has b...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.014
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:To examine the impact of cataract surgery on older adults' self-reported visual difficulties and compare them with those of patients with cataract who declined surgery over the same period. SETTING:Twelve area practices. METHODS:This was a consecutive chart review over a 6-month period. Primary inclusion crit...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/s0886-3350(02)01846-1
更新日期:2003-05-01 00:00:00
abstract::From the beginning of nuclear fragment removal to the end, we progressively reduce all the parameters, ie, energy, vacuum, and aspiration flow rate, in a step-by-step manner proportionate to the posterior capsule exposure. This promotes adaptation of various parameters to the appropriate stages of surgery and allows t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00121-4
更新日期:2003-06-01 00:00:00
abstract:PURPOSE:To measure the inflammatory reaction in the anterior chamber after lens extraction in a rabbit model and to evaluate the effect of nonsteroidal antiinflammatory drugs (NSAIDs) or steroids on the amount of inflammation as measured by fibrinogen levels in the aqueous humor. SETTING:Animal laboratory, Goldschlege...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.12.026
更新日期:2012-05-01 00:00:00
abstract::In 8 cases that presented with symptomatic posterior chamber IOL subluxation, a McCannel polypropylene (Prolene) suture was used with the Siepser slipknot technique to successfully refixate the IOLs to the iris. There were no intraoperative complications, and a round pupil was preserved in all cases. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.10.025
更新日期:2004-06-01 00:00:00
abstract::This article reports the results of using subconjunctival anesthesia (SCA) in cataract surgery. Subjective patient questionnaires and the medical records of 133 consecutive SCA patients who had scleral tunnel phacoemulsification cataract surgery were analyzed. All SCA patients received preoperative medication, but mos...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80488-9
更新日期:1995-01-01 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 compare the accuracy of intraocular lens power prediction for eyes with average keratometry (K) readings greater than 46.00 diopters (D) and lower than 42.00 D. SETTING:Ein-Tal Eye Center, Tel-Aviv, Israel. DESIGN:Retrospective case series. METHODS:Eyes having cataract extraction surgery with steep and fl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.06.036
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:To determine whether the keratometric and refractive surgical effects of paired intrastromal corneal ring segments (ICRS) depend on their alignment relative to steep and flat topographic meridians. SETTING:St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom. DESIGN:Comparative ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.04.024
更新日期:2012-08-01 00:00:00
abstract:PURPOSE:To evaluate and compare the tear-film dynamics in normal eyes and in eyes with mild dry-eye symptoms using a new noninvasive optical method based on a double-pass instrument. SETTING:Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. DESIGN:Evaluation of diagnostic test or technology. METHODS:Dynam...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.036
更新日期:2011-08-01 00:00:00
abstract::The procedure used for an anterior capsulotomy is extremely important for successful in-the-bag intraocular lens insertion. An incision line in the extreme periphery may obscure the margin of the residual anterior capsule and make it difficult to confirm the position of the implanted lens. I describe a U-shaped anteri...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80079-2
更新日期:1987-05-01 00:00:00
abstract::We present a case of spontaneous globe luxation and wound dehiscence that developed in a patient with proptosis 1 day after phacoemulsification with posterior chamber intraocular lens implantation. The wound was repaired and a lateral tarsorrhaphy was performed with successful prevention of further luxations. Upon cat...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00056-7
更新日期:2003-09-01 00:00:00
abstract:PURPOSE:To evaluate the agreement in axial length (AL), keratometry (K), anterior chamber depth (ACD) measurements; intraocular lens (IOL) power calculations; and predictability using a new partial coherence interferometry (PCI) optical biometer (AL-Scan) and a reference (gold standard) PCI optical biometer (IOLMaster ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.09.015
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:Iris intraocular implants were developed to manage congenital or traumatic iris defects. However, they are also used to change the color of patient eyes. The aim of this retrospective series was to report complications in patients managed in France after cosmetic implantation. SETTING:Ophthalmological institut...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000032
更新日期:2020-01-01 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::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::Intraocular metallic-appearing foreign bodies in the anterior segment were seen in six eyes after cataract extraction by two-handed phacoemulsification. These fragments produced no symptoms and had no clinically significant effect on visual function. Similar-appearing foreign bodies were experimentally produced by app...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80078-2
更新日期:1996-11-01 00:00:00
abstract:PURPOSE:To determine the safety and practicality of a combined anesthesiologist and registered nurse model of anesthesia care in cataract surgery. SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Case series. METHODS:This retrospective review comprised consecutive patients having phacoemulsification cataract s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.09.021
更新日期:2011-03-01 00:00:00
abstract:PURPOSE:To determine the spherical aberration of the cornea in the general population and whether keratometry readings are predictive of corneal spherical aberration values. SETTING:Private comprehensive ophthalmology practice. METHODS:Corneal spherical aberration and keratometry readings were measured in 696 normal ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.01.035
更新日期:2007-05-01 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
abstract:PURPOSE:To assess the performance of a partial coherence interferometry (PCI)-based device for the determination of anterior segment biometry. SETTING:Clinica Centrofama, Cartagena, Murcia, Spain. METHODS:Central corneal thickness (CCT), anterior chamber depth (ACD), and lens thickness (LT) were measured with the ACM...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.038
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:To study the safety of irrigation with 5-fluorouracil (5-FU) in the Perfect Capsule sealed-capsule irrigation device (Milvella, Ltd., Epping, Australia). SETTING:St. Erik's Eye Hospital, Stockholm, Sweden. METHODS:Thirty 8-week-old rabbits were divided into 4 groups. Clear lens extraction was performed and th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.05.012
更新日期:2007-09-01 00:00:00