当前位置： SCI文献检索 > OPHTHALMOLOGY期刊下所有文献 > Rand-Stein analgesia protocol for cataract surgery.

Rand-Stein analgesia protocol for cataract surgery.

Abstract：

OBJECTIVE:To describe the safety and efficacy of an analgesia protocol that enables the surgeon to maintain control over an alert patient experiencing seemingly painless ambulatory cataract surgery, while eliminating the risks and side effects associated with general, local, topical, and intracameral anesthesia. DESIGN:Noncomparative, interventional case series. PARTICIPANTS:Five thousand one hundred sixty-eight consecutive cataract surgery cases operated on by the same surgeon from April 1, 1993 through June 1, 1998. METHODS:This technique produces profound ocular analgesia, avoiding any undesired sedative effects, using very low-dose, titrated, intravenous alfentanil. Complete control of the uncooperative patient, including lid squeezing and ocular and general body movements, is obtainable whenever necessary using very low-dose, titrated, intravenous methohexital. MAIN OUTCOME MEASURES:Success was defined as surgery completed in a controlled manner without the need to convert to general, local, topical, or intracameral anesthesia and the patient's experience being perceived as pain free. RESULTS:One hundred percent of the cases were successful without ever deviating from the protocol. CONCLUSIONS:This analgesia protocol offers advantages for cataract surgery. It virtually eliminates the morbidity of cataract surgery associated with other anesthesia techniques while providing excellent and reliable control. It allows for an immediate postoperative recovery with instantaneous vision restoration. These patients are generally awake, alert, and retain their protective reflexes.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Rand WJ,Stein SC,Velazquez GE

doi

10.1016/s0161-6420(00)00008-7

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

889-95

issue

5

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(00)00008-7

journal_volume

107

pub_type

杂志文章

相关文献

OPHTHALMOLOGY文献大全
  • Comparison of optical coherence tomography assessments in the comparison of age-related macular degeneration treatments trials.

    abstract：OBJECTIVE:To determine agreement between spectral-domain (SD) and time-domain (TD) optical coherence tomography (OCT) image assessments by certified readers in eyes treated for neovascular age-related macular degeneration (AMD). DESIGN:Cross-sectional study within the Comparison of AMD Treatments Trials (CATT). PARTI...

    journal_title：Ophthalmology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ophtha.2014.04.020

    authors： Folgar FA,Jaffe GJ,Ying GS,Maguire MG,Toth CA,Comparison of Age-Related Macular Degeneration Treatments Trials Research Group.

    更新日期：2014-10-01 00:00:00

  • Complications of endodrainage retinotomies created during vitreous surgery for complicated retinal detachment.

    abstract：:The authors report nine cases of endodrainage retinotomy site complications that occurred after vitreous surgery for complicated retinal detachments (RDs). Postoperative subretinal neovascularization developed in four eyes at the retinotomy drainage site. In two eyes, postoperative proliferation at a posteriorly place...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(89)32902-2

    authors： McDonald HR,Lewis H,Aaberg TM,Abrams GW

    更新日期：1989-03-01 00:00:00

  • Extended-wear contact lenses in patients with corneal grafts and aphakia.

    abstract：:Extended-wear contact lenses (EWCL) were fitted successfully on 61 aphakic eyes with penetrating corneal grafts. In two- to 32-months follow-up there were 26 eyes that had varying amounts of superficial neovascularization of the grafts and one Staphylococcus epidermidis corneal graft ulcer. There were five homograft r...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(82)34756-9

    authors： Cavanagh HD,Leveille AS

    更新日期：1982-06-01 00:00:00

  • Orbital lesions in the blue rubber bleb nevus syndrome.

    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

    authors： McCannel CA,Hoenig J,Umlas J,Woog JJ,Newman AN,Bateman JB

    更新日期：1996-06-01 00:00:00

  • Vitreomacular interface in typical exudative age-related macular degeneration and polypoidal choroidal vasculopathy.

    abstract：PURPOSE:To investigate the association in Japanese between posterior vitreous attachment and the pathologies of typical age-related macular degeneration (AMD) and polypoidal choroidal vasculopathy (PCV), 2 major forms of exudative AMD. DESIGN:Retrospective observational case series. PARTICIPANTS:A total of 378 eyes f...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2010.09.001

    authors： Nomura Y,Ueta T,Iriyama A,Inoue Y,Obata R,Tamaki Y,Yamaguchi T,Yanagi Y

    更新日期：2011-05-01 00:00:00

  • Pars planitis: clinical features and class II HLA associations.

    abstract：OBJECTIVE:To describe a cohort of patients with pars planitis followed at a single tertiary care institution, determine the frequency of multiple sclerosis and/or optic neuritis in patients with this disorder, and calculate gene frequencies of human leukocyte antigen (HLA) class II alleles in these patients. DESIGN:Fi...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/S0161-6420(99)90122-7

    authors： Raja SC,Jabs DA,Dunn JP,Fekrat S,Machan CH,Marsh MJ,Bressler NM

    更新日期：1999-03-01 00:00:00

  • Correlation of optical coherence tomography findings with visual acuity and macular lesions in patients with X-linked retinoschisis.

    abstract：PURPOSE:To evaluate and correlate findings obtained by optical coherence tomography (OCT) imaging with visual acuity (VA) and macular lesions in patients with X-linked retinoschisis (XLRS). DESIGN:Prospective comparative case series. PARTICIPANTS:Thirty-one patients with confirmed XLRS. METHODS:Best-corrected VA was...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2004.08.027

    authors： Apushkin MA,Fishman GA,Janowicz MJ

    更新日期：2005-03-01 00:00:00

  • Intravitreal aflibercept injection for neovascular age-related macular degeneration: ninety-six-week results of the VIEW studies.

    abstract：PURPOSE:To determine efficacy and safety of intravitreal aflibercept in patients with neovascular age-related macular degeneration (AMD) during a second year of variable dosing after a first-year fixed-dosing period. DESIGN:Two randomized, double-masked, active-controlled, phase 3 trials. PARTICIPANTS:Two thousand fo...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ophtha.2013.08.011

    authors： Schmidt-Erfurth U,Kaiser PK,Korobelnik JF,Brown DM,Chong V,Nguyen QD,Ho AC,Ogura Y,Simader C,Jaffe GJ,Slakter JS,Yancopoulos GD,Stahl N,Vitti R,Berliner AJ,Soo Y,Anderesi M,Sowade O,Zeitz O,Norenberg C,Sandbrink R

    更新日期：2014-01-01 00:00:00

  • Long-term follow-up of idiopathic central serous chorioretinopathy by fluorescein angiography.

    abstract：:Idiopathic central serous chorioretinopathy (ICSC) is typically described as a self-limited, unilateral disease that affects healthy, young adult males. The authors studied 13 patients (14 eyes) who had documented spontaneous resolution of symptomatic macular detachments. These patients were evaluated in a longitudina...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(89)32810-7

    authors： Levine R,Brucker AJ,Robinson F

    更新日期：1989-06-01 00:00:00

  • The Prevalence of Diabetic Retinopathy in Australian Adults with Self-Reported Diabetes: The National Eye Health Survey.

    abstract：PURPOSE:To determine the prevalence of and factors associated with diabetic retinopathy (DR) among non-Indigenous and Indigenous Australian adults with self-reported diabetes. DESIGN:Population-based cross-sectional study. PARTICIPANTS:Non-Indigenous Australians (50-98 years of age) and Indigenous Australians (40-92 ...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ophtha.2017.02.004

    authors： Keel S,Xie J,Foreman J,van Wijngaarden P,Taylor HR,Dirani M

    更新日期：2017-07-01 00:00:00

  • Lower eyelid retractors in Caucasians.

    abstract：PURPOSE:To examine the microscopic anatomic features of lower eyelid retractors in Caucasians, specifically looking for an anatomic division of the retractors into 2 layers, as is present in the Asian eyelid. DESIGN:Experimental anatomic study. PARTICIPANTS:Seven Caucasian cadavers (13 lower eyelids: 7 right and 6 le...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2009.01.031

    authors： Kakizaki H,Chan W,Madge SN,Malhotra R,Selva D

    更新日期：2009-07-01 00:00:00

  • Autologous Serum-Based Eye Drops for Treatment of Ocular Surface Disease: A Report by the American Academy of Ophthalmology.

    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

    authors： Shtein RM,Shen JF,Kuo AN,Hammersmith KM,Li JY,Weikert MP

    更新日期：2020-01-01 00:00:00

  • Riboflavin and ultraviolet light a therapy as an adjuvant treatment for medically refractive Acanthamoeba keratitis: report of 3 cases.

    abstract：PURPOSE:To present the first 3 cases of Acanthamoeba keratitis (AK), unresponsive to medical treatment, that were successfully treated with a novel adjunctive therapy using ultraviolet light A (UVA) and riboflavin (B2). DESIGN:Interventional case series. PARTICIPANTS:Two patients with confirmed AK and 1 patient with ...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2010.06.041

    authors： Khan YA,Kashiwabuchi RT,Martins SA,Castro-Combs JM,Kalyani S,Stanley P,Flikier D,Behrens A

    更新日期：2011-02-01 00:00:00

  • The heritability and sibling risk of angle closure in Asians.

    abstract：PURPOSE:To describe the heritability and sibling risk for angle closure. DESIGN:Prospective clinical study. PARTICIPANTS:Probands with primary angle closure (PAC) and primary angle-closure glaucoma (PACG) and their first-degree relatives. METHODS:One hundred probands with PAC and PACG and their first-degree relative...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2010.06.043

    authors： Amerasinghe N,Zhang J,Thalamuthu A,He M,Vithana EN,Viswanathan A,Wong TY,Foster PJ,Aung T

    更新日期：2011-03-01 00:00:00

  • Vascular endothelial growth factor gene and the response to anti-vascular endothelial growth factor treatment for choroidal neovascularization in high myopia.

    abstract：PURPOSE:To investigate the association between the vascular endothelial growth factor (VEGF) gene polymorphism and the response to anti-VEGF treatment for choroidal neovascularization (CNV) in highly myopic eyes. DESIGN:Retrospective cohort study. PARTICIPANTS:A total of 357 unrelated highly myopic Japanese patients ...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2013.06.043

    authors： Miyake M,Yamashiro K,Akagi-Kurashige Y,Kumagai K,Nakata I,Nakanishi H,Oishi A,Tsujikawa A,Yamada R,Matsuda F,Yoshimura N

    更新日期：2014-01-01 00:00:00

  • Outcomes of Bilateral Cataract Surgery in Infants 7 to 24 Months of Age Using the Toddler Aphakia and Pseudophakia Treatment Study Registry.

    abstract：PURPOSE:To evaluate outcomes of bilateral cataract surgery in children aged 7 to 24 months and compare rates of adverse events (AEs) with other Toddler Aphakia and Pseudophakia Study (TAPS) registry outcomes. DESIGN:Retrospective clinical study at 10 Infant Aphakia Treatment Study (IATS) sites. Statistical analyses co...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2020.07.020

    authors： Bothun ED,Wilson ME,Yen KG,Anderson JS,Weil NC,Loh AR,Morrison D,Freedman SF,Plager DA,Vanderveen DK,Traboulsi EI,Hodge DO,Lambert SR,Toddler Aphakia and Pseudophakia Study.

    更新日期：2021-02-01 00:00:00

  • Role of inflammation-related gene polymorphisms in patients with central retinal vein occlusion.

    abstract：OBJECTIVE:Central retinal vein occlusion (CRVO) is a vision-threatening disease, primarily occurring among patients aged more than 60 years. Several risk factors, including arterial hypertension and diabetes mellitus, have been identified. Compression of the central retinal vein by an atherosclerotic retinal artery at ...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2010.10.014

    authors： Maier R,Steinbrugger I,Haas A,Selimovic M,Renner W,El-Shabrawi Y,Werner C,Wedrich A,Schmut O,Weger M

    更新日期：2011-06-01 00:00:00

  • Cytogenetic Abnormalities in Uveal Melanoma Based on Tumor Features and Size in 1059 Patients: The 2016 W. Richard Green Lecture.

    abstract：PURPOSE:To determine the risks for altered cytogenetic profile based on melanoma features and size. DESIGN:Retrospective case series. PARTICIPANTS:A total of 1059 patients with uveal melanoma. METHODS:Fine-needle aspiration biopsy (FNAB) of tumor for DNA amplification and whole genome array-based assay. MAIN OUTCOM...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2016.12.026

    authors： Shields CL,Say EAT,Hasanreisoglu M,Saktanasate J,Lawson BM,Landy JE,Badami AU,Sivalingam MD,Mashayekhi A,Shields JA,Ganguly A

    更新日期：2017-05-01 00:00:00

  • Secondary hemorrhage in traumatic hyphema. Predictive factors for selective prophylaxis.

    abstract：BACKGROUND:Treatment to decrease the rebleeding rate in traumatic hyphema remains controversial. Although antifibrinolytics recently have been shown to reduce secondary hemorrhage rates, their routine use has not been widely applied because of adverse side effects and the relatively low frequency of severe hyphema comp...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(94)31134-1

    authors： Fong LP

    更新日期：1994-09-01 00:00:00

  • Microscope-induced retinal phototoxicity in cataract surgery of short duration.

    abstract：OBJECTIVE:Microscope-induced retinal phototoxicity has been described after prolonged cataract surgery, usually in operations lasting longer than 100 minutes. The purpose of this study was to compare the features of microscope-induced retinal phototoxicity occurring in patients who underwent cataract surgery of short d...

    journal_title：Ophthalmology

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0161-6420(01)00924-1

    authors： Kleinmann G,Hoffman P,Schechtman E,Pollack A

    更新日期：2002-02-01 00:00:00

  • A multivariate analysis of anatomic success of recurrent retinal detachment treated with pneumatic retinopexy.

    abstract：PURPOSE:The purpose of the study is to determine the success rate of pneumatic retinopexy (PR) after failed scleral buckling and to elucidate the predictors for anatomic failure by multiple logistic regression analysis. METHODS:Thirty-six eyes with recurrent retinal detachment after failed scleral buckling underwent P...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(97)30063-3

    authors： Sharma T,Badrinath SS,Mukesh BN,Gopal L,Shanmugam MP,Bhende P,Bhende M,Shetty NS,Agrawal R

    更新日期：1997-12-01 00:00:00

  • Teller acuity cards versus clinical judgment in the diagnosis of amblyopia with strabismus.

    abstract：:Teller acuity card testing, which is a form of the preferential-looking procedure, is a popular way of assessing visual acuity in preverbal patients. The authors suspected that the clinical judgment of a pediatric ophthalmologist is superior to the Teller acuity cards in diagnosing amblyopia when strabismus is present...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(88)33105-2

    authors： Ellis GS Jr,Hartmann EE,Love A,May JG,Morgan KS

    更新日期：1988-06-01 00:00:00

  • Diurnal variation in corneal endothelial morphology.

    abstract：:Transient changes in the corneal endothelium were the earliest detectable response to low atmospheric oxygen in experimental animals. Similar changes have been reported after hard and soft contact lens wear. We describe widespread transient cell changes by wide-field specular microscopy in the normal corneal endotheli...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(84)34169-0

    authors： Khodadoust AA,Hirst LW

    更新日期：1984-10-01 00:00:00

  • Statistical evaluation of the diagnostic accuracy of methods used to determine the progression of visual field defects in glaucoma.

    abstract：OBJECTIVE:To evaluate trend-type analyses to judge the progression of visual field damage (VFD) of glaucoma in terms of ratios of making judgments of progression and specificity, and to report a new method. DESIGN:Retrospective analysis of visual field (VF) results of actual glaucoma cases and those simulated by compu...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ophtha.2004.06.025

    authors： Mayama C,Araie M,Suzuki Y,Ishida K,Yamamoto T,Kitazawa Y,Shirakashi M,Abe H,Tsukamoto H,Mishima HK,Yoshimura K,Ohashi Y

    更新日期：2004-11-01 00:00:00

  • Traumatic hyphema in children. Treatment with epsilon-aminocaproic acid.

    abstract：:Forty-nine patients, ages 3 to 18 years, who sustained nonpenetrating unilateral trauma with hyphemas were assigned randomly to receive either 100 mg/kg of epsilon-aminocaproic acid (EACA), an antifibrinolytic agent, orally every 4 hours for 5 days (maximum 30 g/day) or a placebo. No patients ingested acetylsalicylic ...

    journal_title：Ophthalmology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0161-6420(87)80005-2

    authors： Kraft SP,Christianson MD,Crawford JS,Wagman RD,Antoszyk JH

    更新日期：1987-10-01 00:00:00

  • Hydrogel intracorneal inlays for the correction of hyperopia: outcomes and complications after 5 years of follow-up.

    abstract：PURPOSE:To evaluate safety and efficacy of an intracorneal inlay for the correction of hyperopia. DESIGN:A prospective, nonrandomized, noncomparative, 2-center study. PARTICIPANTS:Thirty-four hyperopic eyes were implanted with a hydrogel intracorneal inlay (Permavision, Anamed, Lake Forest, CA). Preoperative hyperopi...

    journal_title：Ophthalmology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ophtha.2009.05.019

    authors： Mulet ME,Alio JL,Knorz MC

    更新日期：2009-08-01 00:00:00

  • Cardiovascular disease and hypertension are strong risk factors for choroidal neovascularization.

    abstract：PURPOSE:To investigate the association of cardiovascular risk factors and inflammatory markers with neovascular age-related macular degeneration (AMD). DESIGN:Cross-sectional case-control study. PARTICIPANTS:Of the 410 of the >/=65-year-old community sample invited to attend, 205 participated (50% response rate). Of ...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/j.ophtha.2007.07.031

    authors： Hogg RE,Woodside JV,Gilchrist SE,Graydon R,Fletcher AE,Chan W,Knox A,Cartmill B,Chakravarthy U

    更新日期：2008-06-01 00:00:00

  • Phacoemulsification and silicone oil removal through a single corneal incision.

    abstract：OBJECTIVE:Cataracts are a frequent complication after silicone oil infusion for the repair of complicated retinal detachments, occurring in up to 100% of eyes retaining silicone oil for 6 months or more. The authors devised a combined procedure for cataract and silicone oil removal with intraocular lens (IOL) implantat...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/S0161-6420(98)91119-8

    authors： Larkin GB,Flaxel CJ,Leaver PK

    更新日期：1998-11-01 00:00:00

  • Anterior chamber tube shunt to an encircling band in the treatment of neovascular glaucoma.

    abstract：:A new procedure for neovascular glaucoma that has reduced intraocular pressure (IOP) significantly and has caused relatively few postoperative complications is introduced. Aqueous is shunted to the reservoir of an encircling no. 20 silicone band from which fluid is postulated to diffuse into the orbit. The anterior ch...

    journal_title：Ophthalmology

    pub_type： 杂志文章

    doi：10.1016/s0161-6420(82)34671-0

    authors： Schocket SS,Lakhanpal V,Richards RD

    更新日期：1982-10-01 00:00:00

  • Comparison of dynamic contour tonometry and goldmann applanation tonometry in African American subjects.

    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

    authors： Medeiros FA,Sample PA,Weinreb RN

    更新日期：2007-04-01 00:00:00