Abstract：
PURPOSE:To report the incidence, management, and prevention of patient reports of glare and streaks around a point source of light or a dark shadow in the temporal field of vision after acrylic intraocular lens (IOL) implantation. SETTING:A private practice. METHODS:Cases in which patients complained vigorously of dysphotopsia were catalogued prospectively during the implantation experience in 6668 consecutive eyes having surgery between January 1995 and June 1999. The techniques of topical-intracameral anesthesia, temporal clear corneal incisions, and phacoemulsification were used in all cases. Alternate IOL styles were selected for use from July 1999 to April 2000. RESULTS:Fourteen cases (0.2%) were identified. The complaints resolved in 1, were diminished in 1, and were tolerated without change in 7. Five eyes of 4 patients required IOL exchange with capsular bag placement of a poly(methyl methacrylate) (PMMA) or silicone lens for resolution of symptoms. Selecting alternate IOL styles reduced the incidence of dysphotopsia. CONCLUSIONS:Glare and streaks from a point source of light represent positive photic expressions of dysphotopsia, and temporal dark shadows represent similar negative photic expressions. Both appear to be associated with shiny square-edge optics made of high-refractive-index acrylic polymer. Intraocular lenses of PMMA and silicone with rounded edges, along with square-edge acrylic IOLs with nonreflective edges, appear less likely to cause clinically significant pseudophakic dysphotopsia.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Davison JAdoi
10.1016/s0886-3350(00)00611-8subject
Has Abstractpub_date
2000-09-01 00:00:00pages
1346-55issue
9eissn
0886-3350issn
1873-4502pii
S0886-3350(00)00611-8journal_volume
26pub_type
杂志文章abstract：PURPOSE:To compare the spatial resolution threshold in the central visual field of pseudophakic patients with monofocal and multifocal intraocular lenses (IOLs). SETTING:Eye Clinic, University of Trieste, Italy. METHODS:Twenty phakic normal subjects and four groups of 20 pseudophakic patients each, implanted with ref...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80206-x
更新日期：1998-02-01 00:00:00
abstract：:The ocular response analyzer (ORA) (Reichert, Inc.) was used in the case of a middle-aged man who developed unilateral corneal ectasia after bilateral laser in situ keratomileusis (LASIK). The preoperative refraction was similar in the 2 eyes. Post-LASIK ectasia was central in the left eye; topography was oblate in th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.11.018
更新日期：2008-03-01 00:00:00
abstract：PURPOSE:To evaluate the repeatability and reproducibility of anterior chamber volume (ACV) measurements using swept-source 3-dimensional corneal and anterior segment optical coherence tomography (CAS-OCT) and dual Scheimpflug imaging. SETTING:Department of Ophthalmology, Institute of Clinical Medicine, University of T...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/j.jcrs.2010.08.053
更新日期：2011-03-01 00:00:00
abstract：UNLABELLED:We present an improvised technique of infusion that uses a trocar cannula as an anterior chamber maintainer (ACM). Although routinely used in posterior segment surgery, the trocar cannula has been infrequently used in complex anterior segment procedures. The trocar ACM creates a transconjunctival biplanar wo...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.01.015
更新日期：2016-02-01 00:00:00
abstract：:A 30-year-old man with bilateral congenital aniridia presented with a subluxated cataract in the right eye. He wore a soft contact lens for aphakic correction in the fellow eye after lensectomy for a subluxated cataract. We performed pars plana lensectomy and vitrectomy with implantation of a transscleral ciliary sulc...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80222-2
更新日期：1997-05-01 00:00:00
abstract：PURPOSE:To assess the efficacy of viscocanalostomy in eyes with uncontrolled glaucoma secondary to uveitis. SETTING:Immunology and Uveitis Service, Department of Ophthalmology and Visual Sciences, University Hospital San Raffaele, Milan, Italy. METHODS:All consecutive patients with glaucoma secondary to uveitis and i...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.10.029
更新日期：2004-03-01 00:00:00
abstract：:The management of malignant glaucoma involves either anterior vitrectomy with zonulectomy and iridectomy or 3-port core pars plana vitrectomy (PPV) by retinal surgeons. The proposed modification can be performed with reasonable success rates. In this technique, synechiolysis and anterior chamber irrigation is performe...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000519
更新日期：2020-11-23 00:00:00
abstract：:We describe a technique to prevent continuous vitreous hydration during phacoemulsification in eyes with lenticular coloboma. The hydration results from communication between the anterior and posterior chambers from the edges of the colobomatous defect. To avoid this, a valved trocar is placed at the pars plana site a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.10.028
更新日期：2017-02-01 00:00:00
abstract：:Phakic intraocular lens (IOL) implantation is an increasingly popular option in surgical correction of refractive error. To date, reports of long-term morbidity are infrequent in the literature. We encountered 3 patients who experienced corneal decompensation and cataract progression following angle-fixated anterior c...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.04.031
更新日期：2005-11-01 00:00:00
abstract：:A method to measure the power of an intraocular lens (IOL) in situ using an extended range keratometer and a depth measuring apparatus is described. With this method, the IOL power was measured in ten patients with an anterior chamber IOL and in ten patients with a posterior chamber IOL and compared with the labeled p...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80066-x
更新日期：1988-01-01 00:00:00
abstract：PURPOSE:To evaluate safety, efficacy, predictability, and stability in the treatment of myopic astigmatism with laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) using the 200 Hz flying-spot technology of the LaserSight LSX excimer laser. SETTING:SynsLaser Clinic, Tromsø, Norway. METHODS:This...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00996-8
更新日期：2001-08-01 00:00:00
abstract：:Corneal collagen crosslinking (CXL) with riboflavin and ultraviolet-A light is a method for treating progressive keratectasia. The currently accepted treatment parameters induce collagen crosslinking in the anterior 250 to 350 microm of corneal stroma. To protect the endothelium, CXL inclusion criteria require a minim...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.10.060
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:To analyze changes in new biomechanical descriptors with myopic femtosecond laser-assisted laser in situ keratomileusis (LASIK), compare them with the biomechanical response after photorefractive keratectomy (PRK) with similar levels of myopic ablation, and evaluate correlations between changes in custom variab...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.11.030
更新日期：2014-06-01 00:00:00
abstract：PURPOSE:To assess the capability of new software to decrease the proportion of eyes that have insufficient signal-to-noise ratio (SNR) in optical biometry. SETTING:Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom. DESIGN:Evaluation of diagnostic test or technology. METHODS:In a prospective study,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.07.023
更新日期：2011-01-01 00:00:00
abstract：PURPOSE:To determine local refractive changes and higher-order aberrations in patients with nuclear or cortical cataract. SETTING:Osaka University Medical School, Osaka, Japan. METHODS:Wavefront analysis of both ocular and corneal aberrations was performed with the Hartmann-Shack aberrometer in 2 patients, a 22-year-...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01176-2
更新日期：2002-03-01 00:00:00
abstract：UNLABELLED:We present the case of an 81-year-old man with pseudoexfoliation syndrome (PXF) in whom spontaneous bilateral anterior partial in-the-bag intraocular lens (IOL) dislocation was diagnosed following a routine dilated examination that demonstrated only mild pseudophacodonesis with no evidence of subluxation. Un...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.07.008
更新日期：2014-09-01 00:00:00
abstract：:The effect of freezing on the growth of rat lens epithelial cells was studied in vitro. We found that 80% of the lens epithelial cells died after freezing at -45 degrees C for two hours and that the surviving cells could grow with the addition of growth factors or when placed on a sheet of type 4 collagen, but not whe...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80122-6
更新日期：1988-05-01 00:00:00
abstract：PURPOSE:To study the architecture of clear corneal incisions for phacoemulsification cataract surgery using optical coherence tomography (OCT). SETTING:Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA. METHODS:This pro...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jcrs.2008.05.026
更新日期：2008-09-01 00:00:00
abstract：PURPOSE:To investigate preoperative and postoperative prophylactic treatment with different pharmacological agents before flap cutting and exposure to a diffuse lamellar keratitis (DLK) causative agent. SETTING:Magill Research Center for Vision Correction, Storm Eye Institute, Medical University of South Carolina, Cha...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/S0886-3350(03)00327-4
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:To evaluate the incidence of epithelial disruptions during primary laser in situ keratomileusis (LASIK) with the use of a preoperative hyperosmotic treatment comprising sodium chloride 5% ophthalmic ointment (Muro-128) and to identify the incidence of epithelial disruptions in various demographic populations. ...
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.2014.07.042
更新日期：2015-05-01 00:00:00
abstract：:Over a nine-year period, our practice removed 1,091 intraocular lenses. The most common type of lens requiring explantation was the closed-loop anterior chamber lens (58.6%). The Stableflex lens represented the largest percentage of all removed lens types (28.8%). The number of closed-loop anterior chamber lenses requ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80100-9
更新日期：1992-09-01 00:00:00
abstract：:Over a 12 month period, we used the anterior chamber maintainer (ACM) in cataract surgery in 258 patients; ages ranged from 15 to 95 years (mean 73 years). Surgery was performed using general or local anesthesia. The procedures were standard extracapsular cataract extraction (ECCE), mini-nuc ECCE, vectis extraction of...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80214-8
更新日期：1996-03-01 00:00:00
abstract：PURPOSE:To test the accuracy and reliability of the first-generation prototype of Tracey-1, a ray-tracing refractometer. SETTING:Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. METHODS:The refractive spherical equivalent (SE) and astigmatism measured by Tracey-1, subjective manifest refraction ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01103-8
更新日期：2002-02-01 00:00:00
abstract：UNLABELLED:Laser in situ keratomileusis (LASIK) articles published between 2008 and 2015 that contain clinical outcomes data were reviewed and graded for quality, impression, and potential bias. All 97 relevant articles (representing 67 893 eyes) provided a positive or neutral impression of LASIK. Industry bias was not...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2016.07.012
更新日期：2016-08-01 00:00:00
abstract：UNLABELLED:We describe the use of a Steri-Strip to exclude lashes in cataract surgery cases in which the lashes impinge on the operative field. The technique has been used in 25 cases and achieved uniformly successful lash exclusion. In 6 cases, the strip became partially dislodged and required repositioning intraopera...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.09.005
更新日期：2012-11-01 00:00:00
abstract：UNLABELLED:We describe a recently developed chopper, the retrochopper, and a technique for managing black and brunescent cataracts. The technique enables the surgeon to effectively disassemble the nucleus and perform a safe procedure with a short learning curve. FINANCIAL DISCLOSURE:No author has a financial or propri...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.03.015
更新日期：2013-06-01 00:00:00
abstract：PURPOSE:To characterize and compare the higher-order aberrations (HOAs) in 3 intraocular lenses (IOLs) designed to minimize HOAs using a new physical model eye. SETTING:Department of Ophthalmology, University of Auckland, New Zealand. METHODS:Measurements of higher-order wavefront aberrations were obtained using the ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.11.048
更新日期：2009-03-01 00:00:00
abstract：:A 52-year-old man had loss of vision and black discoloration of the lids of the right eye after a retrobulbar injection of 3 mL lidocaine hydrochloride 2% (Xylocaine). Examination of the right eye revealed no light perception with extensive necrosis of the lids. Anterior segment examination revealed conjunctival pallo...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01747-9
更新日期：2003-04-01 00:00:00
abstract：:The Galand lens is a closed J-loop implant for capsular-bag fixation. We present a retrospective study of 214 eyes implanted with this lens. Eyes were examined at three months, six months, one year, and two years after surgery. Results indicate that 82.2% of eyes obtained a visual acuity of 20/40 or better at two year...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(86)80028-1
更新日期：1986-03-01 00:00:00
abstract：PURPOSE:To evaluate whether intracameral triamcinolone has an effect on anterior segment inflammation and visual axis obscuration after pediatric cataract surgery with intraocular (IOL) implantation. SETTING:Iladevi Cataract and IOL Research Institute, Ahmedabad, India. METHODS:This retrospective age-matched case-con...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.03.040
更新日期：2010-09-01 00:00:00
