Abstract:
PURPOSE:To determine whether preserved human amniotic membrane can reduce corneal haze and keratocyte apoptosis induced by excimer laser photoablation in rabbit corneas. METHODS:Excimer photoablation was performed bilaterally in 30 rabbits with a 6.0 mm ablation zone and 120 microm depth using the VISX Star laser with the phototherapeutic keratectomy (PTK) mode. One eye was randomly covered by preserved human amniotic membrane secured with 4 interrupted 10-0 nylon sutures, and the other eye served as the control. The amniotic membranes were removed at 1 week, and corneal haze was graded with slitlamp biomicroscopy by 3 masked corneal specialists biweekly for the ensuing 12 weeks until the rabbits were killed. Another 18 rabbits were divided into 4 subgroups and received PTK alone, PTK with membrane, PTK with sham sutures, or PTK with tarsorrhaphy. All eyes were studied histologically, and 3 eyes in each group were studied by in situ terminal deoxynucleotidyl transferase deoxy-UTP-nick end labeling assay at 1, 3, and 7 days and 12 weeks, respectively. RESULTS:A consistent grading of differences in corneal haze scoring between the control corneas and the amniotic-membrane-covered corneas was noted among the 3 masked observers. Organized reticular post-PTK corneal haze peaked at 7 weeks in both groups, and the corneal haze score in the amniotic-membrane-covered group was significantly less than in the control group from 7 to 12 weeks (all P < .001). Compared to the control corneas, the amniotic-membrane-covered corneas had less inflammatory response at 1 and 3 days, less keratocyte apoptosis in the ablated anterior corneal stroma at 1, 3, and 7 days (P < .001), and less stromal fibroblast cellularity and epithelial hyperplasia at 12 weeks. CONCLUSIONS:Amniotic membrane matrix introduced at an early stage of the corneal wound healing process effectively reduced corneal haze induced by excimer laser photoablation in rabbits. Studies linking suppression of apoptosis in the acute wound-healing process with reduction of subsequent corneal scarring may have useful clinical applications.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Wang MX,Gray TB,Park WC,Prabhasawat P,Culbertson W,Forster R,Hanna K,Tseng SCdoi
10.1016/s0886-3350(00)00467-3subject
Has Abstractpub_date
2001-02-01 00:00:00pages
310-9issue
2eissn
0886-3350issn
1873-4502pii
S0886-3350(00)00467-3journal_volume
27pub_type
杂志文章abstract:PURPOSE:To evaluate the long-term impact of bilateral cataract surgery on postoperative complications, influence of age at surgery on the pattern of axial growth and central corneal thickness (CCT), and visual and orthoptic assessment in microphthalmic eyes. SETTING:Iladevi Cataract and IOL Research Centre, Ahmedabad,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.10.005
更新日期:2015-09-01 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:PURPOSE:To evaluate the refractive outcomes and rotational stability of a 4-haptic toric intraocular lens (IOL) in myopic eyes and the correlations between IOL rotation and refractive sphere, axial length (AL), and white-to-white (WTW) diameter. SETTING:Eye Clinic, Careggi Hospital, Florence, Italy. DESIGN:Prospectiv...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.12.024
更新日期:2014-09-01 00:00:00
abstract::A 48-year-old man had simultaneous bilateral photorefractive keratectomy (PRK). The surgeon who performed the PRK did not see the patient in follow-up, and there was confusion regarding the comanaging doctor. Therefore, the patient was not examined immediately postoperatively. Several days later, he was hospitalized f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00336-3
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:To evaluate the safety and efficacy of hyperopic laser in situ keratomileusis (LASIK) in treating hyperopia caused by overcorrected myopic LASIK and to evaluate a new technique to place the hyperopic treatment after lifting the initial myopic flap. SETTING:Open-access outpatient excimer laser surgical facility...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00784-7
更新日期:2001-03-01 00:00:00
abstract:PURPOSE:To evaluate the cleavage plane, corneal cytoarchitecture, and cell vitality of separated corneal epithelial sheets created with 3 commonly used microkeratomes. SETTING:Laboratories of the Regensburg University Medical Center, Regensburg, Germany. METHODS:Mechanical separation of the epithelial layer in 10 por...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.06.028
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:To propose an alternative method to characterize postocclusion surge using a collapsible artificial anterior chamber to replace the currently used rigid anterior chamber model. SETTING:Fundación Oftamológica Los Andes, Santiago, Chile. METHODS:The distal end of a phacoemulsification handpiece was placed insid...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.03.061
更新日期:2005-10-01 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::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:PURPOSE:To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING:Private practice, Siena, Italy. METHODS:This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes o...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.030
更新日期:2006-06-01 00:00:00
abstract::A new instrument that aids in retreating or revising lamellar refractive surgery is described. The edge delineator and lifter can both delineate and lift the edge of a previously made corneal flap. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80252-6
更新日期:1998-05-01 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 determine the refractive cylinder effect of rotating a toric intraocular lens (IOL) and identify the sources of refractive astigmatic surprise after toric IOL implantation. SETTING:Private practice, Melbourne, Australia. DESIGN:Experimental study. METHODS:Vergence formulas using a standard reduced eye mod...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.06.029
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:To describe surface scattering, a new phenomenon in polyacrylic intraocular lenses (IOLs), and discuss the possible cause of this finding. SETTING:Showa University, Fujigaoka Hospital, Yokohama, Kanagawa, Japan. METHODS:This observational case series involved 40 patients who received the AcrySof(R) IOL (Alcon...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01994-6
更新日期:2003-07-01 00:00:00
abstract::Four different posterior chamber lens designs were used in 1,845 consecutive, unselected extracapsular cataract extractions performed over a 31-month period in Vejle, Denmark. Ninety-seven eyes (5.3%) required a posterior capsulotomy during a postoperative observation period ranging from two to 32 months. At 16 months...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(88)80143-3
更新日期:1988-07-01 00:00:00
abstract:PURPOSE:To analyze the transparent liquid between the posterior lens capsule and the posterior chamber intraocular lens (PC IOL) in early postoperative capsular block syndrome and discuss the mechanism of posterior capsule distention. SETTING:Department of Ophthalmology, Tokyo University School of Medicine, and Tokyo ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00430-7
更新日期:2000-03-01 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:PURPOSE:To assess the outcomes in patients who required 1 or more vitreoretinal interventions for posterior segment complications arising from elective uneventful cataract surgery. SETTING:Tertiary referral center, single-center study. METHODS:A retrospective interventional case series included 56 consecutive patient...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.10.034
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:To use capsule dyes to enhance visualization to learn and perform various critical steps of the phacoemulsification procedure in a laboratory setting using postmortem human eyes. SETTING:Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charle...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00363-1
更新日期:2000-07-01 00:00:00
abstract::A 60-year-old white man had cataract surgery with an AcrySof IQ intraocular lens (IOL) implanted in the right eye and a Tecnis IOL implanted in the left eye. The ocular spherical aberration (SA) target for a 6.0 mm pupil was +0.10 microm for the right eye and 0 microm for the left eye. After surgery, the ocular SA in ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.12.041
更新日期:2009-05-01 00:00:00
abstract::Anterior stromal pocket hydration was compared with conventional hydration for preventing wound leak after 2.8 mm uniplanar clear corneal incisions (CCIs) in patients having routine cataract surgery. Conventional hydration involves hydration of the lateral walls of the main incision with visible whitening of the strom...
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.2012.04.019
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To compare short-term refractive and visual acuity outcomes after topography-guided laser in situ keratomileusis (LASIK) planned with a new topography analysis system to those based on the manifest refraction. SETTING:Four clinical sites in the United States. DESIGN:Double-arm, nonmasked, nonrandomized retros...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000176
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To compare the intraoperative behavior and postoperative outcomes of posterior capsule dehiscence during phacoemulsification and during manual extracapsular cataract extraction (ECCE). SETTING:L.V. Prasad Eye Institute, Hyderabad, India. METHODS:This study was a retrospective chart review of consecutive cases...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01696-6
更新日期:2003-03-01 00:00:00
abstract::We report the case of a 70-year-old woman with a history of acute primary angle-closure glaucoma (PACG) in the left eye who, 2 hours after a fundus examination and mydriasis, experienced acutely elevated intraocular pressure (IOP) up to 40 mm Hg in the presence of fully dilated pupil and a patent iridotomy. Gonioscopy...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.10.027
更新日期:2004-06-01 00:00:00
abstract::Extensive Descemet's membrane detachment persisted after small incision cataract surgery in three patients. Unfolding and repositioning of Descemet's membrane by sodium hyaluronate (Healon) were followed by injection of sulfur hexafluoride 20% gas mixed with air to fill the anterior chamber. Initially, the gas bubble ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80013-2
更新日期:1997-12-01 00:00:00
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::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 compare 2 ultrasound (US) frequencies for phacoemulsification for moderate to hard cataract to determine a frequency that makes phacoemulsification safer and more efficacious. SETTING:Post Graduate Institute of Medical Education and Research, New Delhi, India. DESIGN:Randomized controlled trial. METHODS:P...
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.2019.04.015
更新日期:2019-09-01 00:00:00
abstract:PURPOSE:To evaluate visual quality after laser in situ keratomileusis (LASIK) performed to achieve monovision in presbyopic patients. SETTING:Laboratory of Vision Sciences and Applications, Department of Optics, University of Granada, Granada, and Clínica Novovisión, Madrid, Spain. DESIGN:Cohort study. METHODS:Laser...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.042
更新日期:2011-09-01 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