Abstract:
PURPOSE:To evaluate the visual outcome of patients with posteriorly dislocated lens fragments after phacoemulsification managed with pars plana vitrectomy (PPV) and identify risk factors for poor visual outcome. SETTING:Vitreo-Retinal Service, St. Paul Eye Unit, Liverpool, United Kingdom. METHODS:The medical records of all patients who had PPV for posteriorly dislocated lens fragments after phacoemulsification between March 1993 and August 1998 were retrospectively reviewed. Demographics, preexisting eye conditions, details of the previous cataract surgery, findings at presentation, details of the vitreoretinal procedure, final visual acuity, and complications observed during the follow-up were evaluated. Univariate and multiple regression analyses were used to determine the significance of these clinical variables as determinants of poor visual outcome (visual acuity 6/12 or worse). RESULTS:Of the 106 patients identified, 89 had a full set of data and were included in the study. In 79 patients (89%), PPV was performed from 1 to 357 days (median 15 days) after cataract extraction. In 10 patients (11%), PPV was done on the same day as the cataract surgery. Sixty-two patients (69%) had a final visual acuity of 6/12 or better. Preexisting eye disease (P <.01), PPV delayed for more than 4 weeks (P <.03), occurrence of retinal detachment after vitrectomy (P <.01), and the use of ultrasound (US) fragmentation (P <.01) were statistically significantly correlated with a poor visual outcome. CONCLUSIONS:Posterior dislocated lens fragments after phacoemulsification were safely retrieved using PPV. It appears that intervening early (within 4 weeks) and avoiding the use of US fragmentation are associated with a better visual outcome and reduced rate of postoperative complications.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Al-Khaier A,Wong D,Lois N,Cota N,Yang YC,Groenewald Cdoi
10.1016/s0886-3350(01)00750-7subject
Has Abstractpub_date
2001-08-01 00:00:00pages
1199-206issue
8eissn
0886-3350issn
1873-4502pii
S0886-3350(01)00750-7journal_volume
27pub_type
杂志文章abstract::We describe a technique for creating a continuous curvilinear capsulorhexis (CCC) using an endoscope. Three 2.0 mm limbal incisions 120 degrees apart were made in 4 cadaver eyes. The anterior capsule was stained with trypan blue 0.1% (Vision Blue). Under endoscopic visualization, a CCC was attempted in each of the 4 g...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.051
更新日期:2004-05-01 00:00:00
abstract:PURPOSE:To evaluate the intraexaminer repeatability and the interobserver reproducibility of manifest refraction. SETTING:Tertiary referral center. DESIGN:Retrospective study. METHODS:Patients attending at least 2 preoperative refractions before undergoing subsequent refractive surgery were included. All manifest re...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000343
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of photorefractive keratectomy (PRK) with intraoperative application of mitomycin-C (MMC). SETTING:Yonsei Eye Center, Seoul, South Korea. METHODS:This retrospective noncomparative case series included 536 patients (1011 eyes) who had had PRK with intraoperative application ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.05.027
更新日期:2005-12-01 00:00:00
abstract:PURPOSE:To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO). SETTING:Department of Ophthalmology, University Hospital Antwerp, Belgium. METHODS:A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) imp...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80068-x
更新日期:1996-11-01 00:00:00
abstract:PURPOSE:To compare the development of posterior capsule opacification (PCO) and neodymium:YAG (Nd:YAG) capsulotomy rates between 2 microincision intraocular lenses (IOLs) 4 years after surgery. SETTING:Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. DESIGN:Prospective randomized clinical t...
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.2014.09.037
更新日期:2015-05-01 00:00:00
abstract::We received approval from the U.S. implant Food and Drug Administration and the University's Institutional Review Board to the Artisan lens (Ophtec BV) in both eyes of a patient who was aphakic and had megalocornea. No other intraocular lens would easily solve this patient's need because of the large anterior segment....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.12.060
更新日期:2006-03-01 00:00:00
abstract:PURPOSE:To describe and evaluate the Catquest self-assessment questionnaire for cataract patients. SETTING:Thirty-five Swedish departments of ophthalmology. METHODS:The Catquest is designed to be used by cataract surgeons for continuous quality control regarding appropriateness and outcome of surgery. It is administe...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80321-5
更新日期:1997-10-01 00:00:00
abstract::Sixty-six consecutive cases of extracapsular cataract extraction (ECCE) and sulcus implantation of a posterior chamber lens had intraocular pressure (IOP) measurements recorded four months postoperatively. These results were compared to the fellow unoperated eyes, as well as to a group of 64 patients, whom we reported...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80007-x
更新日期:1987-01-01 00:00:00
abstract::A 77-year-old woman had uneventful phacoemulsification. Postoperative examination revealed that chloramphenicol ointment instilled in the conjunctival fornix had entered the anterior chamber and smeared the intraocular lens (IOL). Immediate surgical removal of the ointment with IOL exchange was performed. The eye sett...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01503-1
更新日期:2003-03-01 00:00:00
abstract::A 67-year-old female developed an endocapsular hyphema after uncomplicated extracapsular cataract surgery. With a neodymium:YAG laser capsulotomy, we drained the blood into the vitreous and restored excellent visual acuity. We hypothesize that endocapsular hyphemas may fail to resorb because of sequestration of the cl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80316-1
更新日期:1993-05-01 00:00:00
abstract:PURPOSE:To determine the sex hormone levels in the serum and aqueous humor in patients with age-related cataract and the corresponding hormone receptors in cataract lens epithelial cells (LECs). SETTING:Research Laboratory, International Intraocular Implant Training Center, Tianjin Medical University, Tianjin, China. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01436-0
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:To investigate the prevalence of preoperative cataract surgery testing and consultation at a single United States teaching hospital. SETTING:Academic-affiliated Veterans Affairs Medical Center. DESIGN:Retrospective chart review. METHODS:This study included patients who received cataract surgery from 2014 to ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000153
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To evaluate functional vision and quality-of-life outcomes after bilateral wavefront-guided laser in situ keratomileusis (LASIK). SETTING:Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA. DESIGN:Prospective case series. METHODS:Visual acuity, refractive error, and aberr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.12.013
更新日期:2019-06-01 00:00:00
abstract::We describe a technique for making an optimal flange in intraocular lenses (IOLs) used for flanged intrascleral IOL fixation. The flange shape varies in poly(methyl methacrylate) (PMMA) haptics of different IOLs of different manufacturers. We identified the distance between the forceps grip of the haptic and the end o...
journal_title:Journal of cataract and refractive surgery
pub_type: 评论,杂志文章
doi:10.1016/j.jcrs.2018.07.042
更新日期:2018-11-01 00:00:00
abstract::The infrequent postoperative complication of intraocular lens decentration in the presence of an intact fibrosed capsule has traditionally been treated with lens explantation and exchange for a sulcus-fixated lens. Many of these patients can be managed by reopening the fibrosed capsular bag and repositioning the lens ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80069-7
更新日期:1997-09-01 00:00:00
abstract:PURPOSE:To explore the use of the Pulsar Z1 solid-state 213 nm photorefractive laser platform in topography-guided transepithelial photorefractive keratectomy (PRK) for irregular astigmatism. SETTING:Moorfields Eye Hospital, London, United Kingdom. DESIGN:Prospective clinical case series. METHODS:Patients with irreg...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.08.056
更新日期:2013-01-01 00:00:00
abstract::Four patients with diabetes mellitus had cataract extraction with implantation of a hydrophilic acrylic intraocular lens (IOL) (ACRL-C160, Ophthalmed). The IOLs showed progressive and generalized opacification 10 to 20 months after implantation, decreasing visual acuity. All 4 IOLs were removed. By light microscopic e...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01245-2
更新日期:2002-07-01 00:00:00
abstract:PURPOSE:To assess the efficacy and safety of implanting a bifocal diffractive intraocular lens (IOL) using the piggyback technique to provide pseudoaccommodation. SETTING:Instituto Oftalmológico Fernández-Vega, Oviedo, Spain. METHODS:This prospective noncomparative case series included 6 pseudophakic emmetropic patie...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.06.028
更新日期:2006-11-01 00:00:00
abstract::A prospective randomized study was performed involving 200 patients divided into four groups: (1) Healon aspirated, (2) Amvisc aspirated, (3) Viscoat aspirated, and (4) Viscoat not aspirated. Postoperative intraocular pressures were measured at 4, 8, and 24 hours, two to three days, and one month. Significant differen...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0886-3350(89)80060-4
更新日期:1989-07-01 00:00:00
abstract::Seven patients with unsuspected unilateral axial myopia developed a cataract in the longer eye. Vision deteriorated in all cases between the ages of 40 and 55 years. Bilateral axial length measurements were necessary for the diagnosis and revealed a difference of 4.5 mm to 6.7 mm between the two eyes. Five cases had a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80090-2
更新日期:1989-05-01 00:00:00
abstract:PURPOSE:To evaluate the feasibility and safety of laser treatments in rabbit eyes fitted with an implantable miniature telescope (IMT). SETTING:The Goldschleger Eye Research Institute, Tel-Aviv University, Sheba Medical Center, Tel-Hashomer, Israel. METHODS:In this study, IMTs were implanted in the capsular bag in 19...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01647-4
更新日期:2003-05-01 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::A simple technique for the accurate surgical alignment of toric phakic and aphakic intraocular lenses (IOLs) is described. The mathematical relationship between toric misalignment and cylinder error is reviewed to demonstrate the importance of toric lens alignment in the setting of increased rotational stability with ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.041
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:To evaluate the outcomes of customized corneal crosslinking (CXL) for treatment of progressive keratoconus (KC) using a transepithelial approach with supplemental oxygen. SETTING:Siena Crosslinking Center, Siena, Italy. DESIGN:Prospective interventional case series. METHODS:Twenty-seven eyes of 24 patients (...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000347
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To assess the incidence and possible causative factors of a newly recognized syndrome, the intraoperative floppy iris (IFIS). SETTING:Clinical practices in Los Altos and San Rafael, California, USA. METHODS:A retrospective chart review of consecutive cataract surgeries performed in a 2-surgeon practice over a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.02.027
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:To present a series of cases in which the four-flanged technique was used in the management of in-the-bag intraocular lens (IOL) subluxation. SETTING:Shamir medical center, Israel. DESIGN:Retrospective cohort analysis. METHODS:Included were consecutive cases with secondary IOL subluxation that underwent scle...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000474
更新日期:2020-11-02 00:00:00
abstract:PURPOSE:To study the possible mechanisms of cataractogenesis by evaluating the characteristics of cataractous lens epithelial cells (LECs) in different types of human cataract. SETTING:Kangnam St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. METHODS:Lens epithelial cells attached to the anterior c...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00009-7
更新日期:1999-05-01 00:00:00
abstract:PURPOSE:To analyze the effect of asphericity of intraocular lenses (IOLs) on vertical coma aberration after implantation of spherical, spherically neutral, and aspheric IOLs. SETTING:Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom. METHOD:This observational study recruited patients from prev...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.08.024
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:To evaluate the repeatability of the Galilei dual-Scheimpflug analyzer in measuring corneal curvature, wavefront aberrations, pachymetry, and anterior chamber depth (ACD). SETTING:Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. METHODS:Three consecutive measurements were performed in 1 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.09.034
更新日期:2010-03-01 00:00:00
abstract::A survey of intraocular lens (IOL) explantations performed during the 1984 calendar year requested dates of implantation and explantation, lens manufacturer, and lens style for anterior chamber, posterior chamber, and iris-supported lenses. The survey was distributed to 3,640 members of the American Society of Catarac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80078-5
更新日期:1986-11-01 00:00:00