Abstract：
PURPOSE:To study prospectively the success rate and complications of deep sclerectomy with collagen implant (DSCI), a nonpenetrating filtration procedure. SETTING:Glaucoma Unit, Department of Ophthalmology, Hôpital Ophtalmique Jules Gonin, University of Lausanne, Lausanne, Switzerland. METHODS:This nonrandomized prospective trial comprised 105 eyes of 105 patients with medically uncontrolled primary or secondary open-angle glaucoma. Visual acuity, intraocular pressure (IOP), and slitlamp examinations were performed before and after surgery at 1 and 7 days and 1, 3, 6, 9, 12, 18, 24, 30, 36, 48, 54, 60, and 66 months. Visual field examinations were repeated every 6 months. A qualified success was defined as IOP below 21 mm Hg with or without medication. A complete success was defined as IOP lower than 21 mm Hg without medication. RESULTS:The mean follow-up was 43.2 months +/- 14.3 (SD). The mean IOP was 26.8 +/- 7 mm Hg preoperatively, 5.1 +/- 3 mm Hg 1 day postoperatively, and 11.8 +/- 3 mm Hg 60 months postoperatively. At 60 months, the qualified success rate was 94.8% and the complete success rate, 61.9%. The IOP was lower than 21 mm Hg with medication in 32.1% of patients at 60 months; 48 patients (45.7%) had an IOP of 15 mm Hg or lower without medication. No patient developed a shallow or flat anterior chamber, endophthalmitis, or surgery-induced cataract. However, 23 (21.9%) had progression of a preexisting senile cataract. Injections of 5-fluorouracil were given to 25 patients (23.8%) who had DSCI to salvage encysted blebs. The mean number of medications per patient was reduced from 2.30 +/- 0.76 to 0.49 +/- 0.72. CONCLUSION:Deep sclerectomy with collagen implant provided reasonable IOP over a long-term follow-up with few immediate postoperative complications.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Shaarawy T,Karlen M,Schnyder C,Achache F,Sanchez E,Mermoud Adoi
10.1016/s0886-3350(01)01032-xsubject
Has Abstractpub_date
2001-11-01 00:00:00pages
1770-8issue
11eissn
0886-3350issn
1873-4502pii
S0886-3350(01)01032-Xjournal_volume
27pub_type
临床试验,杂志文章abstract：PURPOSE:To measure the effect of spherical intraocular lens (IOL) implantation and conventional myopic laser in situ keratomileusis (LASIK) on peripheral ocular aberrations. SETTING:Visual and Ophthalmic Optics Laboratory, School of Optometry, and Institute of Health and Biomedical Innovation, Queensland University of...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.01.018
更新日期：2010-07-01 00:00:00
abstract：PURPOSE:This study sought to assess the frequency of refractive surgery complications in HIV+ individuals and related risk factors. SETTINGS:Multiple centers in the United States. DESIGN:Prospective observational cohort study. METHODS:The U.S. Military HIV Natural History Study is a prospective observational cohort ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jcrs.2019.06.017
更新日期：2019-11-01 00:00:00
abstract：PURPOSE:To determine the appropriate correction of predicted intraocular lens (IOL) power for sulcus fixation and to prospectively assess the validity of the obtained correction value in patients having sulcus fixation. SETTING:Department of Ophthalmology, Saiseikai Kurihashi Hospital, Saitama, Japan. METHODS:The pos...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00250-5
更新日期：2003-10-01 00:00:00
abstract：PURPOSE:To examine the role of high vacuum and aspiration settings on efficiency using a transversal ultrasound (US) machine. SETTING:John A. Moran Eye Center Laboratory, University of Utah, Salt Lake City, Utah, USA. DESIGN:Experimental study. METHODS:Porcine lens nuclei were incubated in formalin for 2 hours and t...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.05.031
更新日期：2018-11-01 00:00:00
abstract：PURPOSE:To determine the predictability and consistency of corneal flap thickness, flap diameter, and hinge length with the modern 100 microm head of the Moria LSK-One manual microkeratome. SETTING:Private clinic, office-based practice. METHODS:Forty-two consecutive eyes with no previous surgery having thin flap lase...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.10.056
更新日期：2005-06-01 00:00:00
abstract：:A 31-year-old female physician with bilateral myopia had unilateral myopic laser in situ keratomileusis in the right eye. The patient was overcorrected with the initial treatment and had 2 subsequent hyperopic treatments, resulting in central corneal irregularity. During the course of treatment, the patient was diagno...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00471-1
更新日期：2003-11-01 00:00:00
abstract：UNLABELLED:We present a technique that uses a near-point string to demonstrate the anticipated near point of multifocal and accommodating intraocular lenses (IOLs). Beads are placed on the string at distances corresponding to the near points for diffractive and accommodating IOLs. The string is held up to the patient's...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.04.003
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:To gather experimental data on whether Dodick laser phacolysis leads to corneal or scleral burns. SETTING:The Eye Department, County Hospital Salzburg, Salzburg, Austria. METHODS:The study was done using a pulsed neodymium:YAG (Nd:YAG) laser with a wavelength of 1064 nm; energy, 10 mJ; and duration of pulses,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00030-9
更新日期：1999-06-01 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：:Nonsteroidal anti-inflammatory drugs (NSAIDs) produce potent analgesic, antipyretic, and anti-inflammatory effects. We studied postoperative pain in 97 consecutive patients having photorefractive keratectomy (PRK) by an excimer laser with different topical NSAID protocols. Treatment with topical homatropine hydrobromi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80756-0
更新日期：1994-03-01 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：UNLABELLED:We describe an approach to transscleral fixation of a foldable posterior chamber intraocular lens (PC IOL) using a 25-gauge pars plana vitrectomy. The technique was used in 80 consecutive eyes, and the results were analyzed for corrected distance visual acuity and safety indicators. Postoperative complicatio...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.09.005
更新日期：2015-09-01 00:00:00
abstract：:We used the finite element method to evaluate different capsulotomy techniques. Nucleus expression was simulated in a computer model to visualize stress distribution in the anterior capsule. The finite element model demonstrated that the capsulorhexis edge is strong because of low and uniform stress distribution in th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80176-9
更新日期：1994-07-01 00:00:00
abstract：:This report details the case of a 65-year-old man with advanced cataract in which there was a large discrepancy between the K-readings taken with a keratometer and those taken with a TMS-1 videokeratoscope. It was suspected the discrepancy was caused by the advanced cataract in the presence of a dilated pupil. Repeat ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80155-6
更新日期：1996-12-01 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 find the conditions that prevent posterior capsule opacification through in vitro analysis of the relationship between intraocular lens (IOL) optic configuration and lens epithelial cell (LEC) migration. SETTING:Division of Morphogenesis, Department of Developmental Biology, National Institute for Basic Bio...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80245-3
更新日期：1997-07-01 00:00:00
abstract：PURPOSE:To compare differences in anterior (ACO) and posterior (PCO) capsule opacification and subjective glare between 2 acrylic intraocular lenses (IOLs): AcrySof MA30BA (Alcon) and Sensar AR40 (Allergan). SETTING:Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy. METHODS:This retrospe...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01427-x
更新日期：2002-07-01 00:00:00
abstract：:Cataract surgery was performed in a 63-year-old man with bilateral coloboma of the lens. There was no traumatic history, but the patient had lower zonule deficiency and zonular weakness in both eyes, leading us to suspect congenital coloboma of the lens. In the first eye having cataract surgery, it was impossible to r...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/S0886-3350(03)00585-6
更新日期：2004-02-01 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 prospectively evaluate the no-history method for intraocular lens (IOL) power calculation in 15 cataractous eyes that had previous myopic laser in situ keratomileusis (LASIK) and for which the pre-LASIK K-readings were not available. SETTING:Private practice, Lynwood, California, USA. METHODS:The predicted...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.08.045
更新日期：2007-01-01 00:00:00
abstract：:The efficacy of foldable silicone intraocular lenses in combined glaucoma/cataract surgery was retrospectively analyzed in 19 consecutive operations. Preoperatively all patients were receiving medical treatment for glaucoma; 21% had intraocular pressures above 21 mm Hg despite the medical therapy. Postoperatively, red...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80447-6
更新日期：1992-11-01 00:00:00
abstract：PURPOSE:To evaluate the level of matrix metalloproteinase-9 (MMP-9) activity in lens epithelial cells (LECs) derived from different types of cataract in patients having phacoemulsification. SETTING:Iladevi Cataract & IOL Research Centre, Memnagar, Ahmedabad, India. METHODS:This observational study of 275 patients hav...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.08.016
更新日期：2008-12-01 00:00:00
abstract：:We report a case of bilateral infectious keratitis occurring as a complication of bilateral simultaneous laser in situ keratomileusis enhancement procedures. Corneal scraping from the interface of both eyes grew Staphylococcus aureus. The infection cleared after treatment with fortified cefazolin, fortified gentamicin...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01232-9
更新日期：2002-04-01 00:00:00
abstract：PURPOSE:To compare the outcome of treatment for myopia by phakic intraocular lens (IOL) implantation or by clear lens extraction (CLE). SETTING:Service d'Ophtalmologie, Hopital Purpan, Toulouse, France. METHODS:Thirty-nine patients from 32 to 49 years of age were studied. Forty-one eyes of 21 patients received a phak...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.082
更新日期：2004-10-01 00:00:00
abstract：:Contrast sensitivity was measured in 25 patients who had a multifocal diffractive intraocular lens and in 23 control patients with a monofocal lens in four simulated light conditions: (1) daylight, (2) daylight with peripheral glare, (3) twilight, (4) twilight with central glare. In normal daylight and twilight, contr...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80952-2
更新日期：1993-03-01 00:00:00
abstract：PURPOSE:To use ultra-high-resolution optical coherence tomography (OCT) subclinical anatomic alterations to explain suboptimum vision despite pseudophakic cystoid macula edema (CME) resolution. SETTING:University of California-Davis, Sacramento, California, USA. DESIGN:Case study. METHODS:This study comprised patien...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.09.018
更新日期：2014-04-01 00:00:00
abstract：PURPOSE:To compare visual outcomes in normal and complicated laser in situ keratomileusis (LASIK) flaps constructed with a femtosecond laser. SETTING:Wilford Hall Ambulatory Surgical Center, San Antonio, Texas. DESIGN:Retrospective chart review. METHODS:The main outcome measures were uncorrected distance visual acui...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.05.024
更新日期：2015-11-01 00:00:00
abstract：:There is an increasing interest in the use of the excimer laser in ophthalmology, particularly in refractive surgery. The argon fluoride (193 nm) excimer laser ablates tissue with a high degree of precision and without any mechanical or thermal damage to surrounding structures. In this study, the argon fluoride excime...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80780-8
更新日期：1990-09-01 00:00:00
abstract：:The current trend toward implantation of posterior chamber lenses within the capsular bag rather than the ciliary sulcus seems logical in light of the increasing evidence of uveal damage from sulcus fixated posterior chamber lenses. However, long-term, successful capsular bag fixation has not been demonstrated with cu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80040-8
更新日期：1987-07-01 00:00:00
abstract：:We report 2 cases of reopening of macular holes after successful neodymium:YAG (Nd:YAG) posterior capsulotomy. Both patients had surgery for closure of macular holes with recovery of visual acuity. To our knowledge, this is the first report of recurrent macular holes after Nd:YAG laser posterior capsulotomy treated su...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.07.020
更新日期：2006-02-01 00:00:00
