Abstract:
PURPOSE:To review the visual outcomes and complications after intraocular lens (IOL) implantation in children with traumatic cataract in sub-Saharan Africa, where contact lenses for unilateral aphakia are impractical in most patients. SETTING:PCEA Kikuyu Eye Unit, Nairobi, Kenya, East Africa. METHODS:All children younger than 16 years having IOL implantation for traumatic cataract between February 1993 and December 1998 (215 eyes) were retrospectively reviewed. Complications and visual outcomes were evaluated. RESULTS:The study group comprised 147 boys and 68 girls. The median interval between injury and cataract surgery was 8 weeks. The most common causes of injury were stick (36.3%) and thorn (10.7%). Extracapsular cataract extraction with IOL implantation was performed in all patients. The most frequent early complication was fibrinous uveitis in 110 eyes (51.2%). One hundred sixty-seven eyes (77.7%) had 1 month or more follow-up. Of those, 108 eyes (64.7%) had a best corrected visual acuity of 20/60 or better. Twenty-one eyes (12.6%) had a visual acuity of worse than 20/200, with the most common causes being amblyopia (9/21) and retinal detachment (5/21). Amblyopia was found in 42 of 108 (38.9%) children aged 8 years or less at the time of injury. Eyes with the IOL in the capsular bag were significantly less likely to require subsequent capsulotomy (P <.01) during the 2-year follow-up. CONCLUSION:The results indicate that posterior chamber IOLs can be safely implanted by experienced surgeons in most children older than 2 years with traumatic cataract and should be the standard of care throughout the world.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Gradin D,Yorston Ddoi
10.1016/s0886-3350(01)00823-9subject
Has Abstractpub_date
2001-12-01 00:00:00pages
2017-25issue
12eissn
0886-3350issn
1873-4502pii
S0886335001008239journal_volume
27pub_type
杂志文章abstract:PURPOSE:To investigate the incidence and clinical features of red blood cell (RBC)-coated intraocular lens (IOL) in breakthrough vitreous hemorrhage (VH) with subretinal hemorrhage (SRH) secondary to neovascular age-related macular degeneration (nAMD). SETTING:Seoul National University Bundang Hospital, Seongnam, Kore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000549
更新日期:2020-12-09 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: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:UNLABELLED:We describe a case of unilateral corneal ectasia in a 26-year-old man following small-incision lenticule extraction. The preoperative corneal topography was normal, with a minimum corneal thickness of 511 μm and 513 μm in the right eye and left eye, respectively. Lenticules of 85 μm and 82 μm were fashioned ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.08.006
更新日期:2015-09-01 00:00:00
abstract::After the ultrasonic tip is introduced into the highly myopic eye and inflow is activated, the anterior chamber deepens, the lens-iris diaphragm is displaced posteriorly, the iris becomes concave, and the pupil dilates from the weight of the water column above the eye. We define a known but undescribed syndrome--the l...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80043-0
更新日期:1994-01-01 00:00:00
abstract::Recently manufactured intraocular lenses (IOLs) (STAAR AA 4203 made of silicone and IOGEL PC-12 made of polyHEMA) were tested before and after implantation simulation for axial optical resolution (model eye), for optical surface quality (photokeratoscope), and for surface microtrauma (scanning electron microscopy). At...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80733-x
更新日期:1990-03-01 00:00:00
abstract::To evaluate the biocompatibility of various materials including a poly(2-hydroxyethyl methacrylate [HEMA])/(6-hydroxyhexyl methacrylate [HOHEXMA]) hydrophilic hydrogel intraocular lens (IOL) (Hydroview, Bausch & Lomb). Department of Ophthalmology, Wakayama Medical University, Wakayama, Japan. Ten opacified anterior ca...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01988-0
更新日期:2003-06-01 00:00:00
abstract:PURPOSE:To evaluate factors that predict the visual prognosis after cataract surgery in patients with Behçet disease. SETTING:The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. DESIGN:Retrospective clinical study. METHODS:Patients with Behçet disease and complicated cataract had phacoem...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.04.027
更新日期:2012-08-01 00:00:00
abstract::We report a case of bacterial keratitis that occurred after laser-assisted subepithelial keratectomy. The patient presented with a decrease in visual acuity and pain 2 days after the procedure. Culture was positive for Staphylococcus haemolyticus. The infiltrate slowly resolved with topical antibiotics, and the best c...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.04.062
更新日期:2004-12-01 00:00:00
abstract:PURPOSE:To investigate the position of 3-piece foldable intraocular lenses (IOLs) after piggyback implantation for high hyperopia. SETTING:University Eye Hospital, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. METHODS:Eight eyes of 5 highly hyperopic patients had phacoemulsification and implantation ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.033
更新日期:2006-12-01 00:00:00
abstract:UNLABELLED:A nationwide postal survey of all consultant ophthalmologists in the United Kingdom was conducted to determine attitudes and techniques of cataract surgery trainers, identify trainer-related factors that determine surgical opportunity, and ascertain whether trainers had received adequate training in how to t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.12.024
更新日期:2012-03-01 00:00:00
abstract::Subepithelial fibrosis in the area of peripheral suture placement is an often overlooked phenomenon of healing following uneventful penetrating keratoplasty surgery. Three affected cornea transplant patients whose sutures had been removed were studied using videophotokeratoscopy before and after stripping of the subep...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80282-3
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To identify risk factors and describe the effects of antibiotic prophylaxis on the incidence of postoperative endophthalmitis after cataract surgery based on analysis of the findings of the European Society of Cataract & Refractive Surgeons (ESCRS) multicenter study. SETTING:Twenty-four ophthalmology units in ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.jcrs.2007.02.032
更新日期:2007-06-01 00:00:00
abstract:PURPOSE:To evaluate the long-term effects of extraction of incipient cataracts or clear lenses on glaucoma control in patients with subacute or chronic angle-closure glaucoma. SETTING:Department of Ophthalmology, University of Amsterdam, The Netherlands. METHODS:This retrospective analysis comprised 22 extracapsular ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80227-7
更新日期:1998-10-01 00:00:00
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:To determine the level of residual spherical aberration that gives the best objective and subjective quality of image after cataract surgery with intraocular lens (IOL) implantation. SETTING:Department of Ophthalmology, CHU Bretonneau, Tours, France. DESIGN:Cohort study. METHODS:Six months after microincisio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.12.056
更新日期:2011-06-01 00:00:00
abstract:UNLABELLED:A 22-year-old white man presented with photopsia of 3-year duration despite a corrected distance visual acuity of 20/20 in both eyes. Ophthalmic examination revealed multiple irregularly shaped white cortical opacifications of the lens in both eyes but no other significant ocular findings. One year after the...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.06.007
更新日期:2016-07-01 00:00:00
abstract::We modified our surgical techniques after analyzing the mechanisms responsible for posterior capsule-zonular disruption with or without vitreous loss in 250 consecutive extracapsular cataract extraction cases. We applied the derived principles and prospectively studied the subsequent 1,500 cases. Modifications in our ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80704-3
更新日期:1990-05-01 00:00:00
abstract::A patient with long-standing ankylosing spondylitis and chronic uveitis needed cataract extraction in his only eye. Extensive spinal deformities, including cervical kyphosis, prevented him from being positioned satisfactorily for surgery using a routine head-end or temporal position for the surgeon. The best possible ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00596-4
更新日期:2000-08-01 00:00:00
abstract:PURPOSE:To study the intensity of trypan blue and fluorescein staining over time in anterior lens capsules and various intraocular lens (IOL) materials. SETTING:Fritz Eye Associates, Geislingen, Germany. METHODS:Excised anterior lens capsules and IOLs were exposed to trypan blue 0.1% and fluorescein 2% solution to as...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01238-5
更新日期:2002-06-01 00:00:00
abstract:UNLABELLED:We present a new option for visual rehabilitation of patients with advanced macular degeneration and evaluate the outcomes in the first 8 patients who had implantation of the ciliary sulcus-fixated macular add-on intraocular lens (IOL) (Scharioth Macula Lens) at our institute. The surgical technique for impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.07.018
更新日期:2015-08-01 00:00:00
abstract:UNLABELLED:We report a case of immediate severe anaphylaxis to hydroxypropyl methylcellulose (HPMC) on 2 separate occasions during cataract surgery in a 71-year-old patient. Skin prick tests were positive for HPMC, a constituent of Ocucoat and Xylocaine gel, which were administered intraocularly during surgery. Skin pr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.02.034
更新日期:2013-06-01 00:00:00
abstract::We describe a technique for femtosecond laser-assisted bag-in-the-lens (BIL) intraocular lens (IOL) implantation. Anterior capsulotomy and lens division into small pieces are performed by the laser. A fluid-filled interface makes it possible to re-dock the laser to the eye for posterior capsulotomy after the eye has b...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.014
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:To determine the physical and mechanical conditions of an impacting air bag that causes corneal rupture in a post-radial keratotomy (RK) eye using a simulation model of the human eye. SETTING:Numerical simulation study on a computer. METHODS:The simulations were performed by a computer using the finite elemen...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00966-x
更新日期:2001-11-01 00:00:00
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 pros...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(01)01032-x
更新日期:2001-11-01 00:00:00
abstract::In eyes with absent or insufficient capsule support, three-piece posterior chamber intraocular lens (PC IOL) may be fixed to the sclera. Previous techniques involve the use of sutures, flaps, glue, needles, trocars, or intrascleral tunnels to fixate the distal tips of the haptics intrasclerally. Herein we describe a m...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.06.019
更新日期:2019-10-01 00:00:00
abstract::A 48-year-old man with a history of myopic laser in situ keratomileusis (LASIK) had selective laser trabeculoplasty (SLT) for the treatment of glaucoma in the right eye. He subsequently developed grade 2 diffuse lamellar keratitis (DLK). He then elected to have SLT in the left eye and developed grade 1 DLK. To our kno...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.024
更新日期:2010-05-01 00:00:00
abstract:PURPOSE:To determine improvement of near visual acuity by bilateral multifocal aspheric LASIK treatments in presbyopic patients. SETTING:Goethe-University, Frankfurt, Germany. DESIGN:Prospective, non-randomized trial. METHODS:Thirty presbyopic patients underwent laser in situ keratomileusis (LASIK) treatment with a ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000198
更新日期:2020-03-30 00:00:00
abstract:PURPOSE:To assess whether the combined implantation of a monofocal IOL and an artificial iris had an effect on the IOL's optical performance. SETTING:David J. Apple International Laboratory for Ocular Pathology, Heidelberg, Germany. DESIGN:In vitro laboratory study. METHODS:IOL optical quality was assessed using an ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000287
更新日期:2020-08-01 00:00:00
abstract:PURPOSE:To compare the visual, refractive, and adverse outcomes of femtosecond laser-assisted cataract surgery and conventional phacoemulsification cataract surgery. SETTING:Cataract surgery clinics in 9 European countries and Australia (femtosecond-assisted) and 18 European countries and Australia (conventional). DE...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.10.013
更新日期:2016-12-01 00:00:00