Abstract:
PURPOSE:To evaluate the long-term response of 6 types of 3-piece intraocular lenses (IOLs) by assessing the cellular reaction on the anterior IOL surface, the behavior of posterior and anterior capsule fibrosis, and flare. SETTING:Department of Ophthalmology, Medical School, University of Vienna, Vienna, Austria. METHODS:One hundred eighty eyes were prospectively randomized to receive 1 of 6 IOLs: hydrophilic acrylic Hydroview (Bausch & Lomb) or MemoryLens (ORC); hydrophobic acrylic AcrySof MA60BM (Alcon) or AMO Sensar AR40 (Allergan); hydrophobic silicone CeeOn 920 or CeeOn 911A (Pharmacia). The patients had standardized cataract surgery, postoperative medication, and follow-up. One year after surgery, 155 eyes were assessed. The cellular reaction was evaluated by specular microscopy of the anterior IOL surface. Anterior and posterior capsule opacification (PCO) was assessed semiquantitatively by biomicroscopy. Flare was measured with a Kowa FC-1000 laser flare-cell meter. RESULTS:Regarding uveal biocompatibility, the hydrophobic acrylic IOLs showed the highest incidence of late foreign-body cell reaction (AcrySof, 30%; AR40, 17%) followed by the hydrophilic acrylic (MemoryLens, 8%; Hydroview, 4%) and silicone (CeeOn 920, 4%; CeeOn 911A, 0%) (P =.0044). In all cases, the cellular reaction was low grade and clinically insignificant. Regarding capsular biocompatibility, some eyes developed lens epithelial cell (LEC) outgrowth on the anterior IOL surface. The highest incidence was in the hydrophilic acrylic group (Hydroview, 85%; MemoryLens, 27%) followed by the hydrophobic acrylic (AcrySof, 4%; AR40, 3%). No silicone IOL had LECs on the anterior surface. The difference among IOL groups was significant (P =.0001). Anterior capsule opacification was more predominant in the hydrophobic IOL groups. Posterior capsule opacification of the central 3.0 mm area was lowest in the groups with a sharp-edged optic (CeeOn 911A, AcrySof) followed by the round-edged silicone (CeeOn 920), hydrophobic acrylic (AR40), and hydrophilic acrylic IOLs (P =.0001). There was a significant difference in flare between the AR40 lens and the Hydroview, MemoryLens, CeeOn 911A, and CeeOn 920 (P <.004). There was no statistically significant difference in the postoperative cell count at 1 year. The power calculation showed that the sample size was sufficient. CONCLUSIONS:The differences in cellular reaction, although clinically mild in normal eyes, indicate that there were more giant cells with hydrophobic acrylic IOLs and an increased tendency toward LEC outgrowth with hydrophilic lenses. The incidence of PCO was lowest in the hydrophobic IOL groups, especially in groups with a sharp-edged optic. Second-generation silicone IOLs with a sharp edge had good uveal and capsular biocompatibility 1 year after surgery.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Abela-Formanek C,Amon M,Schild G,Schauersberger J,Heinze G,Kruger Adoi
10.1016/s0886-3350(01)01122-1subject
Has Abstractpub_date
2002-01-01 00:00:00pages
50-61issue
1eissn
0886-3350issn
1873-4502pii
S0886335001011221journal_volume
28pub_type
临床试验,杂志文章,随机对照试验abstract:PURPOSE:To assess the accuracy of intraocular lens (IOL) power calculation formulas in Chinese eyes with axial lengths (ALs) longer than 26.0 mm. SETTING:Department of Cataract Surgery, Shanxi Eye Hospital, China. DESIGN:Prospective case series. METHODS:This study evaluated (1) two new formulas (Barrett Universal II...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.01.018
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:To evaluate noncorneal astigmatism after implantation of a one-piece, plate-haptic silicone or one-piece poly(methyl methacrylate) PMMA intraocular lens (IOL). SETTING:Klinik und Poliklinik für Augenheilkunde der Universität Regensburg, Germany. METHODS:After a follow-up of at least 3 months, the degree of po...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80117-4
更新日期:1997-11-01 00:00:00
abstract:PURPOSE:To compare the extension of peripheral visual fields in phakic and pseudophakic patients and to evaluate whether Goldmann kinetic perimetry can be used as an objective measure of negative dysphotopsia. SETTING:University Eye Clinic, Maastricht University Medical Centre, Maastricht, the Netherlands. DESIGN:Pro...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.09.016
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:To assess the clinical results of transepithelial collagen crosslinking (CXL) in patients 26 years and younger with progressive keratoconus suitable for epithelium-off (epi-off) CXL. SETTING:Department of Ophthalmology, Siena University Hospital, Siena, Italy. DESIGN:Prospective case series. METHODS:The stud...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.03.026
更新日期:2013-08-01 00:00:00
abstract::Small incision cataract surgery has several advantages over conventional surgery, including faster postoperative visual rehabilitation. We evaluated 100 consecutive cases of no-stitch, small incision surgery with a square sclerocorneal tunnel and a flexible intraocular lens. Permanent self-sealing of the wound seemed ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80234-9
更新日期:1994-09-01 00:00:00
abstract:PURPOSE:To compare corneal endothelial damage after cataract surgery in eyes with low endothelial cell density (ECD) and eyes with normal ECD. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. DESIGN:Case-control study. METHODS:Cataract surgery was performed in eyes with a low ECD (500 to 1000 cells/mm(2)) (low-density ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.02.025
更新日期:2011-08-01 00:00:00
abstract:PURPOSE:To develop a system for high-resolution imaging of the posterior lens capsule after intraocular lens surgery for objective assessment of posterior capsule opacification (PCO). SETTING:Department of Cataract and Refractive Surgery, St. Thomas' Hospital, London, United Kingdom. METHODS:A system was developed th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80023-5
更新日期:1997-12-01 00:00:00
abstract:PURPOSE:To study refraction variations during the day in eyes with intrastromal corneal ring segments (ICRS) to correct low myopia. SETTING:Monticelli Clinic, Marseille, France. METHODS:Thirteen eyes with ICRS were included in the study; the ICRS was explanted from 3 eyes because of undercorrection. The minimum follo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00129-7
更新日期:1999-08-01 00:00:00
abstract:PURPOSE:To evaluate the factors associated with the efficacy of femtosecond laser intrastromal astigmatic keratotomy (AK). SETTING:Moorfields Eye Hospital, London, United Kingdom. DESIGN:Prospective case series. METHODS:Eyes having intrastromal AK for corneal cylinder correction were analyzed. Preoperative biometric...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.09.028
更新日期:2016-02-01 00:00:00
abstract::We report a case of nanophthalmos with intractable secondary glaucoma. Bilateral cataract extraction with intraocular lens implantation was used as definitive treatment for the chronic angle-closure glaucoma. The changes in angle and ciliary body anatomy were well documented with preoperative and postoperative Pentaca...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.051
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:To evaluate the levels of ischemia-modified albumin (IMA) in relation to oxidant-antioxidant profiles in the serum, aqueous, and lens in cataract patients. SETTING:Department of Ophthalmology, Menoufia University, Shebin El Kom, Menoufia, Egypt. DESIGN:Prospective case series. METHODS:Patients were divided i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.10.051
更新日期:2018-02-01 00:00:00
abstract:PURPOSE:To evaluate the implantation of Artisan/Verisyse phakic intraocular lenses (pIOLs) (Advanced Medical Optics) as an effective and safe method for the correction of high myopia. SETTING:Department of Ophthalmology, John A. Moran Eye Center, University of Utah Medical Center, Salt Lake City, Utah, USA. METHODS:T...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.009
更新日期:2007-08-01 00:00:00
abstract::A poly(methyl methacrylate)(PMMA) intraocular lens (IOL) dislocated into the vitreous cavity in 2 patients after a neodymium:YAG (Nd:YAG) laser posterior capsulotomy. In Case 1, the capsulotomy was performed 19 months after extracapsular cataract extraction (ECCE) and sulcus fixation of an IOL. Six months later the IO...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80182-x
更新日期:1998-11-01 00:00:00
abstract:PURPOSE:To compare the shape and volume of the lenticules of corneal tissue ablated for the correction of spherical, cylindrical, and spherocylindrical refractive errors using Boolean operations of theoretical 3-dimensional (3-D) surfaces. SETTING:Department of Ophthalmology, Rothschild Foundation, Paris, France. MET...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01379-2
更新日期:2002-11-01 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 apply artificial intelligence models to predict the occurrence of posterior capsule opacification (PCO) after phacoemulsification. SETTING:Farabi Eye Hospital, Tehran, Iran. DESIGN:Clinical-based cross-sectional study. METHODS:The posterior capsule status of eyes operated on for age-related cataract and t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.09.036
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:To evaluate the intraocular pressure (IOP) change and associated factors 6 months after phacoemulsification in eyes with primary angle-closure suspect (PACS) and eyes with primary angle closure (PAC) that had no medical therapy. SETTING:Singapore National Eye Center, Singapore, Singapore. DESIGN:Retrospective...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.03.031
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:To evaluate the performance of the microincision Acri. Smart 46S intraocular lens (IOL) (Acri.Tec) in pediatric cataract surgery. SETTING:Department of Ophthalmology, Ludwig-Maximilians University, Munich, Germany. METHODS:Thirty-two consecutive eyes of 22 children who had cataract surgery with planned IOL im...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.11.032
更新日期:2008-04-01 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 assess the visual results after bilateral implantation of the bifocal Acri.LISA 366D intraocular lens (IOL) (Acri.Tec AG). SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:Eighty-one patients had bilateral implantation of the distance-dominant bifocal Acri.LISA 366D IOL in a prospe...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.06.067
更新日期:2007-11-01 00:00:00
abstract:PURPOSE:To prospectively evaluate the usefulness of a subconjunctival steroid injection given at the completion of cataract surgery in patients with diabetes mellitus. SETTING:University of Tokyo School of Medicine, Tokyo, Kaiya Eye Clinic, Hamamatsu, and Jyosai Hospital, Tokyo, Japan. METHODS:One hundred four eyes o...
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(01)00783-0
更新日期:2001-09-01 00:00:00
abstract::Multifocal intraocular lenses (MIOLs) have been designed to provide better uncorrected near visual acuity than monofocal IOLs. However, the increase in depth of focus is combined with a significant decrease in contrast sensitivity and glare. We implanted a new zonal-progressive MIOL (AMO Array) in 31 eyes of 25 patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(13)80217-9
更新日期:1995-09-01 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 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:PURPOSE:To investigate the association between intraocular pressure (IOP), central corneal thickness (CCT), or both and wavefront aberrations in the anterior cornea and the whole eye in myopia. SETTING:Wenzhou Medical College, Wenzhou, Zhejiang, China. METHODS:Seventy myopic subjects were tested with a Humphrey corne...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.012
更新日期:2007-08-01 00:00:00
abstract::A 56-year-old man developed a nasal field defect in his left eye 3 months after a traumatic accident. An examination showed a posterior subcapsular cataract in the left eye with no neurologic deficits. Humphrey 24-2 visual field testing revealed a nasal hemianopsia in the left eye. After cataract extraction and intrao...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00152-2
更新日期:1999-09-01 00:00:00
abstract::We describe a new technique of transscleral intraocular lens fixation in the absence of adequate posterior capsular support. This technique of suture placement within the ciliary sulcus employs routinely used instruments, requires minimum manipulation, and has good visual outcome and negligible complications. We perfo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80053-3
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:To study the safety of irrigation with 5-fluorouracil (5-FU) in the Perfect Capsule sealed-capsule irrigation device (Milvella, Ltd., Epping, Australia). SETTING:St. Erik's Eye Hospital, Stockholm, Sweden. METHODS:Thirty 8-week-old rabbits were divided into 4 groups. Clear lens extraction was performed and th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.05.012
更新日期:2007-09-01 00:00:00
abstract::A transition from trabeculectomy to nonpenetrating trabecular surgery (NPTS) is proposed under the name of sclerotrabeculectomy. The technique, which is aimed at facilitating the transition to NPTS, is a modification of both penetrating and nonpenetrating techniques. Sclerotrabeculectomy uses a more superficial sclero...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01363-9
更新日期:2002-12-01 00:00:00
abstract:PURPOSE:To compare the safety and efficacy of Ozil Intelligent Phaco torsional microcoaxial phacoemulsification surgeries performed with 12-degree and 22-degree bent tips using the Infiniti Vision System. SETTING:Maltepe University School of Medicine Department of Ophthalmology, Istanbul, Turkey. DESIGN:Comparative c...
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.2013.03.002
更新日期:2013-08-01 00:00:00