Abstract：
PURPOSE:To evaluate the results of 4-point scleral fixation of posterior chamber intraocular lenses (PC IOLs) in children. SETTING:Mansoura Ophthalmic Center, Mansoura University, Mansoura, Egypt. METHODS:This retrospective study comprised 20 aphakic eyes of 20 children. Preoperative investigations proved the absence of adequate posterior capsule support. All patients had ab externo 4-point scleral fixation of a PC IOL. All preoperative and postoperative data were studied and analyzed. RESULTS:The mean preoperative age was 7.7 years (range 4 to 11 years). The mean follow-up was 19.35 months (range 13 to 30 months). The preoperative findings included a best corrected visual acuity of 6/18 or better in 8 eyes (40%), corneal scarring in 18 eyes, sector iridectomy in 7 eyes, and after-cataract in 4 eyes. The intraoperative complications included vitreous hemorrhage in 2 eyes and slippage of 1 suture in 1 eye. Postoperative complications included mild anterior uveitis in 12 eyes and severe fibrinoid reaction in the anterior chamber in 8 eyes. There were no cases of suture exposure, IOL malpositioning, or infection. Twelve patients (60%) had a visual acuity of 6/18 or better. The cause of the poor visual outcome in many patients was preexisting amblyopia. CONCLUSIONS:The results suggest that 4-point scleral fixation is an option to correct aphakia in children. However, long-term follow-up is important to assess the procedure's safety.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Sewelam Adoi
10.1016/s0886-3350(02)01531-6subject
Has Abstractpub_date
2003-02-01 00:00:00pages
294-300issue
2eissn
0886-3350issn
1873-4502pii
S0886335002015316journal_volume
29pub_type
杂志文章abstract：PURPOSE:To assess the visual outcomes of pseudophakic cystoid macular edema (CME) as compared with age- and copathology-matched control subjects, the costs of treatment and follow-up, and the patient-reported outcomes using the new Cat-patient-reported outcome measures (PROM) 5 questionnaire. SETTING:West Suffolk Hosp...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000192
更新日期：2020-06-01 00:00:00
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 the contribution of Fourier analysis of videokeratographic data in the diagnosis of subclinical keratoconus and keratoconus. SETTING:Eye Institute of Thrace, Democritus University, Alexandroupolis, Greece. DESIGN:Observational case series. METHODS:The following Pentacam-derived parameters, result...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.01.049
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:To investigate the change in anterior, posterior, and net corneal power more than 18 months after photorefractive keratectomy (PRK) by RTVue anterior segment optical coherence tomography (OCT). SETTING:Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. DESIGN:Prospective observational s...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000224
更新日期：2020-08-01 00:00:00
abstract：:Surgery is a major source of errors in patient care. Preventing complications from surgical errors in the operating room is estimated to lead to reduction of up to 41,846 readmissions and save $620.3 million per year. It is now established that poor technical skill is associated with an increased risk of severe advers...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000322
更新日期：2020-07-13 00:00:00
abstract：:Posterior-assisted levitation is used to retrieve and levitate a sinking nucleus in cataract surgery associated with posterior capsule rupture. After the nucleus is levitated in the anterior chamber, the intraocular lens (IOL) scaffold procedure helps emulsify the nuclear remnants with the phacoemulsification probe an...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.06.004
更新日期：2017-07-01 00:00:00
abstract：:This continuous curvilinear capsulorhexis (CCC) technique is for use in complicated surgical cases such as when the anterior chamber is shallow, the red reflex is not good, or eye movements are present. This technique is easier and safer in such cases because it uses a cystotome connected to a viscoelastic syringe. Fi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80162-4
更新日期：1998-11-01 00:00:00
abstract：PURPOSE:To study the effect of glistenings on the optical quality of a hydrophobic acrylic intraocular lens (IOL). SETTING:David J. Apple Laboratory, Heidelberg, Germany. DESIGN:An in vitro laboratory study. METHODS:An accelerated aging protocol was used to induce glistenings (microvacuoles) in 38 hydrophobic acryli...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.01.025
更新日期：2019-07-01 00:00:00
abstract：UNLABELLED:We describe a technique that uses the vitrector to perform successful lens aspiration and posterior chamber intraocular lens (IOL) implantation in children with spherophakia and anterior lens subluxation. After an anterior chamber maintainer is placed, the ocutome is introduced through a limbal incision to p...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.05.001
更新日期：2012-07-01 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: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...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00467-3
更新日期：2001-02-01 00:00:00
abstract：PURPOSE:To compare corneal astigmatism measurements obtained using a new optical biometer (AL-Scan) and a standard biometer based on partial coherence interferometry (IOLMaster 500) for toric intraocular lens (IOL) selection. SETTING:Siriraj Hospital, Mahidol University, Bangkok, Thailand. DESIGN:Prospective comparat...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.06.029
更新日期：2015-02-01 00:00:00
abstract：PURPOSE:To determine the accuracy, repeatability, and reproducibility of measurement of lateral dimensions using the Artemis (Ultralink LLC) very high-frequency (VHF) digital ultrasound (US) arc scanner. SETTING:London Vision Clinic, London, United Kingdom. METHODS:A test object was measured first with a micrometer a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.07.017
更新日期：2006-11-01 00:00:00
abstract：PURPOSE:To understand, demonstrate, and further research the mechanisms of accommodation and presbyopia. SETTING:Private practice, Little Silver, New Jersey, USA. DESIGN:Experimental study. METHODS:The CAMA 2.0 computer-animated model of accommodation and presbyopia was produced in collaboration with an experienced ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.07.028
更新日期：2015-02-01 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：:We performed morphometric analysis of the central corneal endothelium on 24 eyes of 19 patients who had had anterior radial keratotomy. The endothelium was analyzed for a variety of parameters, including cell area, perimeter, side lengths, cell shape, and number of sides. Mean, standard deviation, and coefficient of v...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80068-8
更新日期：1987-05-01 00:00:00
abstract：:I describe an intraoperative method for the consistent anchoring of the intraocular lens (IOL) and cataract surgery and on the patient's visual axis using coaxial microscope optics, surgeon-guided patient fixation, the precision pulse capsulotomy (PPC) device (Zepto) and utilizing the first (and fourth) Purkinje image...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.02.013
更新日期：2018-05-01 00:00:00
abstract：:Subluxated cataractous and clear lenses are commonly treated by limbal or pars plana lensectomy followed by primary or secondary intraocular lens (IOL) implantation. Adjunctive capsular prosthetic devices have facilitated lens removal and IOL centration in these challenging cases but have also added complexity and pot...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.05.019
更新日期：2009-10-01 00:00:00
abstract：PURPOSE:To evaluate the thickness and side-cut angle of laser in situ keratomileusis (LASIK) flaps created by 1 of 3 femtosecond lasers or a microkeratome using Fourier-domain optical coherence tomography (OCT). SETTING:Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, S...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.08.042
更新日期：2011-02-01 00:00:00
abstract：:Long-term stability of intrastromal corneal ring segments is important in maintaining patients' corrected distance visual acuity and avoiding injury to the local tissues. We report a case of traumatic shattering of intrastromal segments due to blunt trauma, with successful removal of the fragments. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.03.022
更新日期：2010-06-01 00:00:00
abstract：:The Galand lens is a closed J-loop implant for capsular-bag fixation. We present a retrospective study of 214 eyes implanted with this lens. Eyes were examined at three months, six months, one year, and two years after surgery. Results indicate that 82.2% of eyes obtained a visual acuity of 20/40 or better at two year...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(86)80028-1
更新日期：1986-03-01 00:00:00
abstract：PURPOSE:To evaluate safety, efficacy, predictability, and stability in the treatment of myopic astigmatism with laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) using the 200 Hz flying-spot technology of the LaserSight LSX excimer laser. SETTING:SynsLaser Clinic, Tromsø, Norway. METHODS:This...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00996-8
更新日期：2001-08-01 00:00:00
abstract：:Laser refractive surgery has increased markedly in recent years, making the detection of corneal abnormalities extremely relevant. For this reason, an accurate diagnosis of clinical or subclinical keratoconus is critical. Corneal topography is the primary diagnostic tool for keratoconus detection, and pachymetry data ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2017.07.021
更新日期：2017-09-01 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：PURPOSE:To evaluate the results of photorefractive keratectomy (PRK) to treat undercorrected radial keratotomy (RK). SETTING:Instituto de Oftalmologia Tadeu Cvintal, São Paulo, Brazil. METHODS:A consecutive series of 28 eyes that had PRK to treat residual myopia after RK were studied. Refractive visual and safety dat...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80189-1
更新日期：1996-09-01 00:00:00
abstract：:For one year we followed 46 eyes that had photoastigmatic refractive keratectomy with an excimer laser to correct simple myopic astigmatism. Mean preoperative cylinder was -2.50 +/- 0.70 diopters (D); mean preoperative best corrected visual acuity was 20/25 +/- 1 Snellen line. Mean postoperative refraction one year af...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80207-6
更新日期：1995-09-01 00:00:00
abstract：PURPOSE:To estimate the ability of the Ocular Response Analyzer parameters to aid in the diagnosis of keratoconus in pre-laser in situ keratomileusis (LASIK) patients. SETTING:Department of Ophthalmology, Bordeaux 2 University, Bordeaux Cedex, France. DESIGN:Evaluation of diagnostic test. METHODS:This study compared...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.06.029
更新日期：2011-12-01 00:00:00
abstract：PURPOSE:To study the perception of light distortion after refractive lens exchange (RLE) with diffractive multifocal intraocular lenses (IOLs). SETTING:Clínica Oftalmológica das Antas, Porto, Portugal. DESIGN:Retrospective comparative study. METHODS:Refractive lens exchange was performed with implantation of an AT L...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.07.033
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:To compare the pharmacotherapeutic practices of high-volume photorefractive keratectomy (PRK) surgeons with suggested practices gleaned from the current literature. SETTING:York Finch Eye Associates, Toronto, Canada. METHODS:Seventy-five ophthalmic surgeons believed by the authors to do a high-volume of PRKs ...
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(96)80116-7
更新日期：1996-10-01 00:00:00
abstract：PURPOSE:To analyze risk factors and management of pupillary intraocular lens (IOL) capture after IOL transscleral fixation. SETTING:Department of Ophthalmology, Seoul National University Hospital, Seoul, South Korea. DESIGN:Retrospective case series. METHODS:A chart review was performed of patients who had transscle...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.08.021
更新日期：2017-12-01 00:00:00
