Abstract:
PURPOSE:To describe the use of a motorized milling drill to perform nonpenetrating glaucoma surgery and to assess its safety. SETTING:Instituto Oftalmológico de Alicante, Miguel Hernandez University, School of Medicine, Alicante, Spain. METHODS:This prospective noncomparative study included 16 eyes (13 patients) diagnosed with primary open-angle glaucoma. The eyes were divided into 2 groups. Group 1 (8 eyes) had a milling procedure, and Group 2 (8 eyes) had combined phacoemulsification and milling. A fornix-based conjunctival flap was created, and then the milling procedure was performed using a notched hemispherical metallic tip. Evolution of intraocular pressure (IOP), visual outcomes, and the development of intraoperative and postoperative complications were evaluated. RESULTS:The mean age of the patients was 67.9 years +/- 10.9 (SD) (range 50 to 80 years). In Group 1, the mean IOP preoperatively was 27.6 +/- 10.1 mm Hg (range 18 to 50 mm Hg) and after 6 months, 15.8 +/- 5.2 mm Hg (range 12 to 24 mm Hg). The mean IOP reduction 6 months postoperatively was 15.4 +/- 10.6 mm Hg, a 55.7% decrease from preoperatively. In Group 2, the mean IOP preoperatively was 21.7 +/- 4.6 mm Hg (range 13 to 30 mm Hg), and after 6 months, 16.2 +/- 3.4 mm Hg (range 13 to 23 mm Hg). The mean reduction in IOP at 6 months was 5.5 +/- 2.8 mm Hg, a decrease of 25.3% from the preoperative value. In Group 1 at 6 months, 5 eyes (62.5%) had a diffuse filtering bleb and 3 (37.5%), localized filtration. In Group 2, 7 eyes (87.5%) had a diffuse filtering bleb and 1 (12.5%) had fibrosis of the bleb and reduction of filtration. CONCLUSION:The motorized milling drill can be safely used to mill and refine the remaining scleral thickness, eliminating the rupture of trabeculo-Descemet's membrane.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Rodríguez-Prats JL,Alió JL,Galal Adoi
10.1016/j.jcrs.2003.11.052subject
Has Abstractpub_date
2004-07-01 00:00:00pages
1507-16issue
7eissn
0886-3350issn
1873-4502pii
S0886335004000082journal_volume
30pub_type
杂志文章abstract:PURPOSE:To evaluate negative dysphotopsia in the far periphery of the pseudophakic eye by generating simulated images of text charts. SETTING:Consultancy. DESIGN:Laboratory study. METHODS:Simulated images of a peripheral text chart were created using a ray-trace model of a pseudophakic eye. The point spread function...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000103
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To evaluate the agreement in axial length (AL), keratometry (K), anterior chamber depth (ACD) measurements; intraocular lens (IOL) power calculations; and predictability using a new partial coherence interferometry (PCI) optical biometer (AL-Scan) and a reference (gold standard) PCI optical biometer (IOLMaster ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.09.015
更新日期:2014-04-01 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: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::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:PURPOSE:To analyze the expression of 78 kDa glucose-regulated protein (GRP78) and activating transcription factor 6 (ATF6), 2 factors in the unfolded protein response (UPR), in age-related and diabetes-associated cataract. SETTING:Universidad Autónoma de Aguascalientes, Aguascalientes, México. DESIGN:Experimental stu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.02.038
更新日期:2014-10-01 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: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 2 women with high myopia of -12.0 and -18.0 diopters who presented with myopic macular hemorrhages 1 and 4 days, respectively, after being treated by laser in situ keratomileusis (LASIK). One hemorrhage was related to a pre-existing choroidal neovascularization and the other to the presence of lacquer crac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00313-8
更新日期:2000-06-01 00:00:00
abstract::We report 3 cases of Descemet's membrane detachment detected 2 to 3 weeks after surgery that was treated by intracameral injection of perfluoropropane 14% (C(3)F(8)) isoexpansile mixture. We looked at the predisposing factors, the best method of treatment, and the final outcome in cases of Descemet's membrane detachme...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01919-3
更新日期:2003-06-01 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: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 delineate the learning curve for a beginning refractive surgeon using the centrifugal (American) technique. SETTING:Naval Medical Center, San Diego, California, USA. METHODS:The first 100 radial keratotomy (RK) cases (51 patients) of one surgeon, divided into five sequential groups of 20, were retrospectiv...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80286-1
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:To report the results of transscleral implantation of foldable intraocular lenses (IOLs). SETTING:Department of Ophthalmology Dokuz Eylül University School of Medicine, Izmir, Turkey. METHODS:Twenty eyes of 20 patients had transscleral fixation of a foldable IOL combined with conventional 3-port pars plana vi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.050
更新日期:2004-04-01 00:00:00
abstract:PURPOSE:To study the intraocular pressure (IOP) as a prognostic indicator on the first day after combined phacoemulsification and nonpenetrating deep sclerectomy. SETTING:Ramón y Cajal Hospital, Madrid, Spain. METHODS:This retrospective study included 70 eyes of 70 patients who had combined phacoemulsification-nonpen...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.025
更新日期:2008-08-01 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:PURPOSE:To prospectively compare the postoperative blood-aqueous barrier breakdown induced by phacoemulsification and implantation of a heparin-surface-modified poly(methyl methacrylate) intraocular lens in the capsular bag in eyes with different stages of diabetic retinopathy (DR) and a control group. SETTING:St. Eri...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80104-1
更新日期:1998-08-01 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::A 48-year-old man had simultaneous bilateral photorefractive keratectomy (PRK). The surgeon who performed the PRK did not see the patient in follow-up, and there was confusion regarding the comanaging doctor. Therefore, the patient was not examined immediately postoperatively. Several days later, he was hospitalized f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00336-3
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:To evaluate the safety and efficacy of hyperopic laser in situ keratomileusis (LASIK) in treating hyperopia caused by overcorrected myopic LASIK and to evaluate a new technique to place the hyperopic treatment after lifting the initial myopic flap. SETTING:Open-access outpatient excimer laser surgical facility...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00784-7
更新日期:2001-03-01 00:00:00
abstract:PURPOSE:To evaluate the short-term outcomes of femtosecond laser-assisted implantation of a 340-degree intracorneal ring (ICR) (Keraring) in patients with keratoconus. SETTING:Four centers in Iran. DESIGN:Prospective case series. METHODS:All cases had implantation of the 340-degree ICR after tunnel creation with a f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.07.026
更新日期:2017-10-01 00:00:00
abstract::A 40-year old man, highly myopic in both eyes, had laser in situ keratomileusis (LASIK) in the left eye in November 1996. Corneal melting and ulceration and fine striae-like interface infiltrates were noticed 1 day postoperatively. There was no response to intensive topical antibiotics in the form of hourly ofloxacin ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00080-2
更新日期:1999-07-01 00:00:00
abstract:PURPOSE:To determine depth of focus and visual quality after implantation of a diffractive intraocular lens (IOL) and a refractive IOL. SETTING:University Eye Clinic, Vienna, Austria. METHOD:This study comprised 10 eyes of 9 patients with a diffractive IOL (3M 825x + 4) and 13 eyes of 9 patients with a refractive len...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80262-9
更新日期:1998-05-01 00:00:00
abstract:PURPOSE:To compare visual outcomes in patients with cataract surgery and bilateral implantation of a trifocal or bifocal intraocular lens (IOL). SETTING:University Eye Clinic Maastricht, the Netherlands. DESIGN:Prospective randomized clinical trial. METHODS:Eyes with cataract and less than 1.0 diopter (D) of corneal...
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.2015.08.011
更新日期:2015-08-01 00:00:00
abstract::We describe five routine phacoemulsification procedures in which a longitudinal split in the injector cartridge occurred during foldable intraocular lens (IOL) implantation. In some cases, this was associated with a broken lens. All lenses (STAAR AA-4203VF) were folded, and implantation was attempted through a 3.5 mm ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80023-x
更新日期:1996-06-01 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::Over 100 cases of standard extracapsular cataract extraction with intraocular lens implantation were reviewed and the effects of two commercially available pharmacological agents were compared. The treatment groups received either acetylcholine chloride (Miochol) or carbachol (Miostat). Intraocular pressures were meas...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80008-2
更新日期:1989-03-01 00:00:00
abstract:PURPOSE:To correlate the observed fluorescence spectrum with the depth of ablation during 193 nm argon-fluoride excimer laser ablation of chemically damaged corneas. SETTING:Laser facility, Cedars-Sinai Medical Center, Los Angeles, California, USA. METHODS:Three cadaver New Zealand white rabbit corneas were exposed t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01361-5
更新日期:2002-10-01 00:00:00
abstract:PURPOSE:To evaluate the effect of removal and/or exchange of intrastromal corneal ring segments (ICRS, Intacs); specifically the risk factors, degree of reversibility, and visual outcomes. SETTING:Gimbel Eye Centres, Calgary, Edmonton, and Vancouver, Canada. METHODS:Prospective cohort data were collected on 71 eyes t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01172-5
更新日期:2002-04-01 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