Abstract:
PURPOSE:To evaluate whether the soft-shell technique using Viscoat (sodium hyaluronate 3%-chondroitin sulfate 4%) and Hyal-2000 (sodium hyaluronate 1%) reduces corneal endothelial cell damage during cataract surgery. SETTING:Department of Ophthalmology, Kangnam St. Mary's Hospital, Seoul, Korea. METHODS:The nuclear opacity in 252 eyes of 230 cataract patients was classified as grade 1, 2, 3, or > or =4 using the Lens Opacities Classification System III. In each classification, the patients were divided into 4 groups before phacoemulsification based on the type of ophthalmic viscosurgical device (OVD) used during surgery: Viscoat and Hyal-2000 (soft-shell technique), Viscoat alone, Hyal-2000 alone, or Provisc (sodium hyaluronate 1%) alone. All patients were operated on using the same technique except for the OVD. The visual acuity, corneal endothelial cell density, corneal thickness, and intraocular pressure (IOP) were evaluated postoperatively. RESULTS:The rate of endothelial cell loss 2 months after surgery in eyes with a nuclear opacity grade of > or =4 was significantly different between the 4 OVD groups. The rate in eyes with a nuclear opacity grade of < or =3 was not significantly different between the groups. There were no statistically significant differences between the 4 groups in visual acuity, corneal thickness, or IOP throughout the follow-up period. CONCLUSION:The soft-shell technique using Viscoat and Hyal-2000 protected corneal endothelial cells during cataract surgery in patients with a nuclear opacity grade of > or =4.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Kim H,Joo CKdoi
10.1016/j.jcrs.2004.02.089subject
Has Abstractpub_date
2004-11-01 00:00:00pages
2366-70issue
11eissn
0886-3350issn
1873-4502pii
S0886335004004158journal_volume
30pub_type
杂志文章abstract::We report a case of late-onset diffuse lamellar keratitis (DLK) in the left eye of a 56-year-old white woman 3 years after uneventful bilateral laser in situ keratomileusis (LASIK). Slitlamp examination revealed stage 3 DLK with diffuse, multifocal, dot-like, and granular haze in the interface. The DLK did not have an...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.05.054
更新日期:2005-02-01 00:00:00
abstract:PURPOSE:To evaluate the reduction in the anterior capsule opening after phacoemulsification, continuous curvilinear capsulorhexis, and implantation of 1 of 2 acrylic intraocular lenses (IOLs). SETTING:Department of Ophthalmology, Vejle Hospital, Vejle, Denmark. METHODS:Eighty-four patients (84 eyes) were included in ...
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.2007.01.020
更新日期:2007-05-01 00:00:00
abstract::Two patients had uneventful phacoemulsification. After initial improvement, vision deteriorated because of cystoid macular edema (CME). In 1 patient, treatment with systemic nonsteroidal antiinflammatory drugs showed significant improvement in visual acuity but had to be discontinued because of side effects and a rela...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.12.067
更新日期:2005-07-01 00:00:00
abstract::We report the case of a 12-year-old boy with severe keratoconus who had uneventful deep anterior lamellar keratoplasty (DALK) using the big-bubble technique in the left eye for severe loss of best spectacle-corrected visual acuity and contact lens intolerance. Two weeks after surgery, the patient experienced accidenta...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.01.037
更新日期:2009-06-01 00:00:00
abstract::We report the results of a prospective study that evaluated the efficacy, predictability, and safety of excimer laser photorefractive keratectomy (PRK) to correct residual myopia after radial keratotomy (RK). Using a 193 nm excimer laser, we performed PRK on ten undercorrected myopic eyes that had previous RK surgery....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80224-6
更新日期:1994-09-01 00:00:00
abstract:PURPOSE:To compare the spatial resolution threshold in the central visual field of pseudophakic patients with monofocal and multifocal intraocular lenses (IOLs). SETTING:Eye Clinic, University of Trieste, Italy. METHODS:Twenty phakic normal subjects and four groups of 20 pseudophakic patients each, implanted with ref...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80206-x
更新日期:1998-02-01 00:00:00
abstract::We report 3 cases of globe rupture after peribulbar anesthesia. We discuss the predisposing factors, presenting features, and visual outcome after this complication. Globe explosion is a severe complication of inadvertent intraocular injection during peribulbar anesthesia. Visual outcome after vitrectomy is generally ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01034-3
更新日期:2002-03-01 00:00:00
abstract:PURPOSE:To perform a pilot study of a new in-the-bag Fresnel prism intraocular lens (IOL) designed to deviate the image from diseased to healthy retina in eyes with bilateral age-related macular degeneration (AMD). SETTING:Anterior segment subspeciality practice, Pretoria, South Africa. DESIGN:Prospective nonmasked t...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.jcrs.2013.10.049
更新日期:2014-07-01 00:00:00
abstract::A simple technique for the accurate surgical alignment of toric phakic and aphakic intraocular lenses (IOLs) is described. The mathematical relationship between toric misalignment and cylinder error is reviewed to demonstrate the importance of toric lens alignment in the setting of increased rotational stability with ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.041
更新日期:2008-10-01 00:00:00
abstract::Phaco slice and separate retains the advantages of the chopping techniques of Nagahara, Koch, and Fukasaku but replaces chopping or snapping with slicing across the center of the phaco-tip-stabilized nucleus using a Nagahara chopper and then repositioning the chopper to optimally separate the divided lens halves. As t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)80042-x
更新日期:1999-04-01 00:00:00
abstract:PURPOSE:To evaluate the effect of a fixed combination of brimonidine-timolol on intraocular pressure (IOP) after phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Patras University Hospital, Patras, Greece. DESIGN:Prospective randomized comparative case series. METHODS:Patients scheduled for...
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.2010.08.046
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:To determine the in vitro bacterial adherence to intraocular lenses (IOLs) routinely used at 1 center. SETTING:University Hospital of Vienna, Vienna, Austria. METHODS:Four types of rigid IOLs (hydrophobic poly[methyl methacrylate] [PMMA] and hydrophilic heparin-surface-modified PMMA) and 5 types of foldable i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01741-8
更新日期:2003-02-01 00:00:00
abstract:PURPOSE:To compare the extent of corneal endothelial cell loss and pachymetry changes in 2 age-based groups of patients who had cataract removal by AquaLase (Alcon) phacoemulsification in 1 eye and NeoSoniX (Alcon) phacoemulsification in the contralateral eye. SETTING:Department of Ophthalmology, University Hospital, ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.10.033
更新日期:2008-03-01 00:00:00
abstract::We describe a technique for creating a continuous curvilinear capsulorhexis (CCC) using an endoscope. Three 2.0 mm limbal incisions 120 degrees apart were made in 4 cadaver eyes. The anterior capsule was stained with trypan blue 0.1% (Vision Blue). Under endoscopic visualization, a CCC was attempted in each of the 4 g...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.051
更新日期:2004-05-01 00:00:00
abstract::We developed a formula to measure the posterior curvature of the cornea. In our study, real corneal power in 51 eyes was calculated by using anterior and posterior curvatures and corneal thickness. The corneal refractive index was found to be a variable value between 1.3243 and 1.3339 (mean 1.3304 +/- 0.0003). ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80151-4
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To study the intraoperative performance and postoperative outcomes of Cionni modified capsule tension ring (CTR) and intraocular lens (IOL) implantation in the capsular bag in pediatric eyes with ectopia lentis. SETTING:John A. Moran Eye Center, Salt Lake City, Utah, USA. METHODS:Thirty-five eyes (22 children...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.044
更新日期:2008-09-01 00:00:00
abstract:PURPOSE:To report clinical and confocal microscopy characteristics of haze-like opacities in corneas after laser in situ keratomileusis (LASIK). SETTING:Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. METHODS:Eighteen eyes of 11 patients with clinically apparent corneal clo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)02050-3
更新日期:2003-09-01 00:00:00
abstract::A specially designed grid and software used to assess the postoperative rotation of a toric intraocular lens (IOL) are described. Postoperatively, a digital retroillumination image of the patient is taken and this image is superimposed on the grid. The software determines the center of the IOL. A prominent episcleral ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.057
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To compare the effect of topical dexamethasone versus ketorolac versus combined dexamethasone-ketorolac after phacoemulsification on choroidal thickness (CT). SETTING:A tertiary university-based hospital Design: Prospective non-randomized comparative case series METHODS:: Ninety-two eyes of 92 patients were as...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000477
更新日期:2020-11-12 00:00:00
abstract:UNLABELLED:We describe a technique for sutureless intrascleral fixation of a 3-piece intraocular lens (IOL) and custom silicone iris prosthesis complex to address the optical and functional issues of aphakia and aniridia, as well as to restore excellent cosmesis. The 3-piece IOL is anchored to the iris prosthesis using...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.09.015
更新日期:2014-11-01 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 analyze changes in new biomechanical descriptors with myopic femtosecond laser-assisted laser in situ keratomileusis (LASIK), compare them with the biomechanical response after photorefractive keratectomy (PRK) with similar levels of myopic ablation, and evaluate correlations between changes in custom variab...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.11.030
更新日期:2014-06-01 00:00:00
abstract:PURPOSE:To compare the long-term longitudinal visual acuity outcomes after cataract surgery in eyes with age-related macular degeneration (AMD) at surgery and eyes without comorbidity. SETTING:University-based eye clinic. DESIGN:Longitudinal cohort study. METHODS:Patients having cataract surgery were evaluated over ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.09.041
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:To report clinicopathological analyses of 3 cases of interface fungal infection following laser in situ keratomileusis (LASIK) and diffuse lamellar keratitis (DLK). SETTING:Center for Research on Ocular Therapeutics and Biodevices and Arthur and Holly Magill Research Center for Vision Correction, Storm Eye Ins...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01241-5
更新日期:2002-08-01 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 determine the incidence and severity of flap folds and displacement after laser in situ keratomileusis (LASIK) and assess the outcome of the flap repositioning procedure. SETTING:Eye Institute of Utah, Salt Lake City, Utah, USA. METHODS:Charts of 91 eyes of 87 patients that had flap repositioning were revi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00571-x
更新日期:2000-10-01 00:00:00
abstract:PURPOSE:To establish whether small incision cataract surgery with phacoemulsification decreases the risk of acute suprachoroidal hemorrhage (ASCH) compared with traditional nucleus expression by extracapsular cataract extraction (ECCE). SETTING:St. Erik Eye Hospital, Stockholm, Sweden. METHODS:A retrospective study w...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80133-8
更新日期:1998-06-01 00:00:00
abstract:PURPOSE:To describe 7 patients who developed ectasia following laser in situ kerato-mileusis (LASIK). SETTING:Instituto de la Visión, Buenos Aires, Argentina. METHODS:In this retrospective study of 7 patients, visual acuity, refraction, pachymetry, and corneal topography were examined before and after the refractive ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00799-4
更新日期:2001-09-01 00:00:00
abstract:PURPOSE:To compare the glare-type photic phenomena for a new intraocular lens (IOL) to other monofocal IOLs, and to investigate how IOL design features might affect these phenomena. SETTING:Alcon Laboratories, Inc., Fort Worth, Texas; John A Moran Eye Center, University of Utah, Salt Lake City, USA. DESIGN:Schematic ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.09.017
更新日期:2019-02-01 00:00:00
abstract::Implantation of ultraviolet (UV) light-absorbing intraocular lenses and the manufacturers developing these lenses has significantly increased over the past few years. In this paper, the need for filtration of UV light by intraocular lens implants is briefly examined and various new product development aspects of a UV-...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80011-6
更新日期:1986-05-01 00:00:00