Abstract:
PURPOSE:To provide mathematical tools for selecting intraocular lens (IOL) power for normal eyes and for "odd" eyes, particularly after corneal refractive surgery. SETTING:Universitats-Augenklinik, Mainz, Germany. METHODS:First, IOL power is selected based on the radii and numerical eccentricity of the cornea, extracted from corneal topography in a consistent numerical model of the cornea. To fine-tune the result, the visual impression is simulated by blurred Landolt rings superimposed on the retinal receptor grid. The calculation uses numerical ray tracing of the whole pseudophakic eye comprising all monochromatic errors. The error contributions of the influencing parameters, such as anterior and posterior corneal shape and corneal thickness, are quantified in detail. The method is verified in IOL power selection for normal eyes and for eyes after corneal refractive surgery. RESULTS:The main difference between normal corneas and corneas after refractive surgery results from different asphericities. Normal corneas are prolate, with typical numerical eccentricities of 0.5, whereas corneas after laser surgery for myopia are oblate. This causes the main difference (hyperopic shift up to 2.0 diopters) in IOL power selection. Shifts in the posterior corneal radius and corneal thickness are of minor importance. CONCLUSION:Intraocular power selection after corneal refractive surgery should be based on all the information corneal topography provides.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Preussner PR,Wahl J,Weitzel Ddoi
10.1016/j.jcrs.2004.09.016subject
Has Abstractpub_date
2005-03-01 00:00:00pages
525-33issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(04)00944-7journal_volume
31pub_type
杂志文章abstract:PURPOSE:To study the repeatability and reproducibility of corneal power measurements obtained with a new corneal topographer (Keratograph 4) and assess their agreement with those obtained by a rotating Scheimpflug camera (Pentacam HR) and an automated keratometer (IOLMaster). SETTING:Eye Hospital, Wenzhou Medical Univ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.04.029
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:To evaluate changes in anterior chamber depth (ACD) and intraocular pressure (IOP) after phacoemulsification in eyes with occludable angles and compare the results with those in eyes with normal open angles. SETTING:Eye Clinic, Ipoh General Hospital, Ipoh, Perak, Malaysia. METHODS:Patients with nonglaucomatou...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.02.024
更新日期:2010-08-01 00:00:00
abstract::The formation and propagation of shock waves created by the interaction of high powered Nd:YAG laser pulses with a titanium target are photographed and analyzed. The titanium target is located at the distal end of a probe, similar to an irrigation/aspiration probe used in cataract surgery, and the Nd:YAG laser is deli...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80414-2
更新日期:1991-11-01 00:00:00
abstract::Members of the ASCRS Cornea Clinical Committee performed a review of the current literature on the corneal crosslinking (CXL) procedure for treating corneal ectasia. The members explored the data on the techniques currently in use and under investigation, including their advantages, safety profiles, risks, and cost an...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2019.06.027
更新日期:2019-11-01 00:00:00
abstract:PURPOSE:To determine the effect of ophthalmic viscosurgical devices (OVDs) and irrigation/aspiration (I/A) settings on free radical development during phacoemulsification. SETTING:Department of Ophthalmology, Nippon Medical School, Tokyo, Japan. METHODS:Free radicals were detected by the electron spin resonance (ESR)...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.04.026
更新日期:2006-09-01 00:00:00
abstract:PURPOSE:To test the accuracy and reliability of the first-generation prototype of Tracey-1, a ray-tracing refractometer. SETTING:Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. METHODS:The refractive spherical equivalent (SE) and astigmatism measured by Tracey-1, subjective manifest refraction ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01103-8
更新日期:2002-02-01 00:00:00
abstract:PURPOSE:To assess whether laser in situ keratomileusis (LASIK) assisted by corneal topography can successfully treat corneal irregularities or irregular astigmatism in patients with previous ocular surgery or ocular trauma. SETTING:University Eye Hospital, Klinikum Mannheim, Mannheim, Germany. METHODS:In a prospectiv...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80196-x
更新日期:1998-02-01 00:00:00
abstract:PURPOSE:To assess visual outcomes after bilateral implantation of an apodized +3.0 diopter (D) addition power toric diffractive multifocal intraocular lens (IOL). SETTING:Five study sites in Europe and South America. DESIGN:Cohort study. METHODS:Patients had bilateral implantation of the AcrySof(®) IQ ReSTOR(®)+3.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jcrs.2013.06.026
更新日期:2014-01-01 00:00:00
abstract::The prophylactic intraoperative use of mitomycin-C (MMC) to prevent haze and scarring after excimer laser surface ablation (phototherapeutic/photorefractive keratectomy [PTK/PRK]) in an eye with a previous laser in situ keratomileusis (LASIK) flap buttonhole with epithelial ingrowth is described. A well-centered butto...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.035
更新日期:2005-10-01 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::We present a simple, effective technique to remove an intraocular lens (IOL) via a very small incision (2.2 mm). After the IOL is carefully removed from the capsular bag, into the anterior chamber, 2 radial incisions, 35 degrees to 50 degrees apart, are made with a Vannas scissors. This results in 2 IOL pieces (maximu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.02.036
更新日期:2009-07-01 00:00:00
abstract::After conventional extracapsular cataract extraction and in-the-bag intr aocular lens (IOL) implantation 3 years previously, the partially cut su perior one-third of the anterior capsulotomy flap resealed in the eye of a 55-year-old woman. With the integrity of the capsular bag restored, it distended fully; the IOL wa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00403-x
更新日期:2000-09-01 00:00:00
abstract:PURPOSE:To assess the precision of ocular biometry with a new noncontact optical low-coherence interferometer (Aladdin) in healthy subjects and patients with cataracts. SETTING:Eye Hospital of Wenzhou Medical University, Wenzhou, China. DESIGN:Observational cross-sectional study. METHODS:Eyes from healthy subjects a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.10.062
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:To assess the incidence and possible causative factors of a newly recognized syndrome, the intraoperative floppy iris (IFIS). SETTING:Clinical practices in Los Altos and San Rafael, California, USA. METHODS:A retrospective chart review of consecutive cataract surgeries performed in a 2-surgeon practice over a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.02.027
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:To evaluate the protective properties of combined sodium hyaluronate 2% and mannitol 0.5% (Visiol) on the corneal endothelium in the presence of oxidative stress induced by hydrogen peroxide (H(2)O(2)). SETTING:Instituto Oftalmológico de Alicante, Universidad Miguel Hernández, Alicante, Spain. METHODS:This wa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.11.055
更新日期:2005-06-01 00:00:00
abstract:PURPOSE:To analyze the centration of intrastromal ring segments (Intacs, Addition Technology, Inc.) implanted using a femtosecond laser in eyes with keratoconus. SETTING:Kudret Eye Hospital, Ankara, Turkey. METHODS:In a retrospective noncomparative case series, the distance of deviation of the intrastromal ring segme...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.11.007
更新日期:2007-03-01 00:00:00
abstract:PURPOSE:To evaluate the long-term therapeutic efficacy of phacoemulsification with intraocular lens (IOL) implantation in treating phacomorphic glaucoma. SETTING:Ophthalmology Department, Maryknoll Hospital, Busan, Korea. METHODS:This study evaluated eyes that had phacoemulsification with IOL implantation to treat ph...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.023
更新日期:2010-05-01 00:00:00
abstract::A 38-year-old woman had posterior chamber phakic intraocular lens (IOL) implantation as a secondary refractive procedure to correct residual refraction (20/50 with -16.50 -1.50 x 80) in May 1998, 3 years after intrastromal corneal ring segment surgery for high myopia (-30.00 diopters). Ultrasound biomicroscopy reveale...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00410-7
更新日期:2000-05-01 00:00:00
abstract:PURPOSE:To evaluate the changes in pupil size after implantation of an iris-supported toric phakic intraocular lens (TPIOL) for correction of myopia and hyperopia with astigmatism. SETTING:Department of Ophthalmology, Johannes Gutenberg-University, Mainz, Germany. METHODS:Twenty-two myopic eyes and 9 hyperopic eyes w...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.04.040
更新日期:2005-02-01 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::A 73-year-old woman with bilateral previous radial keratotomies (RK) and symptomatic cataracts was referred. The uncorrected distance visual acuity (UDVA) was 0.24 logarithm of the minimum angle of resolution (logMAR) in the left eye and 0.32 logMAR in the left eye. The American Society of Cataract and Refractive Surg...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.06.005
更新日期:2018-08-01 00:00:00
abstract::We describe 2 complications of sequential keratorefractive and vitreoretinal surgery not previously reported. Epithelial ingrowth occurred in 1 patient who experienced laser in situ keratomileusis flap dehiscence and replacement during vitreoretinal surgery. In the second patient, a flap could not be created with a mi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.05.038
更新日期:2006-12-01 00:00:00
abstract::Fifty-one patients available for a 2 1/2 year follow-up after intracapsular cataract extraction and implantation of the semiflexible McGhan/3M, style 70 anterior chamber lens were evaluated for intraocular pressure (IOP). No significant change in the IOP could be demonstrated despite progression of iris-like tissue ad...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80113-x
更新日期:1987-09-01 00:00:00
abstract::Injection molded poly(methyl methacrylate) (IM-PMMA), lathe-cut PMMA (LC-PMMA), heparin surface modified PMMA (HSM-PMMA), silicone, and polyhydroxyethyl methacrylate (polyHEMA) intraocular lenses (IOLs) were incubated with platelets, granulocytes, mouse macrophage-like RAW 264.7 cells and mouse fibrosarcoma L929 cells...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80900-5
更新日期:1992-05-01 00:00:00
abstract::Carbachol instilled in 125 eyes at the time of extracapsular cataract extraction and posterior chamber lens insertion had a statistically significant effect on lowering the postoperative intraocular pressure (IOP) at 24 hours (average IOP 14.0 mm Hg) and at 72 hours (average IOP 11.6 mm Hg) (P less than .001). The per...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(88)80034-8
更新日期:1988-11-01 00:00:00
abstract:PURPOSE:To find the incidence, contributing factors, outcomes, and clinical impact of intraoperative posterior capsule striae. SETTING:Iladevi Cataract & IOL Research Centre, Ahmedabad, India. METHODS:In a prospective study, 100 consecutive eyes had phacoemulsification and intraocular lens (IOL) (AcrySof MA30BA) impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(99)00197-2
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:To compare the long-term refractive effects of small-incision lenticule extraction (SMILE) and femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) on the correction of high myopia and astigmatism. SETTING:The Eye and ENT Hospital of Fudan University, Shanghai, China. DESIGN:Retrospective case s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000075
更新日期:2020-03-01 00:00:00
abstract::We present a patient who developed partial ptosis after laser in situ keratomileusis. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.12.028
更新日期:2004-07-01 00:00:00
abstract:PURPOSE:To investigate the reliability of corneal topography measurements using the Orbscan II topography system (Bausch & Lomb) not only referring to a normal cohort but also to different refractive conditions. SETTING:Department of Ophthalmology, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany. METHODS...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.01.013
更新日期:2005-08-01 00:00:00
abstract::Twenty-three eyes of 20 patients who had had myopic epikeratoplasty were evaluated and the mean 21-month postoperative results (range: 12 to 47 months) tabulated. Average preoperative myopia was -16.7 diopters (D) spherical equivalent (range: -10 to -33 D), and average postoperative refractive correction was 13 D. Of ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80305-7
更新日期:1993-05-01 00:00:00