Abstract:
PURPOSE:To evaluate visual and refractive outcome of microincision cataract surgery (MICS) with implantation of an Acri. Smart 48S intraocular lens (IOL) (Acri.Tech) through a sub-1.9 mm incision. SETTING:Vissum/Instituto Oftalmologico de Alicante and Ophthalmology Department, Miguel Hernandez University, Alicante, Spain. METHODS:In this consecutive prospective observational noncomparative clinical trial, 45 eyes were included. Microincision cataract surgery was performed through a 1.9 mm or smaller clear corneal incision using low ultrasound power MICS. The IOL was injected using a hydraulic cartridge and injector. The final size of the clear corneal incision, postoperative uncorrected and best corrected near and distance acuities, lens stability, ease of implantation, rate of posterior capsule opacification (PCO), and complications were reported up to 6 months. RESULTS:The Acri. Smart lens was inserted through mean incision of 1.5 mm +/- 0.3 (SD). The mean uncorrected distance visual acuity improved significantly from 20/100 (0.2 +/- 0.2 decimal value) preoperatively to 20/32 (0.7 +/- 0.3) by the end of 6 months postoperatively (P<.000). The best corrected distance visual acuity improved significantly from 20/50 (0.4 +/- 0.2) preoperatively to 20/25 (0.9 +/- 0.2) after 6 months (P<0.000). The uncorrected near visual acuity at the end of 6 months was 20/32 (0.6 +/- 0.2, P<.000). The mean postoperative spherical equivalent was -1.1 +/- 0.9 diopters (P<.947). The safety index was 2.5 for distance and 1.4 for near. There were no intraoperative or postoperative complications. No eye had a neodymium:YAG laser capsulotomy for PCO or reported undesirable complications at the end of 6 months. CONCLUSIONS:Results show that the Acri. Smart 48S IOL is a safe, effective, and stable lens that could be inserted through sub-1.9 mm incisions. It provided excellent surgical performance, predictability, and some degree of pseudoaccommodation.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Alió JL,Rodriguez-Prats JL,Vianello A,Galal Adoi
10.1016/j.jcrs.2005.01.030subject
Has Abstractpub_date
2005-08-01 00:00:00pages
1549-56issue
8eissn
0886-3350issn
1873-4502pii
S0886-3350(05)00369-Xjournal_volume
31pub_type
临床试验,杂志文章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 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 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 test the performance of 4 tonometers in estimating intraocular pressure (IOP) after 3 forms of refractive surgery. SETTING:Eye Hospital, Wenzhou Medical University, China. DESIGN:Prospective case series. METHODS:Patients matched for preoperative age, corneal thickness, and myopic correction enrolled for f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000204
更新日期:2020-07-01 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 evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING:Private practice, Siena, Italy. METHODS:This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes o...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.030
更新日期:2006-06-01 00:00:00
abstract::Corneal scrapings were collected from a case of keratitis and microbiological investigations done. Coagulase-negative Staphylococcus (Staphylococcus epidermidis) was identified on culture, and antibiotic susceptibility tests were performed. Treatment was started with topical cefazolin sulfate 5% and gatifloxacin 0.3%;...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.015
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:To evaluate a commercially available neural network program for calculation of photorefractive keratectomy treatment nomograms. SETTING:University referral refractive surgery clinic. METHODS:PRK/LASIK Brain, a commercial neural network computer program, was trained using the demographics, preoperative clinica...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80043-6
更新日期:1998-07-01 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 whether hyperopic patients with short axial length and high dioptric intraocular lens (IOL) power can achieve a higher depth of focus after implantation of a monofocal spherical or aspheric IOL than emmetropic patients. SETTING:Department of Ophthalmology, Medical University Graz, Graz, Austria. D...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.08.012
更新日期:2017-11-01 00:00:00
abstract:PURPOSE:To assess the possibility of deriving an optimum intraocular lens (IOL) power after previous successful trabeculectomy. SETTING:Chang Gung Memorial Hospital, Linko, Taiwan. METHODS:The retrospective study included 1 eye of 22 patients who had cataract surgery after successful trabeculectomy performed by 1 sur...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.05.016
更新日期:2004-12-01 00:00:00
abstract:PURPOSE:To compare differences in anterior (ACO) and posterior (PCO) capsule opacification and subjective glare between 2 acrylic intraocular lenses (IOLs): AcrySof MA30BA (Alcon) and Sensar AR40 (Allergan). SETTING:Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy. METHODS:This retrospe...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01427-x
更新日期:2002-07-01 00:00:00
abstract:PURPOSE:To assess whether the combined implantation of a monofocal IOL and an artificial iris had an effect on the IOL's optical performance. SETTING:David J. Apple International Laboratory for Ocular Pathology, Heidelberg, Germany. DESIGN:In vitro laboratory study. METHODS:IOL optical quality was assessed using an ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000287
更新日期:2020-08-01 00:00:00
abstract::A 25-year-old woman with myopia who had an AC pIOL implantation in the left eye and posterior chamber pIOL implantation in the right eye developed bilateral granulomatous panuveitis 2 months after the second surgery. Physical examination showed bilateral Koeppe and Busacca nodules. Fluorescein angiography showed diffu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.02.026
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To determine whether sutureless small incision cataract surgery reduces induced astigmatism over the long term. SETTING:University Eye Hospital, Vienna, Austria. METHODS:In a prospective study, we investigated surgically induced astigmatism in 63 cases of no-stitch, small incision cataract surgery with a 4.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80180-0
更新日期:1997-04-01 00:00:00
abstract:PURPOSE:This study sought to assess the frequency of refractive surgery complications in HIV+ individuals and related risk factors. SETTINGS:Multiple centers in the United States. DESIGN:Prospective observational cohort study. METHODS:The U.S. Military HIV Natural History Study is a prospective observational cohort ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2019.06.017
更新日期:2019-11-01 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::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 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:PURPOSE:To compare the incidence and severity of photic phenomena after the implantation of the Array(R) (Allergan) refractive multifocal intraocular lens (MIOL) and a monofocal IOL. SETTING:Multicenter study at Kiel, Mainz, Karlsruhe, and Bremerhaven, Germany. METHODS:The study comprised 231 randomly selected patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0886-3350(00)00540-x
更新日期:2001-02-01 00:00:00
abstract:PURPOSE:To identify preoperative and intraoperative factors associated with a capsule complication; that is, a capsule tear or a zonular dehiscence during cataract surgery. SETTING:Ten ophthalmic surgery departments in Sweden. METHODS:A retrospective review of files of patients with a capsule complication and control...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2009.05.026
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:To compare the centration and fixation of silicone plate-haptic intraocular lenses (IOLs) with different-sized positioning holes. SETTING:Eye Clinic of the Johannes Gutenberg-University Mainz, Mainz, Germany. METHODS:In a prospective randomized study, 51 Chiroflex C10 and 56 Chiroflex C11 IOLs were implanted ...
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(00)00496-x
更新日期:2000-12-01 00:00:00
abstract:PURPOSE:To compare the postoperative outcomes between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification in eyes with shallow anterior chamber depth (ACD). SETTING:Eye Clinic, NEUROFARBA Department, University of Florence, Italy. DESIGN:Prospective case series. METHODS:Forty eye...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000341
更新日期:2020-12-01 00:00:00
abstract::We received approval from the U.S. implant Food and Drug Administration and the University's Institutional Review Board to the Artisan lens (Ophtec BV) in both eyes of a patient who was aphakic and had megalocornea. No other intraocular lens would easily solve this patient's need because of the large anterior segment....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.12.060
更新日期:2006-03-01 00:00:00
abstract::To evaluate the biocompatibility of various materials including a poly(2-hydroxyethyl methacrylate [HEMA])/(6-hydroxyhexyl methacrylate [HOHEXMA]) hydrophilic hydrogel intraocular lens (IOL) (Hydroview, Bausch & Lomb). Department of Ophthalmology, Wakayama Medical University, Wakayama, Japan. Ten opacified anterior ca...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01988-0
更新日期:2003-06-01 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 audit the surgical and postoperative complications and the visual outcomes of standing phacoemulsification and compare these with the results of conventional seated phacoemulsification. SETTING:District general hospital, Sidcup, England. DESIGN:Prospective comparative case series. METHODS:This prospective...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.04.031
更新日期:2010-10-01 00:00:00
abstract:PURPOSE:To describe a method for optimizing the treatment of astigmatism using vector analysis of both refractive and corneal topographic values. SETTING:Cheltenham Eye Centre, Melbourne, Australia. METHODS:This study evaluated a method of vector analysis for planning surgery that uses both preoperative topographic a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80153-8
更新日期:1997-01-01 00:00:00
abstract::The anterior chamber depth was measured in 15 eyes with sulcus placed (Group 1) and 12 eyes with bag placed (Group 2) IOGEL PC-12 lenses, and in 11 eyes with bag placed IOGEL 1103 lenses (Group 3). The mean anterior chamber depth was 3.29 mm in Group 1, 4.17 mm in Group 2, and 4.16 mm in Group 3. The difference betwee...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)81017-6
更新日期:1990-11-01 00:00:00
abstract:UNLABELLED:A nationwide postal survey of all consultant ophthalmologists in the United Kingdom was conducted to determine attitudes and techniques of cataract surgery trainers, identify trainer-related factors that determine surgical opportunity, and ascertain whether trainers had received adequate training in how to t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.12.024
更新日期:2012-03-01 00:00:00