Abstract：
PURPOSE:To assess the pain experienced by patients with small pupils during pupil stretching in phacoemulsification performed using topical anesthesia. SETTING:Royal Victoria Eye & Ear Hospital and Mater Misericordiae University Hospital, Dublin, Ireland. METHODS:This was a prospective study that included 26 eyes with small pupils requiring mechanical pupil stretching during phacoemulsification cataract surgery performed under topical anesthesia without sedation. RESULTS:The mean pain score for the instillation of anesthetic drops (2.02) was higher than the mean pain score for the pupil stretch (1.63), but this difference was not significant (signed rank test = -32; P = .2738). There was no significant correlation between the duration of surgery and the overall pain score (r = 0.345; P = .08). There was no significant correlation between change in pupil size and either the pupil stretch score (r = -0.069; P = .74) or the overall pain score (r = -0.032; P = .8739). CONCLUSIONS:Pupil stretching during phacoemulsification in patients with small pupils was performed with minimal patient-reported pain using topical anesthesia. Stretching small pupils with a mechanical device during phacoemulsification performed under topical anesthesia was a safe procedure and did not result in significant patient discomfort.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
O'Brien PD,Fitzpatrick P,Power Wdoi
10.1016/j.jcrs.2005.02.044subject
Has Abstractpub_date
2005-09-01 00:00:00pages
1760-3issue
9eissn
0886-3350issn
1873-4502pii
S0886-3350(05)00431-1journal_volume
31pub_type
杂志文章abstract：:A retrospective analysis of 40 cases of sulcus-fixated one-piece poly(methyl methacrylate) posterior chamber lenses revealed ten cases (25%) that demonstrated oval deformation of the pupil, similar to the condition associated with anterior chamber lenses. This complication was not noted until several weeks after surge...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80803-6
更新日期：1990-07-01 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：:The oil-drop cataract is a common yet often overlooked cause of progressive vision loss. Although the nuclear change can be subtle on slitlamp biomicroscopic examination, retinoscopy reveals the classic oil droplet silhouetted against the red reflex. We present seven patients with oil-drop cataracts referred for neuro...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80962-5
更新日期：1993-03-01 00:00:00
abstract：PURPOSE:To investigate the effects of phacoemulsification in glaucomatous eyes with functioning Baerveldt tube shunts. SETTING:Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. METHODS:This retrospective analysis followed 9 eyes of 8 patients with functioning Baerveldt tube shun...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.04.008
更新日期：2006-09-01 00:00:00
abstract：:Positive pressure during cataract surgery can adversely affect the clinical outcome if the surgeon is unprepared. A variety of surgical maneuvers are described, including dry insertion of the phacoemulsification needle, capsule protection with the second instrument, dry cortical aspiration in an ophthalmic viscosurgic...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.06.011
更新日期：2006-09-01 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：UNLABELLED:We describe a case of unilateral corneal ectasia in a 26-year-old man following small-incision lenticule extraction. The preoperative corneal topography was normal, with a minimum corneal thickness of 511 μm and 513 μm in the right eye and left eye, respectively. Lenticules of 85 μm and 82 μm were fashioned ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.08.006
更新日期：2015-09-01 00:00:00
abstract：:Capsular bag distension syndrome (CBDS) is a rare complication of cataract surgery due to collection of fluid behind the intraocular lens (IOL). Nd:Yag laser capsulotomy is commonly performed to release the fluid collection; however, the potential risk of infection and inflammation has led to adaptation of numerous su...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000362
更新日期：2020-12-01 00:00:00
abstract：:A 48-year-old man with cataract had uncomplicated phacoemulsification and implantation of a posterior chamber intraocular lens (IOL) into the continuous capsulorhexis. Three years later, part of the capsular bag and a haptic subluxated into the anterior chamber. At the time of repositioning surgery, partial zonular de...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80127-7
更新日期：1997-11-01 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 evaluate the optical and visual quality in eyes with diffractive intraocular lenses (IOLs) after myopic laser in situ keratomileusis (LASIK). SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:The best corrected visual acuity (BCVA [distance]) at 12.5%, 25.0%, and 100% contrasts unde...
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.2008.12.040
更新日期：2009-05-01 00:00:00
abstract：PURPOSE:To compare the incidence of diffuse lamellar keratitis (DLK) after laser in situ keratomileusis (LASIK) with flap creation using the 15 kHz (FS15), 30 kHz (FS30), or 60 kHz (FS60) femtosecond laser. SETTING:University-based academic practice, Ann Arbor, Michigan, USA. DESIGN:Retrospective comparative case ser...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.09.003
更新日期：2010-11-01 00:00:00
abstract：:This report describes a series of six children who had a retropseudophakic vitrectomy performed via a limbal approach (limbal approach retropseudophakic vitrectomy, LARV). This technique ensures a permanently clear visual axis when performed at the time of cataract/implant surgery and can also be used to excise second...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80985-6
更新日期：1991-01-01 00:00:00
abstract：:Oscillopsia associated with near fixation after multifocal intraocular lens (IOL) implantation has not been fully recognized. A 46-year-old woman presented with shaking of vision in both eyes during near fixation after uneventful implantation of a single-piece multifocal posterior chamber IOL in both eyes. There was n...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000360
更新日期：2020-12-01 00:00:00
abstract：PURPOSE:To compare the analgesic effects of different doses of sub-Tenon's anesthesia in cataract surgery by assessing patient response to visceral stimulus. SETTING:Inouye Eye Hospital, Tokyo, Japan. METHODS:A prospective study was done of 1019 eyes of 1019 patients having phacoemulsification and posterior chamber i...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00149-2
更新日期：1999-09-01 00:00:00
abstract：PURPOSE:To compare the efficacy and safety of anterior capsulotomy creation with a new selective laser device (CAPSULaser) with those of manual capsulotomies. SETTING:GEMINI Eye Clinic, Zlin, Czech Republic. DESIGN:Prospective case series. METHODS:Patients were placed in cohorts based on age and cataract grade and r...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.12.012
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:To compare the efficacy of low- and high-molecular-weight sodium hyaluronate in protecting corneal endothelial cells during phacoemulsification. SETTING:Miyata Eye Hospital, Miyakonojo, Miyazaki, Japan. METHODS:One hundred forty-nine eyes of 136 cataract patients were randomly assigned to have cataract surger...
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(02)01540-7
更新日期：2002-09-01 00:00:00
abstract：UNLABELLED:We present a case of corneal perforation secondary to an intrastromal astigmatic keratotomy performed with an optical coherence tomography-guided femtosecond laser. The keratotomy was concomitant with cataract surgery and resulted in a flat anterior chamber prior to the start of lens extraction. Interrupted ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.04.021
更新日期：2014-07-01 00:00:00
abstract：PURPOSE:To evaluate the efficacy and safety of an ab externo suture retrieval and scleral fixation technique in the treatment of subluxated posterior chamber intraocular lenses (PC IOLs). SETTING:Academic tertiary care centers. METHODS:Surgical databases from 2 surgeons were reviewed for consecutive cases from March ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.06.050
更新日期：2006-01-01 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 determine whether preoperative counseling on possible intraoperative visual perceptions during cataract surgery helps reduce the patients' fear during surgery. SETTING:Aravind Eye Hospital, Madurai, India. DESIGN:Randomized masked clinical trial. METHODS:Patients having phacoemulsification under topical a...
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.2010.11.041
更新日期：2011-05-01 00:00:00
abstract：PURPOSE:To determine the predictability and consistency of corneal flap thickness, flap diameter, and hinge length with the modern 100 microm head of the Moria LSK-One manual microkeratome. SETTING:Private clinic, office-based practice. METHODS:Forty-two consecutive eyes with no previous surgery having thin flap lase...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.10.056
更新日期：2005-06-01 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：:Descemet-stripping automated endothelial keratoplasty (DSAEK) is an alternative to penetrating keratoplasty for the treatment of corneal endothelial disease that involves stripping diseased Descemet membrane (DM) from the recipient. Descemet membrane stripping is currently performed with a generic balanced salt soluti...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.01.037
更新日期：2008-06-01 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：PURPOSE:To describe how to approach eyes with phakic or pseudophakic bullous keratopathy that have an anterior chamber intraocular lens (AC IOL) using thin Descemet-stripping endothelial keratoplasty (thin-DSEK) or Descemet membrane endothelial keratoplasty (DMEK) with or without AC IOL removal. SETTING:Tertiary refer...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.05.045
更新日期：2013-12-01 00:00:00
abstract：PURPOSE:To compare visual acuity from far to near, contrast visual acuity, and acuity in the presence of glare (glare visual acuity) between an aspheric diffractive multifocal intraocular lens (IOL) with a low addition (add) power (+3.0 diopters) and a monofocal IOL. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. METH...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.07.010
更新日期：2009-12-01 00:00:00
abstract：PURPOSE:To monitor the change in the area of laser posterior capsulotomy over time to determine whether and when the area becomes stable. SETTING:Taipei Municipal Yang-Ming Hospital, Taipei, Taiwan, Republic of China. METHODS:This prospective study comprised 53 eyes (46 patients) with posterior capsule opacification ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00645-3
更新日期：2001-04-01 00:00:00
abstract：PURPOSE:To determine the astigmatic effect of a supero-oblique clear corneal phacoemulsification cataract incision. SETTING:A university-based general ophthalmology practice. METHODS:All eyes having supero-oblique phacoemulsification cataract surgery using the right hand of a single surgeon between April 17, 1997, an...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00074-7
更新日期：1999-07-01 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
