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 buttonhole measuring 2.0 mm in diameter was cut within a thin LASIK flap in an amblyopic eye. Over the next 8 weeks, corneal haze and progressive epithelial ingrowth formed centrally. An early transepithelial PTK/PRK approach was chosen to manage the buttonhole together with the epithelial ingrowth and to treat ametropia before the onset of scarring. The approach included epithelial removal with PTK, application of MMC 0.02% for 1 minute, irrigation, a short waiting period to allow for diffusion, PRK correction of -4.0 diopters without nomogram adjustment, and bandage contact lens. A regimen of prednisolone acetate 1% and ofloxacin 0.03% 5 times a day for 1 week (steroid tapered) was prescribed. Epithelial ingrowth was removed successfully. Minimal haze formation was visible 2 weeks after the retreatment but did not reduce best spectacle-corrected visual acuity (BSCVA) and resolved within the next few weeks. After 6 weeks, uncorrected visual acuity was equal to BSCVA preoperatively (20/50). There was no evidence of recurrent epithelial ingrowth or central scarring after 24 months. Transepithelial PTK/PRK was effective in managing central epithelial ingrowth in a buttonholed LASIK flap. Prophylactic intraoperative use of MMC may reduce haze formation and corneal scarring in early treatments and may also prevent recurrent epithelial ingrowth. This approach may offer faster visual recovery and no risk for a repeated buttonhole creation compared with the widespread recutting a new flap after a couple of months. The optimal application time and concentration of MMC need to be established.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Taneri S,Koch JM,Melki SA,Azar DTdoi
10.1016/j.jcrs.2005.06.035subject
Has Abstractpub_date
2005-10-01 00:00:00pages
2026-30issue
10eissn
0886-3350issn
1873-4502pii
S0886-3350(05)00523-7journal_volume
31pub_type
杂志文章abstract:PURPOSE:To develop a system for high-resolution imaging of the posterior lens capsule after intraocular lens surgery for objective assessment of posterior capsule opacification (PCO). SETTING:Department of Cataract and Refractive Surgery, St. Thomas' Hospital, London, United Kingdom. METHODS:A system was developed th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80023-5
更新日期:1997-12-01 00:00:00
abstract:PURPOSE:To compare the development of posterior capsule opacification (PCO) and neodymium:YAG (Nd:YAG) capsulotomy rates between 2 microincision intraocular lenses (IOLs) 4 years after surgery. SETTING:Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. DESIGN:Prospective randomized clinical t...
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.2014.09.037
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:To investigate the incidence and clinical features of red blood cell (RBC)-coated intraocular lens (IOL) in breakthrough vitreous hemorrhage (VH) with subretinal hemorrhage (SRH) secondary to neovascular age-related macular degeneration (nAMD). SETTING:Seoul National University Bundang Hospital, Seongnam, Kore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000549
更新日期:2020-12-09 00:00:00
abstract::The current trend toward implantation of posterior chamber lenses within the capsular bag rather than the ciliary sulcus seems logical in light of the increasing evidence of uveal damage from sulcus fixated posterior chamber lenses. However, long-term, successful capsular bag fixation has not been demonstrated with cu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80040-8
更新日期:1987-07-01 00:00:00
abstract::This method of astigmatism analysis recognizes the need to define an astigmatism goal, thus allowing the surgeon to obtain precise, separate measures of the magnitude and the angle of surgical error. From this, the surgeon can evaluate what surgery may be required to achieve the initial preoperative goal. An index tha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80617-7
更新日期:1993-07-01 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:PURPOSE:To investigate the effect of distilled deionized water (DDW) on lens epithelial cells (LECs) attached to the lens capsule. SETTING:Wound Healing Research Laboratory, Center for Vision Research, Westmead Hospital, Sydney, NSW, Australia. METHODS:Anterior capsulotomy specimens taken during routine cataract surg...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.01.028
更新日期:2004-05-01 00:00:00
abstract:PURPOSE:To assess whether iris-claw intraocular lenses (IOLs) undergo gravitation-dependent changes in position and refraction. SETTING:Tertiary referral center, Bern, Switzerland. DESIGN:Observational case study. METHODS:Patients with a history of pars plana vitrectomy and IOL exchange with implantation of an aphak...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.07.033
更新日期:2016-10-01 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:To compare the outcome of treatment for myopia by phakic intraocular lens (IOL) implantation or by clear lens extraction (CLE). SETTING:Service d'Ophtalmologie, Hopital Purpan, Toulouse, France. METHODS:Thirty-nine patients from 32 to 49 years of age were studied. Forty-one eyes of 21 patients received a phak...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.02.082
更新日期:2004-10-01 00:00:00
abstract::We report a case of rupture of a radial keratotomy (RK) incision that occurred during clear corneal phacoemulsification 11 years after the initial surgery. The RK was done in both eyes for correction of high myopia (>8.0 diopters). This was followed by 2 enhancement procedures at 6 month intervals. The patient present...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00763-5
更新日期:2001-07-01 00:00:00
abstract:PURPOSE:To evaluate the cleavage plane, corneal cytoarchitecture, and cell vitality of separated corneal epithelial sheets created with 3 commonly used microkeratomes. SETTING:Laboratories of the Regensburg University Medical Center, Regensburg, Germany. METHODS:Mechanical separation of the epithelial layer in 10 por...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.06.028
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:To evaluate the relationship between baseline corneal hysteresis (CH) and the change in intraocular pressure (IOP) before and after cataract extraction in patients without glaucoma. SETTING:Private practice, New York City, New York, USA. DESIGN:Retrospective cohort study. METHODS:Charts of consecutive patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.09.040
更新日期:2015-06-01 00:00:00
abstract::We present a case of spontaneous globe luxation and wound dehiscence that developed in a patient with proptosis 1 day after phacoemulsification with posterior chamber intraocular lens implantation. The wound was repaired and a lateral tarsorrhaphy was performed with successful prevention of further luxations. Upon cat...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00056-7
更新日期:2003-09-01 00:00:00
abstract:PURPOSE:To evaluate potential changes in contrast sensitivity and color discrimination in diabetic patients who had cataract surgery and implantation of the blue-light filtering AcrySof Natural (SN60AT) intraocular lens (IOL) compared with an ultraviolet-only filtering (AcrySof SA60AT) IOL. SETTING:Refractive Surgery ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.04.029
更新日期:2005-11-01 00:00:00
abstract::In 1984, our ophthalmology department switched from intracapsular cataract extraction (ICCE) to extracapsular cataract extraction (ECCE). We reviewed the postoperative incidence of retinal detachment (RD) in two consecutive series: (1) 604 eyes operated on by ICCE from 1982 to 1983 and (2) 1726 eyes operated on by ECC...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80498-1
更新日期:1995-03-01 00:00:00
abstract:PURPOSE:To study the efficacy of several subjective and objective methods of accommodation measurement in normal prepresbyopic and presbyopic populations to identify appropriate methods for measuring the outcome of accommodative restorative procedures. SETTING:University of Houston, College of Optometry, Houston, Texa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.12.045
更新日期:2004-07-01 00:00:00
abstract::Between February 1985 and December 1987, 350 eyes had combined radial keratotomy and transverse keratotomy surgery. All procedures were performed by the same surgeon. The number and length of the radial and transverse incisions were varied according to the surgeon's clinical judgment based on his personal experience a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80074-0
更新日期:1992-07-01 00:00:00
abstract:PURPOSE:To assess how intraocular lens (IOL) formula choice affects refractive outcomes after cataract surgery using IOLMaster biometry. SETTING:Department of Ophthalmology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom. DESIGN:Database study. METHODS:Hypothetical prediction errors were ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.07.032
更新日期:2011-01-01 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:PURPOSE:To use optical coherence tomography (OCT) angiography and a split-spectrum amplitude-decorrelation angiography algorithm to evaluate the changes in the macular vascular system after uncomplicated phacoemulsification. SETTING:Department of Ophthalmology, Eye and and Ear, Nose, and Throat Hospital of Fudan Unive...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.02.014
更新日期:2018-04-01 00:00:00
abstract:PURPOSE:To compare the incidence of posterior capsule rupture and vitreous loss during phacoemulsification with and without the use of an anterior chamber maintainer (ACM) SETTING: Aristotle University Eye Clinic, Thessaloniki, Greece. METHODS:The surgical records of patients who had phacoemulsification by experienced...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/S0886-3350(03)00584-4
更新日期:2004-02-01 00:00:00
abstract::A 39-year-old man was referred with complaints of pain, redness, and reduced vision in the left eye after projectile trauma during hammering. Two years previously, anterior chamber phakic intraocular lenses (pIOLs) had been implanted to correct the patient's high myopia. On presentation, the best corrected visual acui...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.07.022
更新日期:2007-12-01 00:00:00
abstract:PURPOSE:To determine local refractive changes and higher-order aberrations in patients with nuclear or cortical cataract. SETTING:Osaka University Medical School, Osaka, Japan. METHODS:Wavefront analysis of both ocular and corneal aberrations was performed with the Hartmann-Shack aberrometer in 2 patients, a 22-year-...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01176-2
更新日期:2002-03-01 00:00:00
abstract:PURPOSE:To determine the risk factors, intraoperative and postoperative complications, therapeutic interventions, and visual outcomes for persistent postoperative inflammation in primary resident-performed cataract surgeries. SETTING:Ben Taub General Hospital, Houston, Texas, USA. DESIGN:Retrospective case series. M...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.05.006
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:To evaluate the position of posterior chamber intraocular lenses (PC IOLs) at distance and near and the amplitude of pseudoaccommodation in young eyes. SETTING:Department of Ophthalmology, University School of Medical Sciences, Bydgoszcz, Poland. METHODS:This study comprised 45 eyes of 38 patients aged 12 to ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00407-1
更新日期:2000-04-01 00:00:00
abstract::A 67-year-old female developed an endocapsular hyphema after uncomplicated extracapsular cataract surgery. With a neodymium:YAG laser capsulotomy, we drained the blood into the vitreous and restored excellent visual acuity. We hypothesize that endocapsular hyphemas may fail to resorb because of sequestration of the cl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80316-1
更新日期:1993-05-01 00:00:00
abstract::A surgical method for managing poorly dilating pupils preoperatively is presented. A fine polypropylene suture is preplaced through the inferior iris sphincter prior to an inferior radial iridotomy in preparation for nucleus fracture endolenticular phacoemulsification. Placing the suture prior to the iridotomy assures...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80110-1
更新日期:1992-09-01 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::A comprehensive survey was sent to the residency directors of 129 ophthalmology training programs in the United States. Forty percent of residents gained experience as primary surgeon during their first year; 43% performed only part of the surgery. Seventy-three percent began learning cataract extraction using the ext...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01380-9
更新日期:2002-12-01 00:00:00