Abstract:
PURPOSE:To evaluate the safety and efficacy of a single perioperative sub-Tenon's injection of triamcinolone following cataract surgery and its effect on the incidence of early pseudophakic cystoid macular edema (CME). SETTING:Ophthalmology Department, Queen's Medical Centre University Hospital, Nottingham. United Kingdom. METHODS:This prospective randomized controlled trial included 54 eyes (54 patients) having routine cataract surgery. Twenty-seven eyes received the conventional postoperative care with steroid drops (drops group), whereas the other 27 were given a perioperative sub-Tenon's injection of triamcinolone (injection group); 10 of these received 20 mg, and the remaining 17 eyes had 30 mg triamcinolone. All patients were evaluated preoperatively and at days 1, 8, 30, and 90. The outcome measures evaluated were logMAR best corrected visual acuity (BCVA), anterior chamber flare (Kowa-500 flare meter), intraocular pressure, and slitlamp biomicroscopy. Oral fluorescein angiograms were performed at 30 and 90 days to detect angiographic CME. RESULTS:The mean logMAR BCVA improved from a baseline of 0.38 +/- 0.38 (SD) and 0.44 +/- 0.26 to 0.02 +/- 0.14 and 0.0 +/- 0.07 at 90 days in the steroid drops and injection groups, respectively. (P = .59). The mean flare increased from a baseline of 8.9 +/- 3.2 photons/ms and 8.3 +/- 3.7 photons/ms in the steroid drops and injection groups, respectively, to a maximum of +/-14.1 photons/ms and 25.8 +/- 7.5 photons/ms at day 8. Mean flare decreased to 15.8 +/- 9.7 photons/ms and 13.8 +/- 10.1 photons/ms at 30 days (P = .48, difference between groups) and 10.4 +/- 3.6 photons/ms and 9.8 +/- 3.1 photons/ms at 90 days, respectively, in the 2 groups. Subanalysis revealed lowest peak flare (17.9 +/- 7.9 photons/ms) at 8 days in the group that received 30 mg triamcinolone. CONCLUSIONS:A single sub-Tenon's injection of 30 mg triamcinolone seem to be safe and effective as a route of steroid delivery after uneventful phacoemulsification surgery. Larger numbers in patients at high risk are required to assess its effectiveness in reducing the risk for pseudophakic CME.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Negi AK,Browning AC,Vernon SAdoi
10.1016/j.jcrs.2005.12.102subject
Has Abstractpub_date
2006-03-01 00:00:00pages
468-74issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(05)01097-7journal_volume
32pub_type
杂志文章,随机对照试验abstract:PURPOSE:To determine the precision and accuracy of an artificial anterior chamber and a manual microkeratome in obtaining corneal lenticules for lamellar keratoplasty. SETTING:Department of Ophthalmology, Cornea, External Diseases and Refractive Surgery Service, University of California Irvine, Irvine, California, USA...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00896-3
更新日期:2001-10-01 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 determine whether the yellow filters often used for glare reduction influence retinal straylight measured in healthy eyes. SETTING:Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium. DESIGN:Prospective case series. METHODS:For each eye, the spherical equivalent (SE) was determined u...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.06.033
更新日期:2017-08-01 00:00:00
abstract:PURPOSE:To evaluate the Nidek handheld automated keratometer and compare it with the manual Zeiss keratometer. SETTING:St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom. METHODS:Forty-five normal adult volunteers were included in the study. Three sets of randomized keratometry measur...
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(98)80333-7
更新日期:1998-03-01 00:00:00
abstract::About 35% of intraocular lenses now implanted in the United States are narrow profile lenses, measuring on the average 5.0 mm by 6.0 mm. This study sought to determine whether these lenses cause unwanted optical images with a decrease in the quality of vision. Seventy-five eyes with a 5.0 mm x 6.0 mm intraocular lens ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80003-x
更新日期:1993-09-01 00:00:00
abstract::A lenticule of intrastromal corneal tissue was cut together with 2 small incisions of 3.0 mm using a low-energy femtosecond laser system, FEMTO LDV Z8; 1 incision led to the posterior plane and 1 to the anterior, allowing dissection of the lenticule. When needed, recentering of the treatment area was possible without ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000236
更新日期:2020-09-01 00:00:00
abstract::A randomized prospective trial compared keratometric and visual outcomes for 196 patients receiving 3.2 mm, 5.0 mm, or 6.0 mm incisions for cataract removal and intraocular lens implantation. There were no statistically significant differences among the groups preoperatively or at one to two days or three to six month...
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(13)80402-6
更新日期:1993-01-01 00:00:00
abstract::We describe a new technique of transscleral intraocular lens fixation in the absence of adequate posterior capsular support. This technique of suture placement within the ciliary sulcus employs routinely used instruments, requires minimum manipulation, and has good visual outcome and negligible complications. We perfo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80053-3
更新日期:1994-01-01 00:00:00
abstract::Over a 12 month period, we used the anterior chamber maintainer (ACM) in cataract surgery in 258 patients; ages ranged from 15 to 95 years (mean 73 years). Surgery was performed using general or local anesthesia. The procedures were standard extracapsular cataract extraction (ECCE), mini-nuc ECCE, vectis extraction of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80214-8
更新日期:1996-03-01 00:00:00
abstract::Over a nine-year period, our practice removed 1,091 intraocular lenses. The most common type of lens requiring explantation was the closed-loop anterior chamber lens (58.6%). The Stableflex lens represented the largest percentage of all removed lens types (28.8%). The number of closed-loop anterior chamber lenses requ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80100-9
更新日期:1992-09-01 00:00:00
abstract:PURPOSE:To compare corneal endothelial cell density (ECD) and morphology between flap creation with a femtosecond laser and flap creation with a mechanical microkeratome 5 years after laser in situ keratomileusis (LASIK). SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Prospective randomized masked paired-eye ...
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.2012.07.034
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of intracameral recombinant tissue plasminogen activator (rt-PA) application for fibrinolysis of fibrin formation after cataract surgery in children. SETTING:Johann Wolfgang Goethe-University, Department of Ophthalmology, Frankfurt am Main, Germany. METHODS:This study compr...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(99)80083-2
更新日期:1999-03-01 00:00:00
abstract:PURPOSE:To compare uncorrected distance visual acuity (UDVA) and patient-reported outcomes with a new silicone corneal shield and a conventional bandage contact lens (BCL) after photorefractive keratectomy (PRK). SETTING:Stanford Eye Laser Center (Palo Alto, California) and Slade & Baker Vision (Houston, Texas). DESI...
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.2019.08.008
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:To determine depth of focus and visual quality after implantation of a diffractive intraocular lens (IOL) and a refractive IOL. SETTING:University Eye Clinic, Vienna, Austria. METHOD:This study comprised 10 eyes of 9 patients with a diffractive IOL (3M 825x + 4) and 13 eyes of 9 patients with a refractive len...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80262-9
更新日期:1998-05-01 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 compare the efficiencies of the operative procedures and the reductions in postoperative corneal endothelial cell density (ECD) after cataract surgery using 2 different phacoemulsification tips and their associated cassettes and tubing. SETTING:Wolfe Clinic, Marshalltown, Iowa, USA. METHODS:A randomized pr...
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(99)00201-1
更新日期:1999-10-01 00:00:00
abstract::A retrospective study of 98 91Z anterior chamber intraocular lenses used with intracapsular cataract extraction was performed. Minimum follow-up was 12 months and average follow-up was two years seven months. These patients were part of a group of 113 91Z patients previously reported with minimum six-months follow-up ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80104-3
更新日期:1986-07-01 00:00:00
abstract::Nonsteroidal anti-inflammatory drugs (NSAIDs) produce potent analgesic, antipyretic, and anti-inflammatory effects. We studied postoperative pain in 97 consecutive patients having photorefractive keratectomy (PRK) by an excimer laser with different topical NSAID protocols. Treatment with topical homatropine hydrobromi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80756-0
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To evaluate whether laser-assisted subepithelial keratectomy (LASEK) achieves effective targeted myopic correction with less post-treatment corneal haze than observed with photorefractive keratectomy (PRK) in children who fail traditional forms of treatment for myopic anisometropic amblyopia and high myopia. S...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.06.025
更新日期:2004-12-01 00:00:00
abstract::A 21-year-old woman had crosslinking for keratoconus in the right eye; the left eye was scheduled for penetrating keratoplasty. Five days postoperatively, she presented with geographic epithelial keratitis and iritis. Analysis of tear samples by polymerase chain reaction confirmed the diagnosis. The patient was treate...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.06.036
更新日期:2007-11-01 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:PURPOSE:To evaluate the safety of a new suprachoroidal device, the Cypass micro-stent, for the surgical treatment of open-angle glaucoma (OAG) implanted in conjunction with cataract surgery. SETTING:Multicenter clinical study. DESIGN:Prospective interventional case series. METHODS:This is an interim report of an ong...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2012.10.040
更新日期:2013-03-01 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::Several transscleral suturing techniques require intricate surgical maneuvers and are associated with an increased risk for surgical trauma. We describe a new scleral fixation method that combines the advantages of temporary haptic externalization and injector implantation of an intraocular lens (IOL). After IOL inser...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.030
更新日期:2010-05-01 00:00:00
abstract::We report a case in which the capsular bag with an intraocular lens (IOL) and a capsular tension ring (CTR) dislocated into the vitreous. The dislocated foldable posterior chamber IOL and CTR were removed with a pars plana vitrectomy and exchanged with a scleral-fixated IOL. No complications occurred intraoperatively ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.05.016
更新日期:2006-10-01 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::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::A series of 100 patients had cataract extraction with intraocular lens implantation by the endocapsular method of Galand. The astigmatism was assessed at two, six, and 18 weeks postoperatively. The incision and closure and the methods of correcting postoperative astigmatism are discussed. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80141-5
更新日期:1989-01-01 00:00:00
abstract::Any ocular surface disease (OSD), but most commonly, dry-eye disease (DED), can reduce visual quality and quantity and adversely affect refractive measurements before keratorefractive and phacorefractive surgeries. In addition, ocular surgery can exacerbate or induce OSD, leading to worsened vision, increased symptoms...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2019.03.023
更新日期:2019-05-01 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