Abstract：
PURPOSE:To determine the incidence of anterior capsule tears, at what stage of surgery they occurred, and their intraoperative behavior. SETTING:Ambulatory surgery center, Cincinnati Eye Institute, Cincinnati, Ohio, USA. METHODS:This 5-year retrospective study was of patients having phacoemulsification with posterior chamber intraocular lens (IOL) implantation complicated by unplanned peripheral extension of the capsulorhexis tear or a radial anterior capsule tear. The operative notes and a videotape of the surgery were reviewed. The stage at which the tear was initially observed and when it extended were identified, as was whether the tear extended to the posterior capsule. Anterior vitrectomy and the design and location of the IOL implanted were also analyzed. RESULTS:A discontinuous anterior capsulorhexis or a break in the anterior capsule rim was observed in 21 eyes of 2646 cases, for an overall incidence of 0.79%. Anterior capsule tears were identified during ophthalmic viscosurgical device injection in 1 eye, capsulorhexis in 13 eyes, hydrodissection in 2 eyes, phacoemulsification in 3 eyes, irrigation/aspiration (I/A) in 1 eye, and implantation of a prosthetic iris device in 1 eye. Seven of the 13 tears identified during the capsulorhexis were managed by redirecting the second edge of the "safety" capsulorhexis to incorporate the tear. In 14 eyes, the tear in the anterior capsule extended into the zonules; 4 of these tears were limited. Ten tears extended around the equator and through the posterior capsule, occurring during the hydrodissection in 1 eye, phacoemulsification in 2 eyes, I/A in 1 eye, and IOL implantation in 6 eyes. An anterior vitrectomy was required in 4 eyes that had posterior capsule involvement. Endocapsular fixation of a 1-piece acrylic IOL was achieved in 18 eyes. Three eyes required implantation of a 3-piece acrylic IOL in the ciliary sulcus. CONCLUSIONS:Extension of an anterior capsule tear can complicate cataract surgery at any stage. Extension of the tear through the posterior capsule occurred in almost half the eyes with an anterior capsule tear, often requiring an anterior vitrectomy. Managing an anterior capsule tear can be challenging yet compatible with implantation of a posterior chamber IOL.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Marques FF,Marques DM,Osher RH,Osher JMdoi
10.1016/j.jcrs.2006.05.013subject
Has Abstractpub_date
2006-10-01 00:00:00pages
1638-42issue
10eissn
0886-3350issn
1873-4502pii
S0886-3350(06)00880-7journal_volume
32pub_type
杂志文章abstract：PURPOSE:To evaluate the intraocular pressure (IOP)-lowering efficacy and safety of incisional goniotomy as an adjunct to phacoemulsification in primary angle-closure glaucoma (PACG) patients. METHODS:In this prospective interventional case series, consecutive patients with PACG (high or borderline IOP) deemed fit for ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000481
更新日期：2020-11-19 00:00:00
abstract：:We describe a modification of the original 14C Morcher capsular tension ring. The new ring, the Henderson capsule tension ring (HCTR, Morcher), is an open C-shaped loop made of poly(methyl methacrylate). It has 8 equally spaced indentations of 0.15 mm to improve the ease of removing nuclear and cortical material while...
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.2007.05.041
更新日期：2007-10-01 00:00:00
abstract：PURPOSE:To evaluate corneal endothelium morphology and function after phacoemulsification using different viscoelastics. SETTING:Eye Clinic, University of Trieste, Italy. METHODS:This prospective, randomized study included results of preoperative and postoperative (7, 30, and 90 days) examinations of 66 patients sche...
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(97)80190-3
更新日期：1997-04-01 00:00:00
abstract：:Cortex removal, especially at the 12 o'clock position, is more difficult with small incision phacoemulsification than with planned extracapsular cataract extraction. In this study an irrigation/aspiration handpiece with changeable tips was used for cortex removal in a large, unselected, consecutive series of small inc...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80911-x
更新日期：1992-05-01 00:00:00
abstract：UNLABELLED:We present a technique that uses a near-point string to demonstrate the anticipated near point of multifocal and accommodating intraocular lenses (IOLs). Beads are placed on the string at distances corresponding to the near points for diffractive and accommodating IOLs. The string is held up to the patient's...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.04.003
更新日期：2016-05-01 00:00:00
abstract：:A prospective study of function and fixation was done on 40 patients implanted with small incision poly(methyl methacrylate), single piece, biconvex intraocular lenses after in situ phacoemulsification cataract extraction via a continuous curvilinear capsulorhexis. A 5.0 mm circular optic (Pharmacia 740 P), 14 mm leng...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80919-4
更新日期：1992-03-01 00:00:00
abstract：PURPOSE:To investigate whether topical diclofenac sodium 0.1% solution (Voltaren Ophthalmic) is as efficacious as topical ketorolac tromethamine 0.5% solution (Acular) in the treatment of established, chronic cystoid macular edema (CME) after uneventful phacoemulsification cataract extraction with posterior chamber int...
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(03)00233-5
更新日期：2003-12-01 00:00:00
abstract：:We present a series of nine cases involving primary intraocular lens implantation in congenital cataracts. Because of the problems encountered with the technique used in the earlier cases, we developed a new surgical technique that may be described as primary epilenticular posterior chamber lens implantation followed ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80088-9
更新日期：1988-03-01 00:00:00
abstract：:This retrospective observational case series describes a clinical syndrome in laser refractive surgery. Five eyes of 4 patients with noninflammatory peripheral corneal opacification in the period immediately after photorefractive keratectomy or laser in situ keratomileusis were identified and the charts abstracted. Pe...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.07.008
更新日期：2012-09-01 00:00:00
abstract：PURPOSE:To compare posterior capsule opacification (PCO) after phacoemulsification and implantation of heparin-surface-modified (HSM) poly(methyl methacrylate) (PMMA) intraocular lenses (IOLs) in the capsular bag in patients with diabetes mellitus with that in a control group. SETTING:St. Erik's Eye Hospital, Stockhol...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)80132-1
更新日期：1999-02-01 00:00:00
abstract：:Four different posterior chamber lens designs were used in 1,845 consecutive, unselected extracapsular cataract extractions performed over a 31-month period in Vejle, Denmark. Ninety-seven eyes (5.3%) required a posterior capsulotomy during a postoperative observation period ranging from two to 32 months. At 16 months...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80143-3
更新日期：1988-07-01 00:00:00
abstract：PURPOSE:To compare the effectiveness of 2 medications commonly used to prevent intraocular pressure (IOP) elevation in the early period after cataract surgery. SETTING:Palo Alto Veterans Affairs Health Care System, Palo Alto, California, USA. METHODS:This prospective study comprised 202 eyes of patients scheduled for...
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)80172-7
更新日期：1998-11-01 00:00:00
abstract：PURPOSE:To study the effect of two incision sizes, 5.2 and 11.0 mm, on the inflammatory response in rabbit eyes after lens extraction with phacoemulsification. SETTING:S:t Erik's Eye Hospital, Stockholm, and Pharmacia, Uppsala, Sweden. METHODS:Bilateral endocapsular phacoemulsification was performed on 32 rabbits. Th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80163-0
更新日期：1997-01-01 00:00:00
abstract：:We developed and evaluated a method of visualizing vitreous gel in the anterior segment. In this study, 0.2 mL of injectable triamcinolone (Kenalog) 40 mg/mL was captured in a 5 microm filter and rinsed with 2 mL of balanced salt solution (BSS). It was then resuspended in 5 mL of BSS and recaptured to thoroughly remov...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(03)00016-6
更新日期：2003-04-01 00:00:00
abstract：PURPOSE:To evaluate the change in higher-order aberrations (HOAs) after implantation of a foldable iris-claw phakic intraocular lens (pIOL) in myopic eyes. SETTING:Department of Ophthalmology, Johannes Gutenberg-University, Mainz, Germany. METHODS:This prospective nonrandomized comparative self-controlled trial inclu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.12.036
更新日期：2006-02-01 00:00:00
abstract：PURPOSE:To evaluate the influence of preoperative variables and early postoperative intraocular pressure (IOP) on the loss of corneal endothelial cells after phacoemulsification in eyes with occludable angles. SETTING:Taipei Veterans General Hospital, Taipei, Taiwan. METHODS:Sixty patients with occludable angles havi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.07.057
更新日期：2008-01-01 00:00:00
abstract：PURPOSE:To compare the variance in manifest refraction spherical equivalent (MRSE) after photorefractive keratectomy (PRK) with mitomycin-C (MMC), PRK without MMC, and laser in situ keratomileusis (LASIK) for the treatment of myopic astigmatism. SETTING:Jules Stein Eye Institute, University of California, Los Angeles,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.02.048
更新日期：2014-12-01 00:00:00
abstract：:Penetrating keratoplasty in the presence of a perforated cornea is a relatively common and difficult surgical problem. In the worst scenario, there may be extrusion of ocular contents during trephination. Two cases of perforated corneas are presented in which a new technique was used to close the perforation and norma...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.10.060
更新日期：2005-05-01 00:00:00
abstract：PURPOSE:To determine the effect of a liquid dissection technique on clinical outcomes with ultrastructural analysis of the lenticule surface in small-incision lenticule extraction (SMILE). SETTING:Zhongshan Ophthalmic Center, Guangzhou, China. DESIGN:Prospective case series. METHODS:Consecutive patients with myopia ...
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.2018.06.023
更新日期：2018-09-01 00:00:00
abstract：PURPOSE:To evaluate the effect of neodymium:YAG (Nd:YAG) laser capsulotomy on the visual function in patients with posterior capsule opacification (PCO) and good visual acuity. SETTING:Keio University Hospital, Tokyo, Japan. DESIGN:Observational case series. METHODS:Eyes were evaluated that had previous cataract sur...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.11.042
更新日期：2016-03-01 00:00:00
abstract：PURPOSE:To assess the potential effect of surface light scattering on light transmittance of 1-piece hydrophobic acrylic intraocular lenses (IOLs) with or without a blue-light filter. SETTING:John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN:Experimental study. METHODS:Intraocular lense...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.05.050
更新日期：2014-01-01 00:00:00
abstract：PURPOSE:To study the microanatomic edge structures of anterior lens capsule specimens derived from manual and femtosecond laser-assisted capsulotomies. SETTING:Department of Ophthalmology, Goethe-University, Frankfurt, Germany. DESIGN:Experimental study. METHODS:Of 60 eyes with lens removal and intraocular lens impl...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.07.024
更新日期：2013-10-01 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：PURPOSE:To compare the intraoperative behavior and postoperative outcomes of posterior capsule dehiscence during phacoemulsification and during manual extracapsular cataract extraction (ECCE). SETTING:L.V. Prasad Eye Institute, Hyderabad, India. METHODS:This study was a retrospective chart review of consecutive cases...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01696-6
更新日期：2003-03-01 00:00:00
abstract：PURPOSE:To assess the repeatability and agreement of corneal power, corneal astigmatism, axis location, and astigmatic vector component measurements using an autokeratometer and a corneal topographer in healthy subjects. SETTING:Department of Ophthalmology, Kitasato University, Kanagawa, Japan. DESIGN:Evaluation of d...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.11.026
更新日期：2012-04-01 00:00:00
abstract：PURPOSE:To compare the effect of erbium:YAG laser photocapsulotomy (ELC), continuous curvilinear capsulorhexis (CCC), and high-frequency capsulotomy (HFC) on anterior capsule edges using light microscopy (LM) and transmission electron microscopy (TEM). SETTING:Department of Ophthalmology, Department of Histology and E...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/S0886-3350(03)00652-7
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:To compare the accuracy of a handheld infrared digital pupillometer and digital infrared photography for measurement of the dark-adapted pupil diameter. SETTING:Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, Texas, USA. METHODS:The right horizontal pupi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.09.025
更新日期：2010-02-01 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：:A survey of intraocular lens (IOL) explantations performed during the 1984 calendar year requested dates of implantation and explantation, lens manufacturer, and lens style for anterior chamber, posterior chamber, and iris-supported lenses. The survey was distributed to 3,640 members of the American Society of Catarac...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(86)80078-5
更新日期：1986-11-01 00:00:00
abstract：PURPOSE:To study the safety and efficacy of refractive enhancement by flap lifting 5 and 10 years after laser in situ keratomileusis (LASIK). SETTING:Vissum Alicante, Spain. DESIGN:Retrospective case series. METHODS:Eyes with a flap lift at least 5 years after primary LASIK with a 3-month follow-up were evaluated. T...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.05.030
更新日期：2019-10-01 00:00:00
