Abstract:
PURPOSE:To examine the profile of clear corneal cataract incisions in the living eye using optical coherence tomography (OCT). SETTING:Private practice, Eugene, Oregon, USA. METHODS:The Zeiss Visante OCT anterior segment imaging system was used to study the profile of clear corneal cataract incisions, all in senior citizens. The OCT images of the operative eye were taken on the first postoperative day approximately 24 hours after surgery. The OCT images of clear corneal incisions were compared with an OCT image of a control eye, incisions without stromal hydration, and previous drawings of clear corneal incisions. RESULTS:In the images, the clear corneal incisions had an arcuate configuration rather than a straight line configuration, as previously indicated. This architecture appears to add greater stability as a result of a tongue-and-groove-like fit of the floor to the roof of the incision as well as an incision that is longer than the chord length that had previously been measured. Other findings include that stromal swelling, which facilitates sealing of these incisions by the endothelial pump, lasted for at least 24 hours. CONCLUSIONS:Results indicate an incision in the plane of the cornea with a chord length of at least 2.0 mm provides advantageous architecture for adequate self-sealing. Proper clear corneal incision construction resulted in an incision architecture that seemed to have increased stability and added safety, contributing to an absence of endophthalmitis for more than 10 years and 9000 cases in a single practice.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Fine IH,Hoffman RS,Packer Mdoi
10.1016/j.jcrs.2006.09.016subject
Has Abstractpub_date
2007-01-01 00:00:00pages
94-7issue
1eissn
0886-3350issn
1873-4502pii
S0886-3350(06)01219-3journal_volume
33pub_type
杂志文章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::We performed morphometric analysis of the central corneal endothelium on 24 eyes of 19 patients who had had anterior radial keratotomy. The endothelium was analyzed for a variety of parameters, including cell area, perimeter, side lengths, cell shape, and number of sides. Mean, standard deviation, and coefficient of v...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80068-8
更新日期:1987-05-01 00:00:00
abstract::In 8 cases that presented with symptomatic posterior chamber IOL subluxation, a McCannel polypropylene (Prolene) suture was used with the Siepser slipknot technique to successfully refixate the IOLs to the iris. There were no intraoperative complications, and a round pupil was preserved in all cases. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.10.025
更新日期:2004-06-01 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:PURPOSE:To find the incidence, contributing factors, outcomes, and clinical impact of intraoperative posterior capsule striae. SETTING:Iladevi Cataract & IOL Research Centre, Ahmedabad, India. METHODS:In a prospective study, 100 consecutive eyes had phacoemulsification and intraocular lens (IOL) (AcrySof MA30BA) impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(99)00197-2
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:To compare the change in ocular higher-order wavefront aberrations (HOAs), visual acuity, and modulation transfer function (MTF) after lens extraction with intraocular lens (IOL) implantation in patients with subluxated lenses. SETTING:Iladevi Cataract & IOL Research Centre, Ahmedabad, India. DESIGN:Prospecti...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.12.017
更新日期:2018-03-01 00:00:00
abstract::Corectopia, the eccentric displacement of the pupil, may be associated with other abnormalities such as axial high myopia or ectopia lentis. We report the case of a patient presenting for surgery to correct bilateral myopia of 6.50 diopters (D) associated with corectopia. Excimer laser ablation was decentered and perf...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00018-8
更新日期:1999-05-01 00:00:00
abstract:PURPOSE:To evaluate the effect of a capsular tension ring (CTR) on the shape of the capsular bag, the extent of the capsular opening, and the shape of intraocular lenses (IOLs). SETTING:Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. METHODS:The corneal button was rem...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00610-6
更新日期:2001-03-01 00:00:00
abstract:PURPOSE:To assess endothelial damage induced by poly(methyl methacrylate) (PMMA) intraocular lenses (IOLs) coated with a fluorocarbon polymer, Teflon AF, to make them highly hydrophobic. SETTING:Department of Ophthalmology. Hôtel-Dieu Hospital, Paris, France. METHODS:Ten Teflon-coated and 10 uncoated PMMA IOLs were u...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80073-9
更新日期:1997-09-01 00:00:00
abstract::A patient with bilateral Salzmann's nodular degeneration developed a myopic shift of 9 diopters in the right eye and 5 diopters in the left eye after removal of his nodules. This previously unreported complication of removal of peripheral corneal pathology is discussed in light of our current understanding of keratore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80658-x
更新日期:1994-11-01 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:PURPOSE:To determine the ability of the limulus amoebocyte lysate (LAL) assay and the in vitro pyrogen test (IPT) to detect pyrogens adsorbed to intraocular lenses (IOLs). SETTING:Berlin Eye Research Institute, Berlin, Germany. METHODS:Fifteen of each of the following IOLs were used: MicroSil MS 612 ASP, AcrySof SA60...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.03.012
更新日期:2009-07-01 00:00:00
abstract::We present 4 cases of anterior capsule contraction syndrome in which progressive shrinkage of the anterior capsulorhexis developed after uneventful phacoemulsification. Three eyes were pseudophakic, and 1 eye remained aphakic. The newly formed membrane was surgically peeled from the anterior capsule, restoring the cap...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.08.034
更新日期:2004-04-01 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:PURPOSE:To measure the rheological behaviour of artificial tears to gain insight into the potential role of rheology in predicting the efficacy of artificial tear solutions for the treatment of dry eye disease (DED). SETTING:Research laboratories of I-MED Pharma, Canada, Rohn and Associates, Inc., New Jersey, and Hyda...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000507
更新日期:2020-11-30 00:00:00
abstract::The elimination of hydroxypropyl methylcellulose (HPMC) of molecular weight 86,000 daltons (2%, viscosity 4,000 centipoises; 2.5%, 15,000 centipoises) and 120,000 daltons (2%, 15,000 centipoises) from the anterior chamber of rabbit eyes was determined colorimetrically and was nearly complete by 24 hours. The eliminati...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80009-4
更新日期:1989-03-01 00:00:00
abstract:PURPOSE:To evaluate ocular penetration of topically applied linezolid, a new antibiotic agent targeted against gram-positive organisms. SETTING:Laboratory of Pharmacology, University Hospital of Strasbourg, Strasbourg, France. METHODS:New Zealand White rabbits were divided into 3 equal groups. One drop of 50 microL (...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.09.036
更新日期:2010-03-01 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
abstract::Traumatic aniridia and aphakia occurred in the left eye of a 22-year-old man who had had Artisan (Ophtec) phakic intraocular lens (IOL) implantation. Aniridia was probably the result of the relatively large wound used to implant the nonfoldable IOL. Although the eye had severe traumatic damage, vision was recoverable ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.03.037
更新日期:2007-07-01 00:00:00
abstract:PURPOSE:To assess the efficacy of viscocanalostomy in eyes with uncontrolled glaucoma secondary to uveitis. SETTING:Immunology and Uveitis Service, Department of Ophthalmology and Visual Sciences, University Hospital San Raffaele, Milan, Italy. METHODS:All consecutive patients with glaucoma secondary to uveitis and i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.10.029
更新日期:2004-03-01 00:00:00
abstract:PURPOSE:To evaluate the complication rate of corneal crosslinking (CXL) for primary keratectasia and to develop recommendations for avoiding complications. SETTING:Institut für Refraktive und Ophthalmo-Chirurgie, Zurich, Switzerland. METHODS:In a prospective study, eyes with verified progressive keratectasia had stan...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.03.035
更新日期:2009-08-01 00:00:00
abstract:UNLABELLED:We present the case of an 81-year-old man with pseudoexfoliation syndrome (PXF) in whom spontaneous bilateral anterior partial in-the-bag intraocular lens (IOL) dislocation was diagnosed following a routine dilated examination that demonstrated only mild pseudophacodonesis with no evidence of subluxation. Un...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.008
更新日期:2014-09-01 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:PURPOSE:To study the incidence of and risk factors for pupillary capture after transscleral fixation of a posterior chamber intraocular lens (PC IOL) for dislocated IOLs. SETTING:Department of Ophthalmology, Kyungpook National University Hospital, Daegu, South Korea. DESIGN:Retrospective case series. METHODS:Charts ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.05.006
更新日期:2016-08-01 00:00:00
abstract::We describe a technique that prevents the Argentinean flag sign in white cataract. The technique is based on the intumescent cataract having 2 rather than 1 pressurized compartments within the crystalline lens, the anterior and the posterior. The pressure that pushes the nucleus upward, which is the movement responsib...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.07.002
更新日期:2012-09-01 00:00:00
abstract:PURPOSE:To determine the safety and efficacy of viscocanalostomy and cataract extraction by phacoemulsification combined with viscocanalostomy (phacoviscocanalostomy) in the management of medically uncontrolled glaucoma. SETTING:Department of Ophthalmic Surgery, Warrington Hospital, Warrington, England. METHODS:This ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(01)01285-8
更新日期:2002-05-01 00:00:00
abstract::We report the case of a 49-year-old patient with megalocornea and coexisting corneal astigmatism. The corneal diameter in the right eye was 15.0 mm and in the left eye, 14.9 mm. In both eyes, a nuclear sclerotic cataract developed, with the tendency toward cortical mass swelling in the right eye. The aim of surgical t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.04.023
更新日期:2011-08-01 00:00:00
abstract::We report 2 patients who experienced progressive blurring of vision following myopic laser in situ keratomileusis (LASIK) in 1 eye (Case 1) and bilaterally (Case 2). High against-the-rule astigmatism, associated with perilimbal thinning inferiorly, was seen on refraction in all eyes. Regional corneal pachymetry confir...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00047-6
更新日期:2003-04-01 00:00:00
abstract:PURPOSE:To determine whether donor eyes had previous refractive surgery using Orbscan (Bausch & Lomb Surgical) corneal topography. SETTING:Lions Eye Bank of Oregon, Portland, Oregon, USA, and Maisonneuve-Rosemont, Hospital, Montreal, Quebec, Canada. METHODS:Orbscan corneal topographies of 50 donor eyes from the Lions...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.12.035
更新日期:2006-02-01 00:00:00
abstract:PURPOSE:To determine the in vitro bacterial adherence to intraocular lenses (IOLs) routinely used at 1 center. SETTING:University Hospital of Vienna, Vienna, Austria. METHODS:Four types of rigid IOLs (hydrophobic poly[methyl methacrylate] [PMMA] and hydrophilic heparin-surface-modified PMMA) and 5 types of foldable i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01741-8
更新日期:2003-02-01 00:00:00