Abstract：
PURPOSE:To determine whether microcoaxial phacoemulsification can be reliably and safely performed in a clinical setting and whether a full-sized single-piece acrylic intraocular lens (IOL) can be implanted through a 2.2 mm incision. SETTING:Private practice, Cincinnati, Ohio, USA. METHOD:One hundred consecutive patients had cataract surgery by microcoaxial phacoemulsification with the MicroSmooth Ultrasleeve (Alcon Surgical) through a 2.2 mm incision. Anterior chamber stability, incision competency, safety of IOL implantation, intraoperative complications, efficiency, and the learning curve were evaluated. Uncorrected visual acuity (UCVA) on the first postoperative day, corneal appearance, intraocular pressure, and postoperative complications were also analyzed. RESULTS:Anterior chamber stability and incision competency were consistently excellent. The incision enlarged from 2.2 mm to 2.3 mm in 80% of the patients, to 2.4 mm in 12%, and to 2.5 mm in 8%. A high-power IOL and/or IOL insertion difficulty may account for 7 of the latter 8 cases. Efficiency and safety were equivalent to those in traditional phacoemulsification. The learning curve with the Ultrasleeve was minimal, although IOL implantation was initially more difficult. The UCVA on the first postoperative day was 20/40 or better in 91% of patients, a result consistent with mild corneal edema. There were no postoperative complications. CONCLUSIONS:The clinical results in a prospective series of 100 patients confirmed the efficacy and safety of microcoaxial phacoemulsification. Fluidic advantages, competent incisions, and the new countertraction implantation technique provide another approach to achieving less-invasive, high-quality cataract surgery.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Osher RHdoi
10.1016/j.jcrs.2006.10.055subject
Has Abstractpub_date
2007-03-01 00:00:00pages
408-12issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(06)01575-6journal_volume
33pub_type
杂志文章abstract：:We report 2 intraocular lenses (IOLs) manufactured from the same hydrophilic acrylic polymer by Ioltech that developed optic opacification. In both cases, the postoperative course after implantation of the IOLs was complicated by significant inflammatory reaction with fibrin formation in the anterior chamber. Patholog...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.01.076
更新日期：2006-05-01 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：:A technique is described in which a posterior chamber intraocular lens (IOL) is implanted in eyes with partial loss of posterior capsule or zonular support. The IOL's inferior haptic is placed over the residual capsule and the superior haptic is fixated to the ciliary sulcus with a polypropylene suture. In 17 eyes tha...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80278-7
更新日期：1997-06-01 00:00:00
abstract：PURPOSE:To compare the early postoperative visual rehabilitation after laser-assisted subepithelial keratectomy (LASEK) and photorefractive keratectomy (PRK) for the correction of myopia. SETTING:CODET Aris Vision Institute, Tijuana, Mexico. METHODS:This prospective study included 50 eyes of 25 patients with myopia w...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(02)01376-7
更新日期：2002-08-01 00:00:00
abstract：:Intraocular metallic-appearing foreign bodies in the anterior segment were seen in six eyes after cataract extraction by two-handed phacoemulsification. These fragments produced no symptoms and had no clinically significant effect on visual function. Similar-appearing foreign bodies were experimentally produced by app...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80078-2
更新日期：1996-11-01 00:00:00
abstract：:We developed a formula to measure the posterior curvature of the cornea. In our study, real corneal power in 51 eyes was calculated by using anterior and posterior curvatures and corneal thickness. The corneal refractive index was found to be a variable value between 1.3243 and 1.3339 (mean 1.3304 +/- 0.0003). ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80151-4
更新日期：1994-03-01 00:00:00
abstract：PURPOSE:To compare the outcome of phacotrabeculectomy with implantation of poly(methyl methacrylate) (PMMA) or foldable silicone intraocular lenses (IOLs). METHODS:Thirty patients were randomized to receive a 5.5 mm PMMA IOL through a 5.0 mm incision or a foldable silicone IOL (Allergan SI-30) through a 3.2 mm incisio...
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)00478-8
更新日期：2000-10-01 00:00:00
abstract：PURPOSE:To optimize the implantable collamer lens (ICL) sizing method using anterior segment optical coherence tomography (AS-OCT). SETTING:Nagoya Eye Clinic, Nagoya, Japan. DESIGN:Interventional case series. METHODS:A stepwise multiple regression analysis was performed using the optimal ICL size as a dependent vari...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000134
更新日期：2020-05-01 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：PURPOSE:To assess the correlation between continuous curvilinear capsulorhexis (CCC) size and visual outcomes in patients with an accommodating intraocular lens (IOL). SETTING:Heidelberg IOL and Refractive Surgery Research Group, Department of Ophthalmology, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.071
更新日期：2005-02-01 00:00:00
abstract：:Two hundred consecutive patients were enrolled in a randomized, prospective clinical trial evaluating the efficacy of diclofenac sodium (Voltaren Ophthalmic) in reducing patient discomfort after cataract surgery. Other factors evaluated were the effect of preoperative flurbiprofen (Ocufen) in preventing intraoperative...
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)80508-1
更新日期：1995-03-01 00:00:00
abstract：:A 30-year-old man with bilateral congenital aniridia presented with a subluxated cataract in the right eye. He wore a soft contact lens for aphakic correction in the fellow eye after lensectomy for a subluxated cataract. We performed pars plana lensectomy and vitrectomy with implantation of a transscleral ciliary sulc...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80222-2
更新日期：1997-05-01 00:00:00
abstract：:We report a case of toxic anterior segment syndrome (TASS) that developed after cataract surgery. A 78-year-old woman had uneventful phacoemulsification via a clear corneal incision with implantation of an acrylic intraocular lens. One day postoperatively, diffuse corneal edema and anterior chamber inflammation were e...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.07.052
更新日期：2010-02-01 00:00:00
abstract：PURPOSE:To evaluate the long-term effects of extraction of incipient cataracts or clear lenses on glaucoma control in patients with subacute or chronic angle-closure glaucoma. SETTING:Department of Ophthalmology, University of Amsterdam, The Netherlands. METHODS:This retrospective analysis comprised 22 extracapsular ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80227-7
更新日期：1998-10-01 00:00:00
abstract：PURPOSE:To evaluate whether hyperopic patients with short axial length and high dioptric intraocular lens (IOL) power can achieve a higher depth of focus after implantation of a monofocal spherical or aspheric IOL than emmetropic patients. SETTING:Department of Ophthalmology, Medical University Graz, Graz, Austria. D...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.08.012
更新日期：2017-11-01 00:00:00
abstract：PURPOSE:To theoretically compare the corneal stress distribution of laser in situ keratomileusis (LASIK) with the stress distribution of small-incision lenticule extraction. SETTING:Cleveland Clinic Cole Institute, Cleveland, and The Ohio State University, Columbus, Ohio, USA. DESIGN:Computational modeling study. ME...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.08.065
更新日期：2014-06-01 00:00:00
abstract：:In 144 eyes in 144 patients with senile cataract the rate of posterior capsular opacification requiring YAG capsulotomy up to 36 months following intercapsular cataract surgery with lens epithelial cell removal using ultrasound and aspiration was evaluated and compared to the rate for 471 senile cataractous eyes in pa...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80253-2
更新日期：1991-03-01 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 compare tilt and some higher-order aberrations (HOAs) in patients who had cataract surgery and implantation of 2 types of acrylic intraocular lens (IOL), the hydrophobic MA60AC (Alcon) or the hydrophilic XLSTABI (Ioltech). SETTING:Fondation Ophtalmologique Adolphe de Rothschild, Department of Pr Hoang-Xuan,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.01.099
更新日期：2006-07-01 00:00:00
abstract：PURPOSE:To assess the refractive accuracy of different formulas for intraocular lens (IOL) power calculation in eyes with keratoconus. SETTING:IRCCS Fondazione Bietti, Rome, Italy. DESIGN:Multicenter retrospective interventional study. METHODS:A consecutive series of eyes with keratoconus that had cataract surgery w...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jcrs.2018.11.029
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:To test the accuracy and reliability of the first-generation prototype of Tracey-1, a ray-tracing refractometer. SETTING:Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. METHODS:The refractive spherical equivalent (SE) and astigmatism measured by Tracey-1, subjective manifest refraction ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01103-8
更新日期：2002-02-01 00:00:00
abstract：:We evaluated two topical cyclo-oxygenase inhibitors (COIs), 0.03% flurbiprofen and 1% indomethacin, for their ability to prevent pseudophakic cystoid macular edema (CME). The study was a randomized, double-masked, vehicle-controlled, parallel group, clinical trial for six months at eight sites in Canada and two in Ger...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0886-3350(13)80484-1
更新日期：1995-01-01 00:00:00
abstract：PURPOSE:To evaluate the safety and kinetics of prophylactic intracameral cefuroxime in cataract surgery. SETTING:Department of Ophthalmology, St. Eriks Hospital, Stockholm, Sweden. METHODS:In a nonrandomized observer-masked best-case trial, the visual rehabilitation and the evolution of laser flare intensity and corn...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(01)01270-6
更新日期：2002-06-01 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 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：PURPOSE:To use the double-pass technique to evaluate the in vitro optical quality of foldable monofocal intraocular lenses (IOLs) used to correct aphakia. SETTING:Universitat Politècnica de Catalunya, Terrassa, and Instituto de Microcirugía Ocular de Barcelona, Barcelona, Spain; Universidad Nacional de Tucumán, Tucumá...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.03.022
更新日期：2009-08-01 00:00:00
abstract：:Eighty-two keratotomy procedures were performed for both idiopathic and postsurgical astigmatism or myopic astigmatism and analyzed for efficacy using vector and linear regression analysis. Delta keratometry values (delta K) were computed for each case as delta K in the desired axis of effect using vector analysis. Si...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80134-8
更新日期：1989-01-01 00:00:00
abstract：PURPOSE:To compare short-term clinical, postoperative astigmatism, and uncorrected visual acuity results 2 months after no-stitch phacoemulsification using a temporal clear corneal approach and poly(methyl methacrylate) (PMMA) intraocular lens (IOL) implantation through a 5.2 mm incision with those after no-stitch supe...
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)80352-5
更新日期：1997-03-01 00:00:00
abstract：PURPOSE:To compare near vision and quality of vision after controlling for pseudoaccommodation in patients with single-optic accommodating intraocular lenses (IOLs) or monofocal IOLs targeted for mini-monovision. SETTING:Clinical practice. DESIGN:Prospective randomized controlled clinical trial. METHODS:Patients wer...
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.2012.08.059
更新日期：2013-01-01 00:00:00
abstract：PURPOSE:To present clinical findings of a cluster of cases of toxic anterior segment syndrome (TASS) after uneventful phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Akdeniz University, Antalya, Turkey. METHODS:Six eyes of 6 patients developed TASS after uneventful phacoemulsification catar...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.05.008
更新日期：2006-10-01 00:00:00
