Abstract:
PURPOSE:To compare vision-related quality of life after binocular implantation of the Tecnis Z9000 intraocular lens (IOL) (Advanced Medical Optics) or the AcrySof MA60AC IOL (Alcon). SETTING:Moorfields Eye Hospital, London, United Kingdom. METHODS:The study was a double-masked prospective randomized controlled trial. The main outcome measure was the percentage of patients achieving a Visual Function-14 (VF-14) score of 90 or higher. Additional outcome measures were dysphotopsia symptom scores, a 5-point subjective grading of overall satisfaction, refraction, photopic and mesopic best corrected visual acuities, uncorrected visual acuity, Pelli-Robson contrast sensitivity, aberrometry, infrared pupillometry, and evaluation of posterior capsule opacification scores. RESULTS:Seventy-nine patients who had bilateral implantation of the Z9000 IOL and 100 patients who had bilateral implantation of the MA60AC IOL were assessed a mean of 7.9 months +/- 2.9 (SD) (range 4 to 16 months) after second-eye surgery. Spherical aberration (mean: Z9000, 0.00 microm +/- 0.06 [SD]; MA60AC, +0.14 +/- 0.09 microm) and root mean square scores for higher-order aberrations combined (mean: Z9000, 0.26 +/- 0.11 microm; MA60AC, 0.32 +/- 0.14 microm) were significantly lower in patients with the Z9000 IOL (P<.001 and P = .007, respectively). The VF-14 scores were 90 or higher in 96.2% of Z9000 patients and 90.0% of MA60AC patients (P = .15). It is unlikely that this weak trend in favor of the Z9000 IOL was clinically significant. The VF-14 scores were heavily skewed toward a perfect outcome and similarly distributed in both groups (median 100; interquartile range 98 to 100). Results for all other outcomes, including measures of acuity, were similarly distributed in Z9000 patients and MA60AC patients. CONCLUSIONS:The Z9000 IOL reduced spherical aberration compared with the MA60AC IOL. No improvement in subjective visual function using the VF-14 questionnaire was detected.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Moorfields IOL Study Group.,Allan Bdoi
10.1016/j.jcrs.2007.04.039subject
Has Abstractpub_date
2007-09-01 00:00:00pages
1559-64issue
9eissn
0886-3350issn
1873-4502pii
S0886-3350(07)00903-0journal_volume
33pub_type
杂志文章,随机对照试验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::Two patients with a history of frequent recurrent corneal erosion for whom standard medical therapy was determined ineffective had phototherapeutic keratectomy (PTK) with an excimer laser. Before treatment, one patient had four episodes in a six-month period; the other had ten to 20 recurrences with four serious episo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80161-7
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To investigate the penetration of topically applied levofloxacin 0.5% and ofloxacin 0.3% eyedrops into the aqueous humor of patients having cataract surgery. SETTING:Hochkreuzklinik Eye Hospital, Bonn, Germany. METHODS:In this randomized, investigator-masked study, 69 patients received 4 drops of either levof...
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/j.jcrs.2004.12.063
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To evaluate the feasibility and risks of primary posterior capsulorhexis. SETTING:Department of Ophthalmology, University Hospital of Liège, Belgium. METHODS:Retrospective analysis of 319 patients with cataracts who had phacoemulsification or manual extracapsular cataract extraction with a simultaneous circul...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80042-3
更新日期:1996-05-01 00:00:00
abstract:PURPOSE:To determine the relation between ablation zone decentration, measured by corneal topography, and visual and refractive outcome, contrast sensitivity, glare, and subjective reports of halos after photorefractive keratectomy (PRK). SETTING:Eye Foundation, University of Missouri-Kansas City School of Medicine. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(96)80305-1
更新日期:1996-07-01 00:00:00
abstract:PURPOSE:To evaluate the actual versus the expected thickness of laser in situ keratomileusis (LASIK) flaps and to determine the factors that affect flap thickness. SETTING:Centre For Sight, Queen Victoria Hospital, East Grinstead, United Kingdom. METHODS:A retrospective analysis of LASIK procedures in 757 consecutive...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.070
更新日期:2004-05-01 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::We report a case of Candida infection after laser in situ keratomileusis (LASIK) and review the literature for reports of post-LASIK fungal infections. Risk factors may include postoperative surgical intervention and extended use of topical steroids. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00217-7
更新日期:2003-10-01 00:00:00
abstract:PURPOSE:To evaluate factors that predict the visual prognosis after cataract surgery in patients with Behçet disease. SETTING:The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. DESIGN:Retrospective clinical study. METHODS:Patients with Behçet disease and complicated cataract had phacoem...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.04.027
更新日期:2012-08-01 00:00:00
abstract:PURPOSE:To evaluate morphological characteristics and intraoperative dynamics of posterior polar cataract (PPC) using intraoperative optical coherence tomography (iOCT). SETTING:Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. DESIGN:Prospective interventional...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000256
更新日期:2020-09-01 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 determine the safety and practicality of a combined anesthesiologist and registered nurse model of anesthesia care in cataract surgery. SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Case series. METHODS:This retrospective review comprised consecutive patients having phacoemulsification cataract s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.09.021
更新日期:2011-03-01 00:00:00
abstract:PURPOSE:To analyze the expression of 78 kDa glucose-regulated protein (GRP78) and activating transcription factor 6 (ATF6), 2 factors in the unfolded protein response (UPR), in age-related and diabetes-associated cataract. SETTING:Universidad Autónoma de Aguascalientes, Aguascalientes, México. DESIGN:Experimental stu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.02.038
更新日期:2014-10-01 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:PURPOSE:To evaluate dissatisfied patients and those with subjectively worse visual ability after cataract surgery and to analyze how these factors relate to poor visual acuity results (worse than 20/40). SETTING:Department of Ophthalmology, Norrlands University Hospital, Umeå, Sweden. METHODS:A prospective, populatio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00135-2
更新日期:1999-08-01 00:00:00
abstract:PURPOSE:To analyze refractive results after hyperopic presbyopia surgery by Q-factor modulation without additive monovision. SETTING:Quinze-Vingts National Ophthalmology Hospital, Paris, France. DESIGN:Prospective nonrandomized study. METHODS:Forty-five hyperopic presbyopic patients not tolerating monovision were in...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.02.039
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:To objectively evaluate the image quality obtained with toric intraocular lenses (IOLs) when misaligned from the intended axis. SETTING:University Eye Clinic and the Department of Industrial and Information Engineering, University of Trieste, Trieste, Italy. DESIGN:Experimental study. METHODS:An experimental...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.10.053
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:To compare ocular performance and quality of vision in pseudophakic eyes with an aspherical intraocular lens (IOL) or a conventional spherical IOL. SETTING:Bretonneau University Hospital, Tours, France. METHODS:Twenty patients (40 eyes) were randomly divided in 2 equal groups to bilaterally receive the aspher...
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.2006.10.035
更新日期:2007-02-01 00:00:00
abstract::Horizontal chopping is effective for endocapsular nucleofractis. We describe pop and chop, a variant of chopping that enables an easy first crack and initial segment removal. It involves partial extracapsular prolapse of the nucleus prior to the initial chop. It is particularly useful when hydrodissection results in p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00339-0
更新日期:2003-11-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of using anterior chamber irrigation of unpreserved lidocaine 1% as anesthesia during cataract surgery. SETTING:Private group ophthalmology practice. METHODS:This study prospectively evaluated 1000 of 1012 consecutive eyes having temporal corneal incision cataract surgery to determ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(97)80212-x
更新日期:1997-05-01 00:00:00
abstract::The effect of incision length, location, and shape on the structural integrity of the globe was examined using finite element analysis by comparing the radial deformation of the corneoscleral tissue adjacent to the incision. The results show that incision length had the greatest adverse effect, 12 mm incisions causing...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80879-6
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:To identify potential risk factors associated with post-cataract surgery bacterial endophthalmitis. SETTING:The John A. Moran Eye Center, Salt Lake City, Utah, USA. METHODS:This retrospective cohort study consisted of patients who had surgery for cataract(s) at this eye hospital. A 10% sampling of all patient...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.10.057
更新日期:2005-04-01 00:00:00
abstract::Three cases are described in which a curvilinear lucency in the corneal stroma signified a surgical thermal injury. The "shark fin" appearance represents focal shrinkage of tissue within the incisional tunnel. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.11.034
更新日期:2005-03-01 00:00:00
abstract:PURPOSE:To study the architecture of clear corneal incisions for phacoemulsification cataract surgery using optical coherence tomography (OCT). SETTING:Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA. METHODS:This pro...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2008.05.026
更新日期:2008-09-01 00:00:00
abstract::We report the results in six eyes on which we performed a new surgical method: intrastromal corneal excimer laser photoablation following lamellar corneal keratectomy with a microkeratome. The study was designed to evaluate the clinical and refractive efficacy of the procedure, to assess the behavior of the cornea fol...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80381-1
更新日期:1992-01-01 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::We examined the use of a geometric model to explain the effects of radial keratotomy (RK) on corneal topography based on wound gape of radial incisions. Histopathologic studies of healed human RK incisions revealed incision gape in Bowman's membrane and anterior stroma, with intervening epithelial ingrowth or fibrous ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80850-4
更新日期:1991-07-01 00:00:00
abstract::A 48-year-old man with a history of myopic laser in situ keratomileusis (LASIK) had selective laser trabeculoplasty (SLT) for the treatment of glaucoma in the right eye. He subsequently developed grade 2 diffuse lamellar keratitis (DLK). He then elected to have SLT in the left eye and developed grade 1 DLK. To our kno...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.024
更新日期:2010-05-01 00:00:00
abstract::One hundred and thirty-three eyes of 103 patients had photorefractive keratectomy with a slit scan mode excimer laser for myopia ranging from -6.00 to -22.00 diopters (D). The epithelium was removed with 20% ethanol, and the ablation was done with a tapered profile surrounding the optical zone. Patients were divided i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80526-3
更新日期:1995-07-01 00:00:00
abstract:PURPOSE:To describe the rationale behind elliptical and other transition designs used with the excimer laser. SETTING:Casey Eye Institute, Oregon Health Sciences University, Portland, Oregon, USA. METHODS:Ablation zone designs were analyzed for the number of transition points for myopia and hyperopia. The advantages ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00144-3
更新日期:1999-09-01 00:00:00