Abstract：
PURPOSE:To assess the accuracy of estimating intraocular pressure (IOP) at the end of cataract surgery and to suggest a method of verifying this value. SETTING:University hospital in a suburban area. METHODS:Sixty-nine eyes having phacoemulsification cataract surgery without complications were studied. In stage 1, the surgeon estimated IOP using digital pressure at the end of cataract surgery while a second investigator checked the actual IOP using a handheld tonometer. The estimated and true values were compared. In a second group of patients, the IOP was measured at the end of surgery in 30 eyes using a specifically designed tonometer, the Ocular Kasaby Barraquer 20/30 (OKBT-20/30) (Ocular Instruments, Inc.). The true values were then measured using the handheld tonometer to verify the accuracy of the OKBT-20/30. RESULTS:In stage 1, 37.7% of the estimates were outside the "acceptable" IOP range of 10 mm Hg or higher to 30 mm Hg or lower. Accuracy of estimates decreased toward the extremes of IOP. This suggests that eyes with IOP values outside the acceptable range are likely to be left as such at the end of surgery. In stage 2, when the IOP was measured with the new instrument and rechecked with the electronic tonometer, 93.3% of eyes had an IOP within the reference range of 20 to 30 mm Hg; 62.3% of eyes had an IOP within this range when estimated. CONCLUSIONS:Because the digital estimate can be misleading, the OKBT-20/30 tonometer or a similar device should be used routinely to ensure each eye is left with a desirable IOP at the end of cataract surgery.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Antao SF,Kasaby Hdoi
10.1016/j.jcrs.2007.08.045subject
Has Abstractpub_date
2008-02-01 00:00:00pages
258-61issue
2eissn
0886-3350issn
1873-4502pii
S0886-3350(07)01965-7journal_volume
34pub_type
杂志文章abstract：PURPOSE:To assess the safety and effectiveness of an immunotoxin, MDX-RA, designed to inhibit posterior capsule opacification (PCO). SETTING:Eleven private practices in the United States. METHODS:This study comprised 63 eyes of 63 patients having extracapsular cataract extraction by phacoemulsification; these patient...
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(98)80352-0
更新日期：1998-12-01 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：PURPOSE:To evaluate the relationship between baseline corneal hysteresis (CH) and the change in intraocular pressure (IOP) before and after cataract extraction in patients without glaucoma. SETTING:Private practice, New York City, New York, USA. DESIGN:Retrospective cohort study. METHODS:Charts of consecutive patien...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.09.040
更新日期：2015-06-01 00:00:00
abstract：PURPOSE:To evaluate excimer laser photorefractive keratectomy (PRK) for myopia using a repetition rate of 15 Hz instead of 10 Hz. SETTING:The Cornea and Laser Eye Institute, Teaneck, and Department of Ophthalmology, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA. METHODS:Photorefractive keratectomy using a ...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(99)00406-x
更新日期：2000-03-01 00:00:00
abstract：:Unwanted optical images are noticed by a surprisingly large number of patients following cataract extraction with implantation of posterior chamber intraocular lenses (IOLs). These images are caused by the positioning holes, lens edge, or laser ridge. We studied 550 eyes in which one of seven different IOLs was insert...
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(89)80113-0
更新日期：1989-09-01 00:00:00
abstract：UNLABELLED:We describe a case of unilateral corneal ectasia in a 26-year-old man following small-incision lenticule extraction. The preoperative corneal topography was normal, with a minimum corneal thickness of 511 μm and 513 μm in the right eye and left eye, respectively. Lenticules of 85 μm and 82 μm were fashioned ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.08.006
更新日期：2015-09-01 00:00:00
abstract：PURPOSE:To study contrast sensitivity in eyes that had flying-spot excimer laser photorefractive keratectomy (PRK) and to compare a subjective method (Vision Contrast Test System [VCTS] 6500) and an objective method (visual evoked potential [VEP]) of measuring contrast sensitivity. SETTING:Istituto Clinica Oculistica,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00405-3
更新日期：2000-06-01 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：:The formation and propagation of shock waves created by the interaction of high powered Nd:YAG laser pulses with a titanium target are photographed and analyzed. The titanium target is located at the distal end of a probe, similar to an irrigation/aspiration probe used in cataract surgery, and the Nd:YAG laser is deli...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80414-2
更新日期：1991-11-01 00:00:00
abstract：PURPOSE:To analyze the results of 1-way phacoemulsification and posterior chamber intraocular lens (IOL) implantation combined with trabeculectomy. SETTING:Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy. METHODS:This retrospective study comprised 42 eyes of 36 patients with glaucoma a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00269-2
更新日期：1999-12-01 00:00:00
abstract：PURPOSE:To evaluate and compare the efficacy, predictability, and safety of hyperopic laser in situ keratomileusis (H-LASIK) for the correction of consecutive hyperopia after myopic-LASIK (M-LASIK) and radial keratotomy (RK). SETTING:The Eye Institute of Utah, Salt Lake City, Utah, USA. METHODS:Seventy-seven eyes of ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00051-8
更新日期：2003-05-01 00:00:00
abstract：:A poly(methyl methacrylate)(PMMA) intraocular lens (IOL) dislocated into the vitreous cavity in 2 patients after a neodymium:YAG (Nd:YAG) laser posterior capsulotomy. In Case 1, the capsulotomy was performed 19 months after extracapsular cataract extraction (ECCE) and sulcus fixation of an IOL. Six months later the IO...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80182-x
更新日期：1998-11-01 00:00:00
abstract：PURPOSE:To prospectively investigate the incidence, associated factors, and prognostic significance of relative afferent pupillary defects (RAPDs) in eyes with less severe cataract than in contralateral eyes. SETTING:Department of Ophthalmology, Seoul Municipal Boramae Hospital, College of Medicine, Seoul National Uni...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.11.022
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:To examine whether clinically significant differences exist in corneal elevation data from a sampling of countries worldwide. SETTING:International multicenter. DESIGN:Evaluation of diagnostic test or technology. METHODS:One randomly selected eye of normal adults from 8 countries spanning 6 continents was ex...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jcrs.2011.04.030
更新日期：2011-10-01 00:00:00
abstract：PURPOSE:To study the intraocular pressure (IOP) as a prognostic indicator on the first day after combined phacoemulsification and nonpenetrating deep sclerectomy. SETTING:Ramón y Cajal Hospital, Madrid, Spain. METHODS:This retrospective study included 70 eyes of 70 patients who had combined phacoemulsification-nonpen...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.04.025
更新日期：2008-08-01 00:00:00
abstract：:The current trend toward implantation of posterior chamber lenses within the capsular bag rather than the ciliary sulcus seems logical in light of the increasing evidence of uveal damage from sulcus fixated posterior chamber lenses. However, long-term, successful capsular bag fixation has not been demonstrated with cu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80040-8
更新日期：1987-07-01 00:00:00
abstract：PURPOSE:To compare intraocular pressure (IOP) outcomes between 2 common, commercially available corticosteroid drops: difluprednate ophthalmic emulsion 0.05% and prednisolone acetate 1.0%. SETTING:TLC Eyecare and Laser Centers, Jackson, Michigan, USA. DESIGN:Retrospective chart review. METHODS:The outcomes of consec...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.02.002
更新日期：2017-02-01 00:00:00
abstract：UNLABELLED:Presbyopia is the most common refractive disorder for people older than 40 years. It is characterized by a gradual and progressive decrease in accommodative amplitude. Many surgical procedures for the correction of presbyopia exist, with additional procedures on the horizon. This review describes the prevale...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2016.05.003
更新日期：2016-06-01 00:00:00
abstract：PURPOSE:To determine whether sutureless small incision cataract surgery reduces induced astigmatism over the long term. SETTING:University Eye Hospital, Vienna, Austria. METHODS:In a prospective study, we investigated surgically induced astigmatism in 63 cases of no-stitch, small incision cataract surgery with a 4.0 ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80180-0
更新日期：1997-04-01 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 estimate ophthalmologist-level variation in cataract surgery billing and evaluate patient and ophthalmologist characteristics associated with complex cataract surgery coding. SETTING:Cross-sectional study. DESIGN:Retrospective case series. METHODS:Medicare beneficiaries aged 65 years or older who had cata...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.06.008
更新日期：2019-11-01 00:00:00
abstract：:We used the finite element method to evaluate different capsulotomy techniques. Nucleus expression was simulated in a computer model to visualize stress distribution in the anterior capsule. The finite element model demonstrated that the capsulorhexis edge is strong because of low and uniform stress distribution in th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80176-9
更新日期：1994-07-01 00:00:00
abstract：:Seven patients with unsuspected unilateral axial myopia developed a cataract in the longer eye. Vision deteriorated in all cases between the ages of 40 and 55 years. Bilateral axial length measurements were necessary for the diagnosis and revealed a difference of 4.5 mm to 6.7 mm between the two eyes. Five cases had a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80090-2
更新日期：1989-05-01 00:00:00
abstract：PURPOSE:To assess the capability of new software to decrease the proportion of eyes that have insufficient signal-to-noise ratio (SNR) in optical biometry. SETTING:Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom. DESIGN:Evaluation of diagnostic test or technology. METHODS:In a prospective study,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.07.023
更新日期：2011-01-01 00:00:00
abstract：:A comprehensive survey was sent to the residency directors of 129 ophthalmology training programs in the United States. Forty percent of residents gained experience as primary surgeon during their first year; 43% performed only part of the surgery. Seventy-three percent began learning cataract extraction using the ext...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01380-9
更新日期：2002-12-01 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 evaluate the formation of glistenings in foldable intraocular lenses (IOLs) of various materials after cataract surgery. SETTING:University Eye Clinic of Trieste, Trieste, Italy. METHODS:In this prospective study, 273 patients were randomized to have implantation of 1 of 7 types of foldable IOLs in the cap...
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(02)01353-6
更新日期：2002-07-01 00:00:00
abstract：PURPOSE:To report the results of transscleral implantation of foldable intraocular lenses (IOLs). SETTING:Department of Ophthalmology Dokuz Eylül University School of Medicine, Izmir, Turkey. METHODS:Twenty eyes of 20 patients had transscleral fixation of a foldable IOL combined with conventional 3-port pars plana vi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.09.050
更新日期：2004-04-01 00:00:00
abstract：PURPOSE:To study the intensity of trypan blue and fluorescein staining over time in anterior lens capsules and various intraocular lens (IOL) materials. SETTING:Fritz Eye Associates, Geislingen, Germany. METHODS:Excised anterior lens capsules and IOLs were exposed to trypan blue 0.1% and fluorescein 2% solution to as...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01238-5
更新日期：2002-06-01 00:00:00
abstract：PURPOSE:To compare the safety and efficacy of 0.025 mg/mL brilliant blue G (BBG) and an intracameral illuminator for visualizing the anterior capsule. SETTING:University-based tertiary referral center, South Korea. DESIGN:Retrospective cases series. METHODS:The medical records of patients with vitreous hemorrhage fo...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.03.038
更新日期：2016-07-01 00:00:00
