Abstract:
:Corneal collagen crosslinking (CXL) with riboflavin and ultraviolet-A light is a method for treating progressive keratectasia. The currently accepted treatment parameters induce collagen crosslinking in the anterior 250 to 350 microm of corneal stroma. To protect the endothelium, CXL inclusion criteria require a minimum corneal thickness of 400 microm after removal of the epithelium. In advanced keratoconus, however, progressive corneal thinning often leads to a remaining stromal thickness of less than 400 microm. We have therefore modified the current treatment protocol by preoperatively swelling thin corneas to a stromal thickness of at least 400 microm using hypoosmolar riboflavin solution. This treatment protocol was performed in a case series of 20 patients, and no complications were observed. Preoperative swelling of the cornea safely broadens the spectrum of CXL indications to thin corneas that would otherwise not be eligible for treatment.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Hafezi F,Mrochen M,Iseli HP,Seiler Tdoi
10.1016/j.jcrs.2008.10.060subject
Has Abstractpub_date
2009-04-01 00:00:00pages
621-4issue
4eissn
0886-3350issn
1873-4502pii
S0886-3350(09)00062-5journal_volume
35pub_type
杂志文章abstract::This study reports a technique in which phacoemulsification and intraocular lens (IOL) insertion are performed in conjunction with a microkeratome flap in a patient with ocular surface disease. Microkeratome-assisted phacoemulsification was performed in a 72-year-old woman with a history of trachoma during childhood. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.02.038
更新日期:2005-09-01 00:00:00
abstract:PURPOSE:To evaluate the characteristics of higher-order aberrations (HOAs) in eyes with pellucid marginal corneal degeneration (PMCD). SETTING:Department of Ophthalmology, Osaka University Medical School, Osaka, Japan. METHODS:Ocular HOAs were measured by aberrometry in 20 eyes with PMCD (PMCD group), 76 eyes with ke...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.06.038
更新日期:2008-11-01 00:00:00
abstract:UNLABELLED:We describe the use of a Steri-Strip to exclude lashes in cataract surgery cases in which the lashes impinge on the operative field. The technique has been used in 25 cases and achieved uniformly successful lash exclusion. In 6 cases, the strip became partially dislodged and required repositioning intraopera...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.09.005
更新日期:2012-11-01 00:00:00
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 c...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.09.016
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:To assess the safety, efficacy, and predictability in eyes that had refractive lens exchange (RLE) with implantation of a spherical diffractive intraocular lens (IOL) after previous hyperopic laser in situ keratomileusis (LASIK). SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:This p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.04.045
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:To compare the extent of corneal endothelial cell loss and pachymetry changes in 2 age-based groups of patients who had cataract removal by AquaLase (Alcon) phacoemulsification in 1 eye and NeoSoniX (Alcon) phacoemulsification in the contralateral eye. SETTING:Department of Ophthalmology, University Hospital, ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.10.033
更新日期:2008-03-01 00:00:00
abstract:UNLABELLED:We describe a technique that uses flexible iris hooks to dilate and stabilize the capsular bag in a patient with a very deep set and small eye, narrow palpebral fissure, shallow anterior chamber, and very small pupil, who was scheduled for routine phacoemulsification for a white cataract. At the time of iris...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.009
更新日期:2014-09-01 00:00:00
abstract::Extensive Descemet's membrane detachment persisted after small incision cataract surgery in three patients. Unfolding and repositioning of Descemet's membrane by sodium hyaluronate (Healon) were followed by injection of sulfur hexafluoride 20% gas mixed with air to fill the anterior chamber. Initially, the gas bubble ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80013-2
更新日期:1997-12-01 00:00:00
abstract:PURPOSE:To study the pattern of postoperative complications following extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation in pediatric eyes. SETTING:Tertiary eye care center, New Delhi, India. METHODS:A retrospective analysis of 39 eyes of 28 children referred for complications after ECC...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00296-5
更新日期:1999-12-01 00:00:00
abstract::The procedure used for an anterior capsulotomy is extremely important for successful in-the-bag intraocular lens insertion. An incision line in the extreme periphery may obscure the margin of the residual anterior capsule and make it difficult to confirm the position of the implanted lens. I describe a U-shaped anteri...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80079-2
更新日期:1987-05-01 00:00:00
abstract:PURPOSE:To compare uncorrected distance visual acuity (UDVA) and patient-reported outcomes with a new silicone corneal shield and a conventional bandage contact lens (BCL) after photorefractive keratectomy (PRK). SETTING:Stanford Eye Laser Center (Palo Alto, California) and Slade & Baker Vision (Houston, Texas). DESI...
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.2019.08.008
更新日期:2019-12-01 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::Two cases of intrastromal corneal ring (Intacs, Addition Technology) implantation to treat post-laser in situ keratomileusis (LASIK) ectasia developed progressive slippage of the flap over the stromal bed, resulting in progressive flattening of the affected meridian. The flattening was thought to have occurred because...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.06.049
更新日期:2008-12-01 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::Current methods of local ocular anesthesia, including retrobulbar, peribulbar, and topical anesthesia, have distinct limitations and many possible, potentially serious complications. We present a new technique that provides rapid, thorough local ocular anesthesia and eliminates these potential complications. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80186-1
更新日期:1994-07-01 00:00:00
abstract:PURPOSE:To apply artificial intelligence models to predict the occurrence of posterior capsule opacification (PCO) after phacoemulsification. SETTING:Farabi Eye Hospital, Tehran, Iran. DESIGN:Clinical-based cross-sectional study. METHODS:The posterior capsule status of eyes operated on for age-related cataract and t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.09.036
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:To compare measured and calculated postoperative anterior chamber depths (ACDs). SETTING:Department of Ophthalmology and Institute of Medical Physics, University of Vienna, Vienna, Austria, and Department of Ophthalmology, University of Mainz, Mainz, Germany. METHODS:The postoperative ACD was measured in 189 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00414-0
更新日期:2003-11-01 00:00:00
abstract:PURPOSE:To assess visual outcomes after bilateral implantation of an apodized +3.0 diopter (D) addition power toric diffractive multifocal intraocular lens (IOL). SETTING:Five study sites in Europe and South America. DESIGN:Cohort study. METHODS:Patients had bilateral implantation of the AcrySof(®) IQ ReSTOR(®)+3.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jcrs.2013.06.026
更新日期:2014-01-01 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 evaluate distance, intermediate, and near visual performance in patients who had multifocal apodized diffractive intraocular lens (IOL) implantation. SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:The best corrected distance visual acuity, best distance-corrected near visual acui...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.03.034
更新日期:2007-07-01 00:00:00
abstract::Fifteen eyes with an initial myopia between -5.00 diopters (D) and -12.00 D were treated with radial keratotomy (RK) followed by photorefractive keratectomy (PRK) at least 6 months later and observed for 6 months to 24 months. Five eyes that had penetrating keratoplasty (PKP) were treated for residual ametropia by PRK...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80130-7
更新日期:1995-05-01 00:00:00
abstract:PURPOSE:To compare postoperative pain associated with advanced surface ablation versus traditional photorefractive keratectomy (PRK). SETTING:Codet-Aris Vision Institute, Tijuana, Mexico. METHODS:This prospective double-masked randomized study included 56 eyes of 28 myopic patients who received traditional PRK in 1 e...
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.2004.11.046
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To compare the 12-month postoperative quality of vision and visual performance of 2 different refractive rotationally asymmetric multifocal intraocular lenses (IOLs). SETTING:Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom. DESIGN:Retrospective case series. METHODS:Refractive lens exchange (R...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.05.039
更新日期:2017-08-01 00:00:00
abstract:PURPOSE:To prospectively evaluate the no-history method for intraocular lens (IOL) power calculation in 15 cataractous eyes that had previous myopic laser in situ keratomileusis (LASIK) and for which the pre-LASIK K-readings were not available. SETTING:Private practice, Lynwood, California, USA. METHODS:The predicted...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.045
更新日期:2007-01-01 00:00:00
abstract::Intraoperative positive pressure with resulting iris and lens prolapse can pose a difficult scenario during penetrating keratoplasty. In the Price graft-over-host technique, the graft is sutured across the trephinated host cornea, which maintains a formed anterior chamber and thus avoids intraoperative complications. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80123-5
更新日期:1998-06-01 00:00:00
abstract:PURPOSE:To evaluate the impact of higher-order aberrations on depth of focus using an adaptive optics visual simulator. SETTING:Refractive Surgery Department, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, USA. METHODS:An adaptive optics simulator was used to optically introduce individual aberrations in eyes...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.05.059
更新日期:2009-11-01 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 assess the degree of capsular bag opacification in human cadaver eyes with silicone intraocular lenses (IOLs), specifically comparing the differences between round-edged IOLs and modern square-edged IOLs. SETTING:John A. Moran Eye Center, University of Utah, USA. DESIGN:Experimental study. METHODS:The eye...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.10.058
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:To assess the safety, efficacy, stability, and predictability of collagen copolymer toric phakic intraocular lens (pIOL) implantation to correct myopia and astigmatism in eyes with keratoconus. SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:This prospective study comprised keratocon...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.032
更新日期:2010-06-01 00:00:00
abstract::A 40-year old man, highly myopic in both eyes, had laser in situ keratomileusis (LASIK) in the left eye in November 1996. Corneal melting and ulceration and fine striae-like interface infiltrates were noticed 1 day postoperatively. There was no response to intensive topical antibiotics in the form of hourly ofloxacin ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00080-2
更新日期:1999-07-01 00:00:00