Abstract:
:I describe a technique to manage a subluxated crystalline lens or an in-the-bag posterior chamber intraocular lens (PC IOL) that tilts severely into the anterior or midvitreous cavity. In the absence of intervening vitreous presentation, a 27-gauge needle is inserted via a snugly fitting paracentesis incision to reach the anterior capsule of the posteriorly dislocated cataract or the anterior capsulorhexis rim of the PC IOL without disturbing the anterior chamber stability. With the bevel facing forward, the needle is introduced at an oblique angle and used to gently puncture the anterior capsule of the subluxated lens or insinuate between the fibrosed capsulorhexis rim and the optic of the subluxated PC IOL. The needle tip is brought forward and the anterior capsule grasped by microforceps introduced via another paracentesis wound. An ophthalmic viscosurgical device is then injected into the anterior chamber and the lens stabilized.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Chee SPdoi
10.1016/j.jcrs.2009.01.030subject
Has Abstractpub_date
2009-06-01 00:00:00pages
980-6issue
6eissn
0886-3350issn
1873-4502pii
S0886-3350(09)00255-7journal_volume
35pub_type
杂志文章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 evaluate the outcome of toric intraocular lens (IOL) implantation in eyes with previous laser in situ keratomileusis/photorefractive keratectomy (LASIK/PRK). SETTING:Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. DESIGN:Retrospective case series. METHODS:Consecutive cases that had ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000089
更新日期:2020-04-01 00:00:00
abstract:PURPOSE:To evaluate the results of the first blue light-filtering photochromic intraocular lens (IOL) and compare them with those of a regular yellow blue light-filtering IOL and a clear ultraviolet-filtering IOL in human eyes under various lighting conditions. SETTING:Beijing Tongren Eye Center, Beijing Tongren Hospi...
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.2010.07.024
更新日期:2010-12-01 00:00:00
abstract::We report the case of a 30-year-old woman with recent onset of unilateral iris distortion and glaucoma that was noticed following uneventful laser in situ keratomileusis (LASIK). The corneal endothelium in the right eye appeared normal with the slitlamp microscope, and LASIK-related anterior segment ischemia was initi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.12.047
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:To determine whether the yellow filters often used for glare reduction influence retinal straylight measured in healthy eyes. SETTING:Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium. DESIGN:Prospective case series. METHODS:For each eye, the spherical equivalent (SE) was determined u...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.06.033
更新日期:2017-08-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of capsular bag opacification, particularly interlenticular opacification (ILO), in rabbit eyes implanted with a dual-optic silicone intraocular lens (IOL) or piggyback lenses. SETTING:John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS:Ten du...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.01.022
更新日期:2006-04-01 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:PURPOSE:To determine whether laser in situ keratomileusis (LASIK) produces significant changes in optic nerve head (ONH) topography and retinal nerve fiber layer (RNFL) thickness as measured by the Heidelberg Retina Tomograph (HRT) and to evaluate the potential neuroprotective effect of topical betaxolol on these chang...
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)00466-8
更新日期:2003-12-01 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 evaluate forward light scattering and straylight in single-piece hydrophobic acrylic intraocular lenses (IOLs) (Acrysof) removed from cadaver eyes and design- and power-matched controls, as well as the effect of subsurface nanoglistenings on other optical quality and performance indicators. SETTING:John A. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.07.043
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:To evaluate survival and the risk for mortality after cataract surgery in relation to individual-level and socioeconomic factors in Scotland over 3 decades. SETTING:Linked healthcare data, United Kingdom. DESIGN:Representative population-based study. METHODS:A 5% random sample of Scottish decedents linked to...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.01.018
更新日期:2017-04-01 00:00:00
abstract:PURPOSE:The use of monochromatic light in the assessment of intraocular lenses (IOLs) has been criticized for not representing the real-world situation. This study aimed to measure and compare the image quality of 3 extended depth-of-focus (EDOF) IOL models in monochromatic and polychromatic light. SETTING:David J App...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000037
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:To devise a comprehensive cataract surgery complexity score system for the selection of appropriate cases for trainees using evidence-based, validated risk factors for posterior capsule rupture, patient-specific factors, and complexity stratification recommendations to minimize complications, optimize outcomes,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.04.036
更新日期:2018-06-01 00:00:00
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::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::A method to measure the power of an intraocular lens (IOL) in situ using an extended range keratometer and a depth measuring apparatus is described. With this method, the IOL power was measured in ten patients with an anterior chamber IOL and in ten patients with a posterior chamber IOL and compared with the labeled p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(88)80066-x
更新日期:1988-01-01 00:00:00
abstract:PURPOSE:To measure the inflammatory reaction in the anterior chamber after lens extraction in a rabbit model and to evaluate the effect of nonsteroidal antiinflammatory drugs (NSAIDs) or steroids on the amount of inflammation as measured by fibrinogen levels in the aqueous humor. SETTING:Animal laboratory, Goldschlege...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.12.026
更新日期:2012-05-01 00:00:00
abstract:PURPOSE:To retrospectively evaluate the incidence of neodymium: YAG (Nd:YAG) laser capsulotomies for posterior capsule opacification (PCO) in eyes receiving one of two types of capsular-bag-fixated silicone posterior chamber intraocular lenses (IOLs) over 7 years. SETTING:John Moran Eye Center, University of Utah, Sal...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80088-5
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To evaluate the effect of genipin, a natural crosslinker, on porcine corneas. SETTING:Department of Ophthalmology, Universidad Nacional de Colombia, Bogota, Colombia. METHODS:Corneal strips (12.0 mm x 2.3 mm) were harvested from porcine eyes and treated by incubation with genipin at concentrations of 1.00%, 0...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.003
更新日期:2010-04-01 00:00:00
abstract:PURPOSE:To study the microanatomic edge structures of anterior lens capsule specimens derived from manual and femtosecond laser-assisted capsulotomies. SETTING:Department of Ophthalmology, Goethe-University, Frankfurt, Germany. DESIGN:Experimental study. METHODS:Of 60 eyes with lens removal and intraocular lens impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.024
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:To evaluate the short-term outcomes of femtosecond laser-assisted implantation of a 340-degree intracorneal ring (ICR) (Keraring) in patients with keratoconus. SETTING:Four centers in Iran. DESIGN:Prospective case series. METHODS:All cases had implantation of the 340-degree ICR after tunnel creation with a f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.07.026
更新日期:2017-10-01 00:00:00
abstract::Oscillopsia associated with near fixation after multifocal intraocular lens (IOL) implantation has not been fully recognized. A 46-year-old woman presented with shaking of vision in both eyes during near fixation after uneventful implantation of a single-piece multifocal posterior chamber IOL in both eyes. There was n...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000360
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To use optical coherence tomography (OCT) angiography and a split-spectrum amplitude-decorrelation angiography algorithm to evaluate the changes in the macular vascular system after uncomplicated phacoemulsification. SETTING:Department of Ophthalmology, Eye and and Ear, Nose, and Throat Hospital of Fudan Unive...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.02.014
更新日期:2018-04-01 00:00:00
abstract:PURPOSE:To evaluate the use of 2-photon microscopy (TPM), which excites tissue autofluorescence, in detecting and calculating the grade of collagen corneal crosslinks, which are not visible through the slitlamp and in vivo confocal microscopy. SETTING:Departments of Ophthalmology, University of Lübeck, Lübeck, and Uni...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.06.068
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:To evaluate the safety and complication rates of excimer laser photorefractive keratectomy (PRK). SETTING:Assutah Laser Center, Tel-Aviv, Israel. METHODS:This retrospective study evaluated the complication rate after PRK in 825 consecutive patients who had PRK for myopia and had a follow-up of at least 12 mon...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80311-2
更新日期:1997-10-01 00:00:00
abstract:PURPOSE:To evaluate the postoperative intraocular positional stability of 1 rigid poly(methyl methacrylate) (PMMA) phakic intraocular lens (pIOL) model and 2 foldable polysilicone-PMMA iris-fixated pIOL models. SETTING:Department of Ophthalmology, Johann Wolfgang Goethe-University Frankfurt am Main, Germany. METHODS:...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.08.037
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To compare the 6-month results of accelerated and standard collagen crosslinking (CXL) treatment of progressive keratoconus. SETTING:Noor Eye Hospital, Tehran, Iran. DESIGN:Prospective randomized clinical trial. METHODS:Two groups of eyes (intervention and control) received corneal collagen crosslinking (CXL...
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.2014.07.030
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of cyanopsia using the neutralization method in eyes in which clear or yellow intraocular lenses (IOLs) were implanted. SETTING:Miyata Eye Clinic, Hiroshima, Japan. DESIGN:Retrospective comparative study. METHODS:Patients who had cataract surgery with the implantation of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.040
更新日期:2015-04-01 00:00:00
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 pati...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.10.055
更新日期:2007-03-01 00:00:00
abstract:PURPOSE:To compare the intraoperative behavior and postoperative outcomes of posterior capsule dehiscence during phacoemulsification and during manual extracapsular cataract extraction (ECCE). SETTING:L.V. Prasad Eye Institute, Hyderabad, India. METHODS:This study was a retrospective chart review of consecutive cases...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01696-6
更新日期:2003-03-01 00:00:00