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 standard CXL. Preoperative and 6- and 12-month postoperative examinations included corrected distance visual acuity (CDVA), slitlamp evaluation, applanation tonometry, and Scheimpflug imaging (Pentacam). Statistical analysis included analysis of variance and the Mann-Whitney U test to detect risk factors for complications. RESULTS:The study evaluated 117 eyes of 99 patients; approximately 90% completed the 12-month follow-up. The complication rate (percentage of eyes losing 2 or more Snellen lines) was 2.9% (95% confidence interval, 0.6%-8.5%). The failure rate of CXL (percentage of eyes with continued progression) was 7.6%. Age older than 35 years and a preoperative CDVA better than 20/25 were identified as significant risk factors for complications. A high preoperative maximum keratometry (K) reading was a significant risk factor for failure. Sterile infiltrates were seen in 7.6% of eyes and central stromal scars, in 2.8%. CONCLUSIONS:Results indicate that changing the inclusion criteria may significantly reduce the complications and failures of CXL. A preoperative maximum K reading less than 58.00 diopters may reduce the failure rate to less than 3%, and restricting patient age to younger than 35 years may reduce the complication rate to 1%.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Koller T,Mrochen M,Seiler Tdoi
10.1016/j.jcrs.2009.03.035subject
Has Abstractpub_date
2009-08-01 00:00:00pages
1358-62issue
8eissn
0886-3350issn
1873-4502pii
S0886-3350(09)00481-7journal_volume
35pub_type
杂志文章abstract：PURPOSE:To report 4 cases of Pseudomonas aeruginosa endophthalmitis caused by internal contamination of the internal pathways of a phacoemulsifier. SETTING:Ophthalmology Center, Perpignan, France. METHODS:Four clinical cases of postoperative endophthalmitis occurred after phacoemulsification. An investigation was nec...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)80052-2
更新日期：1999-04-01 00:00:00
abstract：:An alternative technique to manage pediatric cataracts comprises a pars plana lensectomy and anterior vitrectomy with anterior and posterior capsulotomies and posterior chamber heparin-surface-modified intraocular lens (IOL) implantation in the ciliary sulcus through a scleral tunnel. The surgical results in 7 eyes of...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00298-4
更新日期：2000-04-01 00:00:00
abstract：PURPOSE:To evaluate the change in higher-order aberrations (HOAs) after implantation of a foldable iris-claw phakic intraocular lens (pIOL) in myopic eyes. SETTING:Department of Ophthalmology, Johannes Gutenberg-University, Mainz, Germany. METHODS:This prospective nonrandomized comparative self-controlled trial inclu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.12.036
更新日期：2006-02-01 00:00:00
abstract：:Contrast sensitivity was measured in 25 patients who had a multifocal diffractive intraocular lens and in 23 control patients with a monofocal lens in four simulated light conditions: (1) daylight, (2) daylight with peripheral glare, (3) twilight, (4) twilight with central glare. In normal daylight and twilight, contr...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80952-2
更新日期：1993-03-01 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：:A 48-year-old man had simultaneous bilateral photorefractive keratectomy (PRK). The surgeon who performed the PRK did not see the patient in follow-up, and there was confusion regarding the comanaging doctor. Therefore, the patient was not examined immediately postoperatively. Several days later, he was hospitalized f...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00336-3
更新日期：2000-01-01 00:00:00
abstract：PURPOSE:To assess the predictability, efficacy, stability and safety of implantation of an Artisan (Ophtec BV, the Netherlands) iris-fixated phakic intraocular lens (IF-pIOL) for the correction of hyperopia with a follow-up of up to 15 years. SETTING:Leiden University Medical Center, The Netherlands METHODS:: Patients...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000532
更新日期：2020-11-27 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：:Twenty-eight epikeratophakia procedures have been performed at the University of Minnesota since December 1985. This report describes several technique modifications and compares the refractive and visual outcome of these cases with the national results. There have been 17 aphakic cases (13 adult and four pediatric), ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80091-4
更新日期：1989-05-01 00:00:00
abstract：:A survey of intraocular lens (IOL) explantations performed during the 1984 calendar year requested dates of implantation and explantation, lens manufacturer, and lens style for anterior chamber, posterior chamber, and iris-supported lenses. The survey was distributed to 3,640 members of the American Society of Catarac...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(86)80078-5
更新日期：1986-11-01 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：PURPOSE:To study the incidence of and risk factors for pupillary capture after transscleral fixation of a posterior chamber intraocular lens (PC IOL) for dislocated IOLs. SETTING:Department of Ophthalmology, Kyungpook National University Hospital, Daegu, South Korea. DESIGN:Retrospective case series. METHODS:Charts ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.05.006
更新日期：2016-08-01 00:00:00
abstract：:A 58-year-old woman had successful phacoemulsification with intraocular lens (IOL) implantation in January 2001. Two years later, nonpenetrating glaucoma surgery with mitomycin-C (MMC) 0.02% was performed for uncontrolled glaucoma. Two months later, opacification of the anterior IOL surface was observed. The IOL was r...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.07.038
更新日期：2007-01-01 00:00:00
abstract：PURPOSE:To compare the outcome of treatment for myopia by phakic intraocular lens (IOL) implantation or by clear lens extraction (CLE). SETTING:Service d'Ophtalmologie, Hopital Purpan, Toulouse, France. METHODS:Thirty-nine patients from 32 to 49 years of age were studied. Forty-one eyes of 21 patients received a phak...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.082
更新日期：2004-10-01 00:00:00
abstract：UNLABELLED:A nationwide postal survey of all consultant ophthalmologists in the United Kingdom was conducted to determine attitudes and techniques of cataract surgery trainers, identify trainer-related factors that determine surgical opportunity, and ascertain whether trainers had received adequate training in how to t...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.12.024
更新日期：2012-03-01 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：:According to an online survey, most members of the American Society of Cataract and Refractive Surgery believe that tamsulosin makes cataract surgery more difficult (95%) and increases the risks of surgery (77%). Commonly reported complications of intraoperative floppy-iris syndrome (IFIS) were significant iris trauma...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.04.014
更新日期：2008-07-01 00:00:00
abstract：PURPOSE:To evaluate transient increases in intraocular pressure (IOP) after use of high-viscosity viscoelastic agents in cataract surgery. SETTING:Military Hospital, Ulm, Germany. METHODS:In a prospective, randomized study, we evaluated IOP following cataract surgery using two different viscoelastic substances (Healo...
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(96)80224-0
更新日期：1996-03-01 00:00:00
abstract：PURPOSE:To compare the efficacy of epithelium-off corneal collagen crosslinking (CXL) with transepithelial CXL in patients with progressive keratoconus. SETTING:Department of Ophthalmology, Marmara University School of Medicine, Istanbul, Turkey. DESIGN:Retrospective cohort study. METHODS:Eyes that had transepitheli...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.10.041
更新日期：2015-07-01 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：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 determine the refractive cylinder effect of rotating a toric intraocular lens (IOL) and identify the sources of refractive astigmatic surprise after toric IOL implantation. SETTING:Private practice, Melbourne, Australia. DESIGN:Experimental study. METHODS:Vergence formulas using a standard reduced eye mod...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.06.029
更新日期：2014-02-01 00:00:00
abstract：:We report 2 cases of serous macular detachment with intraretinal fluid accumulation that developed 1 day after uneventful phacoemulsification surgery. Because of a dilution error, both eyes received 2 mg/0.1 mL of intracameral cefuroxime at the end of surgery. On postoperative day 1, the corrected distance visual acui...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.07.007
更新日期：2010-11-01 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：PURPOSE:To determine the reproducibility of morphoscopic contrast sensitivity test values in healthy subjects using the Visual Capacity Analyzer (VCA) (L2 Informatique). SETTING:Institute of Vision Research, Department of Ophthalmology, Yong-Dong Severance Hospital, Yonsei University, Seoul, South Korea. METHODS:Five...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00044-0
更新日期：2003-09-01 00:00:00
abstract：PURPOSE:To evaluate the long-term therapeutic efficacy of phacoemulsification with intraocular lens (IOL) implantation in treating phacomorphic glaucoma. SETTING:Ophthalmology Department, Maryknoll Hospital, Busan, Korea. METHODS:This study evaluated eyes that had phacoemulsification with IOL implantation to treat ph...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.11.023
更新日期：2010-05-01 00:00:00
abstract：PURPOSE:To determine the effect of ophthalmic viscosurgical devices (OVDs) and irrigation/aspiration (I/A) settings on free radical development during phacoemulsification. SETTING:Department of Ophthalmology, Nippon Medical School, Tokyo, Japan. METHODS:Free radicals were detected by the electron spin resonance (ESR)...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.04.026
更新日期：2006-09-01 00:00:00
abstract：PURPOSE:To evaluate the thickness and side-cut angle of laser in situ keratomileusis (LASIK) flaps created by 1 of 3 femtosecond lasers or a microkeratome using Fourier-domain optical coherence tomography (OCT). SETTING:Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, S...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.08.042
更新日期：2011-02-01 00:00:00
abstract：PURPOSE:To evaluate whether laser-assisted subepithelial keratectomy (LASEK) achieves effective targeted myopic correction with less post-treatment corneal haze than observed with photorefractive keratectomy (PRK) in children who fail traditional forms of treatment for myopic anisometropic amblyopia and high myopia. S...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.06.025
更新日期：2004-12-01 00:00:00
abstract：:A study to determine the correlation between intraoperative quantitative keratometry and one day postoperative office keratometry was performed. Prior reports have failed to demonstrate a positive statistical relationship between surgical and postoperative keratometry, weakening the value of quantitative intraoperativ...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(88)80116-0
更新日期：1988-05-01 00:00:00
