Abstract:
PURPOSE:To evaluate findings of reverse pupillary block after scleral-fixated sutured posterior chamber intraocular lens (PC IOL) implantation using anterior segment optical coherence tomography (AS-OCT) and report a possible association with postoperative complications. SETTING:Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. METHODS:Anterior segment OCT was used to evaluate eyes with reverse pupillary block (ie, deep anterior chamber, concave iris configuration, contact between pupil and IOL) after IOL explantation or cataract extraction combined with vitrectomy and scleral-fixated sutured PC IOL implantation. The PC IOL was implanted using an ab externo method in all cases. After 2 scleral flaps were created 180 degrees apart, a straight needle attached to a 10-0 polypropylene suture for IOL fixation was passed through the bed of half-thickness scleral flaps 2.0 mm posterior to the limbus in a direction parallel to the iris. RESULTS:Four eyes (3 patients) were evaluated. Anterior segment OCT showed a concave iris configuration with an increase in anterior chamber depth and anterior chamber angle in all cases. Two eyes had intermittent pupil capture. Laser iridotomy prevented recurrence of reverse pupillary block and pupil capture. Widening of the gap between the inner and outer flaps of the scleral tunnel during reverse pupillary block was seen on AS-OCT in 2 eyes; the widening was associated with wound leakage in 1 eye. CONCLUSION:Anterior segment OCT showed that reverse pupillary block can occur in eyes with scleral-fixated sutured PC IOLs and cause postoperative pupil capture and scleral tunnel insufficiency.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Higashide T,Shimizu F,Nishimura A,Sugiyama Kdoi
10.1016/j.jcrs.2009.04.030subject
Has Abstractpub_date
2009-09-01 00:00:00pages
1540-7issue
9eissn
0886-3350issn
1873-4502pii
S0886-3350(09)00558-6journal_volume
35pub_type
杂志文章abstract:PURPOSE:To determine the ability of the limulus amoebocyte lysate (LAL) assay and the in vitro pyrogen test (IPT) to detect pyrogens adsorbed to intraocular lenses (IOLs). SETTING:Berlin Eye Research Institute, Berlin, Germany. METHODS:Fifteen of each of the following IOLs were used: MicroSil MS 612 ASP, AcrySof SA60...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.03.012
更新日期:2009-07-01 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::The prophylactic intraoperative use of mitomycin-C (MMC) to prevent haze and scarring after excimer laser surface ablation (phototherapeutic/photorefractive keratectomy [PTK/PRK]) in an eye with a previous laser in situ keratomileusis (LASIK) flap buttonhole with epithelial ingrowth is described. A well-centered butto...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.035
更新日期:2005-10-01 00:00:00
abstract:PURPOSE:To use ultra-high-resolution optical coherence tomography (OCT) subclinical anatomic alterations to explain suboptimum vision despite pseudophakic cystoid macula edema (CME) resolution. SETTING:University of California-Davis, Sacramento, California, USA. DESIGN:Case study. METHODS:This study comprised patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.09.018
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:To evaluate alterations in corneal power parameters after Descemet-stripping automated endothelial keratoplasty (DSAEK) using rotating Scheimpflug imaging. SETTING:University of Texas, Southwestern Medical Center, Dallas, Texas, USA. METHODS:Eyes that had DSAEK were evaluated with a rotating Scheimpflug imagi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.01.032
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:Comparison of the after-cataract formation in newborn rabbits implanted with a heparin-surface-modified (HSM) intraocular lens (IOL), a silicone IOL, or no IOL. METHODS:Two groups of 3-week-old rabbits were used. In Group 1 (n = 11), lensectomy was performed in both eyes. One eye was selected at random and an ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80275-6
更新日期:1996-01-01 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
abstract:PURPOSE:To report a case series of post-phacoemulsification endophthalmitis despite antibiotic prophylaxis with an intracameral injection of a licensed cefuroxime formulation (Aprokam). SETTING:University Hospitals of Pointe-à-Pitre, Guadeloupe, and Fort-de-France, Martinique, French West Indies. DESIGN:Retrospective...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.06.030
更新日期:2016-09-01 00:00:00
abstract::We describe 2 women with high myopia of -12.0 and -18.0 diopters who presented with myopic macular hemorrhages 1 and 4 days, respectively, after being treated by laser in situ keratomileusis (LASIK). One hemorrhage was related to a pre-existing choroidal neovascularization and the other to the presence of lacquer crac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00313-8
更新日期:2000-06-01 00:00:00
abstract:PURPOSE:To describe surface scattering, a new phenomenon in polyacrylic intraocular lenses (IOLs), and discuss the possible cause of this finding. SETTING:Showa University, Fujigaoka Hospital, Yokohama, Kanagawa, Japan. METHODS:This observational case series involved 40 patients who received the AcrySof(R) IOL (Alcon...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01994-6
更新日期:2003-07-01 00:00:00
abstract:PURPOSE:To evaluate the implantation of Artisan/Verisyse phakic intraocular lenses (pIOLs) (Advanced Medical Optics) as an effective and safe method for the correction of high myopia. SETTING:Department of Ophthalmology, John A. Moran Eye Center, University of Utah Medical Center, Salt Lake City, Utah, USA. METHODS:T...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.009
更新日期:2007-08-01 00:00:00
abstract::We report a case of bacterial keratitis that occurred after implantation of intrastromal corneal ring segments (Intacs). The patient presented with decreased vision, inflammation, and stromal infiltrates localized at the extremity of an Intacs channel 3 months after surgery. Culture were positive for Clostridium perfr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01484-0
更新日期:2003-02-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of epithelial-disruption collagen crosslinking (CXL) for progressive keratoconus using a corneal disruptor device and a riboflavin solution designed for a transepithelial technique. SETTING:Magna Graecia University Eye Clinic, Catanzaro, Italy. DESIGN:Prospective comparative case seri...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.05.022
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:To evaluate the factors associated with the efficacy of femtosecond laser intrastromal astigmatic keratotomy (AK). SETTING:Moorfields Eye Hospital, London, United Kingdom. DESIGN:Prospective case series. METHODS:Eyes having intrastromal AK for corneal cylinder correction were analyzed. Preoperative biometric...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.09.028
更新日期:2016-02-01 00:00:00
abstract::This study examined resident exposure to and competency in new techniques for cataract removal and intraocular lens (IOL) implantation. A questionnaire was sent to 116 United States ophthalmology program directors and completed by 71. In response to the questionnaire, program directors reported that 95.3% of their gra...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.10.014
更新日期:2017-10-01 00:00:00
abstract::A 25-year-old woman with myopia who had an AC pIOL implantation in the left eye and posterior chamber pIOL implantation in the right eye developed bilateral granulomatous panuveitis 2 months after the second surgery. Physical examination showed bilateral Koeppe and Busacca nodules. Fluorescein angiography showed diffu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.02.026
更新日期:2012-06-01 00:00:00
abstract::Since the inception of small-incision lenticule extraction (SMILE), many surgeons have speculated the lack of an adequate and standard retreatment procedure will impede its popularity. However, more than 1 million patients worldwide have had this surgery, with visual outcomes nearly equivalent to current laser in situ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2018.07.047
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy, safety, predictability, and surgically induced astigmatism (SIA) of laser in situ keratomileusis (LASIK) for the correction of myopia and myopic astigmatism. SETTING:Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. METHODS:This retrospective study com...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01071-9
更新日期:2001-12-01 00:00:00
abstract::Anterior segment optical coherence tomography is a new method to explore the anterior chamber. The target can be focused and defocused with positive or negative lenses to reproduce the conditions of natural accommodation. We studied accommodation in an albino patient because the absence of pigment allows the infrared ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.12.043
更新日期:2004-03-01 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 quantify cataract in lens-backscatter metrics derived from Pentacam Scheimpflug photographs and determine the most predictive metrics for lens grading and visual performance measures. SETTING:Large tertiary referral hospital in South Australia. DESIGN:Evaluation of diagnostic test or technology. METHODS:I...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.07.033
更新日期:2012-12-01 00:00:00
abstract::A 56-year-old woman was referred with recurrent interface infiltration and hypopyon after astigmatic laser in situ keratomileusis (LASIK) on a corneal graft. Pseudomonas aeruginosa was isolated as the causative pathogen. Penetrating keratoplasty had been performed 2 years before refractive surgery. After the antibioti...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.05.001
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:To examine the safety and efficacy of myopic keratomileusis in situ (automated lamellar keratoplasty) using an automated microkeratome. SETTING:Jules Stein Eye Institute and the Department of Ophthalmology, UCLA School of Medicine, Los Angeles, California. METHODS:A retrospective study was done on 135 consecu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80145-3
更新日期:1996-12-01 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:PURPOSE:To evaluate surgically induced corneal astigmatism after small superotemporal and superonasal clear corneal incision cataract surgery. SETTING:Department of Ophthalmology, School of Medicine, University of Afyon Kocatepe, Afyon, Turkey. METHODS:This prospective study comprised 56 eyes of 28 patients who had b...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.11.034
更新日期:2004-06-01 00:00:00
abstract:PURPOSE:To evaluate the clinical outcomes of laser in situ keratomileusis (LASIK) to correct myopia or myopic astigmatism using the Amaris 750S 750 Hz excimer laser. SETTING:Private LASIK center, Tokyo, Japan. DESIGN:Case series. METHODS:Patients with myopia or myopic astigmatism (spherical equivalent -0.50 to -11.6...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.043
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:To evaluate meridional differences in angle-to-angle (A-A) and sulcus-to-sulcus (S-S) dimensions in human eyes using very high frequency ultrasound (VHF US) and anterior segment optical coherence tomography (AS-OCT). SETTING:John A. Moran Eye Center, University of Utah, USA; Berlin Eye Research Institute, Germ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.03.033
更新日期:2008-07-01 00:00:00
abstract::A technique is described in which a posterior chamber intraocular lens (IOL) is implanted in eyes with partial loss of posterior capsule or zonular support. The IOL's inferior haptic is placed over the residual capsule and the superior haptic is fixated to the ciliary sulcus with a polypropylene suture. In 17 eyes tha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80278-7
更新日期:1997-06-01 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 investigate the change in anterior, posterior, and net corneal power more than 18 months after photorefractive keratectomy (PRK) by RTVue anterior segment optical coherence tomography (OCT). SETTING:Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. DESIGN:Prospective observational s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000224
更新日期:2020-08-01 00:00:00