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 keratoconic eyes that had implantation of a toric Intraocular Collamer Lens. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, refraction, and postoperative complications were evaluated 1, 3, 6, and 12 months postoperatively. RESULTS:Preoperatively, the mean spherical equivalent in the 30 eyes (21 patients) was -5.38 diopters (D) +/- 3.26 (SD) (range -13.50 to -0.63 D) and the mean cylinder, -3.48 +/- 1.24 D (range -1.75 to -6.00 D). At 12 months, 86.7% of the eyes were within +/-0.50 D of the attempted refraction and all eyes were within +/-1.00 D. For the astigmatic components J0 and J45, 83.3% of eyes and 86.7% of eyes, respectively, were within +/-0.50 D. The mean Snellen UDVA was 0.81 +/- 0.20 and the mean CDVA, 0.83 +/- 0.18; CDVA was 20/40 or better in 29 eyes 96.7% of eyes and 20/25 or better in 22 eyes (73.3%). No eyes lost more than 2 lines of CDVA; 29 eyes (96.7%) maintained or gained 1 or more lines. The efficacy index was 1.07 and the safety index, 1.16. There were no complications or adverse events. CONCLUSIONS:The results confirm that toric ICL implantation is a predictable, effective procedure to correct ametropia in eyes with keratoconus. Predictability and stability were achieved early and remained fairly stable up to 12 months.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Alfonso JF,Fernández-Vega L,Lisa C,Fernandes P,González-Méijome JM,Montés-Micó Rdoi
10.1016/j.jcrs.2009.11.032subject
Has Abstractpub_date
2010-06-01 00:00:00pages
906-16issue
6eissn
0886-3350issn
1873-4502pii
S0886-3350(10)00430-Xjournal_volume
36pub_type
杂志文章abstract：PURPOSE:To describe a no-history method of estimating the effective lens position (ELP) for double-K intraocular lens (IOL) power calculation in eyes that had previous refractive surgery. SETTING:Departments of Ophthalmology, Taipei Medical University Hospital and Taipei City Hospital, Taipei, Taiwan. METHODS:The cor...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.08.030
更新日期：2008-12-01 00:00:00
abstract：PURPOSE:To assess the efficacy of deep anterior lamellar keratoplasty (DALK) for treating post-LASIK keratectasia. SETTING:Poostchi Eye Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. DESIGN:Retrospective interventional cases series. METHODS:The same surgeon performed all DALK procedures using ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.04.029
更新日期：2014-12-01 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 the effect of a capsular tension ring (CTR) on the shape of the capsular bag, the extent of the capsular opening, and the shape of intraocular lenses (IOLs). SETTING:Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. METHODS:The corneal button was rem...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00610-6
更新日期：2001-03-01 00:00:00
abstract：:Nonsteroidal anti-inflammatory drugs (NSAIDs) produce potent analgesic, antipyretic, and anti-inflammatory effects. We studied postoperative pain in 97 consecutive patients having photorefractive keratectomy (PRK) by an excimer laser with different topical NSAID protocols. Treatment with topical homatropine hydrobromi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80756-0
更新日期：1994-03-01 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 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 visual outcomes and patient satisfaction after toric multifocal intraocular lens (IOL) implantation in patients with cataract and corneal astigmatism. SETTING:University Eye Clinic Maastricht, The Netherlands. DESIGN:Cohort study. METHODS:Patients with cataract, corneal astigmatism, and a motivat...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.05.041
更新日期：2011-11-01 00:00:00
abstract：PURPOSE:To compare the accuracy of a handheld infrared digital pupillometer and digital infrared photography for measurement of the dark-adapted pupil diameter. SETTING:Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, Texas, USA. METHODS:The right horizontal pupi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.09.025
更新日期：2010-02-01 00:00:00
abstract：PURPOSE:To evaluate the repeatability and reproducibility of anterior chamber volume (ACV) measurements using swept-source 3-dimensional corneal and anterior segment optical coherence tomography (CAS-OCT) and dual Scheimpflug imaging. SETTING:Department of Ophthalmology, Institute of Clinical Medicine, University of T...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/j.jcrs.2010.08.053
更新日期：2011-03-01 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：:Eighty-two keratotomy procedures were performed for both idiopathic and postsurgical astigmatism or myopic astigmatism and analyzed for efficacy using vector and linear regression analysis. Delta keratometry values (delta K) were computed for each case as delta K in the desired axis of effect using vector analysis. Si...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80134-8
更新日期：1989-01-01 00:00:00
abstract：PURPOSE:To report clinicopathological analyses of 3 cases of interface fungal infection following laser in situ keratomileusis (LASIK) and diffuse lamellar keratitis (DLK). SETTING:Center for Research on Ocular Therapeutics and Biodevices and Arthur and Holly Magill Research Center for Vision Correction, Storm Eye Ins...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01241-5
更新日期：2002-08-01 00:00:00
abstract：:A surgical method for managing poorly dilating pupils preoperatively is presented. A fine polypropylene suture is preplaced through the inferior iris sphincter prior to an inferior radial iridotomy in preparation for nucleus fracture endolenticular phacoemulsification. Placing the suture prior to the iridotomy assures...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80110-1
更新日期：1992-09-01 00:00:00
abstract：:The elimination of hydroxypropyl methylcellulose (HPMC) of molecular weight 86,000 daltons (2%, viscosity 4,000 centipoises; 2.5%, 15,000 centipoises) and 120,000 daltons (2%, 15,000 centipoises) from the anterior chamber of rabbit eyes was determined colorimetrically and was nearly complete by 24 hours. The eliminati...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80009-4
更新日期：1989-03-01 00:00:00
abstract：:I describe an intraoperative method for the consistent anchoring of the intraocular lens (IOL) and cataract surgery and on the patient's visual axis using coaxial microscope optics, surgeon-guided patient fixation, the precision pulse capsulotomy (PPC) device (Zepto) and utilizing the first (and fourth) Purkinje image...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.02.013
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To compare the pharmacotherapeutic practices of high-volume photorefractive keratectomy (PRK) surgeons with suggested practices gleaned from the current literature. SETTING:York Finch Eye Associates, Toronto, Canada. METHODS:Seventy-five ophthalmic surgeons believed by the authors to do a high-volume of PRKs ...
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)80116-7
更新日期：1996-10-01 00:00:00
abstract：:We report the results in six eyes on which we performed a new surgical method: intrastromal corneal excimer laser photoablation following lamellar corneal keratectomy with a microkeratome. The study was designed to evaluate the clinical and refractive efficacy of the procedure, to assess the behavior of the cornea fol...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80381-1
更新日期：1992-01-01 00:00:00
abstract：:We report the case of a 70-year-old woman with a history of acute primary angle-closure glaucoma (PACG) in the left eye who, 2 hours after a fundus examination and mydriasis, experienced acutely elevated intraocular pressure (IOP) up to 40 mm Hg in the presence of fully dilated pupil and a patent iridotomy. Gonioscopy...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.10.027
更新日期：2004-06-01 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 compare the effect of 2 poly(methyl methacrylate) (PMMA), 1-piece biconvex intraocular lens (IOL) designs on the cumulative frequency of neodymium:YAG (Nd:YAG) laser posterior capsulotomy. SETTING:Department of Ophthamology, Mayo Clinic, Rochester, Minnesota, USA. METHODS:This retrospective study evaluated...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80019-9
更新日期：1998-09-01 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 cleavage plane, corneal cytoarchitecture, and cell vitality of separated corneal epithelial sheets created with 3 commonly used microkeratomes. SETTING:Laboratories of the Regensburg University Medical Center, Regensburg, Germany. METHODS:Mechanical separation of the epithelial layer in 10 por...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.06.028
更新日期：2008-10-01 00:00:00
abstract：PURPOSE:To compare the visual and refractive outcomes with a diffractive toric extended depth-of-focus (EDOF) intraocular lens (IOL) when both eyes are targeted for emmetropia and the nondominant eye is targeted for slight myopia. SETTING:Three clinical practices, United States. DESIGN:Prospective case series. METHO...
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.2019.05.019
更新日期：2019-10-01 00:00:00
abstract：PURPOSE:To compare corneal endothelial damage after cataract surgery in eyes with low endothelial cell density (ECD) and eyes with normal ECD. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. DESIGN:Case-control study. METHODS:Cataract surgery was performed in eyes with a low ECD (500 to 1000 cells/mm(2)) (low-density ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.02.025
更新日期：2011-08-01 00:00:00
abstract：PURPOSE:To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING:Private practice, Siena, Italy. METHODS:This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes o...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.02.030
更新日期：2006-06-01 00:00:00
abstract：PURPOSE:To investigate the accuracy and predictability of intraocular lens (IOL) power calculation in postoperative photorefractive keratectomy (PRK) eyes. SETTING:Gimbel Eye Centre, Calgary, Alberta, Canada. METHODS:The results in 5 cataract surgery eyes that had had PRK were analyzed retrospectively. Target refract...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00480-6
更新日期：2000-08-01 00:00:00
abstract：:Any ocular surface disease (OSD), but most commonly, dry-eye disease (DED), can reduce visual quality and quantity and adversely affect refractive measurements before keratorefractive and phacorefractive surgeries. In addition, ocular surgery can exacerbate or induce OSD, leading to worsened vision, increased symptoms...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2019.03.023
更新日期：2019-05-01 00:00:00
abstract：:A patient with long-standing ankylosing spondylitis and chronic uveitis needed cataract extraction in his only eye. Extensive spinal deformities, including cervical kyphosis, prevented him from being positioned satisfactorily for surgery using a routine head-end or temporal position for the surgeon. The best possible ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00596-4
更新日期：2000-08-01 00:00:00
abstract：:A capsulorhexis may be difficult to perform in the absence of a red fundus reflex. Using 0.1 mL of trypan blue 0.1% to stain the anterior capsule in 30 patients with a mature cataract enabled us to visualize the capsulorhexis during phacoemulsification. No adverse reactions were observed up to 12 months after surgery....
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(99)80004-2
更新日期：1999-01-01 00:00:00
