Abstract:
PURPOSE:To evaluate 1-year outcomes of corneal collagen crosslinking (CXL) for treatment of keratoconus and corneal ectasia. SETTING:Cornea and refractive surgery subspecialty practice. DESIGN:Prospective randomized controlled clinical trial. METHODS:Collagen crosslinking was performed in eyes with keratoconus or ectasia. The treatment group received standard CXL and the sham control group received riboflavin alone. Principal outcomes included uncorrected (UDVA) and corrected (CDVA) distance visual acuities, refraction, astigmatism, and topography-derived outcomes of maximum and average keratometry (K) value. RESULTS:The UDVA improved significantly from 0.84 logMAR ± 0.34 (SD) (20/137) to 0.77 ± 0.37 logMAR (20/117) (P = .04) and the CDVA, from 0.35 ± 0.24 logMAR (20/45) to 0.23 ± 0.21 logMAR (20/34) (P<.001). Fifteen patients (21.1%) gained and 1 patient lost (1.4%) 2 or more Snellen lines of CDVA. The maximum K value decreased from baseline by 1.7 ± 3.9 diopters (D) (P<.001), 2.0 ± 4.4 D (P = .002), and 1.0 ± 2.5 D (P = .08) in the entire cohort, keratoconus subgroup, and ectasia subgroup, respectively. The maximum K value decreased by 2.0 D or more in 22 patients (31.0%) and increased by 2.0 D or more in 3 patients (4.2%). CONCLUSIONS:Collagen crosslinking was effective in improving UDVA, CDVA, the maximum K value, and the average K value. Keratoconus patients had more improvement in topographic measurements than patients with ectasia. Both CDVA and maximum K value worsened between baseline and 1 month, followed by improvement between 1, 3, and 6 months and stabilization thereafter. FINANCIAL DISCLOSURE:No author has a financial or proprietary interest in any material or method mentioned. Additional disclosure is found in the footnotes.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Hersh PS,Greenstein SA,Fry KLdoi
10.1016/j.jcrs.2010.07.030subject
Has Abstractpub_date
2011-01-01 00:00:00pages
149-60issue
1eissn
0886-3350issn
1873-4502pii
S0886-3350(10)01560-9journal_volume
37pub_type
杂志文章,随机对照试验abstract:PURPOSE:To examine differences in efficacy, accuracy, safety, and changes in aberrations between femtosecond and mechanical microkeratome laser in situ keratomileusis (LASIK) for myopia. SETTING:Department of Ophthalmology, Shanghai First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,meta分析
doi:10.1016/j.jcrs.2011.05.043
更新日期:2011-12-01 00:00:00
abstract::This continuous curvilinear capsulorhexis (CCC) technique is for use in complicated surgical cases such as when the anterior chamber is shallow, the red reflex is not good, or eye movements are present. This technique is easier and safer in such cases because it uses a cystotome connected to a viscoelastic syringe. Fi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80162-4
更新日期:1998-11-01 00:00:00
abstract:PURPOSE:To assess the safety, efficacy, and predictability of femtosecond laser in situ keratomileusis (LASIK) in eyes with previous radial keratotomy (RK). SETTING:Hospital Virgen del Consuelo de Valencia, Valencia, and Vissum Instituto Oftalmológico de Alicante, Alicante, Spain. METHODS:This prospective study compr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.061
更新日期:2006-08-01 00:00:00
abstract::The Galand lens is a closed J-loop implant for capsular-bag fixation. We present a retrospective study of 214 eyes implanted with this lens. Eyes were examined at three months, six months, one year, and two years after surgery. Results indicate that 82.2% of eyes obtained a visual acuity of 20/40 or better at two year...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80028-1
更新日期:1986-03-01 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 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:PURPOSE:To understand some of the variable refractive changes that occur during routine cataract surgery that could affect the accuracy and effectiveness of intraoperative aberrometry as it relates to the postoperative refractive state. SETTING:John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.09.039
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:To evaluate intrastromal concentrations of riboflavin with and without epithelium to ensure the efficacy and safety of corneal crosslinking (CXL) by the standard and transepithelial procedures. SETTING:Department of Ophthalmology and Department of Pharmacology G. Segre, Siena University, Siena, Italy. METHODS...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.01.009
更新日期:2009-05-01 00:00:00
abstract:PURPOSE:To define one possible etiology for the rise in intraocular pressure (IOP) after neodymium: YAG (Nd:YAG) laser capsulotomy and provide information for the continued investigation of this process. SETTING:Laser Center, Eye and Ear Institute, Pittsburgh, Pennsylvania. METHODS:Samples of 1% sodium hyaluronate or...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80315-4
更新日期:1996-07-01 00:00:00
abstract:PURPOSE:To assess the outcomes of intrastromal ring segment (Intacs, Addition Technology) implantation for keratoconus using the femtosecond laser. SETTING:Kudret Eye Hospital, Ankara, Turkey. METHODS:In a retrospective noncomparative case series, 118 eyes of 69 patients with keratoconus who had Intacs segments impla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.032
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:To validate changes in intraocular pressure (IOP) after phacoemulsification with intraocular lens (IOL) implantation without pressure-lowering surgery in previously unoperated eyes of normal and glaucoma patients. SETTING:University Eye Clinic, Otto-von-Guericke-University, Magdeburg, Germany. DESIGN:Cohort s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.11.034
更新日期:2012-04-01 00:00:00
abstract::Postoperative lens capsule opacification is a complication of extracapsular cataract extraction. To avoid this problem, we aspirated the epithelial cells lining the internal surface of the capsular bag. Anterior capsule specimens collected three and six years after the first surgical intervention (extracapsular catara...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80302-1
更新日期:1993-05-01 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 analyze the effect of asphericity of intraocular lenses (IOLs) on vertical coma aberration after implantation of spherical, spherically neutral, and aspheric IOLs. SETTING:Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom. METHOD:This observational study recruited patients from prev...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.08.024
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:To establish a refractive surgery unit at Tilganga Institute of Ophthalmology through support from international donations and provide knowledge transfer for doctors and management to make the unit self-sustaining, nonprofit laser refractive surgery, and financial support for other eyecare projects at Tilganga....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.05.023
更新日期:2018-08-01 00:00:00
abstract::Penetrating keratoplasty in the presence of a perforated cornea is a relatively common and difficult surgical problem. In the worst scenario, there may be extrusion of ocular contents during trephination. Two cases of perforated corneas are presented in which a new technique was used to close the perforation and norma...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.10.060
更新日期:2005-05-01 00:00:00
abstract:PURPOSE:To investigate whether caffeic acid phenethyl ester (CAPE) prevents sodium-selenite-induced cataract. SETTING:Department of Ophthalmology and Biochemistry, Inonu University Medical Faculty, Turgut Ozal Medical Center, Research Hospital, Malatya, Turkey. METHODS:Sixty Sprague-Dawley rat litters were randomized...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01242-7
更新日期:2002-08-01 00:00:00
abstract:PURPOSE:To investigate the penetration of topically applied levofloxacin 0.5% and ofloxacin 0.3% eyedrops into the aqueous humor of patients having cataract surgery. SETTING:Hochkreuzklinik Eye Hospital, Bonn, Germany. METHODS:In this randomized, investigator-masked study, 69 patients received 4 drops of either levof...
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.2004.12.063
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To determine improvement of near visual acuity by bilateral multifocal aspheric LASIK treatments in presbyopic patients. SETTING:Goethe-University, Frankfurt, Germany. DESIGN:Prospective, non-randomized trial. METHODS:Thirty presbyopic patients underwent laser in situ keratomileusis (LASIK) treatment with a ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000198
更新日期:2020-03-30 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 assess the outcomes in patients who required 1 or more vitreoretinal interventions for posterior segment complications arising from elective uneventful cataract surgery. SETTING:Tertiary referral center, single-center study. METHODS:A retrospective interventional case series included 56 consecutive patient...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.10.034
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:To report the prevalence of ocular surface dysfunction in patients presenting for cataract surgery evaluation. SETTING:Duke University Eye Center and Weill Cornell Ophthalmology, single-physician practices. DESIGN:Prospective case series. METHODS:Consecutive patients presenting for cataract surgery evaluatio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.06.026
更新日期:2018-09-01 00:00:00
abstract::A 22-year-old woman presented with pain, redness, watering, and decrease in vision in her left eye 15 days after laser in situ keratomileusis for myopia. Slitlamp examination showed a central full-thickness infiltrate with hyphate edges. Microscopic examination of corneal scrapings from the edge and underneath the fla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00459-9
更新日期:2000-04-01 00:00:00
abstract:PURPOSE:To investigate the association between intraocular pressure (IOP), central corneal thickness (CCT), or both and wavefront aberrations in the anterior cornea and the whole eye in myopia. SETTING:Wenzhou Medical College, Wenzhou, Zhejiang, China. METHODS:Seventy myopic subjects were tested with a Humphrey corne...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.012
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:To analyze refractive results after hyperopic presbyopia surgery by Q-factor modulation without additive monovision. SETTING:Quinze-Vingts National Ophthalmology Hospital, Paris, France. DESIGN:Prospective nonrandomized study. METHODS:Forty-five hyperopic presbyopic patients not tolerating monovision were in...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.02.039
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:To determine the incidence of anterior capsule tears, at what stage of surgery they occurred, and their intraoperative behavior. SETTING:Ambulatory surgery center, Cincinnati Eye Institute, Cincinnati, Ohio, USA. METHODS:This 5-year retrospective study was of patients having phacoemulsification with posterior...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.05.013
更新日期:2006-10-01 00:00:00
abstract::A generally healthy and independent 83-year-old man presented with long-standing, mild to moderate glaucoma. He had uneventful cataract surgery several years earlier. He also had previous selective laser trabeculoplasty (SLT) with only slight reduction in his intraocular pressure (IOP). His untreated IOP was middle to...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000244
更新日期:2020-06-01 00:00:00
abstract::This report describes a series of six children who had a retropseudophakic vitrectomy performed via a limbal approach (limbal approach retropseudophakic vitrectomy, LARV). This technique ensures a permanently clear visual axis when performed at the time of cataract/implant surgery and can also be used to excise second...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80985-6
更新日期:1991-01-01 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:PURPOSE:To investigate the effects of phacoemulsification in glaucomatous eyes with functioning Baerveldt tube shunts. SETTING:Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. METHODS:This retrospective analysis followed 9 eyes of 8 patients with functioning Baerveldt tube shun...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.04.008
更新日期:2006-09-01 00:00:00