Abstract：
PURPOSE:To determine the safety and practicality of a combined anesthesiologist and registered nurse model of anesthesia care in cataract surgery. SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Case series. METHODS:This retrospective review comprised consecutive patients having phacoemulsification cataract surgery and peribulbar injection anesthesia combined with propofol intravenous sedation between August 1, 2004, and July 31, 2006. In all cases, anesthesiologist-supervised intravenous propofol sedation during injection anesthesia was followed by registered nurse observation for the remainder of the surgery. Outcome measures were the rate of subsequent anesthesiologist intervention, intraoperative complications, and associated risk factors. Logistic regression models were used to estimate risk for anesthesiologist intervention. RESULTS:The study reviewed 3656 cases. There were no serious medical complications leading to postoperative hospitalization. Fifty-four cases (1.5%) required subsequent intraoperative anesthesiologist intervention. Evaluation of systolic hypertension (40 of 54 cases, 74%) was the most common reason for anesthesiologist intervention. There was no correlation between anesthesiologist intervention and patient age or sex (P=.77 and P=.41, respectively). The risk for anesthesiologist intervention increased 2.2-fold for every 1 unit increase in the American Society of Anesthesiologists Physical Status score (P=.007). CONCLUSION:The monitoring of cataract surgery patients by registered nurses after anesthesiologist-supervised intravenous propofol sedation during injection anesthesia was associated with very low complication and anesthesiologist intervention rates.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Erie AJ,McHugh R,Warner M,Erie JCdoi
10.1016/j.jcrs.2010.09.021subject
Has Abstractpub_date
2011-03-01 00:00:00pages
481-5issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(10)01889-4journal_volume
37pub_type
杂志文章abstract：:In February 2001, a questionnaire on the practice of refractive surgery was sent worldwide to all 8196 members of the American Society of Cataract and Refractive Surgery; 1511 responses (18.4%) were received. Although laser in situ keratomileusis (LASIK) was the most common refractive procedure reported, phakic intrao...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01318-9
更新日期：2002-02-01 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 change in ocular higher-order wavefront aberrations (HOAs), visual acuity, and modulation transfer function (MTF) after lens extraction with intraocular lens (IOL) implantation in patients with subluxated lenses. SETTING:Iladevi Cataract & IOL Research Centre, Ahmedabad, India. DESIGN:Prospecti...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.12.017
更新日期：2018-03-01 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：:We used the finite element method to evaluate different capsulotomy techniques. Nucleus expression was simulated in a computer model to visualize stress distribution in the anterior capsule. The finite element model demonstrated that the capsulorhexis edge is strong because of low and uniform stress distribution in th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80176-9
更新日期：1994-07-01 00:00:00
abstract：PURPOSE:To document keratocyte distribution and changes with age in the cellular network of the human cornea in vivo. SETTING:Department of Ophthalmology, University of Rostock, Rostock, Germany. METHODS:Forty-nine eyes of 31 healthy subjects of various ages were examined with a modified Microphthal scanning-slit con...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01227-5
更新日期：2002-04-01 00:00:00
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 keratocon...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.11.032
更新日期：2010-06-01 00:00:00
abstract：:A simple technique for the accurate surgical alignment of toric phakic and aphakic intraocular lenses (IOLs) is described. The mathematical relationship between toric misalignment and cylinder error is reviewed to demonstrate the importance of toric lens alignment in the setting of increased rotational stability with ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.04.041
更新日期：2008-10-01 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 investigate the prevalence of preoperative cataract surgery testing and consultation at a single United States teaching hospital. SETTING:Academic-affiliated Veterans Affairs Medical Center. DESIGN:Retrospective chart review. METHODS:This study included patients who received cataract surgery from 2014 to ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000153
更新日期：2020-06-01 00:00:00
abstract：:A lenticule of intrastromal corneal tissue was cut together with 2 small incisions of 3.0 mm using a low-energy femtosecond laser system, FEMTO LDV Z8; 1 incision led to the posterior plane and 1 to the anterior, allowing dissection of the lenticule. When needed, recentering of the treatment area was possible without ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000236
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:To determine the precision and accuracy of an artificial anterior chamber and a manual microkeratome in obtaining corneal lenticules for lamellar keratoplasty. SETTING:Department of Ophthalmology, Cornea, External Diseases and Refractive Surgery Service, University of California Irvine, Irvine, California, USA...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00896-3
更新日期：2001-10-01 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：PURPOSE:To evaluate the actual versus the expected thickness of laser in situ keratomileusis (LASIK) flaps and to determine the factors that affect flap thickness. SETTING:Centre For Sight, Queen Victoria Hospital, East Grinstead, United Kingdom. METHODS:A retrospective analysis of LASIK procedures in 757 consecutive...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.09.070
更新日期：2004-05-01 00:00:00
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 stan...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.03.035
更新日期：2009-08-01 00:00:00
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：:We report a case of traumatic phacocele in a 42-year-old patient with a history of congenital glaucoma and bilateral goniotomies as an infant. Her left eye had little vision and poorly controlled intraocular pressure but was comfortable until her presentation after blunt trauma. Phacocele or subconjunctival dislocatio...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00760-4
更新日期：2001-08-01 00:00:00
abstract：:Current methods of local ocular anesthesia, including retrobulbar, peribulbar, and topical anesthesia, have distinct limitations and many possible, potentially serious complications. We present a new technique that provides rapid, thorough local ocular anesthesia and eliminates these potential complications. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80186-1
更新日期：1994-07-01 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 describe a previously unreported complication of a posterior chamber intraocular lens (IOL) implanted in a phakic eye. The left eye of a 25-year-old patient with high myopia was treated prophylactically with neodymium: YAG (Nd: YAG) laser iridotomy prior to phakic IOL implantation. Slitlamp examination of the left ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)80062-5
更新日期：1999-04-01 00:00:00
abstract：PURPOSE:To compare the effect of topical dexamethasone versus ketorolac versus combined dexamethasone-ketorolac after phacoemulsification on choroidal thickness (CT). SETTING:A tertiary university-based hospital Design: Prospective non-randomized comparative case series METHODS:: Ninety-two eyes of 92 patients were as...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000477
更新日期：2020-11-12 00:00:00
abstract：PURPOSE:To assess the effectiveness of using anterior chamber irrigation of unpreserved lidocaine 1% as anesthesia during cataract surgery. SETTING:Private group ophthalmology practice. METHODS:This study prospectively evaluated 1000 of 1012 consecutive eyes having temporal corneal incision cataract surgery to determ...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(97)80212-x
更新日期：1997-05-01 00:00:00
abstract：:We present a case of spontaneous globe luxation and wound dehiscence that developed in a patient with proptosis 1 day after phacoemulsification with posterior chamber intraocular lens implantation. The wound was repaired and a lateral tarsorrhaphy was performed with successful prevention of further luxations. Upon cat...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00056-7
更新日期：2003-09-01 00:00:00
abstract：PURPOSE:To evaluate the relationship between baseline corneal hysteresis (CH) and the change in intraocular pressure (IOP) before and after cataract extraction in patients without glaucoma. SETTING:Private practice, New York City, New York, USA. DESIGN:Retrospective cohort study. METHODS:Charts of consecutive patien...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.09.040
更新日期：2015-06-01 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：:A 56-year-old man developed a nasal field defect in his left eye 3 months after a traumatic accident. An examination showed a posterior subcapsular cataract in the left eye with no neurologic deficits. Humphrey 24-2 visual field testing revealed a nasal hemianopsia in the left eye. After cataract extraction and intrao...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00152-2
更新日期：1999-09-01 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：:Iris fixation of posterior chamber intraocular lenses (IOLs) is a technique that has been recommended for patients in whom a posterior chamber IOL is indicated but there is insufficient capsular support. We present 4 cases of iris-fixated posterior chamber IOLs with complications related to the procedure. Three patien...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.06.048
更新日期：2005-12-01 00:00:00
abstract：:Two patients with active iritis developed cataracts and had successful cataract surgery with implantation of a Collamer (Staar Surgical, AG) intraocular lens (IOL). Both patients developed severe bilateral uveitis, which in 1 patient was refractory to control. Different IOL materials have been used in iritis patients ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00329-8
更新日期：2003-12-01 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
