Abstract：
PURPOSE:To evaluate an outbreak of infectious keratitis after laser in situ keratomileusis (LASIK) at a single laser center in Japan. SETTING:Tokyo Dental College, Chiba, Japan. DESIGN:Case series. METHODS:Relevant demographic and clinical data were obtained from case records using a standardized multicenter questionnaire at 12 major hospitals. The clinical manifestations, management, and outcomes were analyzed. RESULTS:Thirty-nine eyes of 30 patients developed infectious keratitis after LASIK at the specified clinic. Cases of infection continued to appear over a 5-month period. The most common interval between LASIK and the onset of infection was within 2 weeks (36 eyes, 92.3%). Slitlamp manifestation included granular opacity beneath flap (71.8%), multiple infiltration (66.7%), and epithelial defect (30.8%). Mycobacterium was identified as the causative organism in 9 eyes (23.1%). In most cases, topical amikacin, arbekacin, and erythromycin in addition to fourth-generation fluoroquinolones were effective. Flap amputation was necessary in 10 eyes (25.6%) of 10 patients. Decimal visual acuity at initial presentation was worse than 0.10 in 14 eyes (35.9%), 0.15 to 0.50 in 8 eyes (20.5%), and 0.60 to 0.90 in 7 eyes (17.9%) and was better than 1.00 in 10 eyes (25.6%). Final decimal visual acuity was worse than 0.10 in 2 eyes (5.1%), 0.15 to 0.50 in 5 eyes (12.8%), and 0.60 to 0.90 in 11 eyes (28.2%) and was better than 1.00 in 21 eyes (53.8%). CONCLUSIONS:Mycobacterium was identified as the causative organism of this outbreak. This study shows the possibility of an epidemic of post-LASIK infectious keratitis.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Yamaguchi T,Bissen-Miyajima H,Hori-Komai Y,Matsumoto Y,Ebihara N,Takahashi H,Tsubota K,Shimazaki Jdoi
10.1016/j.jcrs.2010.11.034subject
Has Abstractpub_date
2011-05-01 00:00:00pages
894-900issue
5eissn
0886-3350issn
1873-4502pii
S0886-3350(11)00282-3journal_volume
37pub_type
杂志文章,多中心研究abstract：:A 52-year-old man had loss of vision and black discoloration of the lids of the right eye after a retrobulbar injection of 3 mL lidocaine hydrochloride 2% (Xylocaine). Examination of the right eye revealed no light perception with extensive necrosis of the lids. Anterior segment examination revealed conjunctival pallo...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01747-9
更新日期：2003-04-01 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：PURPOSE:To compare the refractive results of laser astigmatic treatment in eyes in which the astigmatic axes of the eye and laser are aligned by limbal marking at the 6 o'clock position and in eyes that are not marked. SETTING:University Hospital and Clinics, Madison, Wisconsin, USA. METHODS:This retrospective study ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00695-7
更新日期：2000-12-01 00:00:00
abstract：:The complement activation potential of surface modified (passivated) poly(methyl methacrylate) (PMMA) intraocular lenses (IOLs) with polypropylene loops was compared to that of standard PMMA IOLs with polypropylene loops. Both lens types were incubated in human sera for six hours and then the C3a and C5a levels were m...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80243-x
更新日期：1991-03-01 00:00:00
abstract：PURPOSE:To evaluate the clinical feasibility of the prototype version of a commercial partial coherence interferometry instrument (axial length measurement, ALM, Carl Zeiss Jena) for noninvasive, high-precision biometry in cataractous eyes. SETTING:Department of Ophthalmology, Vienna General Hospital, and Institute of...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(01)01272-x
更新日期：2002-02-01 00:00:00
abstract：:We describe a technique to prevent late intraocular lens (IOL) subluxation and dislocation that can be associated with progressive zonulopathy. Supracapsular glued IOL fixation is done to retain an intact anterior hyaloid face and avoid vitreous disturbance while providing stable long-term IOL fixation. Phacoemulsific...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.02.006
更新日期：2017-03-01 00:00:00
abstract：PURPOSE:To compare the extension of peripheral visual fields in phakic and pseudophakic patients and to evaluate whether Goldmann kinetic perimetry can be used as an objective measure of negative dysphotopsia. SETTING:University Eye Clinic, Maastricht University Medical Centre, Maastricht, the Netherlands. DESIGN:Pro...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.09.016
更新日期：2016-11-01 00:00:00
abstract：PURPOSE:To evaluate the safety and efficacy of posterior continuous curvilinear capsulorhexis with optic capture n preventing secondary opacification of the visual axis in pediatric eyes having cataract surgery and intraocular lens (IOL) implantation. SETTING:Gimbel Eye Centre, Calgary, Alberta, Canada. METHOD:Poster...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80049-1
更新日期：1997-01-01 00:00:00
abstract：:This paper presents current clinical and experimental uses of the carbon dioxide laser and the results of our human and animal tissue fusion investigations. Trials were conducted with human scleral and corneal eye bank tissue and in albino rabbits. With power settings of 100 to 200 mW, optimal laser effect consisting ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80073-1
更新日期：1987-05-01 00:00:00
abstract：:The KAMRA small-aperture corneal inlay can compensate for presbyopia. A small number of complications have been reported, including glare, halos, decentration, iron deposition, compromised distance and night vision, infectious keratitis and reversal corneal haze. We describe a case of corneal fibrosis after small-aper...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.11.003
更新日期：2019-03-01 00:00:00
abstract：UNLABELLED:An 84-year-old woman had routine laser-assisted cataract surgery with anterior laser capsulotomy and lens fragmentation. During hydropolishing of the posterior capsule, an unexpected posterior capsule rupture occurred without vitreous loss. The haptics of the intraocular lens (IOL) were implanted in the cili...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.06.016
更新日期：2015-07-01 00:00:00
abstract：PURPOSE:To compare the efficacy of low- and high-molecular-weight sodium hyaluronate in protecting corneal endothelial cells during phacoemulsification. SETTING:Miyata Eye Hospital, Miyakonojo, Miyazaki, Japan. METHODS:One hundred forty-nine eyes of 136 cataract patients were randomly assigned to have cataract surger...
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(02)01540-7
更新日期：2002-09-01 00:00:00
abstract：:Unwanted optical images are noticed by a surprisingly large number of patients following cataract extraction with implantation of posterior chamber intraocular lenses (IOLs). These images are caused by the positioning holes, lens edge, or laser ridge. We studied 550 eyes in which one of seven different IOLs was insert...
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(89)80113-0
更新日期：1989-09-01 00:00:00
abstract：:We report 2 cases of postoperative intraocular pressure (IOP) elevation in secondary piggyback intraocular lens (IOL) implantation without history of glaucoma or ocular hypertension. A 74-year-old woman with myopic pseudophakia and a 68-year-old man with hyperopic pseudophakia received secondary piggyback AcrySof IOL ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.06.034
更新日期：2005-09-01 00:00:00
abstract：:A 21-year-old woman had crosslinking for keratoconus in the right eye; the left eye was scheduled for penetrating keratoplasty. Five days postoperatively, she presented with geographic epithelial keratitis and iritis. Analysis of tear samples by polymerase chain reaction confirmed the diagnosis. The patient was treate...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.06.036
更新日期：2007-11-01 00:00:00
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 assess the precision of ocular biometry with a new noncontact optical low-coherence interferometer (Aladdin) in healthy subjects and patients with cataracts. SETTING:Eye Hospital of Wenzhou Medical University, Wenzhou, China. DESIGN:Observational cross-sectional study. METHODS:Eyes from healthy subjects a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.10.062
更新日期：2015-10-01 00:00:00
abstract：:A method to measure the power of an intraocular lens (IOL) in situ using an extended range keratometer and a depth measuring apparatus is described. With this method, the IOL power was measured in ten patients with an anterior chamber IOL and in ten patients with a posterior chamber IOL and compared with the labeled p...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80066-x
更新日期：1988-01-01 00:00:00
abstract：PURPOSE:To determine whether donor eyes had previous refractive surgery using Orbscan (Bausch & Lomb Surgical) corneal topography. SETTING:Lions Eye Bank of Oregon, Portland, Oregon, USA, and Maisonneuve-Rosemont, Hospital, Montreal, Quebec, Canada. METHODS:Orbscan corneal topographies of 50 donor eyes from the Lions...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.12.035
更新日期：2006-02-01 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 examine the impact of cataract surgery on older adults' self-reported visual difficulties and compare them with those of patients with cataract who declined surgery over the same period. SETTING:Twelve area practices. METHODS:This was a consecutive chart review over a 6-month period. Primary inclusion crit...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/s0886-3350(02)01846-1
更新日期：2003-05-01 00:00:00
abstract：PURPOSE:To report a case series of anterior uveitis after laser in situ keratomileusis (LASIK) and the incidence of anterior uveitis at a mean of 3 years. SETTING:Centro Medico Docente La Trinidad and Clinica Oftalmologica Centro Caracas, Caracas, Venezuela. METHODS:Five refractive surgeons and 18488 eyes that had su...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01364-0
更新日期：2002-10-01 00:00:00
abstract：:Posterior-assisted levitation is used to retrieve and levitate a sinking nucleus in cataract surgery associated with posterior capsule rupture. After the nucleus is levitated in the anterior chamber, the intraocular lens (IOL) scaffold procedure helps emulsify the nuclear remnants with the phacoemulsification probe an...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.06.004
更新日期：2017-07-01 00:00:00
abstract：:Horizontal chopping is effective for endocapsular nucleofractis. We describe pop and chop, a variant of chopping that enables an easy first crack and initial segment removal. It involves partial extracapsular prolapse of the nucleus prior to the initial chop. It is particularly useful when hydrodissection results in p...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00339-0
更新日期：2003-11-01 00:00:00
abstract：:A 77-year-old woman had uneventful phacoemulsification. Postoperative examination revealed that chloramphenicol ointment instilled in the conjunctival fornix had entered the anterior chamber and smeared the intraocular lens (IOL). Immediate surgical removal of the ointment with IOL exchange was performed. The eye sett...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01503-1
更新日期：2003-03-01 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：:After conventional extracapsular cataract extraction and in-the-bag intr aocular lens (IOL) implantation 3 years previously, the partially cut su perior one-third of the anterior capsulotomy flap resealed in the eye of a 55-year-old woman. With the integrity of the capsular bag restored, it distended fully; the IOL wa...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00403-x
更新日期：2000-09-01 00:00:00
abstract：PURPOSE:To evaluate survival and the risk for mortality after cataract surgery in relation to individual-level and socioeconomic factors in Scotland over 3 decades. SETTING:Linked healthcare data, United Kingdom. DESIGN:Representative population-based study. METHODS:A 5% random sample of Scottish decedents linked to...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.01.018
更新日期：2017-04-01 00:00:00
abstract：:We report 2 cases of implantation with the Kamra corneal inlay to describe central and peripheral retinal visibility and the quality of optical coherence tomography (OCT) scans. Under pharmacological mydriasis, the central and peripheral retina was explored without disturbance by an experienced retinal ophthalmologist...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.07.002
更新日期：2011-09-01 00:00:00
abstract：PURPOSE:To compare the results of 2 intraocular lens (IOL) implantation techniques in pediatric cataract surgery. SETTING:Labbafinejad Medical Center, Tehran, Iran. METHODS:This contralateral prospective randomized study comprised children with bilateral congenital or developmental cataract. In all cases, anterior ca...
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.2009.02.017
更新日期：2009-06-01 00:00:00
