Abstract:
PURPOSE:To determine whether preoperative counseling on possible intraoperative visual perceptions during cataract surgery helps reduce the patients' fear during surgery. SETTING:Aravind Eye Hospital, Madurai, India. DESIGN:Randomized masked clinical trial. METHODS:Patients having phacoemulsification under topical anesthesia were randomized to receive additional preoperative counseling or no additional preoperative counseling on potential intraoperative visual perceptions. After surgery, all patients were interviewed about their intraoperative experiences. RESULTS:Of 851 patients, 558 (65.6%) received additional preoperative counseling and 293 (34.4%) received no additional counseling. A lower proportion of patients in the counseled group were frightened than in the group not counseled for visual sensation (4.5% versus 10.6%, P<.001). Analyzed separately by specific visual sensations, similar results were found for light perception (7/558 [1.3%] versus 13/293 [4.4%], P=.007), colors (P=.001), and movement (P=.020). The mean fear score was significantly lower in the counseled group than in the not-counseled group for light perception (0.03 versus 0.12, P=.002), colors (P=.001), movement (P=.005), and flashes (P=.035). Preoperative counseling was a significant factor affecting fear after accounting for age, sex, operated eye, and duration of surgery (multivariate odds ratio, 4.3; 95% confidence interval, 1.6-11.6; P=.003). CONCLUSION:Preoperative counseling on possible visual sensations during cataract surgery under topical anesthesia significantly reduced the mean fear score and the proportion of patients reporting being frightened.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Haripriya A,Tan CS,Venkatesh R,Aravind S,Dev A,Au Eong KGdoi
10.1016/j.jcrs.2010.11.041subject
Has Abstractpub_date
2011-05-01 00:00:00pages
814-8issue
5eissn
0886-3350issn
1873-4502pii
S0886-3350(11)00414-7journal_volume
37pub_type
杂志文章,随机对照试验abstract:PURPOSE:To investigate if a combination of topical nonsteroid anti-inflammatory drugs (NSAIDs) and steroids were superior in controlling early postoperative inflammation after cataract surgery compared with topical NSAIDs alone and with dropless surgery where a subtenon depot of steroid was placed during surgery. SETT...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000455
更新日期:2020-10-16 00:00:00
abstract::This review surveyed the results and methods of cost-utility analyses of cataract surgery. Thirteen studies were included. Based on decision-theoretic time trade-off, utilities ranged from 0.148 to 0.8 and quality-adjusted life years (QALY) ranged from 1.424 to 2.43. Based on psychometric instruments such as Euroqol 5...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2017.05.020
更新日期:2017-06-01 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 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:PURPOSE:To evaluate the long-term effects of extraction of incipient cataracts or clear lenses on glaucoma control in patients with subacute or chronic angle-closure glaucoma. SETTING:Department of Ophthalmology, University of Amsterdam, The Netherlands. METHODS:This retrospective analysis comprised 22 extracapsular ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80227-7
更新日期:1998-10-01 00:00:00
abstract::Two patients had uneventful phacoemulsification. After initial improvement, vision deteriorated because of cystoid macular edema (CME). In 1 patient, treatment with systemic nonsteroidal antiinflammatory drugs showed significant improvement in visual acuity but had to be discontinued because of side effects and a rela...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.12.067
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To study the repeatability and reproducibility of corneal power measurements obtained with a new corneal topographer (Keratograph 4) and assess their agreement with those obtained by a rotating Scheimpflug camera (Pentacam HR) and an automated keratometer (IOLMaster). SETTING:Eye Hospital, Wenzhou Medical Univ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.04.029
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:To examine the profile of clear corneal cataract incisions in the living eye using optical coherence tomography (OCT). SETTING:Private practice, Eugene, Oregon, USA. METHODS:The Zeiss Visante OCT anterior segment imaging system was used to study the profile of clear corneal cataract incisions, all in senior c...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.09.016
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:Because the optical performance of eyes implanted with multifocal intraocular lenses will theoretically depend upon the size and position of the pupil relative to the near and distance zones of the lens, we designed a study to determine whether preoperative pupil size is useful in predicting the postoperative p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80013-7
更新日期:1996-06-01 00:00:00
abstract:PURPOSE:To study the intraocular pressure (IOP) as a prognostic indicator on the first day after combined phacoemulsification and nonpenetrating deep sclerectomy. SETTING:Ramón y Cajal Hospital, Madrid, Spain. METHODS:This retrospective study included 70 eyes of 70 patients who had combined phacoemulsification-nonpen...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.025
更新日期:2008-08-01 00:00:00
abstract::A survey of intraocular lens (IOL) explantations performed during the 1984 calendar year requested dates of implantation and explantation, lens manufacturer, and lens style for anterior chamber, posterior chamber, and iris-supported lenses. The survey was distributed to 3,640 members of the American Society of Catarac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80078-5
更新日期:1986-11-01 00:00:00
abstract:PURPOSE:To evaluate the source of organisms causing an epidemic of postoperative endophthalmitis and to emphasize the importance of prompt intervention with an early diagnosis. SETTING:S.B. Ankara Hospital Eye Department, Ankara, Turkey. METHODS:Thirteen patients who had surgery on the same day and developed acute po...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80128-3
更新日期:1996-10-01 00:00:00
abstract::This case outlines the phacoemulsification technique used to overcome the challenge of the hyperdeep anterior chamber, weak zonules, abnormal anterior capsule, and large capsular bag. Key steps included trypan blue staining of the anterior capsule, a large capsulorhexis, prolapse of the nucleus into the anterior chamb...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.12.143
更新日期:2006-07-01 00:00:00
abstract:PURPOSE:To formulate and test an algorithm using minimal topographic criteria for accurately diagnosing clinical keratoconus. SETTING:Subspecialty cornea practice and Keratoconus Genetic Research Project. METHODS:Both eyes of 86 keratoconic patients who had never worn contact lenses and 195 normal participants were s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00195-9
更新日期:1999-10-01 00:00:00
abstract:PURPOSE:To evaluate the influence of posterior corneal astigmatism on total corneal astigmatism in patients with 1.00 diopter (D) or more of corneal astigmatism. SETTING:Private practice, Bologna, Italy. DESIGN:Prospective case series. METHODS:Corneal astigmatism was measured using a Scheimpflug camera combined with...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.01.046
更新日期:2014-10-01 00:00:00
abstract:PURPOSE:Previous studies have reported conflicting results on the influence of seasons on post-cataract surgery endophthalmitis incidences. This study aimed to investigate the seasonality associated with the incidence of postoperative endophthalmitis, and to evaluate its association with climate variables in South Kore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.07.022
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:To investigate the incidence and clinical features of red blood cell (RBC)-coated intraocular lens (IOL) in breakthrough vitreous hemorrhage (VH) with subretinal hemorrhage (SRH) secondary to neovascular age-related macular degeneration (nAMD). SETTING:Seoul National University Bundang Hospital, Seongnam, Kore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000549
更新日期:2020-12-09 00:00:00
abstract:PURPOSE:To optimize the implantable collamer lens (ICL) sizing method using anterior segment optical coherence tomography (AS-OCT). SETTING:Nagoya Eye Clinic, Nagoya, Japan. DESIGN:Interventional case series. METHODS:A stepwise multiple regression analysis was performed using the optimal ICL size as a dependent vari...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000134
更新日期:2020-05-01 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
abstract::We analyzed an enucleated eye that was blind and painful from a 66-year-old patient implanted with a Tennant modification of the Choyce Mark VIII anterior chamber intraocular lens (IOL) as a secondary procedure in 1978. The eye developed glaucoma, with implantation of an Ahmed valve in 2006. Gross and light microscopi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.10.023
更新日期:2012-02-01 00:00:00
abstract:PURPOSE:To evaluate the intraocular pressure (IOP)-lowering efficacy and safety of incisional goniotomy as an adjunct to phacoemulsification in primary angle-closure glaucoma (PACG) patients. METHODS:In this prospective interventional case series, consecutive patients with PACG (high or borderline IOP) deemed fit for ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000481
更新日期:2020-11-19 00:00:00
abstract:PURPOSE:To compare the incidence of posterior capsule rupture and vitreous loss during phacoemulsification with and without the use of an anterior chamber maintainer (ACM) SETTING: Aristotle University Eye Clinic, Thessaloniki, Greece. METHODS:The surgical records of patients who had phacoemulsification by experienced...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/S0886-3350(03)00584-4
更新日期:2004-02-01 00:00:00
abstract:PURPOSE:To compare results of intraocular lens (IOL) power calculation methods using different keratometry (K) values after myopic refractive surgery. SETTING:Seoul St. Mary's Hospital, Seoul, South Korea. DESIGN:Evaluation of diagnostic test or technology. METHODS:The IOL power of patients who had cataract surgery ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.04.045
更新日期:2013-11-01 00:00:00
abstract:PURPOSE:To determine whether vault measurements after placement of a hole implantable collamer lens (hole ICL) (KS-AquaPORT) can be predicted by angle-to-angle (ATA) and white-to-white (WTW) measurements obtained with anterior segment optical coherence tomography (AS-OCT). SETTING:Sanno Hospital, Tokyo, Japan. DESIGN...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.02.020
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:To determine whether residual myopia after primary laser-assisted subepithelial keratectomy (LASEK) can be corrected by repeated LASEK and whether this procedure is safe and effective. SETTING:University Eye Clinic, University of Regensburg, Regensburg, Germany. METHODS:Laser-assisted subepithelial keratectom...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00253-0
更新日期:2003-07-01 00:00:00
abstract:PURPOSE:To use anterior segment optical coherence tomography (AS-OCT) to evaluate anterior chamber depth (ACD) and angle after phacoemulsification and intraocular lens (IOL) implantation. SETTING:Department of Ophthalmology, Yeditepe University, Istanbul, Turkey. METHODS:Forty-seven eyes (37 patients) had uneventful ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.05.049
更新日期:2008-10-01 00:00:00
abstract::A new instrument that aids in retreating or revising lamellar refractive surgery is described. The edge delineator and lifter can both delineate and lift the edge of a previously made corneal flap. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80252-6
更新日期:1998-05-01 00:00:00
abstract:PURPOSE:To compare corneal astigmatism measurements obtained using a new optical biometer (AL-Scan) and a standard biometer based on partial coherence interferometry (IOLMaster 500) for toric intraocular lens (IOL) selection. SETTING:Siriraj Hospital, Mahidol University, Bangkok, Thailand. DESIGN:Prospective comparat...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.06.029
更新日期:2015-02-01 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 43-year-old man with high myopia developed unilateral pigmentary glaucoma with recurrent episodes of painless blurred vision in the left eye following uneventful phacoemulsification. Bilateral cataract surgery was performed with capsular bag implantation of a +4.00 diopter AcrySof MA60 intraocular lens (IOL) (Alcon ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.018
更新日期:2006-11-01 00:00:00