Abstract:
PURPOSE:To study the results of simultaneous photorefractive keratectomy (PRK) and corneal collagen crosslinking (CXL) in keratoconus after previous intrastromal corneal ring segment (ICRS) implantation. SETTING:Enaim Laser Center, Jerusalem, Israel. DESIGN:Case series. METHODS:This study comprised patients with moderate keratoconus who had previous Intacs ICRS implantation with the Intralase laser at least 6 months before PRK-CXL. Wavefront-guided PRK and ultraviolet-A CXL were performed simultaneously. Refraction, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, keratometry (K) values, endothelial cell count (ECC), pachymetry, corneal resistance factor (CRF), and corneal hysteresis (CH) were assessed 3, 6, and 12 months postoperatively. RESULTS:Twelve months after PRK-CXL, the mean decimal UDVA improved significantly from 0.20 ± 0.12 (SD) to 0.55 ± 0.15 (P<.01). The mean decimal CDVA improved from 0.58 ± 0.13 to 0.77 ± 0.17 (P=.01). The mean cylinder decreased from -3.60 ± 1.70 to -1.30 ± 1.10 diopters (D) (P<.001). The mean apex K decreased from 50.91 ± 5.50 D to 46.61 ± 4.52 D (P<.005). The other corneal parameters did not change significantly after treatment. No significant difference was found between the 6-month and 12-month results. No patient lost lines of CDVA. Mild haze remained in 11.1% of eyes 12 months after treatment. CONCLUSIONS:Simultaneous wavefront-guided PRK and CXL for keratoconus after ICRS implantation was safe and effective. It significantly improved the UDVA, CDVA, and central K value, and consequently the visual function, of patients with moderate keratoconus.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Kremer I,Aizenman I,Lichter H,Shayer S,Levinger Sdoi
10.1016/j.jcrs.2012.05.033subject
Has Abstractpub_date
2012-10-01 00:00:00pages
1802-7issue
10eissn
0886-3350issn
1873-4502pii
S0886-3350(12)00890-5journal_volume
38pub_type
杂志文章abstract::Corectopia, the eccentric displacement of the pupil, may be associated with other abnormalities such as axial high myopia or ectopia lentis. We report the case of a patient presenting for surgery to correct bilateral myopia of 6.50 diopters (D) associated with corectopia. Excimer laser ablation was decentered and perf...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00018-8
更新日期:1999-05-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of intracameral recombinant tissue plasminogen activator (rt-PA) application for fibrinolysis of fibrin formation after cataract surgery in children. SETTING:Johann Wolfgang Goethe-University, Department of Ophthalmology, Frankfurt am Main, Germany. METHODS:This study compr...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(99)80083-2
更新日期:1999-03-01 00:00:00
abstract::We describe a variation of stop and chop phacoemulsification. During chopping the chopper's vertical element is depressed posteriorly toward the optic nerve and is placed well within the capsulorhexis margin, leading to in situ chopping. Each fragment is continuously chopped, and the small pieces are stuffed inside th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/s0886-3350(96)80003-4
更新日期:1996-06-01 00:00:00
abstract:PURPOSE:To demonstrate the proper method for evaluating and reporting astigmatism for individual and aggregate data. SETTING:University of Texas Medical School and Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. METHODS:The surgically induced refractive change (SIRC) was determined for three da...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80075-8
更新日期:1998-01-01 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::We report a case of toxic anterior segment syndrome (TASS) that developed after cataract surgery. A 78-year-old woman had uneventful phacoemulsification via a clear corneal incision with implantation of an acrylic intraocular lens. One day postoperatively, diffuse corneal edema and anterior chamber inflammation were e...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.07.052
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:To compare corneal endothelial cell density (ECD) and morphology between flap creation with a femtosecond laser and flap creation with a mechanical microkeratome 5 years after laser in situ keratomileusis (LASIK). SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Prospective randomized masked paired-eye ...
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.2012.07.034
更新日期:2012-12-01 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 present a complex surgical technique used for the management of luxated crystalline lenses and evaluate treatment results. SETTING:Department of Ophthalmology, Medical University of Lodz, Lodz, Poland. METHODS:This prospective study involved 29 consecutive patients (30 eyes) with the mean age of 60.3 years...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.04.039
更新日期:2005-11-01 00:00:00
abstract::The excimer laser is potentially capable of achieving wide area central corneal reprofiling because of its extreme precision and limited penetration into adjacent tissues. A beam modifying system designed for this application is described. Initial clinical studies in monkeys and in ten human patients with blind eyes w...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80055-0
更新日期:1989-07-01 00:00:00
abstract::To compare the effect of a fixed dorzolamide-timolol combination with that of latanoprost on intraocular pressure (IOP) after small incision cataract surgery. Department of Ophthalmology, University of Vienna, Vienna, Austria. This prospective randomized study comprised 60 eyes of 30 patients scheduled for small incis...
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(00)00706-9
更新日期:2001-05-01 00:00:00
abstract:PURPOSE:To analyze anterior segment structure changes during accommodative stimuli after monofocal intraocular lens (IOL) implantation using 2 ultrasound biomicroscopy (UBM) systems. SETTING:Department of Ophthalmology, University of Verona, Verona, Italy. METHODS:Twenty-six eyes (23 patients) with 1 of 4 monofocal I...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.02.018
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:To characterize and compare the higher-order aberrations (HOAs) in 3 intraocular lenses (IOLs) designed to minimize HOAs using a new physical model eye. SETTING:Department of Ophthalmology, University of Auckland, New Zealand. METHODS:Measurements of higher-order wavefront aberrations were obtained using the ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.11.048
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of capsular bag opacification, particularly interlenticular opacification (ILO), in rabbit eyes implanted with a dual-optic silicone intraocular lens (IOL) or piggyback lenses. SETTING:John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS:Ten du...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.01.022
更新日期:2006-04-01 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 assess the correlation between continuous curvilinear capsulorhexis (CCC) size and visual outcomes in patients with an accommodating intraocular lens (IOL). SETTING:Heidelberg IOL and Refractive Surgery Research Group, Department of Ophthalmology, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.02.071
更新日期:2005-02-01 00:00:00
abstract::We describe 2 women with high myopia of -12.0 and -18.0 diopters who presented with myopic macular hemorrhages 1 and 4 days, respectively, after being treated by laser in situ keratomileusis (LASIK). One hemorrhage was related to a pre-existing choroidal neovascularization and the other to the presence of lacquer crac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00313-8
更新日期:2000-06-01 00:00:00
abstract::Deep anterior lamellar keratoplasty is a widely adopted technique to treat pathologies of the cornea without endothelial cell involvement. This technique has several advantages including longer graft survival without endothelial rejection and lower doses of steroid administration. A transillumination technique was use...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000369
更新日期:2020-08-03 00:00:00
abstract::Cortex removal, especially at the 12 o'clock position, is more difficult with small incision phacoemulsification than with planned extracapsular cataract extraction. In this study an irrigation/aspiration handpiece with changeable tips was used for cortex removal in a large, unselected, consecutive series of small inc...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80911-x
更新日期:1992-05-01 00:00:00
abstract:PURPOSE:To retrospectively evaluate the incidence of neodymium: YAG (Nd:YAG) laser capsulotomies for posterior capsule opacification (PCO) in eyes receiving one of two types of capsular-bag-fixated silicone posterior chamber intraocular lenses (IOLs) over 7 years. SETTING:John Moran Eye Center, University of Utah, Sal...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80088-5
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To compare loteprednol etabonate (LE) gel 0.5% with prednisolone acetate suspension (PA) 1% for the treatment of inflammation after cataract surgery in children. SETTING:Eleven sites in the United States. DESIGN:Randomized, double-masked, parallel-group, noninferiority study. METHODS:Eligible patients were a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000218
更新日期:2020-08-01 00:00:00
abstract:PURPOSE:To determine the incidence and severity of flap folds and displacement after laser in situ keratomileusis (LASIK) and assess the outcome of the flap repositioning procedure. SETTING:Eye Institute of Utah, Salt Lake City, Utah, USA. METHODS:Charts of 91 eyes of 87 patients that had flap repositioning were revi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00571-x
更新日期:2000-10-01 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 compare 2 ultrasound (US) frequencies for phacoemulsification for moderate to hard cataract to determine a frequency that makes phacoemulsification safer and more efficacious. SETTING:Post Graduate Institute of Medical Education and Research, New Delhi, India. DESIGN:Randomized controlled trial. METHODS:P...
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.2019.04.015
更新日期:2019-09-01 00:00:00
abstract::In eyes with absent or insufficient capsule support, three-piece posterior chamber intraocular lens (PC IOL) may be fixed to the sclera. Previous techniques involve the use of sutures, flaps, glue, needles, trocars, or intrascleral tunnels to fixate the distal tips of the haptics intrasclerally. Herein we describe a m...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.06.019
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:To investigate the clinical outcomes after implantation of a new hydrophobic acrylic intraocular lens (IOL) with hydroxyethyl methacrylate (HEMA) at 1 year and 9 years postoperatively. SETTING:Three surgical sites in Japan. DESIGN:Prospective case series and retrospective review. METHODS:In 110 eyes of 110 p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000142
更新日期:2020-05-01 00:00:00
abstract::Two hundred consecutive patients were enrolled in a randomized, prospective clinical trial evaluating the efficacy of diclofenac sodium (Voltaren Ophthalmic) in reducing patient discomfort after cataract surgery. Other factors evaluated were the effect of preoperative flurbiprofen (Ocufen) in preventing intraoperative...
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(13)80508-1
更新日期:1995-03-01 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::A 48-year-old man had simultaneous bilateral photorefractive keratectomy (PRK). The surgeon who performed the PRK did not see the patient in follow-up, and there was confusion regarding the comanaging doctor. Therefore, the patient was not examined immediately postoperatively. Several days later, he was hospitalized f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00336-3
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:To prospectively evaluate the usefulness of a subconjunctival steroid injection given at the completion of cataract surgery in patients with diabetes mellitus. SETTING:University of Tokyo School of Medicine, Tokyo, Kaiya Eye Clinic, Hamamatsu, and Jyosai Hospital, Tokyo, Japan. METHODS:One hundred four eyes o...
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(01)00783-0
更新日期:2001-09-01 00:00:00