Abstract：
:We modified our surgical techniques after analyzing the mechanisms responsible for posterior capsule-zonular disruption with or without vitreous loss in 250 consecutive extracapsular cataract extraction cases. We applied the derived principles and prospectively studied the subsequent 1,500 cases. Modifications in our surgical protocol included the use of a Honan balloon for a longer interval (at least 60 minutes preoperatively) and more aggressive surgical expansion of poorly dilating pupils. Furthermore, complete YAG anterior capsulotomy performed after the retrobulbar block appeared to minimize zonular stress associated with mechanical anterior capsulotomy. We reduced the risk of posterior capsule-zonular disruption from 4.8% (2.4% vitreous loss) to zero, eliminating this complication completely in our last 1,000 cases.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
O'Donnell FE Jr,Santos BAdoi
10.1016/s0886-3350(13)80704-3subject
Has Abstractpub_date
1990-05-01 00:00:00pages
329-32issue
3eissn
0886-3350issn
1873-4502pii
S0886-3350(13)80704-3journal_volume
16pub_type
杂志文章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 compare the susceptibility and efficacy of 3 fluoroquinolones, (levofloxacin, gatifloxacin, and moxifloxacin) in treating conjunctival bacteria in patients having ocular surgery. SETTING:Osaka University Hospital, Osaka, and Tohoku University Hospital, Miyagi, Japan. METHODS:Eyes of patients were examined ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.11.049
更新日期：2009-03-01 00:00:00
abstract：PURPOSE:To describe a method for optimizing the treatment of astigmatism using vector analysis of both refractive and corneal topographic values. SETTING:Cheltenham Eye Centre, Melbourne, Australia. METHODS:This study evaluated a method of vector analysis for planning surgery that uses both preoperative topographic a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80153-8
更新日期：1997-01-01 00:00:00
abstract：PURPOSE:To compare measured and calculated postoperative anterior chamber depths (ACDs). SETTING:Department of Ophthalmology and Institute of Medical Physics, University of Vienna, Vienna, Austria, and Department of Ophthalmology, University of Mainz, Mainz, Germany. METHODS:The postoperative ACD was measured in 189 ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00414-0
更新日期：2003-11-01 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：PURPOSE:To compare the accuracy of intraocular lens power prediction for eyes with average keratometry (K) readings greater than 46.00 diopters (D) and lower than 42.00 D. SETTING:Ein-Tal Eye Center, Tel-Aviv, Israel. DESIGN:Retrospective case series. METHODS:Eyes having cataract extraction surgery with steep and fl...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.06.036
更新日期：2017-09-01 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：PURPOSE:To calculate theoretically the magnitude of the excess area between the lower surface of the flap and the underlying ablated stroma. METHODS:On the initial assumptions of a nonextensible flap and a spherical cornea, flap and ablated stromal areas were determined as a function of myopic correction in the range ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)01636-x
更新日期：2002-12-01 00:00:00
abstract：PURPOSE:To investigate the effect of hinge width on corneal sensation and dry-eye syndrome after laser in situ keratomileusis (LASIK). SETTING:TLC Laser Eye Center, Garden City, New York, USA. METHODS:Fifty-four patients at least 18 years of age had bilateral LASIK with a narrow nasal hinge microkeratome flap in 1 ey...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.09.043
更新日期：2004-04-01 00:00:00
abstract：:The ergonomics of ocular surgery has received little attention even though the usual positioning of the patient and surgeon during traditional cataract surgery places the surgeon at risk for back, neck, and arm strain. The recent development of the temporal cataract incision allows the operating microscope to be tilte...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)80122-9
更新日期：1999-02-01 00:00:00
abstract：PURPOSE:To audit the surgical and postoperative complications and the visual outcomes of standing phacoemulsification and compare these with the results of conventional seated phacoemulsification. SETTING:District general hospital, Sidcup, England. DESIGN:Prospective comparative case series. METHODS:This prospective...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.04.031
更新日期：2010-10-01 00:00:00
abstract：PURPOSE:To determine the spherical aberration of the cornea in the general population and whether keratometry readings are predictive of corneal spherical aberration values. SETTING:Private comprehensive ophthalmology practice. METHODS:Corneal spherical aberration and keratometry readings were measured in 696 normal ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.01.035
更新日期：2007-05-01 00:00:00
abstract：:Since the inception of small-incision lenticule extraction (SMILE), many surgeons have speculated the lack of an adequate and standard retreatment procedure will impede its popularity. However, more than 1 million patients worldwide have had this surgery, with visual outcomes nearly equivalent to current laser in situ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2018.07.047
更新日期：2018-11-01 00:00:00
abstract：UNLABELLED:Laser in situ keratomileusis (LASIK) articles published between 2008 and 2015 that contain clinical outcomes data were reviewed and graded for quality, impression, and potential bias. All 97 relevant articles (representing 67 893 eyes) provided a positive or neutral impression of LASIK. Industry bias was not...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2016.07.012
更新日期：2016-08-01 00:00:00
abstract：PURPOSE:To assess the feasibility of determining intraocular lens (IOL) power by measurement of the central optic thickness using clinically available Scheimpflug imaging (Pentacam, Oculus). SETTING:King's College Hospital Ophthalmology Department, London, United Kingdom. METHODS:Sixty-seven eyes were assessed 1 mont...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.02.023
更新日期：2007-06-01 00:00:00
abstract：PURPOSE:To compare the postoperative outcomes between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification in eyes with shallow anterior chamber depth (ACD). SETTING:Eye Clinic, NEUROFARBA Department, University of Florence, Italy. DESIGN:Prospective case series. METHODS:Forty eye...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000341
更新日期：2020-12-01 00:00:00
abstract：:Seven patients with unsuspected unilateral axial myopia developed a cataract in the longer eye. Vision deteriorated in all cases between the ages of 40 and 55 years. Bilateral axial length measurements were necessary for the diagnosis and revealed a difference of 4.5 mm to 6.7 mm between the two eyes. Five cases had a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80090-2
更新日期：1989-05-01 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：PURPOSE:To evaluate an algorithm for corneal power estimation in intraocular lens (IOL) power calculation after myopic laser refractive surgery using direct corneal measurements. SETTING:International Vision Correction Research Centre, University of Heidelberg, Heidelberg, Germany. METHODS:Corneal parameters in norma...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.07.011
更新日期：2010-01-01 00:00:00
abstract：PURPOSE:To evaluate transient increases in intraocular pressure (IOP) after use of high-viscosity viscoelastic agents in cataract surgery. SETTING:Military Hospital, Ulm, Germany. METHODS:In a prospective, randomized study, we evaluated IOP following cataract surgery using two different viscoelastic substances (Healo...
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(96)80224-0
更新日期：1996-03-01 00:00:00
abstract：:One hundred and thirty-three eyes of 103 patients had photorefractive keratectomy with a slit scan mode excimer laser for myopia ranging from -6.00 to -22.00 diopters (D). The epithelium was removed with 20% ethanol, and the ablation was done with a tapered profile surrounding the optical zone. Patients were divided i...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80526-3
更新日期：1995-07-01 00:00:00
abstract：PURPOSE:To describe the postoperative evolution of visual acuity, flap morphology, and stromal optical density femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK). SETTING:Clínica Rementería, Madrid, Spain. DESIGN:Prospective case series. METHODS:The study comprised 44 consecutive eyes that had FS-LAS...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000008
更新日期：2020-02-01 00:00:00
abstract：:We present a case of keratoconus in which the association with posterior polymorphous corneal dystrophy was established by confocal microscopy. Confocal microscopy enable us to assess the differential diagnosis between posterior corneal dystrophies, essential for a prognosis and therapeutic decision. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.09.028
更新日期：2008-02-01 00:00:00
abstract：:Carbachol instilled in 125 eyes at the time of extracapsular cataract extraction and posterior chamber lens insertion had a statistically significant effect on lowering the postoperative intraocular pressure (IOP) at 24 hours (average IOP 14.0 mm Hg) and at 72 hours (average IOP 11.6 mm Hg) (P less than .001). The per...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80034-8
更新日期：1988-11-01 00:00:00
abstract：:A 67-year-old female developed an endocapsular hyphema after uncomplicated extracapsular cataract surgery. With a neodymium:YAG laser capsulotomy, we drained the blood into the vitreous and restored excellent visual acuity. We hypothesize that endocapsular hyphemas may fail to resorb because of sequestration of the cl...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80316-1
更新日期：1993-05-01 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 ocular surface fluid ingress into the anterior chamber at the end of microcoaxial, standard coaxial, and bimanual phacoemulsification using trypan blue as the quantifying tracer. SETTING:Iladevi Cataract and IOL Research Centre, Ahmedabad, India. METHODS:This prospective randomized observational st...
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.2008.03.015
更新日期：2008-06-01 00:00:00
abstract：PURPOSE:To study the pattern of postoperative complications following extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation in pediatric eyes. SETTING:Tertiary eye care center, New Delhi, India. METHODS:A retrospective analysis of 39 eyes of 28 children referred for complications after ECC...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00296-5
更新日期：1999-12-01 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 study the architecture of clear corneal incisions for phacoemulsification cataract surgery using optical coherence tomography (OCT). SETTING:Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA. METHODS:This pro...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jcrs.2008.05.026
更新日期：2008-09-01 00:00:00
