Abstract:
PURPOSE:To assess the clinical results of transepithelial collagen crosslinking (CXL) in patients 26 years and younger with progressive keratoconus suitable for epithelium-off (epi-off) CXL. SETTING:Department of Ophthalmology, Siena University Hospital, Siena, Italy. DESIGN:Prospective case series. METHODS:The study included 26 eyes (26 patients) treated by transepithelial (epithelium-on) CXL. The mean age was 22 years (range 11 to 26 years) (10 younger than 18 years; 16 between 19 years and 26 years). Preoperative and postoperative examinations included uncorrected (UDVA) and corrected (CDVA) distance visual acuities, simulated maximum keratometry (K), coma and spherical aberration, and corneal optical coherence tomography optical pachymetry. The solution for transepithelial CXL (Ricrolin TE) comprised riboflavin 0.1%, dextran 15.0%, trometamol (Tris), and ethylenediaminetetraacetic acid. Ultraviolet-A treatment was performed with the Caporossi Baiocchi Mazzotta X Linker Vega at 3 mW/cm(2). RESULTS:After relative improvement in the first 3 to 6 months, the UDVA and CDVA gradually returned to baseline preoperative values. After 12 months of stability, the simulated maximum K value worsened at 24 months. Coma aberration showed no statistically significant change. Spherical aberration increased at 24 months. Pachymetry showed a progressive, statistically significant decrease at 24 months. Fifty percent of pediatric patients were retreated with epi-off CXL due to significant deterioration of all parameters after 12 months of follow-up. CONCLUSIONS:Functional results after transepithelial CXL showed keratoconus instability, in particular in pediatric patients 18 years old and younger; there was also functional regression in patients between 19 years and 26 years old after 24 months of follow-up. mentioned.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Caporossi A,Mazzotta C,Paradiso AL,Baiocchi S,Marigliani D,Caporossi Tdoi
10.1016/j.jcrs.2013.03.026subject
Has Abstractpub_date
2013-08-01 00:00:00pages
1157-63issue
8eissn
0886-3350issn
1873-4502pii
S0886-3350(13)00491-4journal_volume
39pub_type
杂志文章abstract:PURPOSE:To ascertain whether the change in refraction caused by paired lamellating corneal incisions in cadaver eyes could be achieved in living eyes and whether wound healing influences this effect. SETTING:Virchow Hospital Eye Clinic, Humboldt University, Berlin, Germany. METHODS:This prospective study included 45 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80342-2
更新日期:1997-03-01 00:00:00
abstract:PURPOSE:To evaluate the results of the first blue light-filtering photochromic intraocular lens (IOL) and compare them with those of a regular yellow blue light-filtering IOL and a clear ultraviolet-filtering IOL in human eyes under various lighting conditions. SETTING:Beijing Tongren Eye Center, Beijing Tongren Hospi...
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.2010.07.024
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of an ab externo suture retrieval and scleral fixation technique in the treatment of subluxated posterior chamber intraocular lenses (PC IOLs). SETTING:Academic tertiary care centers. METHODS:Surgical databases from 2 surgeons were reviewed for consecutive cases from March ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.050
更新日期:2006-01-01 00:00:00
abstract::A 40-year old man, highly myopic in both eyes, had laser in situ keratomileusis (LASIK) in the left eye in November 1996. Corneal melting and ulceration and fine striae-like interface infiltrates were noticed 1 day postoperatively. There was no response to intensive topical antibiotics in the form of hourly ofloxacin ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00080-2
更新日期:1999-07-01 00:00:00
abstract:PURPOSE:To evaluate the clinical outcomes of laser in situ keratomileusis (LASIK) to correct myopia or myopic astigmatism using the Amaris 750S 750 Hz excimer laser. SETTING:Private LASIK center, Tokyo, Japan. DESIGN:Case series. METHODS:Patients with myopia or myopic astigmatism (spherical equivalent -0.50 to -11.6...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.043
更新日期:2014-02-01 00:00:00
abstract::We describe a technique that prevents the Argentinean flag sign in white cataract. The technique is based on the intumescent cataract having 2 rather than 1 pressurized compartments within the crystalline lens, the anterior and the posterior. The pressure that pushes the nucleus upward, which is the movement responsib...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.07.002
更新日期:2012-09-01 00:00:00
abstract::Collagen shields made of porcine collagen were placed in a solution containing tobramycin sulfate (40 or 200 mg/ml) for five minutes, then applied to rabbit eyes. One, four, or eight hours after application, the corneas, aqueous humor samples, and shields were assayed for antibiotic. At all intervals, the concentratio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(88)80006-3
更新日期:1988-09-01 00:00:00
abstract::Over a 12 month period, we used the anterior chamber maintainer (ACM) in cataract surgery in 258 patients; ages ranged from 15 to 95 years (mean 73 years). Surgery was performed using general or local anesthesia. The procedures were standard extracapsular cataract extraction (ECCE), mini-nuc ECCE, vectis extraction of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80214-8
更新日期:1996-03-01 00:00:00
abstract:PURPOSE:To evaluate distance, intermediate, and near visual performance in patients who had multifocal apodized diffractive intraocular lens (IOL) implantation. SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:The best corrected distance visual acuity, best distance-corrected near visual acui...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.03.034
更新日期:2007-07-01 00:00:00
abstract::In studies conducted by numerous investigators for 150 years, lenses regenerated following endocapsular lens extraction in New Zealand albino rabbits have been irregular in shape, appearing primarily doughnut-shaped as a result of lack of lens growth at the site of the anterior capsulotomy and its adhesion to the post...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80343-4
更新日期:1993-11-01 00:00:00
abstract::Oscillopsia associated with near fixation after multifocal intraocular lens (IOL) implantation has not been fully recognized. A 46-year-old woman presented with shaking of vision in both eyes during near fixation after uneventful implantation of a single-piece multifocal posterior chamber IOL in both eyes. There was n...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000360
更新日期:2020-12-01 00:00:00
abstract::Two patients with a history of frequent recurrent corneal erosion for whom standard medical therapy was determined ineffective had phototherapeutic keratectomy (PTK) with an excimer laser. Before treatment, one patient had four episodes in a six-month period; the other had ten to 20 recurrences with four serious episo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80161-7
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To assess the possibility of deriving an optimum intraocular lens (IOL) power after previous successful trabeculectomy. SETTING:Chang Gung Memorial Hospital, Linko, Taiwan. METHODS:The retrospective study included 1 eye of 22 patients who had cataract surgery after successful trabeculectomy performed by 1 sur...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.05.016
更新日期:2004-12-01 00:00:00
abstract::A patient with bilateral Salzmann's nodular degeneration developed a myopic shift of 9 diopters in the right eye and 5 diopters in the left eye after removal of his nodules. This previously unreported complication of removal of peripheral corneal pathology is discussed in light of our current understanding of keratore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80658-x
更新日期:1994-11-01 00:00:00
abstract::Contrast sensitivity was measured in 25 patients who had a multifocal diffractive intraocular lens and in 23 control patients with a monofocal lens in four simulated light conditions: (1) daylight, (2) daylight with peripheral glare, (3) twilight, (4) twilight with central glare. In normal daylight and twilight, contr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80952-2
更新日期:1993-03-01 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:PURPOSE:To compare the outcomes of topography-guided and wavefront-optimized surgery in patients having laser in situ keratomileusis (LASIK) for myopia. SETTING:Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, and BALGEUN-EYE21 Operation Center, Gwangju, South Korea. DESIGN:Prospective case ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.01.031
更新日期:2019-07-01 00:00:00
abstract::A multizone/multipass photorefractive keratectomy (MP-PRK) technique was used to treat 315 eyes with the 193 nm VISX 20/20 excimer laser. Algorithms were developed to treat the full range of myopia, including 170 low myopic eyes (-1.0 to -6.0 diopters [D]), 105 moderately myopic eyes (-6.0 to -10.0 D), and 40 highly m...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80559-7
更新日期:1995-11-01 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 determine the feasibility of using directed bipolar diathermy to eliminate or reduce the formation of new cortical lens material following phacoemulsification in a rabbit model. SETTING:Department of Research & Development, Bausch & Lomb Surgical, and Department of Ophthalmology, St. Louis University, St. L...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01256-1
更新日期:2002-05-01 00:00:00
abstract:PURPOSE:To evaluate the visual outcome of patients with posteriorly dislocated lens fragments after phacoemulsification managed with pars plana vitrectomy (PPV) and identify risk factors for poor visual outcome. SETTING:Vitreo-Retinal Service, St. Paul Eye Unit, Liverpool, United Kingdom. METHODS:The medical records ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00750-7
更新日期:2001-08-01 00:00:00
abstract:PURPOSE:To evaluate the reduction in the anterior capsule opening after phacoemulsification, continuous curvilinear capsulorhexis, and implantation of 1 of 2 acrylic intraocular lenses (IOLs). SETTING:Department of Ophthalmology, Vejle Hospital, Vejle, Denmark. METHODS:Eighty-four patients (84 eyes) were included in ...
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.2007.01.020
更新日期:2007-05-01 00:00:00
abstract:PURPOSE:To evaluate the visual results and complications of angle-supported phakic intraocular lenses (IOLs) to correct myopia associated with early-stage keratoconus. SETTING:Private practice, Siena, Italy. METHODS:In a prospective noncomparative single-surgeon interventional case series, outcomes in 12 consecutive ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00346-8
更新日期:2003-08-01 00:00:00
abstract:PURPOSE:To determine whether microcoaxial phacoemulsification can be reliably and safely performed in a clinical setting and whether a full-sized single-piece acrylic intraocular lens (IOL) can be implanted through a 2.2 mm incision. SETTING:Private practice, Cincinnati, Ohio, USA. METHOD:One hundred consecutive pati...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.10.055
更新日期:2007-03-01 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::We report a case of rupture of a radial keratotomy (RK) incision that occurred during clear corneal phacoemulsification 11 years after the initial surgery. The RK was done in both eyes for correction of high myopia (>8.0 diopters). This was followed by 2 enhancement procedures at 6 month intervals. The patient present...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00763-5
更新日期:2001-07-01 00:00:00
abstract:PURPOSE:To characterize the mean topographic shape of the limbus of a normal human eye and determine whether it depends on age or refractive power. SETTING:University of Manchester, Manchester, United Kingdom. DESIGN:Prospective case series. METHODS:Participants with no previous ocular surgeries were included in thi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.02.027
更新日期:2017-05-01 00:00:00
abstract:PURPOSE:To establish a refractive surgery unit at Tilganga Institute of Ophthalmology through support from international donations and provide knowledge transfer for doctors and management to make the unit self-sustaining, nonprofit laser refractive surgery, and financial support for other eyecare projects at Tilganga....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.05.023
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:To compare the inflammatory cell response within the corneal flap interface created by a mechanical microkeratome and a femtosecond laser. SETTING:Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany. DESIGN:Experimental in vitro study. METHODS:Corneoscleral buttons of 12 enucleated hu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.01.047
更新日期:2013-07-01 00:00:00
abstract::We present the case of a 56-year-old woman with moderate myopia and bilateral cataract who had cataract extraction and intraocular lens (IOL) implantation. Due to the patient's desire for spectacle independence, a trifocal IOL with toric correction for astigmatism was implanted. During the follow-up, it became obvious...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.02.001
更新日期:2016-03-01 00:00:00