Abstract:
PURPOSE:To perform a pilot study of a new in-the-bag Fresnel prism intraocular lens (IOL) designed to deviate the image from diseased to healthy retina in eyes with bilateral age-related macular degeneration (AMD). SETTING:Anterior segment subspeciality practice, Pretoria, South Africa. DESIGN:Prospective nonmasked trial. METHOD:Cataract surgery and unilateral implantation of the prismatic IOL were performed in patients with bilateral AMD and cataract. Outcomes were surgical complications, subjective and objective visual improvement, and undesirable optical effects. RESULTS:Three eyes of 3 patients were evaluated. All patients reported displacement of the scotoma, and no patient reported diplopia. The only complication was posterior capsule opacification (1 eye). CONCLUSIONS:Patients noted improved vision and no diplopia. This pilot was performed using a prototype IOL with single power and single angle of deviation; however, there is scope for individual patient optimization. This new technology merits further research and development because it may benefit large numbers of patients with stable end-stage AMD. FINANCIAL DISCLOSURE:Dr. Claoué has a financial interest in the patent controlling the Fresnel prism IOL. Dr. Potgieter has no financial or proprietary interest in any material or method mentioned.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Potgieter FJ,Claoué CMdoi
10.1016/j.jcrs.2013.10.049subject
Has Abstractpub_date
2014-07-01 00:00:00pages
1085-91issue
7eissn
0886-3350issn
1873-4502pii
S0886-3350(14)00518-5journal_volume
40pub_type
临床试验,杂志文章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 delineate the learning curve for a beginning refractive surgeon using the centrifugal (American) technique. SETTING:Naval Medical Center, San Diego, California, USA. METHODS:The first 100 radial keratotomy (RK) cases (51 patients) of one surgeon, divided into five sequential groups of 20, were retrospectiv...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80286-1
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:To analyze the changes in higher-order aberrations (HOAs) that occur after wavefront-optimized photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK). SETTING:Emory Eye Center and Emory Vision, Atlanta, Georgia, USA. METHODS:This retrospective analysis comprised eyes that had PRK or LASIK ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.032
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:To determine whether sutureless small incision cataract surgery reduces induced astigmatism over the long term. SETTING:University Eye Hospital, Vienna, Austria. METHODS:In a prospective study, we investigated surgically induced astigmatism in 63 cases of no-stitch, small incision cataract surgery with a 4.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80180-0
更新日期:1997-04-01 00:00:00
abstract::A technique is described in which a posterior chamber intraocular lens (IOL) is implanted in eyes with partial loss of posterior capsule or zonular support. The IOL's inferior haptic is placed over the residual capsule and the superior haptic is fixated to the ciliary sulcus with a polypropylene suture. In 17 eyes tha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80278-7
更新日期:1997-06-01 00:00:00
abstract:PURPOSE:To evaluate 1-year outcomes of corneal collagen crosslinking (CXL) for treatment of keratoconus and corneal ectasia. SETTING:Cornea and refractive surgery subspecialty practice. DESIGN:Prospective randomized controlled clinical trial. METHODS:Collagen crosslinking was performed in eyes with keratoconus or ec...
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.2010.07.030
更新日期:2011-01-01 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::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::A 78-year-old woman developed a severe fibrinous anterior chamber reaction 1 day after uneventful clear corneal incision cataract extraction with intraocular lens implantation. There was no history of uveitis or diabetes, and the fibrin responded immediately to topical steroids. The patient was followed closely to rul...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00075-0
更新日期:2003-08-01 00:00:00
abstract:PURPOSE:To study the perception of light distortion after refractive lens exchange (RLE) with diffractive multifocal intraocular lenses (IOLs). SETTING:Clínica Oftalmológica das Antas, Porto, Portugal. DESIGN:Retrospective comparative study. METHODS:Refractive lens exchange was performed with implantation of an AT L...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.033
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:To compare the in vitro optical quality of multifocal apodized intraocular lenses (IOLs) at different focal points. SETTING:University of Valencia, Valencia, Spain. DESIGN:Experimental study. METHODS:The Acrysof Restor +3.0 diopter (D) multifocal IOL with 2 main foci (bifocal IOL) and the Finevision multifoc...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.12.038
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:To understand, demonstrate, and further research the mechanisms of accommodation and presbyopia. SETTING:Private practice, Little Silver, New Jersey, USA. DESIGN:Experimental study. METHODS:The CAMA 2.0 computer-animated model of accommodation and presbyopia was produced in collaboration with an experienced ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.028
更新日期:2015-02-01 00:00:00
abstract::A retrospective study of 98 91Z anterior chamber intraocular lenses used with intracapsular cataract extraction was performed. Minimum follow-up was 12 months and average follow-up was two years seven months. These patients were part of a group of 113 91Z patients previously reported with minimum six-months follow-up ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80104-3
更新日期:1986-07-01 00:00:00
abstract:UNLABELLED:We report a 66-year-old patient who presented with increasing hyperopia, astigmatism, and presbyopia in both eyes 8 years after bilateral laser in situ keratomileusis (LASIK) and LASIK enhancement in the left eye aiming for spectacle independence. Bilateral multifocal toric Lentis Mplus intraocular lenses (I...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.08.042
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:To analyze the expression of 78 kDa glucose-regulated protein (GRP78) and activating transcription factor 6 (ATF6), 2 factors in the unfolded protein response (UPR), in age-related and diabetes-associated cataract. SETTING:Universidad Autónoma de Aguascalientes, Aguascalientes, México. DESIGN:Experimental stu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.02.038
更新日期:2014-10-01 00:00:00
abstract:PURPOSE:To evaluate the visual and economic benefits of same-day bilateral cataract surgery versus separate-day bilateral cataract surgery in the United States. SETTING:Private practice, Amarillo, Texas, USA. DESIGN:Prospective controlled nonrandomized clinical trial. METHODS:A cohort of patients having same-day bil...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.034
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:To determine the accuracy, repeatability, and reproducibility of measurement of lateral dimensions using the Artemis (Ultralink LLC) very high-frequency (VHF) digital ultrasound (US) arc scanner. SETTING:London Vision Clinic, London, United Kingdom. METHODS:A test object was measured first with a micrometer a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.07.017
更新日期:2006-11-01 00:00:00
abstract::We describe a small-incision technique that reduces the phacoemulsification time. It reduces the risk for strong intraocular inflammation after surgery and posterior capsule rupture during surgery in young patients with uveitis. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.03.047
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy, safety, predictability, and surgically induced astigmatism (SIA) of laser in situ keratomileusis (LASIK) for the correction of myopia and myopic astigmatism. SETTING:Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. METHODS:This retrospective study com...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01071-9
更新日期:2001-12-01 00:00:00
abstract::A 23-year-old woman had bilateral myopic laser in situ keratomileusis (LASIK). Two months postoperatively, she reported decreased visual acuity. Biomicroscopic examination revealed a corneal epithelial iron ring around the central keratectasia on both corneas. The appearance of the ring pattern was similar to the iron...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00559-9
更新日期:2000-11-01 00:00:00
abstract::We present a case of late traumatic flap dislocation 47 months after laser in situ keratomileusis (LASIK). This is the latest reported case of traumatic LASIK flap dislocation to date. The patient was examined 5 days after being struck in the face and found to have a flap dislocation. The flap was repositioned surgica...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.01.022
更新日期:2005-08-01 00:00:00
abstract:PURPOSE:To assess the safety, efficacy, and predictability in eyes that had refractive lens exchange (RLE) with implantation of a spherical diffractive intraocular lens (IOL) after previous hyperopic laser in situ keratomileusis (LASIK). SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:This p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.04.045
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:To study the safety and efficacy of refractive enhancement by flap lifting 5 and 10 years after laser in situ keratomileusis (LASIK). SETTING:Vissum Alicante, Spain. DESIGN:Retrospective case series. METHODS:Eyes with a flap lift at least 5 years after primary LASIK with a 3-month follow-up were evaluated. T...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.05.030
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:To compare visual outcomes in patients with cataract surgery and bilateral implantation of a trifocal or bifocal intraocular lens (IOL). SETTING:University Eye Clinic Maastricht, the Netherlands. DESIGN:Prospective randomized clinical trial. METHODS:Eyes with cataract and less than 1.0 diopter (D) of corneal...
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.2015.08.011
更新日期:2015-08-01 00:00:00
abstract::We used power modulations in addition to new technology available from 6 phacoemulsification manufacturers and altered our phacoemulsification techniques to take advantage of these technologies to significantly reduce the amount of ultrasound energy placed into the eye and enhance the rapidity and level of visual reha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00834-8
更新日期:2001-02-01 00:00:00
abstract:PURPOSE:To analyze changes in new biomechanical descriptors with myopic femtosecond laser-assisted laser in situ keratomileusis (LASIK), compare them with the biomechanical response after photorefractive keratectomy (PRK) with similar levels of myopic ablation, and evaluate correlations between changes in custom variab...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.11.030
更新日期:2014-06-01 00:00:00
abstract:PURPOSE:To report the clinical outcomes of implantation of a new Ferrara intrastromal corneal ring segment (ICRS) with a 210-degree arc length in eyes with keratoconus. SETTING:Private eye clinic, Belo Horizonte, Brazil METHODS:Statistical analysis included preoperative and postoperative uncorrected distance visual a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.04.035
更新日期:2009-09-01 00:00:00
abstract::Corneal collagen crosslinking (CXL) with riboflavin and ultraviolet-A light is a method for treating progressive keratectasia. The currently accepted treatment parameters induce collagen crosslinking in the anterior 250 to 350 microm of corneal stroma. To protect the endothelium, CXL inclusion criteria require a minim...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.060
更新日期:2009-04-01 00:00:00
abstract::We compared the effect of biconvex and convex-plano (posterior plano) intraocular lenses on posterior capsule opacification (PCO) following continuous curvilinear capsulorhexis (CCC) in 212 eyes. During the three years following surgery, the cumulative frequency of neodymium:YAG laser posterior capsulotomy, calculated...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80569-x
更新日期:1995-11-01 00:00:00
abstract::The prophylactic intraoperative use of mitomycin-C (MMC) to prevent haze and scarring after excimer laser surface ablation (phototherapeutic/photorefractive keratectomy [PTK/PRK]) in an eye with a previous laser in situ keratomileusis (LASIK) flap buttonhole with epithelial ingrowth is described. A well-centered butto...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.035
更新日期:2005-10-01 00:00:00