Abstract：
PURPOSE:To evaluate the incidence of epithelial disruptions during primary laser in situ keratomileusis (LASIK) with the use of a preoperative hyperosmotic treatment comprising sodium chloride 5% ophthalmic ointment (Muro-128) and to identify the incidence of epithelial disruptions in various demographic populations. SETTING:TLC Laser Eye Center, McLean, Virginia, USA. DESIGN:Comparative case series. METHODS:Using a matched-pair design, hyperosmotic treatment was randomized to 1 eye of patients having bilateral LASIK. The primary outcome measure, epithelial integrity, was assessed in each eye. Epithelial integrity was evaluated in groups defined by characteristics that included age, sex, ethnicity, skin type, presence or absence of rosacea, eye color, and hair color. RESULTS:The study evaluated 496 eyes of 248 patients. The preoperative hyperosmotic treatment was associated with significantly less corneal epithelial disruption, as indicated by an epithelial integrity score. Compared with control eyes, the rate of corneal epithelial disruptions in the population of treated eyes decreased by 40% (relative risk, 0.60; 95% confidence interval [CI], 0.38-0.95). Among the characteristics studied, age was the best predictor of corneal epithelial disruptions; every 1-year increase in age was associated with a 9.0% increase in the risk for corneal epithelial disruptions (odds ratio [OR], 1.09; 95% CI, 1.05-1.13). Eyes of patients older than 34 years had a 4.4 times greater odds of being associated with epithelial disturbances than eyes of patients 34 years or younger. CONCLUSIONS:The preoperative use of hyperosmotic agents can reduce the risk for intraoperative epithelial disruptions during LASIK. An increase in epithelial disruptions was associated with increasing age.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Holzman A,LoVerde Ldoi
10.1016/j.jcrs.2014.07.042subject
Has Abstractpub_date
2015-05-01 00:00:00pages
1044-9issue
5eissn
0886-3350issn
1873-4502pii
S0886-3350(15)00427-7journal_volume
41pub_type
杂志文章,随机对照试验abstract：PURPOSE:To compare the effectiveness of 2 medications commonly used to prevent intraocular pressure (IOP) elevation in the early period after cataract surgery. SETTING:Palo Alto Veterans Affairs Health Care System, Palo Alto, California, USA. METHODS:This prospective study comprised 202 eyes of patients scheduled for...
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(98)80172-7
更新日期：1998-11-01 00:00:00
abstract：PURPOSE:To evaluate the intraexaminer repeatability and the interobserver reproducibility of manifest refraction. SETTING:Tertiary referral center. DESIGN:Retrospective study. METHODS:Patients attending at least 2 preoperative refractions before undergoing subsequent refractive surgery were included. All manifest re...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000343
更新日期：2020-12-01 00:00:00
abstract：:An alternative technique to manage pediatric cataracts comprises a pars plana lensectomy and anterior vitrectomy with anterior and posterior capsulotomies and posterior chamber heparin-surface-modified intraocular lens (IOL) implantation in the ciliary sulcus through a scleral tunnel. The surgical results in 7 eyes of...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00298-4
更新日期：2000-04-01 00:00:00
abstract：:Members of the ASCRS Cornea Clinical Committee performed a review of the current literature on the corneal crosslinking (CXL) procedure for treating corneal ectasia. The members explored the data on the techniques currently in use and under investigation, including their advantages, safety profiles, risks, and cost an...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jcrs.2019.06.027
更新日期：2019-11-01 00:00:00
abstract：PURPOSE:To evaluate the effect of a capsular tension ring (CTR) on the shape of the capsular bag, the extent of the capsular opening, and the shape of intraocular lenses (IOLs). SETTING:Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. METHODS:The corneal button was rem...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00610-6
更新日期：2001-03-01 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 report the results of transscleral implantation of foldable intraocular lenses (IOLs). SETTING:Department of Ophthalmology Dokuz Eylül University School of Medicine, Izmir, Turkey. METHODS:Twenty eyes of 20 patients had transscleral fixation of a foldable IOL combined with conventional 3-port pars plana vi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.09.050
更新日期：2004-04-01 00:00:00
abstract：:The KAMRA small-aperture corneal inlay can compensate for presbyopia. A small number of complications have been reported, including glare, halos, decentration, iron deposition, compromised distance and night vision, infectious keratitis and reversal corneal haze. We describe a case of corneal fibrosis after small-aper...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.11.003
更新日期：2019-03-01 00:00:00
abstract：PURPOSE:To evaluate a poly(methyl methacrylate) refractive, zonal-progressive multifocal intraocular lens (IOL) in patients requiring cataract surgery. SETTING:Department of Ophthalmology, Saiseikai Kurihashi Hospital, Saitama, Japan. METHODS:This open-label noncomparative study evaluated 58 eyes of 31 Japanese patie...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00408-3
更新日期：2000-07-01 00:00:00
abstract：PURPOSE:To evaluate the levels of ischemia-modified albumin (IMA) in relation to oxidant-antioxidant profiles in the serum, aqueous, and lens in cataract patients. SETTING:Department of Ophthalmology, Menoufia University, Shebin El Kom, Menoufia, Egypt. DESIGN:Prospective case series. METHODS:Patients were divided i...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.10.051
更新日期：2018-02-01 00:00:00
abstract：:Positive pressure during cataract surgery can adversely affect the clinical outcome if the surgeon is unprepared. A variety of surgical maneuvers are described, including dry insertion of the phacoemulsification needle, capsule protection with the second instrument, dry cortical aspiration in an ophthalmic viscosurgic...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.06.011
更新日期：2006-09-01 00:00:00
abstract：PURPOSE:To evaluate the outcome of posterior capsule opacification (PCO) after implantation in rabbit eyes of currently available 3-piece and 1-piece hydrophobic acrylic intraocular lenses (IOLs) with square optic edges. SETTING:John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS:The 3-pi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.06.088
更新日期：2005-04-01 00:00:00
abstract：PURPOSE:To evaluate whether hyperopic patients with short axial length and high dioptric intraocular lens (IOL) power can achieve a higher depth of focus after implantation of a monofocal spherical or aspheric IOL than emmetropic patients. SETTING:Department of Ophthalmology, Medical University Graz, Graz, Austria. D...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.08.012
更新日期：2017-11-01 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
abstract：:We present a case of traumatic lens subluxation that was evident only when the patient was in the supine position. This case illustrates that a crystalline lens with traumatic zonular rupture can change its position depending on the posture of the patient. If such a lens is suspended by the remaining zonules at the su...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01167-1
更新日期：2002-06-01 00:00:00
abstract：:We introduce a technique for iris fixation of a posterior chamber intraocular lens (IOL) in which most of the procedure is done outside the eye. This minimizes intraocular manipulation, maximizes corneal endothelial preservation, and avoids the risk for IOL drop into the vitreous cavity intraoperatively. The IOL is fi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.10.008
更新日期：2016-12-01 00:00:00
abstract：PURPOSE:To evaluate potential changes in contrast sensitivity and color discrimination in diabetic patients who had cataract surgery and implantation of the blue-light filtering AcrySof Natural (SN60AT) intraocular lens (IOL) compared with an ultraviolet-only filtering (AcrySof SA60AT) IOL. SETTING:Refractive Surgery ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.04.029
更新日期：2005-11-01 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：PURPOSE:To evaluate the intraocular pressure (IOP) change and associated factors 6 months after phacoemulsification in eyes with primary angle-closure suspect (PACS) and eyes with primary angle closure (PAC) that had no medical therapy. SETTING:Singapore National Eye Center, Singapore, Singapore. DESIGN:Retrospective...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.03.031
更新日期：2017-06-01 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：: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：: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 evaluate and compare the predictability and safety of immediate small-incision lenticule extraction, also known as SMILE, after suction loss during the procedure with those of uneventful small-incision lenticule extraction. SETTING:Nunemiso Eye Center, Seoul, South Korea. DESIGN:Retrospective case series. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.12.034
更新日期：2017-04-01 00:00:00
abstract：PURPOSE:To establish whether small incision cataract surgery with phacoemulsification decreases the risk of acute suprachoroidal hemorrhage (ASCH) compared with traditional nucleus expression by extracapsular cataract extraction (ECCE). SETTING:St. Erik Eye Hospital, Stockholm, Sweden. METHODS:A retrospective study w...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80133-8
更新日期：1998-06-01 00:00:00
abstract：:Advances in technique and equipment have led to a significant increase in the popularity of phacoemulsification and have increased its safety and efficiency. We describe a technique, phakonit, in which the lens is emulsified through a 0.9 mm clear corneal temporal incision. A cortical wash with bimanual irrigation/asp...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00922-1
更新日期：2001-10-01 00:00:00
abstract：PURPOSE:To study refraction variations during the day in eyes with intrastromal corneal ring segments (ICRS) to correct low myopia. SETTING:Monticelli Clinic, Marseille, France. METHODS:Thirteen eyes with ICRS were included in the study; the ICRS was explanted from 3 eyes because of undercorrection. The minimum follo...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00129-7
更新日期：1999-08-01 00:00:00
abstract：:Twenty-three eyes of 20 patients who had had myopic epikeratoplasty were evaluated and the mean 21-month postoperative results (range: 12 to 47 months) tabulated. Average preoperative myopia was -16.7 diopters (D) spherical equivalent (range: -10 to -33 D), and average postoperative refractive correction was 13 D. Of ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80305-7
更新日期：1993-05-01 00:00:00
abstract：PURPOSE:To determine the astigmatic effect of a supero-oblique clear corneal phacoemulsification cataract incision. SETTING:A university-based general ophthalmology practice. METHODS:All eyes having supero-oblique phacoemulsification cataract surgery using the right hand of a single surgeon between April 17, 1997, an...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00074-7
更新日期：1999-07-01 00:00:00
abstract：PURPOSE:To compare visual acuity from far to near, contrast visual acuity, and acuity in the presence of glare (glare visual acuity) between an aspheric diffractive multifocal intraocular lens (IOL) with a low addition (add) power (+3.0 diopters) and a monofocal IOL. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. METH...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.07.010
更新日期：2009-12-01 00:00:00
abstract：:We report a patient who developed an anaphylactic reaction several minutes after intracameral injection of cefuroxime at the end of uneventful phacoemulsification and intraocular lens implantation surgery. The patient had a known allergy to penicillin but not to cefuroxime. This rare life-threatening complication was ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.06.008
更新日期：2013-09-01 00:00:00
