Abstract:
PURPOSE:To analyze risk factors and management of pupillary intraocular lens (IOL) capture after IOL transscleral fixation. SETTING:Department of Ophthalmology, Seoul National University Hospital, Seoul, South Korea. DESIGN:Retrospective case series. METHODS:A chart review was performed of patients who had transscleral fixation of IOLs between January 1, 2012, and December 31, 2013. Eyes were divided into 2 groups depending on whether the IOL was pupillary captured. Perioperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), spherical equivalent (SE) with refraction, axial length (AL), and total follow-up time were compared between the 2 groups. Ultrasound biomicroscopy images were used to analyze iris morphology and IOL position. RESULTS:The chart review identified 138 patients, 112 patients of whom were included in this analysis. The preoperative and final mean CDVA, IOP, SE, AL, and most iris morphologic parameters were not significantly different between the 2 groups. In the pupillary capture IOL group, the mean age of patients with was younger, the anterior chamber depth (ACD) was narrower, and the rate of reverse pupillary block was higher (P = .003, P = .03, and P = .016, respectively). Intraocular lens decentration in the captured group was significantly larger (P = .002). Multiple logistic regression analysis showed that ACD, reverse pupillary block, and main decentration were associated with pupillary capture of the IOL. CONCLUSIONS:Pupillary capture of an IOL occurred more in eyes with reverse pupillary block and poor IOL positioning. Accordingly, laser iridotomy must be considered for treatment.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Choi SR,Jeon JH,Kang JW,Heo JWdoi
10.1016/j.jcrs.2017.08.021subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1557-1562issue
12eissn
0886-3350issn
1873-4502pii
S0886-3350(17)30748-4journal_volume
43pub_type
杂志文章abstract::We describe a technique for cataract extraction in vitrectomized eyes that uses secured removal of the nucleus with no manipulation of the capsular bag. After a large scleral tunnel is prepared and a capsulorhexis created, a 20-gauge retinal cryoprobe enveloped in a plastic or a silicone sleeve is introduced into the ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01272-5
更新日期:2002-10-01 00:00:00
abstract::In 1984, our ophthalmology department switched from intracapsular cataract extraction (ICCE) to extracapsular cataract extraction (ECCE). We reviewed the postoperative incidence of retinal detachment (RD) in two consecutive series: (1) 604 eyes operated on by ICCE from 1982 to 1983 and (2) 1726 eyes operated on by ECC...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80498-1
更新日期:1995-03-01 00:00:00
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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::We describe a modification of the original 14C Morcher capsular tension ring. The new ring, the Henderson capsule tension ring (HCTR, Morcher), is an open C-shaped loop made of poly(methyl methacrylate). It has 8 equally spaced indentations of 0.15 mm to improve the ease of removing nuclear and cortical material while...
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.2007.05.041
更新日期:2007-10-01 00:00:00
abstract::We describe a previously unreported complication of a posterior chamber intraocular lens (IOL) implanted in a phakic eye. The left eye of a 25-year-old patient with high myopia was treated prophylactically with neodymium: YAG (Nd: YAG) laser iridotomy prior to phakic IOL implantation. Slitlamp examination of the left ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)80062-5
更新日期:1999-04-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000103
更新日期:2020-03-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2012.01.016
更新日期:2012-05-01 00:00:00
abstract:UNLABELLED:A 77-year-old woman with primary open-angle glaucoma was referred for surgical evaluation after failing to achieve target intraocular pressure (IOP) despite previous combined phacotrabeculectomy and Ahmed valve implantations. The IOP prior to surgery was 28 mm Hg on topical dorzolamide-timolol, latanoprost, ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.06.017
更新日期:2014-08-01 00:00:00
abstract::We describe a technique for creating a continuous curvilinear capsulorhexis (CCC) using an endoscope. Three 2.0 mm limbal incisions 120 degrees apart were made in 4 cadaver eyes. The anterior capsule was stained with trypan blue 0.1% (Vision Blue). Under endoscopic visualization, a CCC was attempted in each of the 4 g...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.051
更新日期:2004-05-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.12.024
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:To assess the effect of folding procedures on modulation transfer function (MTF) and resolving power (RP) in soft acrylic intraocular lenses (IOLs). SETTING:Faculty of Engineering, Chiba University, Chiba, Japan. METHODS:Folding procedures and other manipulations were performed on +18.0 diopter soft acrylic l...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80098-8
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To describe and evaluate the Catquest self-assessment questionnaire for cataract patients. SETTING:Thirty-five Swedish departments of ophthalmology. METHODS:The Catquest is designed to be used by cataract surgeons for continuous quality control regarding appropriateness and outcome of surgery. It is administe...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80321-5
更新日期:1997-10-01 00:00:00
abstract::A series of 100 patients had cataract extraction with intraocular lens implantation by the endocapsular method of Galand. The astigmatism was assessed at two, six, and 18 weeks postoperatively. The incision and closure and the methods of correcting postoperative astigmatism are discussed. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80141-5
更新日期:1989-01-01 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 evaluate the role of intravitreal bevacizumab, an anti-vascular endothelial growth factor agent, injected at the time of cataract surgery on the postoperative progression of diabetic retinopathy (DR) and diabetic maculopathy. SETTING:Tertiary-care eye specialty hospital, Dhahran, Kingdom of Saudi Arabia. M...
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.2008.09.019
更新日期:2009-01-01 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::Phakic intraocular lens (IOL) implantation is an increasingly popular option in surgical correction of refractive error. To date, reports of long-term morbidity are infrequent in the literature. We encountered 3 patients who experienced corneal decompensation and cataract progression following angle-fixated anterior c...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.04.031
更新日期:2005-11-01 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 patient with long-standing ankylosing spondylitis and chronic uveitis needed cataract extraction in his only eye. Extensive spinal deformities, including cervical kyphosis, prevented him from being positioned satisfactorily for surgery using a routine head-end or temporal position for the surgeon. The best possible ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00596-4
更新日期:2000-08-01 00:00:00
abstract::The iris-claw intraocular lens (IOL) was recently approved by the U.S. Food and Drug Administration for the correction of refractive disorders. Previous reports are not uniform regarding its potential to induce inflammatory reaction. We report the case of a young healthy patient who experienced persistent and intolera...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.079
更新日期:2006-08-01 00:00:00
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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.2012.04.019
更新日期:2012-06-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.05.001
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:To examine whether clinically significant differences exist in corneal elevation data from a sampling of countries worldwide. SETTING:International multicenter. DESIGN:Evaluation of diagnostic test or technology. METHODS:One randomly selected eye of normal adults from 8 countries spanning 6 continents was ex...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2011-10-01 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
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更新日期:2016-12-01 00:00:00
abstract:PURPOSE:To study the efficacy of several subjective and objective methods of accommodation measurement in normal prepresbyopic and presbyopic populations to identify appropriate methods for measuring the outcome of accommodative restorative procedures. SETTING:University of Houston, College of Optometry, Houston, Texa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.12.045
更新日期:2004-07-01 00:00:00
abstract::We describe a case of pigmentary dispersion syndrome resulting from secondary piggyback implantation of a 3-piece hydrophobic acrylic squared-edged intraocular lens (IOL) in the ciliary sulcus. The intraocular pressure remained elevated despite pharmacological treatment, with a heavily pigmented trabecular meshwork. T...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.01.044
更新日期:2007-06-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy, predictability, stability, and complications after implantation of a foldable iris-fixated toric phakic intraocular lens (pIOL) to correct myopic astigmatism. SETTING:University Eye Clinic, Paracelsus Medical University, Salzburg, Austria. DESIGN:Retrospective nonrandomized observati...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.11.027
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:To provide mathematical tools for selecting intraocular lens (IOL) power for normal eyes and for "odd" eyes, particularly after corneal refractive surgery. SETTING:Universitats-Augenklinik, Mainz, Germany. METHODS:First, IOL power is selected based on the radii and numerical eccentricity of the cornea, extrac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.09.016
更新日期:2005-03-01 00:00:00
abstract:PURPOSE:Iris intraocular implants were developed to manage congenital or traumatic iris defects. However, they are also used to change the color of patient eyes. The aim of this retrospective series was to report complications in patients managed in France after cosmetic implantation. SETTING:Ophthalmological institut...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000032
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:To assess the pain experienced by patients with small pupils during pupil stretching in phacoemulsification performed using topical anesthesia. SETTING:Royal Victoria Eye & Ear Hospital and Mater Misericordiae University Hospital, Dublin, Ireland. METHODS:This was a prospective study that included 26 eyes wit...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.02.044
更新日期:2005-09-01 00:00:00