Abstract：
:I describe an intraoperative method for the consistent anchoring of the intraocular lens (IOL) and cataract surgery and on the patient's visual axis using coaxial microscope optics, surgeon-guided patient fixation, the precision pulse capsulotomy (PPC) device (Zepto) and utilizing the first (and fourth) Purkinje images. During surgery using a microscope with coaxial lights and optics, the patient is instructed to fixate on a given microscope light while the surgeon looks through the corresponding coaxial eyepiece. Then, the PPC device is centered on the Purkinje I image and a capsulotomy is performed. The resulting capsulotomy serves as a reference marker for the visual axis and IOL placement, with even capsule overlap, which results in IOL centration on this axis landmark. This method might help address the high variability in angle κ from patient to patient and provide visual benefits in cases of implantation of multifocal IOLs and other IOLs.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Thompson Vdoi
10.1016/j.jcrs.2018.02.013subject
Has Abstractpub_date
2018-05-01 00:00:00pages
528-533issue
5eissn
0886-3350issn
1873-4502pii
S0886-3350(18)30204-9journal_volume
44pub_type
杂志文章abstract：PURPOSE:To investigate changes in corneal higher-order aberrations (HOAs) associated with the incision location in cataract surgery. SETTING:Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. DESIGN:Observational case series. METHODS:Eyes were divided into 3 groups according to the different...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.10.052
更新日期：2015-10-01 00:00:00
abstract：:Anterior segment optical coherence tomography is a new method to explore the anterior chamber. The target can be focused and defocused with positive or negative lenses to reproduce the conditions of natural accommodation. We studied accommodation in an albino patient because the absence of pigment allows the infrared ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.12.043
更新日期：2004-03-01 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 evaluate the efficacy of epithelial-disruption collagen crosslinking (CXL) for progressive keratoconus using a corneal disruptor device and a riboflavin solution designed for a transepithelial technique. SETTING:Magna Graecia University Eye Clinic, Catanzaro, Italy. DESIGN:Prospective comparative case seri...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.05.022
更新日期：2013-08-01 00:00:00
abstract：PURPOSE:To measure the effect of spherical intraocular lens (IOL) implantation and conventional myopic laser in situ keratomileusis (LASIK) on peripheral ocular aberrations. SETTING:Visual and Ophthalmic Optics Laboratory, School of Optometry, and Institute of Health and Biomedical Innovation, Queensland University of...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.01.018
更新日期：2010-07-01 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 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 transscle...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.08.021
更新日期：2017-12-01 00:00:00
abstract：PURPOSE:To evaluate the long-term therapeutic efficacy of phacoemulsification with intraocular lens (IOL) implantation in treating phacomorphic glaucoma. SETTING:Ophthalmology Department, Maryknoll Hospital, Busan, Korea. METHODS:This study evaluated eyes that had phacoemulsification with IOL implantation to treat ph...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.11.023
更新日期：2010-05-01 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：: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 compare the spatial resolution threshold in the central visual field of pseudophakic patients with monofocal and multifocal intraocular lenses (IOLs). SETTING:Eye Clinic, University of Trieste, Italy. METHODS:Twenty phakic normal subjects and four groups of 20 pseudophakic patients each, implanted with ref...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80206-x
更新日期：1998-02-01 00:00:00
abstract：PURPOSE:To present clinical findings of a cluster of cases of toxic anterior segment syndrome (TASS) after uneventful phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Akdeniz University, Antalya, Turkey. METHODS:Six eyes of 6 patients developed TASS after uneventful phacoemulsification catar...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.05.008
更新日期：2006-10-01 00:00:00
abstract：PURPOSE:To compare corneal endothelial damage after cataract surgery in eyes with low endothelial cell density (ECD) and eyes with normal ECD. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. DESIGN:Case-control study. METHODS:Cataract surgery was performed in eyes with a low ECD (500 to 1000 cells/mm(2)) (low-density ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.02.025
更新日期：2011-08-01 00:00:00
abstract：PURPOSE:To propose an alternative method to characterize postocclusion surge using a collapsible artificial anterior chamber to replace the currently used rigid anterior chamber model. SETTING:Fundación Oftamológica Los Andes, Santiago, Chile. METHODS:The distal end of a phacoemulsification handpiece was placed insid...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.03.061
更新日期：2005-10-01 00:00:00
abstract：PURPOSE:To evaluate the diagnostic capacity of the keratoconus match index (KMI) and keratoconus match probability (KMP) classification from a dynamic bidirectional applanation device (Ocular Response Analyzer) in eyes with pellucid marginal degeneration (PMD). SETTING:Department of Ophthalmology, University Clinics S...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.03.018
更新日期：2014-06-01 00:00:00
abstract：PURPOSE:To evaluate irregularity of the anterior and posterior cornea before and after Descemet-stripping endothelial keratoplasty (DSEK) and its effect on visual acuity. SETTING:Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan. METHODS:Corneal data were acquired using a rotating Scheimpf...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.11.062
更新日期：2009-04-01 00:00:00
abstract：:A prospective study of function and fixation was done on 40 patients implanted with small incision poly(methyl methacrylate), single piece, biconvex intraocular lenses after in situ phacoemulsification cataract extraction via a continuous curvilinear capsulorhexis. A 5.0 mm circular optic (Pharmacia 740 P), 14 mm leng...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80919-4
更新日期：1992-03-01 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 evaluate surgically induced corneal astigmatism after small superotemporal and superonasal clear corneal incision cataract surgery. SETTING:Department of Ophthalmology, School of Medicine, University of Afyon Kocatepe, Afyon, Turkey. METHODS:This prospective study comprised 56 eyes of 28 patients who had b...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.11.034
更新日期：2004-06-01 00:00:00
abstract：PURPOSE:To compare the efficacy of heparin-surface-modified (HSM), poly(methyl methacrylate) (PMMA) posterior chamber intraocular lenses (IOLs) with that of unmodified PMMA IOLs in reducing postoperative complications caused by inflammatory reactions after extracapsular cataract extraction in an Asian population. SETT...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0886-3350(96)80170-2
更新日期：1996-01-01 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：:Two cases of intrastromal corneal ring (Intacs, Addition Technology) implantation to treat post-laser in situ keratomileusis (LASIK) ectasia developed progressive slippage of the flap over the stromal bed, resulting in progressive flattening of the affected meridian. The flattening was thought to have occurred because...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.06.049
更新日期：2008-12-01 00:00:00
abstract：PURPOSE:To investigate the position of 3-piece foldable intraocular lenses (IOLs) after piggyback implantation for high hyperopia. SETTING:University Eye Hospital, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. METHODS:Eight eyes of 5 highly hyperopic patients had phacoemulsification and implantation ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.08.033
更新日期：2006-12-01 00:00:00
abstract：PURPOSE:To evaluate the contribution of Fourier analysis of videokeratographic data in the diagnosis of subclinical keratoconus and keratoconus. SETTING:Eye Institute of Thrace, Democritus University, Alexandroupolis, Greece. DESIGN:Observational case series. METHODS:The following Pentacam-derived parameters, result...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.01.049
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:To compare the effect of erbium:YAG laser photocapsulotomy (ELC), continuous curvilinear capsulorhexis (CCC), and high-frequency capsulotomy (HFC) on anterior capsule edges using light microscopy (LM) and transmission electron microscopy (TEM). SETTING:Department of Ophthalmology, Department of Histology and E...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/S0886-3350(03)00652-7
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:To evaluate intrastromal concentrations of riboflavin with and without epithelium to ensure the efficacy and safety of corneal crosslinking (CXL) by the standard and transepithelial procedures. SETTING:Department of Ophthalmology and Department of Pharmacology G. Segre, Siena University, Siena, Italy. METHODS...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.01.009
更新日期：2009-05-01 00:00:00
abstract：PURPOSE:To evaluate the implantation of Artisan/Verisyse phakic intraocular lenses (pIOLs) (Advanced Medical Optics) as an effective and safe method for the correction of high myopia. SETTING:Department of Ophthalmology, John A. Moran Eye Center, University of Utah Medical Center, Salt Lake City, Utah, USA. METHODS:T...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.04.009
更新日期：2007-08-01 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 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：:Phaco slice and separate retains the advantages of the chopping techniques of Nagahara, Koch, and Fukasaku but replaces chopping or snapping with slicing across the center of the phaco-tip-stabilized nucleus using a Nagahara chopper and then repositioning the chopper to optimally separate the divided lens halves. As t...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)80042-x
更新日期：1999-04-01 00:00:00
