Abstract:
PURPOSE:To determine the risk factors, intraoperative and postoperative complications, therapeutic interventions, and visual outcomes for persistent postoperative inflammation in primary resident-performed cataract surgeries. SETTING:Ben Taub General Hospital, Houston, Texas, USA. DESIGN:Retrospective case series. METHODS:Primary resident-performed cataract surgeries from January 2012 to June 2015 were analyzed for persistent postoperative inflammation, defined as persistent anterior chamber inflammatory reaction after a standard 1-month topical corticosteroid and nonsteroidal antiinflammatory drug (NSAID) drops taper. Preoperative characteristics, operative complications, therapeutic modalities, and duration of therapy were analyzed. The primary outcome measures were duration of corticosteroid and NSAID therapy, treatment modalities, and postoperative visual outcomes at the 1-month postoperative visit. RESULTS:The study assessed 1290 primary resident-performed cataract surgeries. Persistent postoperative inflammation occurred in 82 eyes (6.6%). The presumed etiology was classified as idiopathic persistent postoperative inflammation, nonadherence to topical therapy, and complicated cataract surgery. Patients with persistent postoperative inflammation were more likely of African American descent, had hypertension, or used aspirin, anticoagulants, or prostaglandins (P = .019, P = .027, P = .028, P = .020, respectively). The complicated cataract subgroup required a longer duration of therapy (P = .021) and was the only subgroup to require injections or systemic corticosteroids. There was no significant difference in postoperative corrected distance visual acuity (CDVA) when comparing patients with persistent postoperative inflammation with those without inflammation or between the subgroups. CONCLUSIONS:The idiopathic and nonadherent subgroups were successfully treated with topical antiinflammatory therapy; the complicated subgroup required longer duration and multiple modalities of treatment. Visual outcomes were comparable to the general cataract population with no differences in postoperative CDVA.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Patel SN,Ali SF,Clarke C,Kim J,Murri M,Tuft M,Weng CY,Al-Mohtaseb Zdoi
10.1016/j.jcrs.2018.05.006subject
Has Abstractpub_date
2018-07-01 00:00:00pages
856-863issue
7eissn
0886-3350issn
1873-4502pii
S0886-3350(18)30376-6journal_volume
44pub_type
杂志文章abstract:PURPOSE:To measure the relative difficulty of each stage of phacoemulsification surgery performed by basic surgical trainees. SETTING:Mater Misericordiae University Hospital, Dublin, Ireland. METHODS:This prospective study comprised 100 consecutive cases of phacoemulsification performed by 8 trainee surgeons over an ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.01.045
更新日期:2006-04-01 00:00:00
abstract::We report a case of bacterial keratitis that occurred after implantation of intrastromal corneal ring segments (Intacs). The patient presented with decreased vision, inflammation, and stromal infiltrates localized at the extremity of an Intacs channel 3 months after surgery. Culture were positive for Clostridium perfr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01484-0
更新日期:2003-02-01 00:00:00
abstract::Unwanted optical images are noticed by a surprisingly large number of patients following cataract extraction with implantation of posterior chamber intraocular lenses (IOLs). These images are caused by the positioning holes, lens edge, or laser ridge. We studied 550 eyes in which one of seven different IOLs was insert...
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(89)80113-0
更新日期:1989-09-01 00:00:00
abstract::Pseudophakic bullous keratopathy is a major deterrent to visual recovery after a complicated cataract surgery. Decentered intraocular lenses (IOLs) incite chronic inflammation that often leads to bullous keratopathy. The triple procedure of glued IOL allows secondary IOL fixation along with single-pass four-throw pupi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.11.036
更新日期:2019-04-01 00:00:00
abstract::For one year we followed 46 eyes that had photoastigmatic refractive keratectomy with an excimer laser to correct simple myopic astigmatism. Mean preoperative cylinder was -2.50 +/- 0.70 diopters (D); mean preoperative best corrected visual acuity was 20/25 +/- 1 Snellen line. Mean postoperative refraction one year af...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80207-6
更新日期:1995-09-01 00:00:00
abstract::We report a case of nanophthalmos with intractable secondary glaucoma. Bilateral cataract extraction with intraocular lens implantation was used as definitive treatment for the chronic angle-closure glaucoma. The changes in angle and ciliary body anatomy were well documented with preoperative and postoperative Pentaca...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.051
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:To compare the efficacy of intracameral cefuroxime versus subconjunctival cefuroxime in reducing the rate of endophthalmitis after cataract surgery. SETTING:Single-specialty eye hospital, Sunderland, United Kingdom. METHODS:A retrospective analysis of all presumed infectious endophthalmitis cases from January...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.10.041
更新日期:2008-03-01 00:00:00
abstract::A simple technique for the accurate surgical alignment of toric phakic and aphakic intraocular lenses (IOLs) is described. The mathematical relationship between toric misalignment and cylinder error is reviewed to demonstrate the importance of toric lens alignment in the setting of increased rotational stability with ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.041
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:To evaluate the results of 4-point scleral fixation of posterior chamber intraocular lenses (PC IOLs) in children. SETTING:Mansoura Ophthalmic Center, Mansoura University, Mansoura, Egypt. METHODS:This retrospective study comprised 20 aphakic eyes of 20 children. Preoperative investigations proved the absence...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01531-6
更新日期:2003-02-01 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::We describe a technique to prevent continuous vitreous hydration during phacoemulsification in eyes with lenticular coloboma. The hydration results from communication between the anterior and posterior chambers from the edges of the colobomatous defect. To avoid this, a valved trocar is placed at the pars plana site a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.10.028
更新日期:2017-02-01 00:00:00
abstract:PURPOSE:To compare the incidence and severity of photic phenomena after the implantation of the Array(R) (Allergan) refractive multifocal intraocular lens (MIOL) and a monofocal IOL. SETTING:Multicenter study at Kiel, Mainz, Karlsruhe, and Bremerhaven, Germany. METHODS:The study comprised 231 randomly selected patien...
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(00)00540-x
更新日期:2001-02-01 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 assess patient comfort with and without intravenous (i.v.) cannulation during 1-quadrant sub-Tenon's anesthesia during phacoemulsification. SETTING:Royal Alexandra Hospital, Paisley, Scotland, United Kingdom. METHODS:This prospective masked controlled clinical trial comprised 119 patients having elective c...
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(03)00247-5
更新日期:2003-06-01 00:00:00
abstract:PURPOSE:To compare the optical performance of 6 presbyopia-correcting intraocular lenses (IOLs) of different designs (accommodating or multifocal and aspheric or spheric). SETTING:Alcon Laboratories, Inc., Fort Worth, Texas, USA. METHODS:The optical performance of 6 IOLs were compared using modulation transfer functi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.026
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To determine the goodness-of-prediction of the fitting routine by measuring the difference between topographic corneal surfaces and their Zernike reconstructions as a function of polynomial order and optical zone size for various corneal conditions. SETTING:Corneal research laboratory in a university eye cente...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.05.025
更新日期:2005-12-01 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:PURPOSE:To evaluate the relationship between the thinnest point in corneal thickness and the refractive state, keratometry, age, sex, and the ocular side. SETTING:Eye clinics in Germany and Austria and the Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. DESIGN:Cross-section...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.06.033
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:To evaluate morphological characteristics and intraoperative dynamics of posterior polar cataract (PPC) using intraoperative optical coherence tomography (iOCT). SETTING:Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. DESIGN:Prospective interventional...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000256
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:To evaluate whether photorefractive keratectomy (PRK) for moderate myopia using a solid-state laser with a wavelength of 213 nm alters the corneal endothelial cell density. SETTING:University refractive surgery center. METHODS:The corneal endothelium was analyzed preoperatively and 1, 6, and 12 months postope...
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.2007.06.042
更新日期:2007-11-01 00:00:00
abstract::This report describes a series of six children who had a retropseudophakic vitrectomy performed via a limbal approach (limbal approach retropseudophakic vitrectomy, LARV). This technique ensures a permanently clear visual axis when performed at the time of cataract/implant surgery and can also be used to excise second...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80985-6
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:To assess the effectiveness and safety of 2 types of 6.0 mm intrastromal corneal ring segments (ICRS) in patients with mild to severe keratoconus. SETTING:Lebanese American University, Beirut, Lebanon. DESIGN:Retrospective comparative case series. METHODS:Eyes had implantation of Intacs SK ICRS (Group 1) or ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.02.039
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:To evaluate whether phacoemulsification after trabeculectomy affects postoperative intraocular pressure (IOP). SETTING:Kumamoto University, Kumamoto, Japan. DESIGN:Cohort study. METHODS:The medical records of patients with primary open-angle glaucoma or exfoliation glaucoma who had trabeculectomy with mitomy...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.09.035
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:To assess whether the combined implantation of a monofocal IOL and an artificial iris had an effect on the IOL's optical performance. SETTING:David J. Apple International Laboratory for Ocular Pathology, Heidelberg, Germany. DESIGN:In vitro laboratory study. METHODS:IOL optical quality was assessed using an ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000287
更新日期:2020-08-01 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::We evaluated two topical cyclo-oxygenase inhibitors (COIs), 0.03% flurbiprofen and 1% indomethacin, for their ability to prevent pseudophakic cystoid macular edema (CME). The study was a randomized, double-masked, vehicle-controlled, parallel group, clinical trial for six months at eight sites in Canada and two in Ger...
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(13)80484-1
更新日期:1995-01-01 00:00:00
abstract::We present the case of a 9-year-old boy with megalocornea and juvenile cataracts. Bilateral lens aspiration and acrylic intraocular lens (IOL) implantation were performed under general anesthesia. After the surgery, both IOLs gradually decentered. Posterior capsule opacification was a further complication, necessitati...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.08.026
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To assess whether iris-claw intraocular lenses (IOLs) undergo gravitation-dependent changes in position and refraction. SETTING:Tertiary referral center, Bern, Switzerland. DESIGN:Observational case study. METHODS:Patients with a history of pars plana vitrectomy and IOL exchange with implantation of an aphak...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.07.033
更新日期:2016-10-01 00:00:00
abstract:PURPOSE:To evaluate changes in anterior chamber depth (ACD) and intraocular pressure (IOP) after phacoemulsification in eyes with occludable angles and compare the results with those in eyes with normal open angles. SETTING:Eye Clinic, Ipoh General Hospital, Ipoh, Perak, Malaysia. METHODS:Patients with nonglaucomatou...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.02.024
更新日期:2010-08-01 00:00:00
abstract::We report the case of a 70-year-old woman with a history of acute primary angle-closure glaucoma (PACG) in the left eye who, 2 hours after a fundus examination and mydriasis, experienced acutely elevated intraocular pressure (IOP) up to 40 mm Hg in the presence of fully dilated pupil and a patent iridotomy. Gonioscopy...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.10.027
更新日期:2004-06-01 00:00:00