Abstract:
PURPOSE:To analyze refractive results after hyperopic presbyopia surgery by Q-factor modulation without additive monovision. SETTING:Quinze-Vingts National Ophthalmology Hospital, Paris, France. DESIGN:Prospective nonrandomized study. METHODS:Forty-five hyperopic presbyopic patients not tolerating monovision were included. The target for the dominant eye was emmetropia, whereas that for the nondominant eye was emmetropia associated with a target Q factor of -0.8. The postoperative follow-up included assessments of spherical equivalent (SE) refraction, monocular and binocular corrected and uncorrected (UDVA) distance visual acuities, and binocular corrected and uncorrected (UNVA) near visual acuities. Corneal pachymetry, topography, aberrometry and an analysis of patient satisfaction were performed at the 12-month examination. RESULTS:The study comprised 90 eyes of 45 consecutive patients. The mean age at surgery was 53.8 years ± 4.99 (SD). The mean preoperative SE was +2.33 ± 1.16 diopters (D) in the dominant eyes and +2.26 ± 1.17 D in the nondominant eyes. At 12 months postoperatively, 42 patients (93%) had a binocular UDVA of Snellen 20/20 and 37 patients (82%) had a binocular UNVA of Jaeger 2 (Parinaud 3). The mean SE at 12 months was -0.22 ± 0.35 D in the dominant eyes (P < .0001) and -0.83 ± 0.50 D in the nondominant eyes (P < .0001). Two eyes required retreatment. Overall, 39 patients (87%) said that they were satisfied and would recommend the intervention. CONCLUSION:The Q-factor modulation without additive monovision aims to compensate for presbyopia by changing the Q factor of the nondominant eye to generate a greater depth of field in hyperopic presbyopic patients who are unable to tolerate monovision. The visual outcomes and quality of vision were satisfactory, and only a few patients required additional correction.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Rouimi F,Ouanezar S,Goemaere I,Bayle AC,Borderie V,Laroche L,Bouheraoua Ndoi
10.1016/j.jcrs.2019.02.039subject
Has Abstractpub_date
2019-08-01 00:00:00pages
1074-1083issue
8eissn
0886-3350issn
1873-4502pii
S0886-3350(19)30172-5journal_volume
45pub_type
杂志文章abstract:PURPOSE:To assess an adherent ocular bandage for clear corneal incisions (CCIs) in cataract surgery using optical coherence tomography (OCT). SETTING:Prince Charles Eye Unit, Windsor, United Kingdom. DESIGN:Case-control study. METHODS:Patients having coaxial microincision cataract surgery (MICS) were allocated to an...
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.2010.06.058
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:To evaluate and compare the tear-film dynamics in normal eyes and in eyes with mild dry-eye symptoms using a new noninvasive optical method based on a double-pass instrument. SETTING:Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. DESIGN:Evaluation of diagnostic test or technology. METHODS:Dynam...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.036
更新日期:2011-08-01 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:To evaluate long-term intraocular pressure (IOP) control after extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (IOL) implantation in patients with primary angle-closure glaucoma. SETTING:Ophthalmology Department, Groote Schuur Hospital, Cape Town, South Africa. METHODS:This re...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80255-6
更新日期:1997-07-01 00:00:00
abstract:PURPOSE:To determine the effect of a liquid dissection technique on clinical outcomes with ultrastructural analysis of the lenticule surface in small-incision lenticule extraction (SMILE). SETTING:Zhongshan Ophthalmic Center, Guangzhou, China. DESIGN:Prospective case series. METHODS:Consecutive patients with myopia ...
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.2018.06.023
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:To examine changes in visual, psychological, and functional disability in older people waiting for cataract extraction and 6 months after surgery. SETTING:Community-based study in Northeast England. METHODS:Participants were 92 patients (mean age 78.1 years +/- 6.5 [SD], 79% female) with age-related cataract....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.07.040
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:To evaluate the visual outcome of patients with posteriorly dislocated lens fragments after phacoemulsification managed with pars plana vitrectomy (PPV) and identify risk factors for poor visual outcome. SETTING:Vitreo-Retinal Service, St. Paul Eye Unit, Liverpool, United Kingdom. METHODS:The medical records ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00750-7
更新日期:2001-08-01 00:00:00
abstract:PURPOSE:To assess the practical feasibility and signal quality of axial length measurements by partial coherence laser interferometry in silicone oil-filled eyes with previous complicated vitreoretinal surgery. SETTINGS:Department of Ophthalmology, University Cologne, Cologne, Germany. METHODS:Using a Zeiss IOLMaster...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.09.049
更新日期:2005-05-01 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 study the intraoperative performance and postoperative outcomes of Cionni modified capsule tension ring (CTR) and intraocular lens (IOL) implantation in the capsular bag in pediatric eyes with ectopia lentis. SETTING:John A. Moran Eye Center, Salt Lake City, Utah, USA. METHODS:Thirty-five eyes (22 children...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.044
更新日期:2008-09-01 00:00:00
abstract::Extracapsular cataract extraction with posterior chamber intraocular lens implantation was performed in five phakic eyes filled with silicone oil following vitreoretinal surgery. Silicone oil migration was prevented during surgery using an anterior chamber maintaining system and a self-sealed corneoscleral tunnel inci...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80032-0
更新日期:1996-05-01 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 reviewed the medical records of 1,726 eyes consecutively operated on with extracapsular cataract extraction to examine the incidence of and the risk factors for retinal detachment (RD). In Denmark, both diagnoses and deaths are registered centrally; therefore, a complete follow-up was achieved in each case and actu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80333-1
更新日期:1993-11-01 00:00:00
abstract:PURPOSE:To study contrast sensitivity in eyes that had flying-spot excimer laser photorefractive keratectomy (PRK) and to compare a subjective method (Vision Contrast Test System [VCTS] 6500) and an objective method (visual evoked potential [VEP]) of measuring contrast sensitivity. SETTING:Istituto Clinica Oculistica,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00405-3
更新日期:2000-06-01 00:00:00
abstract::In February 2001, a questionnaire on the practice of refractive surgery was sent worldwide to all 8196 members of the American Society of Cataract and Refractive Surgery; 1511 responses (18.4%) were received. Although laser in situ keratomileusis (LASIK) was the most common refractive procedure reported, phakic intrao...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01318-9
更新日期:2002-02-01 00:00:00
abstract:PURPOSE:To evaluate the effect of a fixed combination of brimonidine-timolol on intraocular pressure (IOP) after phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Patras University Hospital, Patras, Greece. DESIGN:Prospective randomized comparative case series. METHODS:Patients scheduled for...
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.2010.08.046
更新日期:2011-02-01 00:00:00
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::Phacoemulsification with intraocular lens (IOL) implantation was performed in the right eye of an 84-year-old woman using a small clear corneal incision. Ten weeks after surgery, the patient fell, which caused traumatic iridodialysis and hyphema with expulsion of the iris through the surgical corneal incision. Apart f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.03.040
更新日期:2004-10-01 00:00:00
abstract::A 48-year-old man had simultaneous bilateral photorefractive keratectomy (PRK). The surgeon who performed the PRK did not see the patient in follow-up, and there was confusion regarding the comanaging doctor. Therefore, the patient was not examined immediately postoperatively. Several days later, he was hospitalized f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00336-3
更新日期:2000-01-01 00:00:00
abstract::Collagen shields made of porcine collagen were placed in a solution containing tobramycin sulfate (40 or 200 mg/ml) for five minutes, then applied to rabbit eyes. One, four, or eight hours after application, the corneas, aqueous humor samples, and shields were assayed for antibiotic. At all intervals, the concentratio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(88)80006-3
更新日期:1988-09-01 00:00:00
abstract::The postoperative astigmatic course of unsutured and sutured 4.0 mm scleral pocket incisions was followed for one year in a small pilot study. Initially, with-the-rule changes were noted only in the sutured group; eventually both groups demonstrated a small against-the-rule change that did not differ clinically or sta...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80607-4
更新日期:1993-07-01 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:PURPOSE:To evaluate excimer laser photorefractive keratectomy (PRK) for myopia using a repetition rate of 15 Hz instead of 10 Hz. SETTING:The Cornea and Laser Eye Institute, Teaneck, and Department of Ophthalmology, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA. METHODS:Photorefractive keratectomy using a ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(99)00406-x
更新日期:2000-03-01 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
abstract:PURPOSE:To evaluate the changes occurring in the cornea, anterior segment anatomy, and intraocular pressure (IOP) in pregnant women. SETTING:Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, Israel. DESIGN:Prospective single-center comparative study. METHODS:The Ocular Response Analyzer dynamic bid...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.02.042
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:To compare the efficacy of 30 minute preoperative versus 1 day postoperative administration of ketorolac tromethamine 0.5% ophthalmic solution (Acular) in reducing anterior chamber inflammation after cataract surgery. SETTING:The Hermann Eye Center, The University of Texas Health Science Center-Houston, Texas,...
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)00519-8
更新日期:2000-11-01 00:00:00
abstract:PURPOSE:To audit the surgical and postoperative complications and the visual outcomes of standing phacoemulsification and compare these with the results of conventional seated phacoemulsification. SETTING:District general hospital, Sidcup, England. DESIGN:Prospective comparative case series. METHODS:This prospective...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.04.031
更新日期:2010-10-01 00:00:00
abstract:UNLABELLED:We present a technique that uses a near-point string to demonstrate the anticipated near point of multifocal and accommodating intraocular lenses (IOLs). Beads are placed on the string at distances corresponding to the near points for diffractive and accommodating IOLs. The string is held up to the patient's...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.04.003
更新日期:2016-05-01 00:00:00
abstract:PURPOSE:To compare changes in intraocular pressure (IOP) during femtosecond laser pretreatment of cataract between glaucomatous eyes and nonglaucomatous eyes. SETTING:Launceston Eye Institute and Launceston Eye Hospital, Launceston, Australia. DESIGN:Nonrandomized interventional prospective case series. METHODS:Pati...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.10.026
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:To evaluate the long-term effects of extraction of incipient cataracts or clear lenses on glaucoma control in patients with subacute or chronic angle-closure glaucoma. SETTING:Department of Ophthalmology, University of Amsterdam, The Netherlands. METHODS:This retrospective analysis comprised 22 extracapsular ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80227-7
更新日期:1998-10-01 00:00:00