Abstract:
PURPOSE:To study the safety and efficacy of refractive enhancement by flap lifting 5 and 10 years after laser in situ keratomileusis (LASIK). SETTING:Vissum Alicante, Spain. DESIGN:Retrospective case series. METHODS:Eyes with a flap lift at least 5 years after primary LASIK with a 3-month follow-up were evaluated. The primary outcome measures were safety and the complication rate. Moderate epithelial ingrowth was managed with Nd:YAG laser treatment. RESULTS:The primary LASIK procedure was myopic in 45 eyes, hyperopic in 22 eyes, and presbyopic in 3 eyes. The mean time from primary LASIK to the flap lift was 12.3 years ± 3.45 (SD). In 57 eyes, the primary LASIK flap was created at least 10 years before the enhancement. The mean pre-lift spherical equivalent was -1.29 ± 1.23 diopters (D) in the myopia group and +0.65 ± 1.72 D in the hyperopia group. Three months later, 88% of eyes and 74% of eyes, respectively, had an uncorrected distance visual acuity of 20/20 or better; 100% achieved at least 20/25. No eye lost 2 lines or more of corrected distance visual acuity. In the myopia group, the efficacy index was 0.94 and the safety index was 0.98 at 6 months. Mild epithelial ingrowth developed in 31.43% of eyes and clinically significant epithelial ingrowth in 11.42% of eyes; 4.28% required a relift for severe epithelial ingrowth. CONCLUSIONS:Late flap lift for refractive enhancement 10 years or more after LASIK provided good efficacy and safety with fast visual recovery. The rate of surgical intervention for significant postoperative epithelial ingrowth was low.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Alió Del Barrio JL,Hanna R,Canto-Cerdan M,Vega-Estrada A,Alió JLdoi
10.1016/j.jcrs.2019.05.030subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1463-1469issue
10eissn
0886-3350issn
1873-4502pii
S0886-3350(19)30436-5journal_volume
45pub_type
杂志文章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 find the conditions that prevent posterior capsule opacification through in vitro analysis of the relationship between intraocular lens (IOL) optic configuration and lens epithelial cell (LEC) migration. SETTING:Division of Morphogenesis, Department of Developmental Biology, National Institute for Basic Bio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80245-3
更新日期:1997-07-01 00:00:00
abstract:PURPOSE:To determine the physical and mechanical conditions of an impacting air bag that causes corneal rupture in a post-radial keratotomy (RK) eye using a simulation model of the human eye. SETTING:Numerical simulation study on a computer. METHODS:The simulations were performed by a computer using the finite elemen...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00966-x
更新日期:2001-11-01 00:00:00
abstract::Corneal scrapings were collected from a case of keratitis and microbiological investigations done. Coagulase-negative Staphylococcus (Staphylococcus epidermidis) was identified on culture, and antibiotic susceptibility tests were performed. Treatment was started with topical cefazolin sulfate 5% and gatifloxacin 0.3%;...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.015
更新日期:2007-08-01 00:00:00
abstract::A study to determine the correlation between intraoperative quantitative keratometry and one day postoperative office keratometry was performed. Prior reports have failed to demonstrate a positive statistical relationship between surgical and postoperative keratometry, weakening the value of quantitative intraoperativ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(88)80116-0
更新日期:1988-05-01 00:00:00
abstract::Iris fixation of posterior chamber intraocular lenses (IOLs) is a technique that has been recommended for patients in whom a posterior chamber IOL is indicated but there is insufficient capsular support. We present 4 cases of iris-fixated posterior chamber IOLs with complications related to the procedure. Three patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.048
更新日期:2005-12-01 00:00:00
abstract:UNLABELLED:A 22-year-old white man presented with photopsia of 3-year duration despite a corrected distance visual acuity of 20/20 in both eyes. Ophthalmic examination revealed multiple irregularly shaped white cortical opacifications of the lens in both eyes but no other significant ocular findings. One year after the...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.06.007
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:To compare uncorrected distance visual acuity (UDVA) and patient-reported outcomes with a new silicone corneal shield and a conventional bandage contact lens (BCL) after photorefractive keratectomy (PRK). SETTING:Stanford Eye Laser Center (Palo Alto, California) and Slade & Baker Vision (Houston, Texas). DESI...
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.2019.08.008
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:To evaluate visual outcomes and patient satisfaction after toric multifocal intraocular lens (IOL) implantation in patients with cataract and corneal astigmatism. SETTING:University Eye Clinic Maastricht, The Netherlands. DESIGN:Cohort study. METHODS:Patients with cataract, corneal astigmatism, and a motivat...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.05.041
更新日期:2011-11-01 00:00:00
abstract::An 80-year-old woman of mixed ethnicity developed significant iris transillumination defects following phacoemulsification with in-the-bag implantation of a single-piece hydrophobic acrylic intraocular lens (IOL) and trabeculectomy with insertion of an Express mini-shunt. With the exception of modest anterior chamber ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.10.014
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:To report the outcomes of implantation of intraocular lenses (IOLs) with a prosthetic iris to correct traumatic iris deficiency. SETTING:Department of Ophthalmology, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada. DESIGN:Case series. METHODS:The medical records of consecutive p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.10.038
更新日期:2011-03-01 00:00:00
abstract:PURPOSE:To determine whether riboflavin and ultraviolet-A (UVA) corneal crosslinking can be used as an alternative therapy to prevent the progression of keratectasia. SETTING:Institute for Refractive and Ophthalmic Surgery, Zurich, Switzerland, and a private clinic, Athens, Greece. METHODS:Corneal crosslinking was pe...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.07.028
更新日期:2007-12-01 00:00:00
abstract::We present 2 cases of toric intraocular lens implantation for keratoconus: A 55-year-old man with forme fruste keratoconus with a preoperative uncorrected distance visual acuity (UDVA) of 20/800 and a refraction of -6.50-3.00x135 and a 46-year-old man with a claw-shaped topographic pattern, a family history of keratoc...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.05.043
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:To assess the correlation between continuous curvilinear capsulorhexis (CCC) size and visual outcomes in patients with an accommodating intraocular lens (IOL). SETTING:Heidelberg IOL and Refractive Surgery Research Group, Department of Ophthalmology, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.02.071
更新日期:2005-02-01 00:00:00
abstract:PURPOSE:To evaluate the influence of cataract morphology on the functional vision of patients with age-related cataract and normal macular function and compare subjectively perceived functional impairments to distance visual acuity, reading acuity, and maximum reading speed between cataract types. SETTING:Department o...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.01.038
更新日期:2004-09-01 00:00:00
abstract:PURPOSE:To assess the repeatability and validity of lens densitometry derived from the Pentacam Scheimpflug imaging system. SETTING:Eye Clinic, Queensland University of Technology, Brisbane, Australia. METHODS:This prospective cross-sectional study evaluated 1 eye of subjects with or without cataract. Scheimpflug mea...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.03.017
更新日期:2009-07-01 00:00:00
abstract:PURPOSE:To assess the accuracy of estimating intraocular pressure (IOP) at the end of cataract surgery and to suggest a method of verifying this value. SETTING:University hospital in a suburban area. METHODS:Sixty-nine eyes having phacoemulsification cataract surgery without complications were studied. In stage 1, th...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.08.045
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:To demonstrate an analytical method to compare the actual and intended refraction after cataract surgery that allows incorporation of refractive surgical effects. SETTING:Corneal and External Eye Disease Service, Royal Liverpool University Hospital, Liverpool, United Kingdom. METHODS:The actual postoperative ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00418-8
更新日期:2003-11-01 00:00:00
abstract:PURPOSE:To compare the in vitro optical quality of multifocal apodized intraocular lenses (IOLs) at different focal points. SETTING:University of Valencia, Valencia, Spain. DESIGN:Experimental study. METHODS:The Acrysof Restor +3.0 diopter (D) multifocal IOL with 2 main foci (bifocal IOL) and the Finevision multifoc...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.12.038
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:To devise a comprehensive cataract surgery complexity score system for the selection of appropriate cases for trainees using evidence-based, validated risk factors for posterior capsule rupture, patient-specific factors, and complexity stratification recommendations to minimize complications, optimize outcomes,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.04.036
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:To evaluate alterations in corneal power parameters after Descemet-stripping automated endothelial keratoplasty (DSAEK) using rotating Scheimpflug imaging. SETTING:University of Texas, Southwestern Medical Center, Dallas, Texas, USA. METHODS:Eyes that had DSAEK were evaluated with a rotating Scheimpflug imagi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.01.032
更新日期:2010-08-01 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:UNLABELLED:We describe a manual prechop technique to divide the nucleus using a cystotome. In the cystotome-assisted prechop technique, after the capsulorhexis, the surgeon-bent cystotome is inserted into the lens while the Nagahara chopper is set around the lens equator. The cystotome and the chopper are then brought ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.11.015
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To compare the visual and refractive outcomes with a diffractive toric extended depth-of-focus (EDOF) intraocular lens (IOL) when both eyes are targeted for emmetropia and the nondominant eye is targeted for slight myopia. SETTING:Three clinical practices, United States. DESIGN:Prospective case series. METHO...
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
doi:10.1016/j.jcrs.2019.05.019
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:To compare the long-term results of combined extracapsular cataract extraction (ECCE), intraocular lens (IOL) implantation, and trabeculectomy with those of trabeculectomy alone in low-risk patients. SETTING:An ophthalmic department in a British general district hospital. METHODS:We did a retrospective analys...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80249-5
更新日期:1996-04-01 00:00:00
abstract::After conventional extracapsular cataract extraction and in-the-bag intr aocular lens (IOL) implantation 3 years previously, the partially cut su perior one-third of the anterior capsulotomy flap resealed in the eye of a 55-year-old woman. With the integrity of the capsular bag restored, it distended fully; the IOL wa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00403-x
更新日期:2000-09-01 00:00:00
abstract::A 43-year-old man with high myopia developed unilateral pigmentary glaucoma with recurrent episodes of painless blurred vision in the left eye following uneventful phacoemulsification. Bilateral cataract surgery was performed with capsular bag implantation of a +4.00 diopter AcrySof MA60 intraocular lens (IOL) (Alcon ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.018
更新日期:2006-11-01 00:00:00
abstract:PURPOSE:To examine the role of high vacuum and aspiration settings on efficiency using a transversal ultrasound (US) machine. SETTING:John A. Moran Eye Center Laboratory, University of Utah, Salt Lake City, Utah, USA. DESIGN:Experimental study. METHODS:Porcine lens nuclei were incubated in formalin for 2 hours and t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.05.031
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:To test the performance of 4 tonometers in estimating intraocular pressure (IOP) after 3 forms of refractive surgery. SETTING:Eye Hospital, Wenzhou Medical University, China. DESIGN:Prospective case series. METHODS:Patients matched for preoperative age, corneal thickness, and myopic correction enrolled for f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000204
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:To determine the reproducibility of morphoscopic contrast sensitivity test values in healthy subjects using the Visual Capacity Analyzer (VCA) (L2 Informatique). SETTING:Institute of Vision Research, Department of Ophthalmology, Yong-Dong Severance Hospital, Yonsei University, Seoul, South Korea. METHODS:Five...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00044-0
更新日期:2003-09-01 00:00:00