Abstract:
PURPOSE:To implant a small-aperture intraocular lens (IOL) (IC-8) in eyes with severe corneal irregularities to reduce higher-order aberrations and provide better central visual acuity. SETTING:University Hospital, LMU Munich, Germany. DESIGN:Prospective nonrandomized interventional case series. METHODS:Eyes with severe corneal irregularities due to keratoconus, previous penetrating keratoplasty, status postradial keratotomy, or scarring after ocular trauma were enrolled. Exclusion criteria were progressive keratoconus, pseudoexfoliation, glaucoma, maculopathy, reduced endothelial cells (<1800 cells/mm), and central corneal opacity. Conventional phacoemulsification with implantation of the small-aperture IOL was performed. The primary efficacy endpoint was corrected distance visual acuity (CDVA), uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). Secondary endpoints were life quality assessment using the Visual Function Questionnaire-25 and determination of the refractive defocus curve. RESULTS:Seventeen eyes of 17 patients were enrolled. In all 17 patients, CDVA improved from 0.37 ± 0.09 to 0.19 ± 0.06 logarithm of the minimum angle of resolution (logMAR) 3 months postoperatively (P < .0001). Similarly, postoperative UDVA, UIVA, and UNVA improved significantly in 100%, 88%, and 88%, respectively. The defocus curve showed best results at 0.17 logMAR with a defocus of -0.5 diopter. In addition, overall life quality analyses reported less difficulty with activities under reduced optical phenomena conditions. CONCLUSIONS:The small-aperture IOL was a useful option in eyes with severe corneal irregularities, had a high safety index and a high satisfaction rate, and can lead to better visual quality in these cases. Further studies are needed to improve power calculation of this IOL.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Shajari M,Mackert MJ,Langer J,Kreutzer T,Wolf A,Kohnen T,Priglinger S,Mayer WJdoi
10.1097/j.jcrs.0000000000000045subject
Has Abstractpub_date
2020-02-01 00:00:00pages
188-192issue
2eissn
0886-3350issn
1873-4502pii
02158034-202002000-00005journal_volume
46pub_type
杂志文章abstract::Since the inception of small-incision lenticule extraction (SMILE), many surgeons have speculated the lack of an adequate and standard retreatment procedure will impede its popularity. However, more than 1 million patients worldwide have had this surgery, with visual outcomes nearly equivalent to current laser in situ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2018.07.047
更新日期:2018-11-01 00:00:00
abstract::The ergonomics of ocular surgery has received little attention even though the usual positioning of the patient and surgeon during traditional cataract surgery places the surgeon at risk for back, neck, and arm strain. The recent development of the temporal cataract incision allows the operating microscope to be tilte...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)80122-9
更新日期:1999-02-01 00:00:00
abstract::Anterior chamber intraocular lenses were implanted in 50 phakic primate eyes and followed by serial histopathology for two years. Significant observations included corneal endothelial alterations, haptic erosion into and encapsulation by peripheral iris and ciliary body, and chronic low grade inflammation. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80832-2
更新日期:1991-05-01 00:00:00
abstract::A 25-year-old woman with myopia who had an AC pIOL implantation in the left eye and posterior chamber pIOL implantation in the right eye developed bilateral granulomatous panuveitis 2 months after the second surgery. Physical examination showed bilateral Koeppe and Busacca nodules. Fluorescein angiography showed diffu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.02.026
更新日期:2012-06-01 00:00:00
abstract::We report one-year follow-up results on 23 eyes in which we performed myopic keratomileusis. The mean refraction changed from -11.09 diopters (D) preoperatively to -3.66 D postoperatively. In all but two cases, keratometry was reduced one year postoperatively. The average corneal thickness decrease was 0.139 mm. In ni...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80042-1
更新日期:1987-07-01 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 assess the accuracy of intraocular lens (IOL) power calculation formulas in Chinese eyes with axial lengths (ALs) longer than 26.0 mm. SETTING:Department of Cataract Surgery, Shanxi Eye Hospital, China. DESIGN:Prospective case series. METHODS:This study evaluated (1) two new formulas (Barrett Universal II...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.01.018
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:To compare 2 ultrasound (US) frequencies for phacoemulsification for moderate to hard cataract to determine a frequency that makes phacoemulsification safer and more efficacious. SETTING:Post Graduate Institute of Medical Education and Research, New Delhi, India. DESIGN:Randomized controlled trial. METHODS:P...
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.2019.04.015
更新日期:2019-09-01 00:00:00
abstract:PURPOSE:To devise a method for measuring excimer laser photorefractive keratectomy (PRK) ablation zone decentration. SETTING:Excimer Laser Clinic, Sunderland Eye Infirmary, Sunderland Tyne and Wear, England. METHODS:Fifty-three eyes of 53 consecutive patients having PRK for a spherical myopic refractive error were st...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80239-2
更新日期:1996-04-01 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 compare postoperative pain associated with advanced surface ablation versus traditional photorefractive keratectomy (PRK). SETTING:Codet-Aris Vision Institute, Tijuana, Mexico. METHODS:This prospective double-masked randomized study included 56 eyes of 28 myopic patients who received traditional PRK in 1 e...
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/j.jcrs.2004.11.046
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To determine the comparability and repeatability of corneal astigmatism measurements obtained with different devices and determine the interobserver variability of a new automated keratometer. SETTING:University Eye Clinic Maastricht, the Netherlands. DESIGN:Prospective cohort study. METHODS:The right eye of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.05.036
更新日期:2012-10-01 00:00:00
abstract::A 56-year-old woman was referred with recurrent interface infiltration and hypopyon after astigmatic laser in situ keratomileusis (LASIK) on a corneal graft. Pseudomonas aeruginosa was isolated as the causative pathogen. Penetrating keratoplasty had been performed 2 years before refractive surgery. After the antibioti...
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 assess the capability of new software to decrease the proportion of eyes that have insufficient signal-to-noise ratio (SNR) in optical biometry. SETTING:Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom. DESIGN:Evaluation of diagnostic test or technology. METHODS:In a prospective study,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.07.023
更新日期:2011-01-01 00:00:00
abstract::A 25-year-old woman with moderate myopia presented for refractive surgery. Bilateral femtosecond laser-assisted small-incision lenticule extraction (SMILE) was scheduled and her right eye was completed smoothly. However, during the lenticule cutting of her left eye, a large inferior black area was noted. The operation...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000185
更新日期:2020-06-01 00:00:00
abstract::We describe 2 women with high myopia of -12.0 and -18.0 diopters who presented with myopic macular hemorrhages 1 and 4 days, respectively, after being treated by laser in situ keratomileusis (LASIK). One hemorrhage was related to a pre-existing choroidal neovascularization and the other to the presence of lacquer crac...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00313-8
更新日期:2000-06-01 00:00:00
abstract::Pediatric cataract surgery is challenging, with multiple differences from cataract surgery in adults; however, an ideal capsulorhexis is the major prerequisite for both. Capsulorhexis in children is more difficult due to the more elastic nature of the anterior capsule. I describe a technique for anterior and posterior...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.02.042
更新日期:2007-07-01 00:00:00
abstract:UNLABELLED:We describe a technique to rescue the continuous curvilinear capsulorhexis (CCC) in cases in which complete radial tears make it impossible to use normal traction forceps. A circumferential path and rapid movement are applied in the plane of the anterior capsule in the direction of the center pupil. This tec...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.02.019
更新日期:2012-05-01 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 phacoemulsification procedure with implantation of a foldable acrylic intraocular lens in a 31-year-old man with spherophakia is described. The procedure was necessitated by anterior dislocation of the spherophakic lens, with corneal endothelial contact and development of central corneal edema. With a careful approa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00904-x
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:To investigate the clinical outcomes after implantation of a new hydrophobic acrylic intraocular lens (IOL) with hydroxyethyl methacrylate (HEMA) at 1 year and 9 years postoperatively. SETTING:Three surgical sites in Japan. DESIGN:Prospective case series and retrospective review. METHODS:In 110 eyes of 110 p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000142
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:To evaluate the shift in keratoconus progression rate after corneal collagen crosslinking (CXL). SETTING:Chinese University of Hong Kong Eye Centre, Hong Kong, China. DESIGN:Prospective case series. METHOD:Accelerated epithelium-off CXL was performed in patients with progressive keratoconus. Optical coherenc...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.04.033
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:To assess the visual results after bilateral implantation of the bifocal Acri.LISA 366D intraocular lens (IOL) (Acri.Tec AG). SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:Eighty-one patients had bilateral implantation of the distance-dominant bifocal Acri.LISA 366D IOL in a prospe...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.06.067
更新日期:2007-11-01 00:00:00
abstract:PURPOSE:To evaluate survival and the risk for mortality after cataract surgery in relation to individual-level and socioeconomic factors in Scotland over 3 decades. SETTING:Linked healthcare data, United Kingdom. DESIGN:Representative population-based study. METHODS:A 5% random sample of Scottish decedents linked to...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.01.018
更新日期:2017-04-01 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::We present the results of a survey carried out by independent researchers to determine the subjective success rate of a series of excimer laser photorefractive keratectomy procedures to correct myopia. Thirty patients, selected at random from a group of 300, had received treatment to both eyes with a minimum of six mo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80766-3
更新日期:1994-03-01 00:00:00
abstract:PURPOSE:To evaluate the intraocular pressure (IOP)-lowering efficacy and safety of incisional goniotomy as an adjunct to phacoemulsification in primary angle-closure glaucoma (PACG) patients. METHODS:In this prospective interventional case series, consecutive patients with PACG (high or borderline IOP) deemed fit for ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000481
更新日期:2020-11-19 00:00:00
abstract:PURPOSE:To explore the use of the Pulsar Z1 solid-state 213 nm photorefractive laser platform in topography-guided transepithelial photorefractive keratectomy (PRK) for irregular astigmatism. SETTING:Moorfields Eye Hospital, London, United Kingdom. DESIGN:Prospective clinical case series. METHODS:Patients with irreg...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.08.056
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:To determine whether radial transsection of the inner lamina of the phaco tunnel (T-cut) allows intraocular pressure (IOP) control in cases of co-existing cataract and glaucoma and to evaluate the results of this glaucoma triple procedure. SETTING:Department of Ophthalmology, Hanusch Hospital, Vienna, Austria....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00454-x
更新日期:2000-05-01 00:00:00
abstract:PURPOSE:To compare 2-year neodymium:YAG (Nd:YAG) laser capsulotomy rates after bilateral implantation of hydrophobic or hydrophilic multifocal intraocular lenses (IOLs). SETTING:Private practice, southwest France. METHODS:This retrospective study included patients with cataract or clear lenses who had bilateral impla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.01.027
更新日期:2010-07-01 00:00:00