Abstract:
PURPOSE:To describe the postoperative evolution of visual acuity, flap morphology, and stromal optical density femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK). SETTING:Clínica Rementería, Madrid, Spain. DESIGN:Prospective case series. METHODS:The study comprised 44 consecutive eyes that had FS-LASIK performed with the WaveLight FS200 and the Allegretto excimer laser to correct myopia. Visual outcomes, flap thickness, and stromal optical density were assessed 1 day, 1 week, 1 month, and 3 months postoperatively. RESULTS:A statistically significant improvement in the mean uncorrected distance visual acuity at 1 day (0.94 ± 0.2) and 1 week (0.93 ± 0.2) to 1 month (1.04 ± 0.2) and 3 months (1.11 ± 0.1) postoperatively (P < .05). At 3 months postoperatively, the femtosecond laser had good outcomes in efficacy (0.98 ± 0.1), safety (0.98 ± 0.1), and predictability (100% of eyes were within ± 0.5 D of emmetropia). The femtosecond-created flaps were slightly thicker than intended, the mean SD intraflap was 7.1 μm, the range between the thickest and thinnest points in each flap was 25.4 μm, and the mean flap thickness homogeneity was 7.6 μm at 3 months postoperatively. A progressive decrease in the optical density of the flap stroma and the residual stromal bed was detected during follow-up. CONCLUSIONS:The femtosecond laser study appears to be a safe, effective, and predictable platform to obtain LASIK flaps. The flaps were planar and homogeneous but slightly thicker than intended. The optical density of the flap stroma was slightly higher at early follow-up and decreased over time.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Parafita-Fernandez A,Garcia-Gonzalez M,Gros-Otero J,Alvarez-Rementería Capelo L,Blázquez Sánchez V,Teus Mdoi
10.1097/j.jcrs.0000000000000008subject
Has Abstractpub_date
2020-02-01 00:00:00pages
260-266issue
2eissn
0886-3350issn
1873-4502pii
02158034-202002000-00015journal_volume
46pub_type
杂志文章abstract:PURPOSE:To characterize the mean topographic shape of the limbus of a normal human eye and determine whether it depends on age or refractive power. SETTING:University of Manchester, Manchester, United Kingdom. DESIGN:Prospective case series. METHODS:Participants with no previous ocular surgeries were included in thi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.02.027
更新日期:2017-05-01 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 compare the outcomes of topography-guided and wavefront-optimized surgery in patients having laser in situ keratomileusis (LASIK) for myopia. SETTING:Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, and BALGEUN-EYE21 Operation Center, Gwangju, South Korea. DESIGN:Prospective case ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.01.031
更新日期:2019-07-01 00:00:00
abstract::We describe a case of corneal chromoblastomycosis with Cladophialophora carrionii in a 69-year-old woman 4 weeks after clear corneal cataract surgery. The patient presented with right eye pain and decreased visual acuity of 20/100. Examination showed a deep posterior stromal keratitis accompanied by a dense fibrinous ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.007
更新日期:2011-05-01 00:00:00
abstract:PURPOSE:To compare the outcome of phacotrabeculectomy with implantation of poly(methyl methacrylate) (PMMA) or foldable silicone intraocular lenses (IOLs). METHODS:Thirty patients were randomized to receive a 5.5 mm PMMA IOL through a 5.0 mm incision or a foldable silicone IOL (Allergan SI-30) through a 3.2 mm incisio...
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(00)00478-8
更新日期:2000-10-01 00:00:00
abstract:PURPOSE:To evaluate the outcomes of customized corneal crosslinking (CXL) for treatment of progressive keratoconus (KC) using a transepithelial approach with supplemental oxygen. SETTING:Siena Crosslinking Center, Siena, Italy. DESIGN:Prospective interventional case series. METHODS:Twenty-seven eyes of 24 patients (...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000347
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To examine differences in efficacy, accuracy, safety, and changes in aberrations between femtosecond and mechanical microkeratome laser in situ keratomileusis (LASIK) for myopia. SETTING:Department of Ophthalmology, Shanghai First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,meta分析
doi:10.1016/j.jcrs.2011.05.043
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:To compare the analgesic effects of different doses of sub-Tenon's anesthesia in cataract surgery by assessing patient response to visceral stimulus. SETTING:Inouye Eye Hospital, Tokyo, Japan. METHODS:A prospective study was done of 1019 eyes of 1019 patients having phacoemulsification and posterior chamber i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00149-2
更新日期:1999-09-01 00:00:00
abstract:PURPOSE:To study the efficacy of several subjective and objective methods of accommodation measurement in normal prepresbyopic and presbyopic populations to identify appropriate methods for measuring the outcome of accommodative restorative procedures. SETTING:University of Houston, College of Optometry, Houston, Texa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.12.045
更新日期:2004-07-01 00:00:00
abstract:PURPOSE:To compare results of intraocular lens (IOL) power calculation methods using different keratometry (K) values after myopic refractive surgery. SETTING:Seoul St. Mary's Hospital, Seoul, South Korea. DESIGN:Evaluation of diagnostic test or technology. METHODS:The IOL power of patients who had cataract surgery ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.04.045
更新日期:2013-11-01 00:00:00
abstract:PURPOSE:To prospectively investigate the incidence, associated factors, and prognostic significance of relative afferent pupillary defects (RAPDs) in eyes with less severe cataract than in contralateral eyes. SETTING:Department of Ophthalmology, Seoul Municipal Boramae Hospital, College of Medicine, Seoul National Uni...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.11.022
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:To evaluate the refractive accuracy of intraocular lens (IOL) power calculation after phacovitrectomy. SETTING:Eye Hospital Zonnestraal and Department of Ophthalmology Academic Medical Center, Amsterdam, the Netherlands. DESIGN:Retrospective comparative case series. METHODS:Refraction results 1 month after p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.03.034
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:To prospectively evaluate the no-history method for intraocular lens (IOL) power calculation in 15 cataractous eyes that had previous myopic laser in situ keratomileusis (LASIK) and for which the pre-LASIK K-readings were not available. SETTING:Private practice, Lynwood, California, USA. METHODS:The predicted...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.08.045
更新日期:2007-01-01 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 compare the early postoperative visual rehabilitation after laser-assisted subepithelial keratectomy (LASEK) and photorefractive keratectomy (PRK) for the correction of myopia. SETTING:CODET Aris Vision Institute, Tijuana, Mexico. METHODS:This prospective study included 50 eyes of 25 patients with myopia w...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(02)01376-7
更新日期:2002-08-01 00:00:00
abstract::We present a patient who had decreased visual acuity and hypotony in the left eye 2 months after removal of an anterior chamber phakic intraocular lens (pIOL). Gonioscopy demonstrated a cyclodialysis cleft at the 6 o'clock position in the region of the IOL footplate, which was confirmed by ultrasound biomicroscopy. A ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.09.044
更新日期:2007-03-01 00:00:00
abstract:PURPOSE:To ascertain whether the change in refraction caused by paired lamellating corneal incisions in cadaver eyes could be achieved in living eyes and whether wound healing influences this effect. SETTING:Virchow Hospital Eye Clinic, Humboldt University, Berlin, Germany. METHODS:This prospective study included 45 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80342-2
更新日期:1997-03-01 00:00:00
abstract:PURPOSE:To compare the 12-month postoperative quality of vision and visual performance of 2 different refractive rotationally asymmetric multifocal intraocular lenses (IOLs). SETTING:Cathedral Eye Clinic, Belfast, Northern Ireland, United Kingdom. DESIGN:Retrospective case series. METHODS:Refractive lens exchange (R...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.05.039
更新日期:2017-08-01 00:00:00
abstract:PURPOSE:To determine the safety and efficacy of viscocanalostomy and cataract extraction by phacoemulsification combined with viscocanalostomy (phacoviscocanalostomy) in the management of medically uncontrolled glaucoma. SETTING:Department of Ophthalmic Surgery, Warrington Hospital, Warrington, England. METHODS:This ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(01)01285-8
更新日期:2002-05-01 00:00:00
abstract:PURPOSE:To assess visual outcomes after bilateral implantation of an apodized +3.0 diopter (D) addition power toric diffractive multifocal intraocular lens (IOL). SETTING:Five study sites in Europe and South America. DESIGN:Cohort study. METHODS:Patients had bilateral implantation of the AcrySof(®) IQ ReSTOR(®)+3.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jcrs.2013.06.026
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:To determine whether sutureless small incision cataract surgery reduces induced astigmatism over the long term. SETTING:University Eye Hospital, Vienna, Austria. METHODS:In a prospective study, we investigated surgically induced astigmatism in 63 cases of no-stitch, small incision cataract surgery with a 4.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80180-0
更新日期:1997-04-01 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 evaluate the agreement of ocular measurements obtained with a new optical biometer (AL-Scan) and a previously validated optical biometer (Lenstar). SETTING:Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. DESIGN:Prospective observational cross-sectional study. METHODS:For a comprehens...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.05.042
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:To correlate cycloplegic subjective refraction with cycloplegic autorefractometry in eyes that have had laser in situ keratomileusis (LASIK). SETTING:Vlemma Eye Institute, Athens, Greece. METHODS:Subjective refraction and autorefractometry under cycloplegia were performed in 73 eyes of 46 patients 1, 6, and 1...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01743-1
更新日期:2003-01-01 00:00:00
abstract::We report 3 cases of Descemet's membrane detachment detected 2 to 3 weeks after surgery that was treated by intracameral injection of perfluoropropane 14% (C(3)F(8)) isoexpansile mixture. We looked at the predisposing factors, the best method of treatment, and the final outcome in cases of Descemet's membrane detachme...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01919-3
更新日期:2003-06-01 00:00:00
abstract:PURPOSE:To examine the impact of cataract surgery on older adults' self-reported visual difficulties and compare them with those of patients with cataract who declined surgery over the same period. SETTING:Twelve area practices. METHODS:This was a consecutive chart review over a 6-month period. Primary inclusion crit...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/s0886-3350(02)01846-1
更新日期:2003-05-01 00:00:00
abstract:PURPOSE:To describe 7 patients who developed ectasia following laser in situ kerato-mileusis (LASIK). SETTING:Instituto de la Visión, Buenos Aires, Argentina. METHODS:In this retrospective study of 7 patients, visual acuity, refraction, pachymetry, and corneal topography were examined before and after the refractive ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00799-4
更新日期:2001-09-01 00:00:00
abstract:PURPOSE:To analyze the repeatability of corneal astigmatism measurements with 2 autokeratometers (IOLMaster 500 and Lenstar LS 900), 2 Placido topographers (Keratron Scout and Atlas 9000), and a Scheimpflug tomographer (Pentacam HR). SETTING:Department of Ophthalmology, Goethe University, Frankfurt, Germany. DESIGN:P...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.11.046
更新日期:2016-04-01 00:00:00
abstract::We present a case of traumatic lens subluxation that was evident only when the patient was in the supine position. This case illustrates that a crystalline lens with traumatic zonular rupture can change its position depending on the posture of the patient. If such a lens is suspended by the remaining zonules at the su...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01167-1
更新日期:2002-06-01 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