Abstract:
PURPOSE:To compare loteprednol etabonate (LE) gel 0.5% with prednisolone acetate suspension (PA) 1% for the treatment of inflammation after cataract surgery in children. SETTING:Eleven sites in the United States. DESIGN:Randomized, double-masked, parallel-group, noninferiority study. METHODS:Eligible patients were aged 11 years or younger and candidates for routine, uncomplicated cataract surgery. Patients were randomized to a 4-week postsurgical regimen with LE gel 0.5% or PA 1%, twice on the day of surgery, 4 times daily for 2 weeks, twice daily for 1 week, and once daily for 1 week. Assessments included anterior chamber (AC) cells/flare, anterior chamber inflammation (ACI), synechiae, precipitates on the intraocular lens/cornea, visual acuity, and intraocular pressure. RESULTS:The intent-to-treat population comprised 105 patients (LE gel, n = 53; PA 1%, n = 52) including 52 patients aged 3 years or younger. Patients achieved a similar mean ACI grade on postoperative day 14 (primary efficacy endpoint) whether treated with LE gel 0.5% or PA 1% (difference = 0.006, 2-sided 95% CI, -0.281 to 0.292). Similar ACI outcomes additionally were observed in patients aged 3 years or younger. LE gel 0.5% and PA 1% also appeared equally effective in resolving inflammation at all visits (days 7, 14, and 28 postsurgery), based on categorical distributions of ACI, AC cells, and AC flare scores/grades (P ≥ .06). Synechiae and corneal/IOL precipitates occurred infrequently with no significant differences between groups. No safety or tolerability concerns were identified, including no treatment-related IOP increases. CONCLUSIONS:LE gel 0.5% was safe and effective in treating pediatric postcataract surgical inflammation, with similar outcomes as PA 1%.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Vittitow JL,Williams JIdoi
10.1097/j.jcrs.0000000000000218subject
Has Abstractpub_date
2020-08-01 00:00:00pages
1092-1101issue
8eissn
0886-3350issn
1873-4502journal_volume
46pub_type
杂志文章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 assess the feasibility of determining intraocular lens (IOL) power by measurement of the central optic thickness using clinically available Scheimpflug imaging (Pentacam, Oculus). SETTING:King's College Hospital Ophthalmology Department, London, United Kingdom. METHODS:Sixty-seven eyes were assessed 1 mont...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.02.023
更新日期:2007-06-01 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:PURPOSE:To assess the safety, efficacy, stability, and predictability of collagen copolymer toric phakic intraocular lens (pIOL) implantation to correct myopia and astigmatism in eyes with keratoconus. SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:This prospective study comprised keratocon...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.032
更新日期:2010-06-01 00:00:00
abstract:PURPOSE:To define factors affecting cataract surgery operating time for operating room planning, optimizing throughput, enhancing patient experiences, minimizing costs, and allocating training time. SETTING:Epsom and St. Helier University National Health Service Trust, London, United Kingdom. DESIGN:Retrospective cas...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2019.01.002
更新日期:2019-06-01 00:00:00
abstract::We describe a technique that prevents the Argentinean flag sign in white cataract. The technique is based on the intumescent cataract having 2 rather than 1 pressurized compartments within the crystalline lens, the anterior and the posterior. The pressure that pushes the nucleus upward, which is the movement responsib...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.07.002
更新日期:2012-09-01 00:00:00
abstract:PURPOSE:To assess the refractive accuracy of different formulas for intraocular lens (IOL) power calculation in eyes with keratoconus. SETTING:IRCCS Fondazione Bietti, Rome, Italy. DESIGN:Multicenter retrospective interventional study. METHODS:A consecutive series of eyes with keratoconus that had cataract surgery w...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2018.11.029
更新日期:2019-05-01 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::A comprehensive survey was sent to the residency directors of 129 ophthalmology training programs in the United States. Forty percent of residents gained experience as primary surgeon during their first year; 43% performed only part of the surgery. Seventy-three percent began learning cataract extraction using the ext...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01380-9
更新日期:2002-12-01 00:00:00
abstract:PURPOSE:To use capsule dyes to enhance visualization to learn and perform various critical steps of the phacoemulsification procedure in a laboratory setting using postmortem human eyes. SETTING:Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charle...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00363-1
更新日期:2000-07-01 00:00:00
abstract::We present a case of endocapsular hematoma, a rare form of intraocular hemorrhage that developed in a patient with pseudophakia receiving oral anticoagulants for previous mitral valve replacement and cerebrovascular disease. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.07.011
更新日期:2006-01-01 00:00:00
abstract::Current methods of local ocular anesthesia, including retrobulbar, peribulbar, and topical anesthesia, have distinct limitations and many possible, potentially serious complications. We present a new technique that provides rapid, thorough local ocular anesthesia and eliminates these potential complications. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80186-1
更新日期:1994-07-01 00:00:00
abstract:PURPOSE:To compare short-term refractive and visual acuity outcomes after topography-guided laser in situ keratomileusis (LASIK) planned with a new topography analysis system to those based on the manifest refraction. SETTING:Four clinical sites in the United States. DESIGN:Double-arm, nonmasked, nonrandomized retros...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000176
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To determine the effect of ophthalmic viscosurgical devices (OVDs) and irrigation/aspiration (I/A) settings on free radical development during phacoemulsification. SETTING:Department of Ophthalmology, Nippon Medical School, Tokyo, Japan. METHODS:Free radicals were detected by the electron spin resonance (ESR)...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.04.026
更新日期:2006-09-01 00:00:00
abstract::A 39-year-old man was referred with complaints of pain, redness, and reduced vision in the left eye after projectile trauma during hammering. Two years previously, anterior chamber phakic intraocular lenses (pIOLs) had been implanted to correct the patient's high myopia. On presentation, the best corrected visual acui...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.07.022
更新日期:2007-12-01 00:00:00
abstract:PURPOSE:To assess the safety and effectiveness of an immunotoxin, MDX-RA, designed to inhibit posterior capsule opacification (PCO). SETTING:Eleven private practices in the United States. METHODS:This study comprised 63 eyes of 63 patients having extracapsular cataract extraction by phacoemulsification; these patient...
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(98)80352-0
更新日期:1998-12-01 00:00:00
abstract::We report a case of bilateral infectious keratitis occurring as a complication of bilateral simultaneous laser in situ keratomileusis enhancement procedures. Corneal scraping from the interface of both eyes grew Staphylococcus aureus. The infection cleared after treatment with fortified cefazolin, fortified gentamicin...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01232-9
更新日期:2002-04-01 00:00:00
abstract:UNLABELLED:We describe a technique that uses the vitrector to perform successful lens aspiration and posterior chamber intraocular lens (IOL) implantation in children with spherophakia and anterior lens subluxation. After an anterior chamber maintainer is placed, the ocutome is introduced through a limbal incision to p...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.05.001
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:To investigate the effect of hinge width on corneal sensation and dry-eye syndrome after laser in situ keratomileusis (LASIK). SETTING:TLC Laser Eye Center, Garden City, New York, USA. METHODS:Fifty-four patients at least 18 years of age had bilateral LASIK with a narrow nasal hinge microkeratome flap in 1 ey...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.043
更新日期:2004-04-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.03.026
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:To investigate the accuracy and predictability of intraocular lens (IOL) power calculation in postoperative photorefractive keratectomy (PRK) eyes. SETTING:Gimbel Eye Centre, Calgary, Alberta, Canada. METHODS:The results in 5 cataract surgery eyes that had had PRK were analyzed retrospectively. Target refract...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00480-6
更新日期:2000-08-01 00:00:00
abstract:PURPOSE:To evaluate the accuracy of the C constant for ray tracing-assisted intraocular lens (IOL) power calculation. DESIGN:Case series. SETTING:Public university hospital and private clinic. METHODS:Preoperatively, all intraocular distances were measured using laser biometry. Various IOL designs were studied; powe...
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.2013.10.037
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:To evaluate an algorithm for corneal power estimation in intraocular lens (IOL) power calculation after myopic laser refractive surgery using direct corneal measurements. SETTING:International Vision Correction Research Centre, University of Heidelberg, Heidelberg, Germany. METHODS:Corneal parameters in norma...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.07.011
更新日期:2010-01-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.10.062
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of capsular bag opacification, particularly interlenticular opacification (ILO), in rabbit eyes implanted with a dual-optic silicone intraocular lens (IOL) or piggyback lenses. SETTING:John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS:Ten du...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.01.022
更新日期:2006-04-01 00:00:00
abstract:PURPOSE:To determine whether preoperative assessment of posterior capsule integrity using anterior segment optical coherence tomography (AS-OCT) can predict posterior capsule dehiscence in patients with posterior polar cataract having phacoemulsification. SETTING:Aravind Eye Hospital and Postgraduate Institute of Opht...
journal_title:Journal of cataract and refractive surgery
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更新日期:2018-12-01 00:00:00
abstract:PURPOSE:To evaluate the safety and efficacy of hyperopic laser in situ keratomileusis (LASIK) in treating hyperopia caused by overcorrected myopic LASIK and to evaluate a new technique to place the hyperopic treatment after lifting the initial myopic flap. SETTING:Open-access outpatient excimer laser surgical facility...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00784-7
更新日期:2001-03-01 00:00:00
abstract:PURPOSE:To evaluate the visual, refractive, contrast sensitivity, and aberrometric outcomes as well as the patient quality of life and photic phenomena disturbances after cataract surgery with implantation of a new trifocal toric intraocular lens (IOL). SETTINGS:Premium Clinic, Regional Hospital in Havlickuv Brod, Cze...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.07.033
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:To compare the outcome of treatment for myopia by phakic intraocular lens (IOL) implantation or by clear lens extraction (CLE). SETTING:Service d'Ophtalmologie, Hopital Purpan, Toulouse, France. METHODS:Thirty-nine patients from 32 to 49 years of age were studied. Forty-one eyes of 21 patients received a phak...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.02.082
更新日期:2004-10-01 00:00:00
abstract:PURPOSE:To develop and test the validity of a surgical competency assessment tool for simulated small-incision cataract surgery (SICS). SETTING:Participating ophthalmologists contributed from 8 countries. DESIGN:Qualitative and quantitative development and evaluation of face and content validity of an assessment rubr...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2019.04.010
更新日期:2019-09-01 00:00:00