Abstract：
PURPOSE:To report outcomes of secondary intraocular lens (IOL) implantation in the Infant Aphakia Treatment Study (IATS) SETTING:: Multicenter clinical practice DESIGN:: Secondary analysis of patients enrolled in a randomized clinical trial METHODS:: Details regarding all secondary IOL surgeries conducted in children enrolled in the IATS were compiled. We evaluated visual outcomes, refractive outcomes, and adverse events at age 10 ½ years. Comparisons were made to eyes that remained aphakic and to eyes randomized to primary IOL placement. RESULTS:55/57 patients randomized to aphakia with contact lens correction were seen for the 10 ½ year study visit; 24/55 eyes (44%) had secondary IOL surgery. Median age at IOL surgery was 5.4 years (range 1.7 to 10.3 years). Mean absolute prediction error was 1.0 ± 0.7D. At age 10 ½ years, the median log MAR VA was 0.9 (range 0.2 to 1.7), similar to VA in the 31 eyes still aphakic (0.8, range 0.1 to 2.9); the number of eyes with stable or improved VA scores between the 4 ½ and 10 ½ year study visits was also similar (78% secondary IOL eyes, 84% aphakic eyes). For eyes undergoing IOL implantation after the 4.5 year study visit (n=22), the mean refraction at age 10 ½ years was -3.2 ±2.7D (range -9.9D to 1.1D), compared to -5.5 ±6.6 D (n=53, range -26.5 to 3.0D) in eyes with primary IOL (p=0.03). CONCLUSIONS:Delayed IOL implantation allows a more predictable refractive outcome at age 10 ½ years, though the range of refractive error is still large.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
VanderVeen DK,Drews-Botsch CD,Nizam A,Bothun ED,Wilson LB,Wilson ME,Lambert SR,Infant Aphakia Treatment Study.doi
10.1097/j.jcrs.0000000000000412subject
Has Abstractpub_date
2020-09-07 00:00:00eissn
0886-3350issn
1873-4502pub_type
杂志文章abstract：PURPOSE:To evaluate the reduction in the anterior capsule opening after phacoemulsification, continuous curvilinear capsulorhexis, and implantation of 1 of 2 acrylic intraocular lenses (IOLs). SETTING:Department of Ophthalmology, Vejle Hospital, Vejle, Denmark. METHODS:Eighty-four patients (84 eyes) were included in ...
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.2007.01.020
更新日期：2007-05-01 00:00:00
abstract：UNLABELLED:We describe a technique in which a metallic foreign body in the anterior chamber is safely removed by encapsulation with an intraocular lens (IOL) injector instead of with a forceps or a magnet. A forceps sometimes provides inadequate grip over an intraocular foreign body and requires a large incision, which...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.10.046
更新日期：2015-12-01 00:00:00
abstract：PURPOSE:To compare visual outcomes in normal and complicated laser in situ keratomileusis (LASIK) flaps constructed with a femtosecond laser. SETTING:Wilford Hall Ambulatory Surgical Center, San Antonio, Texas. DESIGN:Retrospective chart review. METHODS:The main outcome measures were uncorrected distance visual acui...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.05.024
更新日期：2015-11-01 00:00:00
abstract：PURPOSE:To compare the photopic and scotopic contrast sensitivity with and without glare as well as blue color perception between eyes with an AcrySof SN60AT Natural intraocular lens (IOL) (Alcon Laboratories Inc.) and eyes with a conventional AcrySof SA60AT IOL. SETTING:Ankara University School of Medicine, Departmen...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.12.018
更新日期：2007-04-01 00:00:00
abstract：:A candidate for refractive surgery presented with classic (type I) Ehlers-Danlos syndrome (EDS). Clinical examination revealed blue sclera, limbus-to-limbus corneal thinning, myopia, and astigmatism. Orbscan (Bausch & Lomb) pachymetry mapping provided a striking demonstration of the limbus-to-limbus thinning with a ce...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.05.002
更新日期：2004-08-01 00:00:00
abstract：:The efficacy of foldable silicone intraocular lenses in combined glaucoma/cataract surgery was retrospectively analyzed in 19 consecutive operations. Preoperatively all patients were receiving medical treatment for glaucoma; 21% had intraocular pressures above 21 mm Hg despite the medical therapy. Postoperatively, red...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80447-6
更新日期：1992-11-01 00:00:00
abstract：PURPOSE:To investigate the influence of intraocular lens (IOL) tilt and decentration on higher-order aberrations (HOAs) using wavefront analysis. SETTING:Department of Ophthalmology, Nara Medical University, Nara, Japan. METHODS:Forty eyes of 40 patients with a 5.5 mm optic, foldable acrylic IOL were examined 4 to 48...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.072
更新日期：2004-10-01 00:00:00
abstract：PURPOSE:To describe the indications, motivations, and outcomes of artificial iris exchange. SETTING:Stein Eye Institute. DESIGN:Consecutive case series. METHODS:Review of medical records of patients implanted with an artificial iris device who underwent a subsequent artificial iris exchange. RESULTS:Five patients w...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000321
更新日期：2020-12-01 00:00:00
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journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1993-09-01 00:00:00
abstract：:We describe a technique for femtosecond laser-assisted bag-in-the-lens (BIL) intraocular lens (IOL) implantation. Anterior capsulotomy and lens division into small pieces are performed by the laser. A fluid-filled interface makes it possible to re-dock the laser to the eye for posterior capsulotomy after the eye has b...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.07.014
更新日期：2013-09-01 00:00:00
abstract：PURPOSE:To evaluate the thickness and side-cut angle of laser in situ keratomileusis (LASIK) flaps created by 1 of 3 femtosecond lasers or a microkeratome using Fourier-domain optical coherence tomography (OCT). SETTING:Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, S...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.08.042
更新日期：2011-02-01 00:00:00
abstract：PURPOSE:To compare the extension of peripheral visual fields in phakic and pseudophakic patients and to evaluate whether Goldmann kinetic perimetry can be used as an objective measure of negative dysphotopsia. SETTING:University Eye Clinic, Maastricht University Medical Centre, Maastricht, the Netherlands. DESIGN:Pro...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.09.016
更新日期：2016-11-01 00:00:00
abstract：UNLABELLED:We describe several simple modifications of the big-bubble technique to improve surgeon comfort and reduce the risk for complications, with emphasis on our ophthalmic viscosurgical device (OVD)-assisted incision technique. By coating the overlying stroma with OVD prior to entering the big bubble, space is ma...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.09.014
更新日期：2011-11-01 00:00:00
abstract：PURPOSE:To report the incidence, management, and prevention of patient reports of glare and streaks around a point source of light or a dark shadow in the temporal field of vision after acrylic intraocular lens (IOL) implantation. SETTING:A private practice. METHODS:Cases in which patients complained vigorously of dy...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00611-8
更新日期：2000-09-01 00:00:00
abstract：PURPOSE:To compare the development of posterior capsule opacification (PCO) and neodymium:YAG (Nd:YAG) capsulotomy rates between 2 microincision intraocular lenses (IOLs) 4 years after surgery. SETTING:Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. DESIGN:Prospective randomized clinical t...
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.2014.09.037
更新日期：2015-05-01 00:00:00
abstract：:This case outlines the phacoemulsification technique used to overcome the challenge of the hyperdeep anterior chamber, weak zonules, abnormal anterior capsule, and large capsular bag. Key steps included trypan blue staining of the anterior capsule, a large capsulorhexis, prolapse of the nucleus into the anterior chamb...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.12.143
更新日期：2006-07-01 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 compare the change in ocular higher-order wavefront aberrations (HOAs), visual acuity, and modulation transfer function (MTF) after lens extraction with intraocular lens (IOL) implantation in patients with subluxated lenses. SETTING:Iladevi Cataract & IOL Research Centre, Ahmedabad, India. DESIGN:Prospecti...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.12.017
更新日期：2018-03-01 00:00:00
abstract：:We report the results of a prospective study that evaluated the efficacy, predictability, and safety of excimer laser photorefractive keratectomy (PRK) to correct residual myopia after radial keratotomy (RK). Using a 193 nm excimer laser, we performed PRK on ten undercorrected myopic eyes that had previous RK surgery....
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80224-6
更新日期：1994-09-01 00:00:00
abstract：PURPOSE:To evaluate the efficacy and safety of photorefractive keratectomy (PRK) with intraoperative application of mitomycin-C (MMC). SETTING:Yonsei Eye Center, Seoul, South Korea. METHODS:This retrospective noncomparative case series included 536 patients (1011 eyes) who had had PRK with intraoperative application ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.05.027
更新日期：2005-12-01 00:00:00
abstract：PURPOSE:To compare the effectiveness of 2 medications commonly used to prevent intraocular pressure (IOP) elevation in the early period after cataract surgery. SETTING:Palo Alto Veterans Affairs Health Care System, Palo Alto, California, USA. METHODS:This prospective study comprised 202 eyes of patients scheduled for...
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(98)80172-7
更新日期：1998-11-01 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 evaluate meridional differences in angle-to-angle (A-A) and sulcus-to-sulcus (S-S) dimensions in human eyes using very high frequency ultrasound (VHF US) and anterior segment optical coherence tomography (AS-OCT). SETTING:John A. Moran Eye Center, University of Utah, USA; Berlin Eye Research Institute, Germ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.03.033
更新日期：2008-07-01 00:00:00
abstract：UNLABELLED:We present a case of corneal perforation secondary to an intrastromal astigmatic keratotomy performed with an optical coherence tomography-guided femtosecond laser. The keratotomy was concomitant with cataract surgery and resulted in a flat anterior chamber prior to the start of lens extraction. Interrupted ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.04.021
更新日期：2014-07-01 00:00:00
abstract：PURPOSE:To evaluate visual acuity, refractive outcomes, and anterior corneal higher-order aberrations (HOAs) after myopic laser in situ keratomileusis (LASIK) with uneventful single femtosecond laser pass versus double pass performed for intraoperative suction loss. SETTING:Private refractive surgery center, Valencia,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.06.027
更新日期：2012-01-01 00:00:00
abstract：PURPOSE:To study the results of simultaneous photorefractive keratectomy (PRK) and corneal collagen crosslinking (CXL) in keratoconus after previous intrastromal corneal ring segment (ICRS) implantation. SETTING:Enaim Laser Center, Jerusalem, Israel. DESIGN:Case series. METHODS:This study comprised patients with mod...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.05.033
更新日期：2012-10-01 00:00:00
abstract：:A 48-year-old man with a history of myopic laser in situ keratomileusis (LASIK) had selective laser trabeculoplasty (SLT) for the treatment of glaucoma in the right eye. He subsequently developed grade 2 diffuse lamellar keratitis (DLK). He then elected to have SLT in the left eye and developed grade 1 DLK. To our kno...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.11.024
更新日期：2010-05-01 00:00:00
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 se...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000045
更新日期：2020-02-01 00:00:00
abstract：PURPOSE:To compare the visual acuity outcomes and the ocular and intraocular optical quality in patients with a monofocal intraocular lens (IOL) or a new-generation single-optic accommodating IOL. SETTING:Vissum Corporation, Alicante, Spain. DESIGN:Comparative case series. METHODS:Consecutive eyes of bilateral catar...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2010.04.040
更新日期：2010-10-01 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
