Abstract:
PURPOSE:To compare the postoperative outcomes between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification in eyes with shallow anterior chamber depth (ACD). SETTING:Eye Clinic, NEUROFARBA Department, University of Florence, Italy. DESIGN:Prospective case series. METHODS:Forty eyes of 40 patients with senile cataract and true ACD less than 2.00 mm underwent FLACS (femto group, n = 20) or manual phacoemulsification (phacoemulsification group, n = 20). Preoperatively and 1 week and 1 month and 6 months postoperatively, central corneal thickness (CCT) and endothelial cell density were evaluated; basal epithelial cell (BEC) and Langerhans dendritic cell (LDC) densities and keratocyte activation were assessed using in vivo corneal confocal microscopy. Intraoperative parameters such as cumulative dissipated energy (CDE) and ultrasound (US) power were recorded. RESULTS:Endothelial cell loss (ECL) was significantly lower in the femto group at all timepoints (P ≤ .001). In the phacoemulsification group, the CCT was significantly higher 1 week (P < .001) and 1 month (P < .001) postoperatively than preoperatively; conversely, in the femto group, it was higher only after 1 week (P < .001). BECs and LDCs significantly increased at 1 postoperative week (P < .001), returning to preoperative values after 1 month in both groups. Keratocyte activation remained significantly higher at 1 postoperative month only in the phacoemulsification group (P = .005). CDE and US power were lower in the femto group (P = .017 and P = .001, respectively); they were correlated with ECL (r = 0.662, P = .000; r = 0.389, P = .013). CONCLUSIONS:In eyes with shallow ACD, FLACS was a safe and an effective technique, significantly reducing the postoperative ECL and corneal inflammation compared with conventional phacoemulsification.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Mencucci R,De Vitto C,Cennamo M,Vignapiano R,Buzzi M,Favuzza Edoi
10.1097/j.jcrs.0000000000000341subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1604-1610issue
12eissn
0886-3350issn
1873-4502journal_volume
46pub_type
杂志文章abstract::A patient with bilateral Salzmann's nodular degeneration developed a myopic shift of 9 diopters in the right eye and 5 diopters in the left eye after removal of his nodules. This previously unreported complication of removal of peripheral corneal pathology is discussed in light of our current understanding of keratore...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80658-x
更新日期:1994-11-01 00:00:00
abstract::Between February 1985 and December 1987, 350 eyes had combined radial keratotomy and transverse keratotomy surgery. All procedures were performed by the same surgeon. The number and length of the radial and transverse incisions were varied according to the surgeon's clinical judgment based on his personal experience a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80074-0
更新日期:1992-07-01 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 evaluate the agreement in axial length (AL), keratometry (K), anterior chamber depth (ACD) measurements; intraocular lens (IOL) power calculations; and predictability using a new partial coherence interferometry (PCI) optical biometer (AL-Scan) and a reference (gold standard) PCI optical biometer (IOLMaster ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.09.015
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:To study the repeatability and reproducibility of corneal power measurements obtained with a new corneal topographer (Keratograph 4) and assess their agreement with those obtained by a rotating Scheimpflug camera (Pentacam HR) and an automated keratometer (IOLMaster). SETTING:Eye Hospital, Wenzhou Medical Univ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.04.029
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:To measure the effect of spherical intraocular lens (IOL) implantation and conventional myopic laser in situ keratomileusis (LASIK) on peripheral ocular aberrations. SETTING:Visual and Ophthalmic Optics Laboratory, School of Optometry, and Institute of Health and Biomedical Innovation, Queensland University of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.01.018
更新日期:2010-07-01 00:00:00
abstract:PURPOSE:To determine the typical in vitro straylight levels for intraocular lenses (IOLs) of different materials and designs. SETTING:Abbott Medical Optics, Inc., Groningen, the Netherlands. DESIGN:Experimental study. METHODS:Two optical bench setups were used to determine baseline straylight levels of IOLs placed i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.10.017
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:To identify prognostic factors that determine the visual acuity after penetrating keratoplasty (PKP) for bullous keratopathy secondary to cataract surgery. SETTING:Department of Ophthalmology, University Hospital Antwerp, Antwerp, Belgium. METHODS:Twenty-six patients who had PKP for bullous keratopathy were e...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01742-x
更新日期:2003-03-01 00:00:00
abstract::Two cases of intrastromal corneal ring (Intacs, Addition Technology) implantation to treat post-laser in situ keratomileusis (LASIK) ectasia developed progressive slippage of the flap over the stromal bed, resulting in progressive flattening of the affected meridian. The flattening was thought to have occurred because...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.06.049
更新日期:2008-12-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80088-5
更新日期:1996-01-01 00:00:00
abstract::We describe a technique for creating a continuous curvilinear capsulorhexis (CCC) using an endoscope. Three 2.0 mm limbal incisions 120 degrees apart were made in 4 cadaver eyes. The anterior capsule was stained with trypan blue 0.1% (Vision Blue). Under endoscopic visualization, a CCC was attempted in each of the 4 g...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.051
更新日期:2004-05-01 00:00:00
abstract:PURPOSE:To calculate theoretically the magnitude of the excess area between the lower surface of the flap and the underlying ablated stroma. METHODS:On the initial assumptions of a nonextensible flap and a spherical cornea, flap and ablated stromal areas were determined as a function of myopic correction in the range ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01636-x
更新日期:2002-12-01 00:00:00
abstract:PURPOSE:To compare the clinical outcomes after cataract surgery with implantation of 2 models of a new rotationally asymmetric multifocal IOL to ascertain which provides better visual performance and patient satisfaction. SETTING:Vissum Instituto Oftalmologico de Alicante, Alicante, Spain. DESIGN:Comparative case ser...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.054
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:The use of monochromatic light in the assessment of intraocular lenses (IOLs) has been criticized for not representing the real-world situation. This study aimed to measure and compare the image quality of 3 extended depth-of-focus (EDOF) IOL models in monochromatic and polychromatic light. SETTING:David J App...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000037
更新日期:2020-01-01 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::Twenty-eight epikeratophakia procedures have been performed at the University of Minnesota since December 1985. This report describes several technique modifications and compares the refractive and visual outcome of these cases with the national results. There have been 17 aphakic cases (13 adult and four pediatric), ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80091-4
更新日期:1989-05-01 00:00:00
abstract:PURPOSE:To determine the level of residual spherical aberration that gives the best objective and subjective quality of image after cataract surgery with intraocular lens (IOL) implantation. SETTING:Department of Ophthalmology, CHU Bretonneau, Tours, France. DESIGN:Cohort study. METHODS:Six months after microincisio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.12.056
更新日期:2011-06-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00313-8
更新日期:2000-06-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of cyanopsia using the neutralization method in eyes in which clear or yellow intraocular lenses (IOLs) were implanted. SETTING:Miyata Eye Clinic, Hiroshima, Japan. DESIGN:Retrospective comparative study. METHODS:Patients who had cataract surgery with the implantation of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.040
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:To determine the safety and practicality of a combined anesthesiologist and registered nurse model of anesthesia care in cataract surgery. SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Case series. METHODS:This retrospective review comprised consecutive patients having phacoemulsification cataract s...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2010.09.021
更新日期:2011-03-01 00:00:00
abstract::A simple technique for the accurate surgical alignment of toric phakic and aphakic intraocular lenses (IOLs) is described. The mathematical relationship between toric misalignment and cylinder error is reviewed to demonstrate the importance of toric lens alignment in the setting of increased rotational stability with ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.04.041
更新日期:2008-10-01 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
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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
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.01.035
更新日期:2007-05-01 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,多中心研究,随机对照试验
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更新日期:2000-11-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
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更新日期:1990-07-01 00:00:00
abstract:UNLABELLED:An 83-year-old man presented with a 1-year history of blurry vision in his left eye. Bilateral cataract surgery and ciliary sulcus posterior chamber intraocular lens (IOL) implantation had been performed 11 years earlier. The corrected distance visual acuity (CDVA) was 20/60 in the left eye. Slitlamp examina...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
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更新日期:2015-10-01 00:00:00
abstract:PURPOSE:To compare the outcomes of combined cataract surgery with trabecular microbypass stents and ab interno trabeculotomy in patients with open-angle glaucoma. SETTING:University of Toronto, Toronto, Ontario, and University of Montreal, Montreal, Quebec, Canada, and Glaucoma Associates of Texas, Dallas, Texas, USA....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.12.061
更新日期:2015-08-01 00:00:00
abstract::We report the results in six eyes on which we performed a new surgical method: intrastromal corneal excimer laser photoablation following lamellar corneal keratectomy with a microkeratome. The study was designed to evaluate the clinical and refractive efficacy of the procedure, to assess the behavior of the cornea fol...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80381-1
更新日期:1992-01-01 00:00:00