Abstract：
PURPOSE:To present a series of cases in which the four-flanged technique was used in the management of in-the-bag intraocular lens (IOL) subluxation. SETTING:Shamir medical center, Israel. DESIGN:Retrospective cohort analysis. METHODS:Included were consecutive cases with secondary IOL subluxation that underwent scleral fixation with the four-flanged technique using 6-0 polypropylene and low temperature cautery. Surgeries were performed during September 2019 to April 2020. Postoperative IOL angle tilt was evaluated using high-resolution ocular coherence tomography. RESULTS:11 eyes of 11 patients were included. Mean age was 82.7±5.5 years and 60% were male. Pseudoexfoliation was noted in 82% of patients and only 1 case was related to trauma. Mean corrected distance visual acuity (CDVA) postoperatively was within 1 line of the original presubluxation CDVA (0.55±0.41 vs 0.54±0.6 LogMAR, p=0.965). Mean postoperative IOL tilt was 5.78±3.85 degrees. Surgery duration decreased from 70±14 minutes to 39±15 minutes (first to last operations). No intraoperative complications were reported. Postoperatively, transient intraocular pressure elevation, which resolved at 1 week, was recorded in 45% of cases. Cystoid macular edema, which resolved within a few months under topical treatment, was seen in 2 patients. CONCLUSIONS:Among a cohort of patients with secondary in-the-bag IOL subluxation, the four-flanged technique was safe and resulted in satisfactory visual outcomes and a stable IOL position, with a short learning curve.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Mahler OS,Biron R,Hecht I,Pras E,Einan-Lifshitz Adoi
10.1097/j.jcrs.0000000000000474subject
Has Abstractpub_date
2020-11-02 00:00:00eissn
0886-3350issn
1873-4502pub_type
杂志文章abstract：PURPOSE:To evaluate excimer laser photorefractive keratectomy (PRK) for myopia using a repetition rate of 15 Hz instead of 10 Hz. SETTING:The Cornea and Laser Eye Institute, Teaneck, and Department of Ophthalmology, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA. METHODS:Photorefractive keratectomy using a ...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(99)00406-x
更新日期：2000-03-01 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：PURPOSE:To identify risk factors and describe the effects of antibiotic prophylaxis on the incidence of postoperative endophthalmitis after cataract surgery based on analysis of the findings of the European Society of Cataract & Refractive Surgeons (ESCRS) multicenter study. SETTING:Twenty-four ophthalmology units in ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jcrs.2007.02.032
更新日期：2007-06-01 00:00:00
abstract：PURPOSE:To compare the outcomes of implantation of 2 models of intrastromal corneal ring segments (ICRS) to manage keratoconus. SETTING:Kartal Training and Research Hospital, Istanbul, Turkey. METHODS:This study evaluated eyes with keratoconus that had implantation of Keraring ICRS (Group A) or Intacs ICRS (Group B)....
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.12.031
更新日期：2010-06-01 00:00:00
abstract：:Corneal scrapings were collected from a case of keratitis and microbiological investigations done. Coagulase-negative Staphylococcus (Staphylococcus epidermidis) was identified on culture, and antibiotic susceptibility tests were performed. Treatment was started with topical cefazolin sulfate 5% and gatifloxacin 0.3%;...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.04.015
更新日期：2007-08-01 00:00:00
abstract：PURPOSE:To evaluate the custom-contoured ablation pattern (C-CAP) method as a tool for providing customized laser ablations for decentered ablations based on corneal topography data. SETTING:Department of Ophthalmology, Stanford University, Stanford, California, USA. METHODS:In a prospective noncomparative interventi...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.12.052
更新日期：2004-08-01 00:00:00
abstract：PURPOSE:To establish a refractive surgery unit at Tilganga Institute of Ophthalmology through support from international donations and provide knowledge transfer for doctors and management to make the unit self-sustaining, nonprofit laser refractive surgery, and financial support for other eyecare projects at Tilganga....
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.05.023
更新日期：2018-08-01 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：:This paper presents current clinical and experimental uses of the carbon dioxide laser and the results of our human and animal tissue fusion investigations. Trials were conducted with human scleral and corneal eye bank tissue and in albino rabbits. With power settings of 100 to 200 mW, optimal laser effect consisting ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80073-1
更新日期：1987-05-01 00:00:00
abstract：:The optical resolution and contrast of 18 silicone and 18 polymethylmethacrylate (PMMA) intraocular lenses were determined before implantation in and after removal from rabbit eyes. A specially designed microphotographic system that allows documentation and comparison of the image quality of different lens types was u...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(87)80153-0
更新日期：1987-11-01 00:00:00
abstract：PURPOSE:To assess the predictability, efficacy, stability and safety of implantation of an Artisan (Ophtec BV, the Netherlands) iris-fixated phakic intraocular lens (IF-pIOL) for the correction of hyperopia with a follow-up of up to 15 years. SETTING:Leiden University Medical Center, The Netherlands METHODS:: Patients...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000532
更新日期：2020-11-27 00:00:00
abstract：PURPOSE:To compare the coaxial light intensity required during cataract surgery, and rate of postoperative visual recovery, with surgical visualization achieved with a traditional analog operating microscope compared to a 3D digital visualization system. SETTING:Weill Cornell Medical Center, New York Presbyterian Hosp...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000448
更新日期：2020-09-24 00:00:00
abstract：:There are optical and mechanical advantages of the biconvex posterior chamber intraocular lens (IOL) following cataract surgery. A clinical study of Nd:YAG laser capsulotomy in eyes with biconvex IOLs was undertaken. The lenses were made of injection-molded poly(methyl methacrylate) without laser spacing. Using specif...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80065-3
更新日期：1989-07-01 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 report clinical and confocal microscopy characteristics of haze-like opacities in corneas after laser in situ keratomileusis (LASIK). SETTING:Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. METHODS:Eighteen eyes of 11 patients with clinically apparent corneal clo...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(02)02050-3
更新日期：2003-09-01 00:00:00
abstract：PURPOSE:To compare the efficacy of 30 minute preoperative versus 1 day postoperative administration of ketorolac tromethamine 0.5% ophthalmic solution (Acular) in reducing anterior chamber inflammation after cataract surgery. SETTING:The Hermann Eye Center, The University of Texas Health Science Center-Houston, Texas,...
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)00519-8
更新日期：2000-11-01 00:00:00
abstract：PURPOSE:To demonstrate an analytical method to compare the actual and intended refraction after cataract surgery that allows incorporation of refractive surgical effects. SETTING:Corneal and External Eye Disease Service, Royal Liverpool University Hospital, Liverpool, United Kingdom. METHODS:The actual postoperative ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00418-8
更新日期：2003-11-01 00:00:00
abstract：PURPOSE:To investigate the association between intraocular pressure (IOP), central corneal thickness (CCT), or both and wavefront aberrations in the anterior cornea and the whole eye in myopia. SETTING:Wenzhou Medical College, Wenzhou, Zhejiang, China. METHODS:Seventy myopic subjects were tested with a Humphrey corne...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.04.012
更新日期：2007-08-01 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：:One hundred and thirty-three eyes of 103 patients had photorefractive keratectomy with a slit scan mode excimer laser for myopia ranging from -6.00 to -22.00 diopters (D). The epithelium was removed with 20% ethanol, and the ablation was done with a tapered profile surrounding the optical zone. Patients were divided i...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80526-3
更新日期：1995-07-01 00:00:00
abstract：:Extensive Descemet's membrane detachment persisted after small incision cataract surgery in three patients. Unfolding and repositioning of Descemet's membrane by sodium hyaluronate (Healon) were followed by injection of sulfur hexafluoride 20% gas mixed with air to fill the anterior chamber. Initially, the gas bubble ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80013-2
更新日期：1997-12-01 00:00:00
abstract：:The complement activation potential of surface modified (passivated) poly(methyl methacrylate) (PMMA) intraocular lenses (IOLs) with polypropylene loops was compared to that of standard PMMA IOLs with polypropylene loops. Both lens types were incubated in human sera for six hours and then the C3a and C5a levels were m...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80243-x
更新日期：1991-03-01 00:00:00
abstract：:Cortex removal, especially at the 12 o'clock position, is more difficult with small incision phacoemulsification than with planned extracapsular cataract extraction. In this study an irrigation/aspiration handpiece with changeable tips was used for cortex removal in a large, unselected, consecutive series of small inc...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80911-x
更新日期：1992-05-01 00:00:00
abstract：PURPOSE:To determine the refractive cylinder effect of rotating a toric intraocular lens (IOL) and identify the sources of refractive astigmatic surprise after toric IOL implantation. SETTING:Private practice, Melbourne, Australia. DESIGN:Experimental study. METHODS:Vergence formulas using a standard reduced eye mod...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.06.029
更新日期：2014-02-01 00:00:00
abstract：PURPOSE:To compare visual acuity from far to near, contrast visual acuity, and acuity in the presence of glare (glare visual acuity) between an aspheric diffractive multifocal intraocular lens (IOL) with a low addition (add) power (+3.0 diopters) and a monofocal IOL. SETTING:Hayashi Eye Hospital, Fukuoka, Japan. METH...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.07.010
更新日期：2009-12-01 00:00:00
abstract：PURPOSE:To evaluate the implantation of Artisan/Verisyse phakic intraocular lenses (pIOLs) (Advanced Medical Optics) as an effective and safe method for the correction of high myopia. SETTING:Department of Ophthalmology, John A. Moran Eye Center, University of Utah Medical Center, Salt Lake City, Utah, USA. METHODS:T...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.04.009
更新日期：2007-08-01 00:00:00
abstract：PURPOSE:To evaluate the feasibility and risks of primary posterior capsulorhexis. SETTING:Department of Ophthalmology, University Hospital of Liège, Belgium. METHODS:Retrospective analysis of 319 patients with cataracts who had phacoemulsification or manual extracapsular cataract extraction with a simultaneous circul...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80042-3
更新日期：1996-05-01 00:00:00
abstract：PURPOSE:To compare the efficiencies of the operative procedures and the reductions in postoperative corneal endothelial cell density (ECD) after cataract surgery using 2 different phacoemulsification tips and their associated cassettes and tubing. SETTING:Wolfe Clinic, Marshalltown, Iowa, USA. METHODS:A randomized pr...
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(99)00201-1
更新日期：1999-10-01 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 quantify cataract in lens-backscatter metrics derived from Pentacam Scheimpflug photographs and determine the most predictive metrics for lens grading and visual performance measures. SETTING:Large tertiary referral hospital in South Australia. DESIGN:Evaluation of diagnostic test or technology. METHODS:I...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.07.033
更新日期：2012-12-01 00:00:00
