Abstract：
PURPOSE:To evaluate the intraexaminer repeatability and the interobserver reproducibility of manifest refraction. SETTING:Tertiary referral center. DESIGN:Retrospective study. METHODS:Patients attending at least 2 preoperative refractions before undergoing subsequent refractive surgery were included. All manifest refractions were performed by 1 of 4 experienced optometrists using an automated phoropter according to a standard protocol. The first manifest refraction was performed after obtaining automated refraction and measuring the spectacles of the patient. The second refraction was typically refined from the first also considering wavefront refraction and tomography/topography. RESULTS:The latest 2 manifest refractions of 1000 eyes obtained at 2 separate visits showed a mean pairwise absolute difference of 0.16 ± 0.19 diopter (D) (range 0 to 1.38 D) in spherical equivalent (SE). This SD was better than 0.25 D (the minimum measurement increment of refraction itself). The 95% limit of agreement (LoA) was within 0.50 D for sphere, cylinder, and SE. The SD of the astigmatism axis was approximately 10 degrees, and the 95% LoA was within 22 degrees (the difference in axis decreasing significantly with the measured cylinder magnitude). The SD for corrected distance visual acuity (CDVA) was half a Snellen line and the 95% LoA was within 1.5 lines (with increasing deviation with worse vision). There were no clinically meaningful differences in reproducibility (2 optometrists) compared with repeatability (same optometrist) in sphere, axis, and CDVA. CONCLUSIONS:Reproducibility was 0.16 D irrespective whether refractions were performed by 1 or 2 different optometrists. Obtaining multiple refractions preoperatively might increase the predictability of surgery and decrease the enhancement rate.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Taneri S,Arba-Mosquera S,Rost A,Kießler S,Dick HBdoi
10.1097/j.jcrs.0000000000000343subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1659-1666issue
12eissn
0886-3350issn
1873-4502pii
02158034-202012000-00013journal_volume
46pub_type
杂志文章abstract：PURPOSE:To gather experimental data on whether Dodick laser phacolysis leads to corneal or scleral burns. SETTING:The Eye Department, County Hospital Salzburg, Salzburg, Austria. METHODS:The study was done using a pulsed neodymium:YAG (Nd:YAG) laser with a wavelength of 1064 nm; energy, 10 mJ; and duration of pulses,...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00030-9
更新日期：1999-06-01 00:00:00
abstract：PURPOSE:To compare the effect of erbium:YAG laser photocapsulotomy (ELC), continuous curvilinear capsulorhexis (CCC), and high-frequency capsulotomy (HFC) on anterior capsule edges using light microscopy (LM) and transmission electron microscopy (TEM). SETTING:Department of Ophthalmology, Department of Histology and E...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/S0886-3350(03)00652-7
更新日期：2004-01-01 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：:A phacoemulsification procedure with implantation of a foldable acrylic intraocular lens in a 31-year-old man with spherophakia is described. The procedure was necessitated by anterior dislocation of the spherophakic lens, with corneal endothelial contact and development of central corneal edema. With a careful approa...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00904-x
更新日期：2002-01-01 00:00:00
abstract：:Multifocal intraocular lenses (MIOLs) have been designed to provide better uncorrected near visual acuity than monofocal IOLs. However, the increase in depth of focus is combined with a significant decrease in contrast sensitivity and glare. We implanted a new zonal-progressive MIOL (AMO Array) in 31 eyes of 25 patien...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(13)80217-9
更新日期：1995-09-01 00:00:00
abstract：PURPOSE:To compare the long-term longitudinal visual acuity outcomes after cataract surgery in eyes with age-related macular degeneration (AMD) at surgery and eyes without comorbidity. SETTING:University-based eye clinic. DESIGN:Longitudinal cohort study. METHODS:Patients having cataract surgery were evaluated over ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.09.041
更新日期：2012-03-01 00:00:00
abstract：PURPOSE:To evaluate the effect of a capsular tension ring (CTR) on the shape of the capsular bag, the extent of the capsular opening, and the shape of intraocular lenses (IOLs). SETTING:Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. METHODS:The corneal button was rem...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00610-6
更新日期：2001-03-01 00:00:00
abstract：PURPOSE:To investigate the penetration of topically applied levofloxacin 0.5% and ofloxacin 0.3% eyedrops into the aqueous humor of patients having cataract surgery. SETTING:Hochkreuzklinik Eye Hospital, Bonn, Germany. METHODS:In this randomized, investigator-masked study, 69 patients received 4 drops of either levof...
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/j.jcrs.2004.12.063
更新日期：2005-07-01 00:00:00
abstract：PURPOSE:To identify preoperative and intraoperative factors associated with a capsule complication; that is, a capsule tear or a zonular dehiscence during cataract surgery. SETTING:Ten ophthalmic surgery departments in Sweden. METHODS:A retrospective review of files of patients with a capsule complication and control...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jcrs.2009.05.026
更新日期：2009-10-01 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：:We describe five routine phacoemulsification procedures in which a longitudinal split in the injector cartridge occurred during foldable intraocular lens (IOL) implantation. In some cases, this was associated with a broken lens. All lenses (STAAR AA-4203VF) were folded, and implantation was attempted through a 3.5 mm ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80023-x
更新日期：1996-06-01 00:00:00
abstract：PURPOSE:To evaluate the results of ab externo 4-point scleral fixation of posterior chamber intraocular lenses (PC IOLs) as a primary or secondary procedure. SETTING:Aravind Eye Hospital, Madurai, India. METHODS:This retrospective study comprised 25 patients: 17 aphakic and 8 with traumatic subluxated lenses. The sub...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)80093-5
更新日期：1999-03-01 00:00:00
abstract：:Eighteen surgeons performed 166 consecutive epikeratoplasty procedures to correct myopia in 103 patients. Of this total, 147 (89%) were first surgeries and 19 (11%) were repeat surgeries. First surgery patients were divided into three subpopulations based on preoperative spherical equivalents (low -5.00 diopters [D] t...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80869-3
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:To compare the in vitro optical quality of multifocal apodized intraocular lenses (IOLs) at different focal points. SETTING:University of Valencia, Valencia, Spain. DESIGN:Experimental study. METHODS:The Acrysof Restor +3.0 diopter (D) multifocal IOL with 2 main foci (bifocal IOL) and the Finevision multifoc...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.12.038
更新日期：2013-06-01 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 study the safety of irrigation with 5-fluorouracil (5-FU) in the Perfect Capsule sealed-capsule irrigation device (Milvella, Ltd., Epping, Australia). SETTING:St. Erik's Eye Hospital, Stockholm, Sweden. METHODS:Thirty 8-week-old rabbits were divided into 4 groups. Clear lens extraction was performed and th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.05.012
更新日期：2007-09-01 00:00:00
abstract：PURPOSE:To analyze risk factors and management of pupillary intraocular lens (IOL) capture after IOL transscleral fixation. SETTING:Department of Ophthalmology, Seoul National University Hospital, Seoul, South Korea. DESIGN:Retrospective case series. METHODS:A chart review was performed of patients who had transscle...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2017.08.021
更新日期：2017-12-01 00:00:00
abstract：PURPOSE:To compare the outcomes of mechanical and femtosecond laser-assisted tunnel creation for intrastromal corneal ring segment (ICRS) implantation in eyes with keratoconus. SETTING:Kartal Training and Research Hospital, Istanbul, Turkey. METHODS:In this prospective study, consecutive eyes with keratoconus were ra...
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.2010.04.028
更新日期：2010-09-01 00:00:00
abstract：PURPOSE:To investigate whether topical diclofenac sodium 0.1% solution (Voltaren Ophthalmic) is as efficacious as topical ketorolac tromethamine 0.5% solution (Acular) in the treatment of established, chronic cystoid macular edema (CME) after uneventful phacoemulsification cataract extraction with posterior chamber int...
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(03)00233-5
更新日期：2003-12-01 00:00:00
abstract：PURPOSE:To evaluate the clinical outcomes of laser in situ keratomileusis (LASIK) to correct myopia or myopic astigmatism using the Amaris 750S 750 Hz excimer laser. SETTING:Private LASIK center, Tokyo, Japan. DESIGN:Case series. METHODS:Patients with myopia or myopic astigmatism (spherical equivalent -0.50 to -11.6...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.07.043
更新日期：2014-02-01 00:00:00
abstract：:We modified our surgical techniques after analyzing the mechanisms responsible for posterior capsule-zonular disruption with or without vitreous loss in 250 consecutive extracapsular cataract extraction cases. We applied the derived principles and prospectively studied the subsequent 1,500 cases. Modifications in our ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80704-3
更新日期：1990-05-01 00:00:00
abstract：PURPOSE:To compare the efficacy and safety of anterior capsulotomy creation with a new selective laser device (CAPSULaser) with those of manual capsulotomies. SETTING:GEMINI Eye Clinic, Zlin, Czech Republic. DESIGN:Prospective case series. METHODS:Patients were placed in cohorts based on age and cataract grade and r...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2018.12.012
更新日期：2019-05-01 00:00:00
abstract：:A surgical method for managing poorly dilating pupils preoperatively is presented. A fine polypropylene suture is preplaced through the inferior iris sphincter prior to an inferior radial iridotomy in preparation for nucleus fracture endolenticular phacoemulsification. Placing the suture prior to the iridotomy assures...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80110-1
更新日期：1992-09-01 00:00:00
abstract：PURPOSE:To compare the spatial resolution threshold in the central visual field of pseudophakic patients with monofocal and multifocal intraocular lenses (IOLs). SETTING:Eye Clinic, University of Trieste, Italy. METHODS:Twenty phakic normal subjects and four groups of 20 pseudophakic patients each, implanted with ref...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80206-x
更新日期：1998-02-01 00:00:00
abstract：:Three cases are described in which a curvilinear lucency in the corneal stroma signified a surgical thermal injury. The "shark fin" appearance represents focal shrinkage of tissue within the incisional tunnel. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.11.034
更新日期：2005-03-01 00:00:00
abstract：:We reviewed the medical records of 1,726 eyes consecutively operated on with extracapsular cataract extraction to examine the incidence of and the risk factors for retinal detachment (RD). In Denmark, both diagnoses and deaths are registered centrally; therefore, a complete follow-up was achieved in each case and actu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80333-1
更新日期：1993-11-01 00:00:00
abstract：PURPOSE:To determine the clinical outcomes of isolated Descemet membrane transplantation (ie, Descemet membrane endothelial keratoplasty [DMEK]) in phakic eyes. SETTING:Tertiary referral center. DESIGN:Cohort study. METHODS:Phakic eyes from a larger group of consecutive eyes that had DMEK for Fuchs endothelial dystr...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.11.038
更新日期：2012-05-01 00:00:00
abstract：PURPOSE:To evaluate the optical and visual quality in eyes with diffractive intraocular lenses (IOLs) after myopic laser in situ keratomileusis (LASIK). SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:The best corrected visual acuity (BCVA [distance]) at 12.5%, 25.0%, and 100% contrasts unde...
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.2008.12.040
更新日期：2009-05-01 00:00:00
abstract：PURPOSE:To evaluate the efficacy and safety of an ab externo suture retrieval and scleral fixation technique in the treatment of subluxated posterior chamber intraocular lenses (PC IOLs). SETTING:Academic tertiary care centers. METHODS:Surgical databases from 2 surgeons were reviewed for consecutive cases from March ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.06.050
更新日期：2006-01-01 00:00:00
abstract：:We present a simple, effective technique to remove an intraocular lens (IOL) via a very small incision (2.2 mm). After the IOL is carefully removed from the capsular bag, into the anterior chamber, 2 radial incisions, 35 degrees to 50 degrees apart, are made with a Vannas scissors. This results in 2 IOL pieces (maximu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.02.036
更新日期：2009-07-01 00:00:00
