Abstract:
:After the ultrasonic tip is introduced into the highly myopic eye and inflow is activated, the anterior chamber deepens, the lens-iris diaphragm is displaced posteriorly, the iris becomes concave, and the pupil dilates from the weight of the water column above the eye. We define a known but undescribed syndrome--the lens-iris diaphragm retropulsion syndrome (LIDRS)--which is thought to be caused by abnormally loose zonules. The surgeon's reflexive action, lowering the infusion bottle height, reduces the weight of the water column but also reduces the infusion limit. We managed this situation with an inflow-splitting technique in which the infusion bottle height was lowered significantly and a Lewicky chamber maintainer connected to a second infusion bottle at the same height as the first bottle was introduced into the anterior chamber. Pressure monitoring that enabled simultaneous, synchronized recording of phacoemulsification and intraocular pressure fluctuations was used.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Wilbrandt HR,Wilbrandt THdoi
10.1016/s0886-3350(13)80043-0subject
Has Abstractpub_date
1994-01-01 00:00:00pages
48-53issue
1eissn
0886-3350issn
1873-4502pii
S0886-3350(13)80043-0journal_volume
20pub_type
杂志文章abstract:PURPOSE:To examine differences in efficacy, accuracy, safety, and changes in aberrations between femtosecond and mechanical microkeratome laser in situ keratomileusis (LASIK) for myopia. SETTING:Department of Ophthalmology, Shanghai First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,meta分析
doi:10.1016/j.jcrs.2011.05.043
更新日期:2011-12-01 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::The first 45 cases of extracapsular cataract extraction, with posterior chamber intraocular lens implantation performed by ophthalmology residents at an urban county hospital were evaluated. These cases, which were performed from March 1983 to June 1984, involved a patient population that was primarily black and Hispa...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80054-2
更新日期:1986-01-01 00:00:00
abstract:PURPOSE:To find the incidence, contributing factors, outcomes, and clinical impact of intraoperative posterior capsule striae. SETTING:Iladevi Cataract & IOL Research Centre, Ahmedabad, India. METHODS:In a prospective study, 100 consecutive eyes had phacoemulsification and intraocular lens (IOL) (AcrySof MA30BA) impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(99)00197-2
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:To evaluate the safety and efficacy of laser ablation on the flap as a treatment for a refractive error. SETTING:Laser Sight Centres, Sydney, Australia. METHODS:In this noncomparative case series, 142 treatments were performed in 98 patients using cornea-sparing laser in situ keratomileusis (LASIK) with ablat...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.10.040
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To prospectively investigate the incidence, associated factors, and prognostic significance of relative afferent pupillary defects (RAPDs) in eyes with less severe cataract than in contralateral eyes. SETTING:Department of Ophthalmology, Seoul Municipal Boramae Hospital, College of Medicine, Seoul National Uni...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.11.022
更新日期:2004-01-01 00:00:00
abstract::Visual acuity and contrast sensitivity after cataract surgery were evaluated in best-case eyes that received a Storz bifocal zonal intraocular lens (IOL) or a 3M diffractive multifocal IOL. A group of eyes with a monofocal IOL was used as a control. Postoperatively, all eyes had a best corrected visual acuity of 20/40...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80536-6
更新日期:1995-07-01 00:00:00
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 a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000218
更新日期:2020-08-01 00:00:00
abstract::Phacoemulsification with intraocular lens (IOL) implantation was performed in the right eye of an 84-year-old woman using a small clear corneal incision. Ten weeks after surgery, the patient fell, which caused traumatic iridodialysis and hyphema with expulsion of the iris through the surgical corneal incision. Apart f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.03.040
更新日期:2004-10-01 00:00:00
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::We report 2 cases of reopening of macular holes after successful neodymium:YAG (Nd:YAG) posterior capsulotomy. Both patients had surgery for closure of macular holes with recovery of visual acuity. To our knowledge, this is the first report of recurrent macular holes after Nd:YAG laser posterior capsulotomy treated su...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.07.020
更新日期:2006-02-01 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::We describe the intraoperative difficulties encountered in cases of ocular Stevens-Johnson syndrome as a result of a poor ocular surface, the presence of symblepharon, and varying degrees of corneal opacity with secondary poor visibility of anterior segment structures. Modifications to the standard phacoemulsification...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.09.012
更新日期:2016-11-01 00:00:00
abstract::Safe, effective administration of local anesthesia prior to ocular surgery is a primary concern of ophthalmologists and variations in the technique and method of delivering anesthesia have been developed. Retrobulbar anesthesia, although considered safe and effective, can have serious complications. Using periocular a...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80861-9
更新日期:1991-07-01 00:00:00
abstract:PURPOSE:To evaluate ocular penetration of topically applied linezolid, a new antibiotic agent targeted against gram-positive organisms. SETTING:Laboratory of Pharmacology, University Hospital of Strasbourg, Strasbourg, France. METHODS:New Zealand White rabbits were divided into 3 equal groups. One drop of 50 microL (...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.09.036
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:To evaluate the relationship between baseline corneal hysteresis (CH) and the change in intraocular pressure (IOP) before and after cataract extraction in patients without glaucoma. SETTING:Private practice, New York City, New York, USA. DESIGN:Retrospective cohort study. METHODS:Charts of consecutive patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.09.040
更新日期:2015-06-01 00:00:00
abstract::A new instrument that aids in retreating or revising lamellar refractive surgery is described. The edge delineator and lifter can both delineate and lift the edge of a previously made corneal flap. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80252-6
更新日期:1998-05-01 00:00:00
abstract::Lens manufacturers do not usually supply information about the central thickness of an intraocular lens optic. This paper describes a method to calculate the central lens thickness from variables normally supplied by the manufacturer, i.e., the total lens power in situ, the edge thickness, the optic diameter, and some...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80278-7
更新日期:1993-01-01 00:00:00
abstract::We report a case of late-onset diffuse lamellar keratitis (DLK) in the left eye of a 56-year-old white woman 3 years after uneventful bilateral laser in situ keratomileusis (LASIK). Slitlamp examination revealed stage 3 DLK with diffuse, multifocal, dot-like, and granular haze in the interface. The DLK did not have an...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.05.054
更新日期:2005-02-01 00:00:00
abstract::We present a case of traumatic lens subluxation that was evident only when the patient was in the supine position. This case illustrates that a crystalline lens with traumatic zonular rupture can change its position depending on the posture of the patient. If such a lens is suspended by the remaining zonules at the su...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01167-1
更新日期:2002-06-01 00:00:00
abstract:PURPOSE:To optimize the implantable collamer lens (ICL) sizing method using anterior segment optical coherence tomography (AS-OCT). SETTING:Nagoya Eye Clinic, Nagoya, Japan. DESIGN:Interventional case series. METHODS:A stepwise multiple regression analysis was performed using the optimal ICL size as a dependent vari...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000134
更新日期:2020-05-01 00:00:00
abstract::There is an increasing interest in the use of the excimer laser in ophthalmology, particularly in refractive surgery. The argon fluoride (193 nm) excimer laser ablates tissue with a high degree of precision and without any mechanical or thermal damage to surrounding structures. In this study, the argon fluoride excime...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80780-8
更新日期:1990-09-01 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
abstract::In 1984, our ophthalmology department switched from intracapsular cataract extraction (ICCE) to extracapsular cataract extraction (ECCE). We reviewed the postoperative incidence of retinal detachment (RD) in two consecutive series: (1) 604 eyes operated on by ICCE from 1982 to 1983 and (2) 1726 eyes operated on by ECC...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80498-1
更新日期:1995-03-01 00:00:00
abstract:PURPOSE:To characterize the mean topographic shape of the limbus of a normal human eye and determine whether it depends on age or refractive power. SETTING:University of Manchester, Manchester, United Kingdom. DESIGN:Prospective case series. METHODS:Participants with no previous ocular surgeries were included in thi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.02.027
更新日期:2017-05-01 00:00:00
abstract:PURPOSE:To evaluate the prophylactic effect of levobunolol 0.5%, timolol 0.5%, or vehicle in reducing the incidence of postoperative intraocular pressure (IOP) spikes of 5 and 10 mm Hg or more in patients having neodymium:YAG (Nd:YAG) laser posterior capsulotomy. SETTING:Miami Vision Center, Coral Gables, Florida; Cul...
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(97)80083-1
更新日期:1997-09-01 00:00:00
abstract::Two patients with active iritis developed cataracts and had successful cataract surgery with implantation of a Collamer (Staar Surgical, AG) intraocular lens (IOL). Both patients developed severe bilateral uveitis, which in 1 patient was refractory to control. Different IOL materials have been used in iritis patients ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00329-8
更新日期:2003-12-01 00:00:00
abstract:PURPOSE:To evaluate the effect of genipin, a natural crosslinker, on porcine corneas. SETTING:Department of Ophthalmology, Universidad Nacional de Colombia, Bogota, Colombia. METHODS:Corneal strips (12.0 mm x 2.3 mm) were harvested from porcine eyes and treated by incubation with genipin at concentrations of 1.00%, 0...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.003
更新日期:2010-04-01 00:00:00
abstract:PURPOSE:To compare the inflammatory cell response within the corneal flap interface created by a mechanical microkeratome and a femtosecond laser. SETTING:Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany. DESIGN:Experimental in vitro study. METHODS:Corneoscleral buttons of 12 enucleated hu...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.01.047
更新日期:2013-07-01 00:00:00
abstract::Several transscleral suturing techniques require intricate surgical maneuvers and are associated with an increased risk for surgical trauma. We describe a new scleral fixation method that combines the advantages of temporary haptic externalization and injector implantation of an intraocular lens (IOL). After IOL inser...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.030
更新日期:2010-05-01 00:00:00