Abstract:
PURPOSE:To assess whether laser in situ keratomileusis (LASIK) assisted by corneal topography can successfully treat corneal irregularities or irregular astigmatism in patients with previous ocular surgery or ocular trauma. SETTING:University Eye Hospital, Klinikum Mannheim, Mannheim, Germany. METHODS:In a prospective clinical study, LASIK was performed in 23 eyes of 22 patients. Reasons for surgery were irregular astigmatism after penetrating keratoplasty or penetrating injury or corneal irregularity after previous excimer laser surgery. Excimer ablation was based on preoperative corneal topography data (Corneal Analysis System, EyeSys Technologies) using a proprietary algorithm (Topographic Assist LASIK, Chiron Vision). Follow-up was 6 months. RESULTS:Mean preoperative uncorrected visual acuity (UCVA) was 20/80 and mean best spectacle-corrected visual acuity (BSCVA), 20/35. Uncorrected visual acuity improved in all but two cases. Postoperatively, mean UCVA increased to 20/50; mean BSCVA was unchanged. No eye lost two or more lines of BSCVA. Postoperative topography showed less corneal irregularity in 81.3% of eyes; full correction was achieved in 19.4%. Four eyes (19.4%) needed re-treatment for undercorrection and three eyes (14.3%) for regression. CONCLUSION:Preliminary results indicate that the concept of topographic-assisted LASIK is feasible. However, most eyes were undercorrected and had regression. One reason might be that corneal topography underestimated corneal irregularity, causing significant undercorrection.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Wiesinger-Jendritza B,Knorz MC,Hugger P,Liermann Adoi
10.1016/s0886-3350(98)80196-xsubject
Has Abstractpub_date
1998-02-01 00:00:00pages
166-74issue
2eissn
0886-3350issn
1873-4502pii
S0886-3350(98)80196-Xjournal_volume
24pub_type
杂志文章abstract::This method of astigmatism analysis recognizes the need to define an astigmatism goal, thus allowing the surgeon to obtain precise, separate measures of the magnitude and the angle of surgical error. From this, the surgeon can evaluate what surgery may be required to achieve the initial preoperative goal. An index tha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80617-7
更新日期:1993-07-01 00:00:00
abstract::Over a nine-year period, our practice removed 1,091 intraocular lenses. The most common type of lens requiring explantation was the closed-loop anterior chamber lens (58.6%). The Stableflex lens represented the largest percentage of all removed lens types (28.8%). The number of closed-loop anterior chamber lenses requ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80100-9
更新日期:1992-09-01 00:00:00
abstract:PURPOSE:To study the efficacy of posterior optic buttonholing (POBH) through a primary posterior capsulorhexis (PPCCC) to preserve full capsular transparency, and its potential as a routine alternative to standard in-the-bag implantation of sharp-edged optic intraocular lenses (IOLs). SETTING:Department of Ophthalmolo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.046
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:To compare the variance in manifest refraction spherical equivalent (MRSE) after photorefractive keratectomy (PRK) with mitomycin-C (MMC), PRK without MMC, and laser in situ keratomileusis (LASIK) for the treatment of myopic astigmatism. SETTING:Jules Stein Eye Institute, University of California, Los Angeles,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.02.048
更新日期:2014-12-01 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:PURPOSE:To compare complication rates, visual acuity, and refractive outcomes of secondary intraocular lens (IOLs) implantation. SETTING:Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. DESIGN:Retrospective case series. METHODS:All secondary IOLs placed by the anter...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2016.12.024
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:To report 4 cases of Pseudomonas aeruginosa endophthalmitis caused by internal contamination of the internal pathways of a phacoemulsifier. SETTING:Ophthalmology Center, Perpignan, France. METHODS:Four clinical cases of postoperative endophthalmitis occurred after phacoemulsification. An investigation was nec...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)80052-2
更新日期:1999-04-01 00:00:00
abstract:UNLABELLED:We present the case of an 81-year-old man with pseudoexfoliation syndrome (PXF) in whom spontaneous bilateral anterior partial in-the-bag intraocular lens (IOL) dislocation was diagnosed following a routine dilated examination that demonstrated only mild pseudophacodonesis with no evidence of subluxation. Un...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.008
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:To evaluate transient increases in intraocular pressure (IOP) after use of high-viscosity viscoelastic agents in cataract surgery. SETTING:Military Hospital, Ulm, Germany. METHODS:In a prospective, randomized study, we evaluated IOP following cataract surgery using two different viscoelastic substances (Healo...
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(96)80224-0
更新日期:1996-03-01 00:00:00
abstract:PURPOSE:To evaluate the impact of higher-order aberrations on depth of focus using an adaptive optics visual simulator. SETTING:Refractive Surgery Department, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, USA. METHODS:An adaptive optics simulator was used to optically introduce individual aberrations in eyes...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.05.059
更新日期:2009-11-01 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::We used ultrasound to measure axial length in 66 eyes before and three months after extracapsular cataract extraction with implantation of a posterior chamber lens. An ultrasound velocity of 2,718 m/s for poly(methyl methacrylate) was assumed. The intraindividually measured difference (postoperative--preoperative axia...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(89)80035-5
更新日期:1989-11-01 00:00:00
abstract:PURPOSE:To theoretically compare the corneal stress distribution of laser in situ keratomileusis (LASIK) with the stress distribution of small-incision lenticule extraction. SETTING:Cleveland Clinic Cole Institute, Cleveland, and The Ohio State University, Columbus, Ohio, USA. DESIGN:Computational modeling study. ME...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.08.065
更新日期:2014-06-01 00:00:00
abstract:PURPOSE:To evaluate the long-term effects of excimer laser treatment for ametropia after surgical treatment of rhegmatogenous retinal detachment (RRD) with scleral buckles. SETTING:Helsinki University Eye Hospital, Helsinki, Finland. METHODS:Ten patients (10 eyes) who had 1 or more surgeries for RRD followed by refra...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.06.023
更新日期:2007-10-01 00:00:00
abstract::We performed morphometric analysis of the central corneal endothelium on 24 eyes of 19 patients who had had anterior radial keratotomy. The endothelium was analyzed for a variety of parameters, including cell area, perimeter, side lengths, cell shape, and number of sides. Mean, standard deviation, and coefficient of v...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80068-8
更新日期:1987-05-01 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::Extracapsular cataract extraction with posterior chamber intraocular lens implantation was performed in five phakic eyes filled with silicone oil following vitreoretinal surgery. Silicone oil migration was prevented during surgery using an anterior chamber maintaining system and a self-sealed corneoscleral tunnel inci...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80032-0
更新日期:1996-05-01 00:00:00
abstract::We report 3 cases of bilateral piggyback lens implantation in which late hyperopic shift occurred associated with Elschnig pearl formation in the peripheral interface between the 2 lenses. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00034-6
更新日期:1999-06-01 00:00:00
abstract:PURPOSE:To document keratocyte distribution and changes with age in the cellular network of the human cornea in vivo. SETTING:Department of Ophthalmology, University of Rostock, Rostock, Germany. METHODS:Forty-nine eyes of 31 healthy subjects of various ages were examined with a modified Microphthal scanning-slit con...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01227-5
更新日期:2002-04-01 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::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::Positive pressure during cataract surgery can adversely affect the clinical outcome if the surgeon is unprepared. A variety of surgical maneuvers are described, including dry insertion of the phacoemulsification needle, capsule protection with the second instrument, dry cortical aspiration in an ophthalmic viscosurgic...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.06.011
更新日期:2006-09-01 00:00:00
abstract::This report details the case of a 65-year-old man with advanced cataract in which there was a large discrepancy between the K-readings taken with a keratometer and those taken with a TMS-1 videokeratoscope. It was suspected the discrepancy was caused by the advanced cataract in the presence of a dilated pupil. Repeat ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80155-6
更新日期:1996-12-01 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 report a case of bilateral corneal opacities in a laser in situ keratomileusis (LASIK) patient who subsequently had carbon dioxide (CO(2)) laser skin resurfacing. The presumed etiology of the visually significant corneal opacities was late-onset diffuse lamellar keratitis (DLK), secondary to traumatic cor...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.027
更新日期:2011-06-01 00:00:00
abstract::From the beginning of nuclear fragment removal to the end, we progressively reduce all the parameters, ie, energy, vacuum, and aspiration flow rate, in a step-by-step manner proportionate to the posterior capsule exposure. This promotes adaptation of various parameters to the appropriate stages of surgery and allows t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00121-4
更新日期:2003-06-01 00:00:00
abstract:PURPOSE:To determine whether residual myopia after primary laser-assisted subepithelial keratectomy (LASEK) can be corrected by repeated LASEK and whether this procedure is safe and effective. SETTING:University Eye Clinic, University of Regensburg, Regensburg, Germany. METHODS:Laser-assisted subepithelial keratectom...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(03)00253-0
更新日期:2003-07-01 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::A 22-year-old woman presented with pain, redness, watering, and decrease in vision in her left eye 15 days after laser in situ keratomileusis for myopia. Slitlamp examination showed a central full-thickness infiltrate with hyphate edges. Microscopic examination of corneal scrapings from the edge and underneath the fla...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00459-9
更新日期:2000-04-01 00:00:00
abstract:PURPOSE:To examine changes in visual, psychological, and functional disability in older people waiting for cataract extraction and 6 months after surgery. SETTING:Community-based study in Northeast England. METHODS:Participants were 92 patients (mean age 78.1 years +/- 6.5 [SD], 79% female) with age-related cataract....
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.07.040
更新日期:2006-01-01 00:00:00