Abstract:
:A simplified anesthesia technique for sutureless scleral tunnel, small incision, one-port phacoemulsification is described. Step 1: Mild intravenous sedation is achieved with 1 mg of midazolam and 10 mg of propofol. Step 2: A tetracaine- or preservative-free-lidocaine-soaked Weck cell sponge is applied to the superior bulbar conjunctiva and the superior episcleral tissue for localized anesthesia. Step 3: Preservative-free lidocaine 1%, 0.75 cc, is injected into the anterior chamber for intraocular anesthesia. This technique can be used in the presence of all types of cataracts, requires about 10 seconds to complete, and can be used with all phacoemulsification techniques. Results of the technique in a study population are reported.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
John Tdoi
10.1016/s0886-3350(98)80342-8subject
Has Abstractpub_date
1998-12-01 00:00:00pages
1562-5issue
12eissn
0886-3350issn
1873-4502pii
S0886-3350(98)80342-8journal_volume
24pub_type
杂志文章abstract::Capsular bag distension syndrome (CBDS) is a rare complication of cataract surgery due to collection of fluid behind the intraocular lens (IOL). Nd:Yag laser capsulotomy is commonly performed to release the fluid collection; however, the potential risk of infection and inflammation has led to adaptation of numerous su...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000362
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To determine the spherical aberration of the cornea in the general population and whether keratometry readings are predictive of corneal spherical aberration values. SETTING:Private comprehensive ophthalmology practice. METHODS:Corneal spherical aberration and keratometry readings were measured in 696 normal ...
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
abstract:PURPOSE:To assess the efficacy, stability, and safety of photoastigmatic refractive keratectomy (PARK) in treating post-cataract myopic anisometropia to restore binocularity and to describe a comprehensive method for analyzing the results of refractive surgery. SETTING:St. Paul's Eye Center, Royal Liverpool Hospital, ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00362-4
更新日期:2000-02-01 00:00:00
abstract::Laser refractive surgery has increased markedly in recent years, making the detection of corneal abnormalities extremely relevant. For this reason, an accurate diagnosis of clinical or subclinical keratoconus is critical. Corneal topography is the primary diagnostic tool for keratoconus detection, and pachymetry data ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2017.07.021
更新日期:2017-09-01 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 evaluate the clinical outcomes of implantation of Ferrara intrastromal corneal ring segments (ICRS) in patients with astigmatism after penetrating keratoplasty (PKP). SETTING:Private clinic, Belo Horizonte, Brazil. DESIGN:Retrospective consecutive case series. METHODS:Chart records of post-PKP patients wh...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.12.037
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To demonstrate the value, from the patient's perspective, of an apodized, diffractive, presbyopia-correcting multifocal intraocular lens (MF-IOL) compared to a conventional monofocal intraocular lens (CM-IOL). SETTING:Open-label, multi-site U.S. clinical trial. METHODS:A cost-benefit analysis was conducted us...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2008.07.024
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:To evaluate long-term intraocular pressure (IOP) control after extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (IOL) implantation in patients with primary angle-closure glaucoma. SETTING:Ophthalmology Department, Groote Schuur Hospital, Cape Town, South Africa. METHODS:This re...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80255-6
更新日期:1997-07-01 00:00:00
abstract::We report a case of nanophthalmos with intractable secondary glaucoma. Bilateral cataract extraction with intraocular lens implantation was used as definitive treatment for the chronic angle-closure glaucoma. The changes in angle and ciliary body anatomy were well documented with preoperative and postoperative Pentaca...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.051
更新日期:2006-06-01 00:00:00
abstract::We report the case of a 12-year-old boy with severe keratoconus who had uneventful deep anterior lamellar keratoplasty (DALK) using the big-bubble technique in the left eye for severe loss of best spectacle-corrected visual acuity and contact lens intolerance. Two weeks after surgery, the patient experienced accidenta...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.01.037
更新日期:2009-06-01 00:00:00
abstract::In February 2001, a questionnaire on the practice of refractive surgery was sent worldwide to all 8196 members of the American Society of Cataract and Refractive Surgery; 1511 responses (18.4%) were received. Although laser in situ keratomileusis (LASIK) was the most common refractive procedure reported, phakic intrao...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01318-9
更新日期:2002-02-01 00:00:00
abstract:PURPOSE:To evaluate and compare the tear-film dynamics in normal eyes and in eyes with mild dry-eye symptoms using a new noninvasive optical method based on a double-pass instrument. SETTING:Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. DESIGN:Evaluation of diagnostic test or technology. METHODS:Dynam...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.036
更新日期:2011-08-01 00:00:00
abstract:PURPOSE:To measure the incidence of acute postoperative cystoid macular edema (CME) in clinical practice. SETTING:Private clinical practice, Eugene, Oregon, USA. DESIGN:Retrospective chart review. METHODS:The electronic medical records database was searched for the charts of all patients having cataract surgery duri...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.07.029
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:To evaluate the source of organisms causing an epidemic of postoperative endophthalmitis and to emphasize the importance of prompt intervention with an early diagnosis. SETTING:S.B. Ankara Hospital Eye Department, Ankara, Turkey. METHODS:Thirteen patients who had surgery on the same day and developed acute po...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80128-3
更新日期:1996-10-01 00:00:00
abstract:PURPOSE:To evaluate the changes occurring in the cornea, anterior segment anatomy, and intraocular pressure (IOP) in pregnant women. SETTING:Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, Israel. DESIGN:Prospective single-center comparative study. METHODS:The Ocular Response Analyzer dynamic bid...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.02.042
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:To compare the shape and volume of the lenticules of corneal tissue ablated for the correction of spherical, cylindrical, and spherocylindrical refractive errors using Boolean operations of theoretical 3-dimensional (3-D) surfaces. SETTING:Department of Ophthalmology, Rothschild Foundation, Paris, France. MET...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01379-2
更新日期:2002-11-01 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::Traumatic aniridia and aphakia occurred in the left eye of a 22-year-old man who had had Artisan (Ophtec) phakic intraocular lens (IOL) implantation. Aniridia was probably the result of the relatively large wound used to implant the nonfoldable IOL. Although the eye had severe traumatic damage, vision was recoverable ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.03.037
更新日期:2007-07-01 00:00:00
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 eye...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000341
更新日期:2020-12-01 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 compare the extent of corneal endothelial cell loss and pachymetry changes in 2 age-based groups of patients who had cataract removal by AquaLase (Alcon) phacoemulsification in 1 eye and NeoSoniX (Alcon) phacoemulsification in the contralateral eye. SETTING:Department of Ophthalmology, University Hospital, ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.10.033
更新日期:2008-03-01 00:00:00
abstract::A patient with long-standing ankylosing spondylitis and chronic uveitis needed cataract extraction in his only eye. Extensive spinal deformities, including cervical kyphosis, prevented him from being positioned satisfactorily for surgery using a routine head-end or temporal position for the surgeon. The best possible ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00596-4
更新日期:2000-08-01 00:00:00
abstract::An 80-year-old woman of mixed ethnicity developed significant iris transillumination defects following phacoemulsification with in-the-bag implantation of a single-piece hydrophobic acrylic intraocular lens (IOL) and trabeculectomy with insertion of an Express mini-shunt. With the exception of modest anterior chamber ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2012.10.014
更新日期:2013-01-01 00:00:00
abstract::Pediatric cataract surgery is challenging, with multiple differences from cataract surgery in adults; however, an ideal capsulorhexis is the major prerequisite for both. Capsulorhexis in children is more difficult due to the more elastic nature of the anterior capsule. I describe a technique for anterior and posterior...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.02.042
更新日期:2007-07-01 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
abstract:PURPOSE:To assess the safety, efficacy, stability, and predictability of collagen copolymer toric phakic intraocular lens (pIOL) implantation to correct myopia and astigmatism in eyes with keratoconus. SETTING:Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS:This prospective study comprised keratocon...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.11.032
更新日期:2010-06-01 00:00:00
abstract::Advances in technique and equipment have led to a significant increase in the popularity of phacoemulsification and have increased its safety and efficiency. We describe a technique, phakonit, in which the lens is emulsified through a 0.9 mm clear corneal temporal incision. A cortical wash with bimanual irrigation/asp...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00922-1
更新日期:2001-10-01 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::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 assess the long-term results and complications of scleral-fixated posterior chamber intraocular lenses (PC IOLs) with the knotless Z-suture technique. SETTING:University Eye Hospital, Tübingen, Germany. DESIGN:Retrospective case series. METHODS:Records of consecutive patients who had implantation of scler...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.11.009
更新日期:2018-02-01 00:00:00