دسترسی یکساله به بیش از ۵۰۰ ژورنال روز جهان موجود در سامانه
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Correction of corneal astigmatism and stability of toric intraocular lenses
Srinivasan, Sathish FRCSEd, FRCOphth, FACS
doi : 10.1097/j.jcrs.0000000000000836
November 2021 - Volume 47 - Issue 11 - p 1385-1386
The wavefront revolution
MacRae, Scott M. MD; Yoon, Geunyoung PhD
doi : 10.1097/j.jcrs.0000000000000834
November 2021 - Volume 47 - Issue 11 - p 1387-1388
Toric intraocular lens power calculation in cataract patients with keratoconus
Ton, Yokrat MD; Barrett, Graham D. MD, FRANZCO; Kleinmann, Guy MD; Levy, Adi MHA; Assia, Ehud I. MD
doi : 10.1097/j.jcrs.0000000000000638
November 2021 - Volume 47 - Issue 11 - p 1389-1397
Intraocular lens (IOL) power calculation in eyes with keratoconus typically results in hyperopic postoperative refractive error. The purpose of this study was to investigate the visual and refractive outcomes in patients with keratoconus having cataract surgery with a toric IOL and compare IOL power calculation accuracy of conventional formulas and keratoconus-specific formulas.
Seven-year observation of posterior corneal elevation after small-incision lenticule extraction in patients with moderate and high myopia
Chen, Zhuoyi MD; Zhao, Yu MD; Zhou, Xueyi MD; Xia, Fei MD; Zhao, Jing MD; Zhou, Xingtao MD, PhD
doi : 10.1097/j.jcrs.0000000000000639
November 2021 - Volume 47 - Issue 11 - p 1398-1402
To investigate the long-term changes in posterior corneal elevation in moderate and high myopia after small-incision lenticule extraction (SMILE).
Selective transepithelial ablation with simultaneous accelerated corneal crosslinking for corneal regularization of keratoconus: STARE-X protocol
Rechichi, Miguel MD, PhD; Mazzotta, Cosimo MD, PhD; Oliverio, Giovanni William MD; Romano, Vito MD; Borroni, Davide MD; Ferrise, Marco MD; Bagaglia, Simone MD; Jacob, Soosan MS, FRCS, DNB; Meduri, Alessandro MD, PhD
doi : 10.1097/j.jcrs.0000000000000640
November 2021 - Volume 47 - Issue 11 - p 1403-1410
To evaluate the changes in refractive outcomes and corneal aberrations in central and paracentral keratoconus after selective transepithelial topography-guided photorefractive keratectomy combined with accelerated corneal crosslinking (STARE-X).
New treatment algorithm for keratoconus and cataract: small-aperture IOL insertion with sequential topography-guided photorefractive keratectomy and simultaneous accelerated corneal crosslinking
Northey, Luke C. MBBS(Hons), MMed(Ophth Sc), MPH; Holland, Simon P. MD, FRCSC; Lin, David T.C. MD, FRCSC; Moloney, Gregory MBBS(Hons), MMed, FRANZCO, FRCSC
doi : 10.1097/j.jcrs.0000000000000642
November 2021 - Volume 47 - Issue 11 - p 1411-1416
To describe a new treatment algorithm aimed at optimizing refractive outcomes for patients with keratoconus and cataract.
Efficacy of toric intraocular lens and prevention of axis misalignment by optic capture in pediatric cataract surgery
Tachibana, Kuniko MD; Maeda, Naoyuki MD, PhD; Abe, Kosuke MD, PhD; Kusaka, Shunji MD, PhD
doi : 10.1097/j.jcrs.0000000000000643
November 2021 - Volume 47 - Issue 11 - p 1417-1422
To compare the outcomes of intraocular lens (IOL) implantation using toric (T)-IOL and nontoric (N)-IOL in pediatric cataract patients with astigmatism and to examine the effect of optic capture (OC) on the axis misalignment (AM) of the T-IOLs.
Accuracy of IOL power calculation formulas in Marfan lens subluxation patients with in-the-bag IOLs and implantation of scleral-sutured single-eyelet modified capsular tension rings
Zhang, Min BM; Chen, Tianhui BM; Deng, Michael BM; Chen, Zexu; Jiang, Yongxiang MD, PhD
doi : 10.1097/j.jcrs.0000000000000649
November 2021 - Volume 47 - Issue 11 - p 1423-1429
To investigate the accuracy of intraocular lens (IOL) formulas for the prediction of postoperative refraction in lens subluxation in Marfan syndrome.
Dry eye and inflammation of the ocular surface after cataract surgery: effectiveness of a tear film substitute based on trehalose/hyaluronic acid vs hyaluronic acid to resolve signs and symptoms
Cagini, Carlo MD; Di Lascio, Giampiero MD; Torroni, Giovanni MD; Mariniello, Marco MD; Meschini, Giulia MD; Lupidi, Marco MD; Messina, Marco MD
doi : 10.1097/j.jcrs.0000000000000652
November 2021 - Volume 47 - Issue 11 - p 1430-1435
To compare the effect of trehalose 3%/hyaluronic acid 0.15% vs hyaluronic acid 0.15% eyedrops in reducing ocular surface inflammation after cataract surgery.
Associations between anterior segment parameters and rotational stability of a plate-haptic toric intraocular lens
Yao, Yunqian BSc; Meng, Jiaqi MD; He, Wenwen MD; Zhang, Keke MD; Wei, Ling BSc; Cheng, Kaiwen BSc; Lu, Yi MD; Zhu, Xiangjia MD
doi : 10.1097/j.jcrs.0000000000000653
November 2021 - Volume 47 - Issue 11 - p 1436-1440
To evaluate the associations between anterior segment parameters and the rotational stability of a plate-haptic toric intraocular lens (IOL).
Visual outcomes after optic exchange of a modular intraocular lens
Ang, Robert Edward T. MD; Yoo, Paul OD; Liu, Jingbo MD, PhD
doi : 10.1097/j.jcrs.0000000000000654
November 2021 - Volume 47 - Issue 11 - p 1441-1447
To evaluate the effectiveness of the Harmoni Modular IOL (HMIOL).
Visual outcomes and patient satisfaction after implantation of a presbyopia-correcting intraocular lens that combines extended depth-of-focus and multifocal profiles
Ribeiro, Filomena J. MD, PhD, FEBO; Ferreira, Tiago B. MD, PhD, FEBOS-CR; Silva, Diana CO; Matos, Ana Cláudia CO; Gaspar, Sylvia CO
doi : 10.1097/j.jcrs.0000000000000659
November 2021 - Volume 47 - Issue 11 - p 1448-1453
To evaluate clinical outcomes delivered by a new hybrid presbyopia-correcting intraocular lens (IOL): TECNIS Synergy ZFR00V IOL model (Johnson & Johnson Vision).
Incidence of retinal detachment after lens surgery in children and young adults with nontraumatic ectopia lentis
Heo, Hwan MD; Lambert, Scott R. MD
doi : 10.1097/j.jcrs.0000000000000667
November 2021 - Volume 47 - Issue 11 - p 1454-1459
To determine the incidence of retinal detachment after lens surgery in children and young adults with nontraumatic ectopia lentis.
Anterior chamber depth variability between 2 hydrophobic acrylic 1-piece intraocular lenses: randomized trial
Ullrich, Marlies MD, MRes; Ruiss, Manuel MSc; Hienert, Julius MD; Pilwachs, Caroline; Fisus, Andreea Dana MD; Georgiev, Stefan MD; Hirnschall, Nino MD, PhD, FEBO; Findl, Oliver MD, MBA, FEBO
doi : 10.1097/j.jcrs.0000000000000668
November 2021 - Volume 47 - Issue 11 - p 1460-1465
To analyze the difference in anterior chamber depth (ACD) after uneventful cataract surgery between 2 hydrophobic acrylic 1-piece intraocular lenses (IOLs) with different material properties.
Experimental study of occlusion break surge volume in 3 different phacoemulsification systems
Miller, Kevin M. MD; Dyk, David W. BS; Yalamanchili, Satish MS, MBA
doi : 10.1097/j.jcrs.0000000000000651
November 2021 - Volume 47 - Issue 11 - p 1466-1472
To evaluate surge volume after occlusion breaks in 3 different phacoemulsification systems.
Efficacy and complications of cataract surgery in high myopia
Yao, Yunqian BSc; Lu, Qiang BSc; Wei, Ling BSc; Cheng, Kaiwen BSc; Lu, Yi MD; Zhu, Xiangjia MD
doi : 10.1097/j.jcrs.0000000000000664
November 2021 - Volume 47 - Issue 11 - p 1473-1480
To evaluate the efficacy and complications of cataract surgery in high myopia, a comprehensive search query was conducted from January 2000 to August 2020. A total of 19?586 highly myopic eyes from 28 studies were included. Modern cataract surgery turns out efficacious in highly myopic eyes with significant improvement of visual acuity. However, phacoemulsification-related complications such as posterior capsular rupture (3.91%, 95% CI, 1.98%-6.37%), retinal detachment (1.74%, 95% CI, 1.36%-2.15%), progressed myopic traction maculopathy (5.07%, 95% CI, 1.80%-9.37%), capsular contraction syndrome (2.1%), intraocular lens dislocation (0.58%), and transient intraocular pressure elevation (28.15%, 95% CI, 20.29%-36.70%) occurred more frequently in the highly myopic population. Separate analyses were also conducted based on follow-up period. In conclusion, modern cataract surgery was effective for highly myopic cataract patients, whereas careful precautions and sufficient follow-ups were of great value because of higher incidences of intraoperative and postoperative complications.
Globe axial length data in children using immersion A-scan ultrasound
Trivedi, Rupal H. MD, MSCR; Wilson, M. Edward MD
doi : 10.1097/j.jcrs.0000000000000527
November 2021 - Volume 47 - Issue 11 - p 1481-1482
Preoperative testing for COVID-19 in an academic ophthalmology practice
Dalvin, Lauren A. MD; Sit, Arthur J. MD; Patel, Sanjay V. MD, FRCOphth; Roddy, Gavin W. MD, PhD
doi : 10.1097/j.jcrs.0000000000000537
November 2021 - Volume 47 - Issue 11 - p 1483-1484
Preoperative telephone medical clearance for ophthalmic surgeries
Miller, Alexander G. BS; Obri, Mark S. BS; Miller, David G. MD
doi : 10.1097/j.jcrs.0000000000000548
November 2021 - Volume 47 - Issue 11 - p 1485-1486
Ophthalmic Photographers' Society Exhibit, May 2020
Carmichael, Bryan CST, OSA, OCT-C
doi : 10.1097/j.jcrs.0000000000000824
November 2021 - Volume 47 - Issue 11 - p 1486
Nuclear cataract, moderate oblique corneal astigmatism, and glaucoma in a highly myopic eye implanted with a foldable iris-fixated phakic IOL
Menapace, Rupert MD
doi : 10.1097/j.jcrs.0000000000000835
November 2021 - Volume 47 - Issue 11 - p 1487
A 65-year-old woman had undergone bilateral foldable iris-fixated phakic intraocular lens (pIOL) implantation in 2008 to correct for high myopia of ?10 diopters (D). 12 years later, she presented with nuclear and subcortical cataract in her right eye. The Artiflex pIOL (Figure 1
November consultation #2
Pieh, Stefan MD
doi : 10.1097/01.j.jcrs.0000799052.59118.ed
November 2021 - Volume 47 - Issue 11 - p 1487-1488
November consultation #3
Dick, H. Burkhard MD, PhD, FEBOS-CR
doi : 10.1097/01.j.jcrs.0000799056.07986.11
November 2021 - Volume 47 - Issue 11 - p 1488-1489
November consultation #4
Güell, José MD
doi : 10.1097/01.j.jcrs.0000799060.02472.0f
November 2021 - Volume 47 - Issue 11 - p 1489
November consultation #5
Hengerer, Fritz H. MD, PhD, FEBO; Conrad-Hengerer, Ina MD, PhD, FEBO
doi : 10.1097/01.j.jcrs.0000799064.64722.a2
November 2021 - Volume 47 - Issue 11 - p 1489-1491
EDITOR'S COMMENTS
doi : 10.1097/01.j.jcrs.0000799068.37229.6c
November 2021 - Volume 47 - Issue 11 - p 1491-1492
Comment on: Effect of residual astigmatism on uncorrected visual acuity and patient satisfaction in pseudophakic patients
Yusuf, Imran H. MRes, MRCP, FRCOphth; Matsou, Artemis MD, MRCP, FEBO; Kleinmann, Guy MD; Hjortdal, Jesper O. MD, PhD, DMSci
doi : 10.1097/j.jcrs.0000000000000796
November 2021 - Volume 47 - Issue 11 - p 1493
Reply: Effect of residual astigmatism on uncorrected visual acuity and patient satisfaction in pseudophakic patients.
Schallhorn, Steven C. MD; Hettinger, Keith A. MS; Pelouskova, Martina MSc; Teenan, David MD; Venter, Jan A. MD; Hannan, Stephen J. OD; Schallhorn, Julie M. MD
doi : 10.1097/j.jcrs.0000000000000806
November 2021 - Volume 47 - Issue 11 - p 1493-1494
Comment on: Five-year long-term outcomes of intrastromal corneal ring segment implantation using the manual technique
Kim, Eric BS; Parker, Jack MD, PhD; Parker, John MD
doi : 10.1097/j.jcrs.0000000000000802
November 2021 - Volume 47 - Issue 11 - p 1494-1495
Application of an iris speculum for removing Soemmerring's ring during secondary intraocular lens implantation in congenital cataract patients with small pupils
Huang, Liuhui MD; Jin, Haiying MD; Zhao, Peiquan MD
doi : 10.1097/j.jcrs.0000000000000461
November 2021 - Volume 47 - Issue 11 - p e1-e5
An application of the XpandNT iris speculum in eyes with small pupils during secondary intraocular lens (IOL) implantation in congenital cataract patients is described. The iris speculum was first positioned in the eye to expand the pupil. A 30-gauge needle was used to separate the adhesion of the iris tissue and the capsular rim. Vitrectomy was used to clean Soemmerring’s ring near the capsular rim. The iris expander was retracted with the Williamson XpandNT Manipulator. The IOL was then implanted. Fourteen aphakic eyes from 10 consecutive patients were studied retrospectively; pupil expansion was achieved in all 14 eyes intraoperatively without serious intraoperative or postoperative complications. The iris speculum was a safe and excellent tool for removing Soemmerring’s ring and solving small pupil problems during secondary IOL implantation in pediatric cataract surgery patients.
Modified big-bubble for deep anterior lamellar keratoplasty
Fogla, Rajesh FRCSEd, FRCOphth, FACS; Indumathy, T.R. MS; Fontana, Luigi MD, PhD
doi : 10.1097/j.jcrs.0000000000000469
November 2021 - Volume 47 - Issue 11 - p e6-e9
Piggyback miLOOP-assisted phacoemulsification combined with intraocular lens scaffold in hypermature cataracts
Vivekanandan, Vellam Ramakrishnan MS; Nachiappan, Sivagami DO; Odayappan, Annamalai DO, DNB; Venkatesh, Rengaraj DO, DNB; Chang, David F. MD
doi : 10.1097/j.jcrs.0000000000000473
November 2021 - Volume 47 - Issue 11 - p e10-e13
Hypermature cataracts with liquified cortex pose a higher risk for capsular complications due to a distended capsular bag, floppy posterior capsule, and absence of any cushioning epinucleus. Disassembly of a brunescent nucleus is more difficult because of the thickened, leathery posterior plate. Relying on mechanical forces, miLOOP nucleotomy reduces ultrasound time and is assured of bisecting the posterior nuclear plate. However, using this instrument with brunescent nuclei might impart significant stress on the zonular fibers and posterior capsule, particularly if there is no epinuclear shell. Evacuating the liquefied cortex and prolapsing one nuclear pole through capsulorhexis with ophthalmic viscosurgical devices create enough space to implant an intraocular lens (IOL) into the capsular bag beneath the undivided nucleus. This IOL scaffold shields the floppy posterior capsule and stabilizes the nucleus and zonular fibers during miLOOP nucleotomy. Combining and piggybacking these 2 techniques successfully avoided capsular and corneal complications in a series of 32 cases.
Single-port transconjunctival vitrectomy for malignant glaucoma
Gupta, Shikha MD; Lakra, Subodh MS; Beniwal, Abhijeet MBBS; Chawla, Rohan MD, FRCS; Gogia, Varun MD; Gupta, Viney MD
doi : 10.1097/j.jcrs.0000000000000519
November 2021 - Volume 47 - Issue 11 - p e14-e18
The management of malignant glaucoma involves either anterior vitrectomy with zonulectomy and iridectomy or 3-port core pars plana vitrectomy (PPV) by retinal surgeons. The proposed modification can be performed with reasonable success rates. In this technique, synechiolysis and anterior chamber irrigation were performed through a limbal incision, and a single-port 23- or 25-gauge vitrector was introduced through PPV superotemporally to perform anterior vitrectomy and central posterior capsulotomy in pseudophakic eyes. The same procedure can be performed after cataract surgery in phakic eyes. Vitrectomy is continued until anterior chamber deepens, ensuring a conduit between anterior and posterior chambers through the posterior capsulotomy alone, bypassing the need for a posterior iridectomy/zonulectomy. In a series on 9 eyes, all achieved optimization of anterior chamber depth with intraocular pressure normalization in 8 of 9 eyes, without showing any signs of recurrence at a mean follow-up of 8.6 months.
Thirty-three–gauge hypodermic needle–guided iris suturing technique
Safran, Steven G. MD, PA; Bonaffini, Sarah G. DO; Chatha, Usma DO
doi : 10.1097/j.jcrs.0000000000000536
November 2021 - Volume 47 - Issue 11 - p e19-e23
The purpose of this study was to describe a new 33-gauge hypodermic needle-guided iris suturing technique for repair of iris defects and its adaptation for use to address a wide range of iris pathology in complex anterior segment reconstruction cases. This approach uses a 33-gauge hypodermic needle loaded with a 10-0 Prolene suture within its lumen, which is then used to directly introduce and manipulate the suture within the anterior chamber. Eliminating the need for a needle holder, this technique provides surgeons improved ergonomics and minimizes risk for trauma to adjacent tissues. Improving on and addressing limitations of the original sewing machine technique described by Safran in 1995, iris repair using this technique has been applied successfully in 15 patients to achieve satisfactory visual and cosmetic outcomes without complications. Multiple iris suturing strategies can be combined on a given case to attain complex repair with this new approach.
Sewing needle microcapsulotomy to avert Argentinian flag sign
Prasad, Rajendra MBBS, MD(Ophth); Badhani, Anurag MBBS, MS(Ophth), DNB, FICO; Dogra, Geetika MBBS, DNB(Ophth); Morya, Arvind MBBS, MS(Ophth), MNAMS
doi : 10.1097/j.jcrs.0000000000000531
November 2021 - Volume 47 - Issue 11 - p e24-e28
The Argentinian flag sign is a known complication in intumescent white cataracts, which arises instantly after an initial prick with a sharp hypodermic needle on a stretched out anterior capsule. Increased intralenticular pressure is believed to be responsible for propagation of the initial prick into a radial capsular tear. However, it is the linear cut configuration of the initial prick, created by the hypodermic needle on the tense anterior capsule, which spontaneously opens up and propagates toward the periphery along its margins. To overcome this, a new instrument was devised, sewing needle microcapsulotome, to puncture the capsule and create a single or multiple round openings with smooth margins, allowing the bag to decompress satisfactorily without yielding to disruptive intralenticular forces. This technique of sewing needle microcapsulotomy, to prevent the Argentinian flag sign, was found to be highly effective and safe in a series of surgeries on intumescent cataracts.
Monson small-incision lenticule extraction fixation device
Dowdle, Travis S. BS; Jenkins, Joseph C. BS; Bertolio, Michael BA; Monson, Bryan K. MD
doi : 10.1097/j.jcrs.0000000000000554
November 2021 - Volume 47 - Issue 11 - p e29-e30
Small-incision lenticule extraction (SMILE) is a stromal based, flapless, minimally invasive form of laser vision correction for the treatment of myopia and myopic astigmatism. SMILE surgery is a more technical procedure compared with other refractive surgeries and generally has a longer skill mastery acquisition period. Thus far, no new stabilization devices or techniques have been proposed. To rectify this, a new distal corneal countertraction device for SMILE surgery, the Monson SMILE Fixation Device, is introduced. This device provides reliable corneal and globe stabilization during delamination and lenticular dissection. It may minimize tissue distortion and manipulation, simplify lenticule dissection, and may decrease operation times and improve cosmesis. Countertraction can also easily be adjusted throughout the procedure.
Flattening the curve: manual method for corneal allogenic intrastromal ring segment implantation
Parker, Jack S. MD, PhD; Dockery, Philip W. MD, MPH; Parker, John S. MD
doi : 10.1097/j.jcrs.0000000000000555
November 2021 - Volume 47 - Issue 11 - p e31-e33
Corneal allogenic ring segments are semicircular pieces of donor corneal stroma that may be surgically implanted to flatten keratoconic corneas. Conventionally, these donor segments are inserted into channels created using femtosecond laser dissection. However, access to femtosecond technology is not universal. In this study, an alternate, manual technique for channel creation, which is femtosecond laser independent, is described.
Ab externo approach to treat bilateral haptic extrusion secondary to scleral erosion of an intrascleral sutureless-fixated intraocular lens
Jürgens, Ignasi MD, PhD; Pighin, María S. MD
doi : 10.1097/j.jcrs.0000000000000579
November 2021 - Volume 47 - Issue 11 - p e34-e36
Preimplantation dehydration for corneal allogenic intrastromal ring segment implantation
Parker, Jack S. MD, PhD; Dockery, Philip W. MD, MPH; Jacob, Soosan MS, FRCS, DNB; Parker, John S. MD
doi : 10.1097/j.jcrs.0000000000000582
November 2021 - Volume 47 - Issue 11 - p e37-e39
Corneal allogenic intrastromal ring segments (CAIRS) are semicircular pieces of donor corneal stroma, which may be surgically implanted to flatten keratoconic corneas. These segments can be trimmed to different thicknesses; whereas thicker segments confer greater flattening, their bulk renders them more technically challenging to insert. Consequently, thinner segments are often preferred, especially for starting surgeons. Here, we describe a technique for transiently thinning CAIRS to facilitate easy insertion, thereby permitting the use of thicker segments to achieve the maximal flattening effect.
Trocar blade-assisted scleral fixation for an incomplete dislocated intraocular lens
Liu, Laura MD, PhD; Wang, Nan-Kai MD, PhD; Chen, Yen-Po MD, PhD; Chen, Kuan-Jen MD; Chou, Hung-Da MD; Yu-Chuan Kang, Eugene MD; Yeung, Ling MD; Hwang, Yih-Shiou MD, PhD; Chen, Tun-Lu MD; Chen, Yi-Hsing MD; Wu, Wei-Chi MD, PhD; Lai, Chi-Chun MD; Liu, Jorn-Hon MD
doi : 10.1097/j.jcrs.0000000000000601
November 2021 - Volume 47 - Issue 11 - p e40-e43
An incomplete dislocated intraocular lens (IOL) is often treated with IOL exchange because the IOL subluxates posteriorly during surgery and makes it difficult to fixate the IOL in situ. A trocar blade used for 23-gauge vitrectomy was used to lift and stabilize the IOL–capsular complex. The IOL can then be fixated using a suture loop fixation technique, which was originally limited to patients with decentered IOL. The advantage of this technique is that it allows the remaining zonular fibers and IOL to be preserved. The modified technique using a trocar blade to assist scleral fixation allows the incomplete dislocated IOL to be retrieved and fixated with a simplified surgical procedure.
