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Journal of refractive and corneal surgery最新文献

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Radial keratotomy and excimer laser photorefractive keratectomy for the correction of myopia. 桡骨角膜切开术与准分子激光屈光性角膜切开术矫正近视。
Journal of refractive and corneal surgery Pub Date : 1994-07-01
P S Binder
{"title":"Radial keratotomy and excimer laser photorefractive keratectomy for the correction of myopia.","authors":"P S Binder","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To compare our current knowledge of the two most common current refractive surgical procedures for the correction of myopia.</p><p><strong>Methods: </strong>I reviewed the scientific literature and my personal experience with radial keratotomy and excimer laser photorefractive keratectomy to compare these two modalities.</p><p><strong>Results: </strong>Both radial keratotomy and photorefractive keratectomy are capable of permanently correcting myopic refractive errors. However, each procedure has its individual advantages and disadvantages, with the greatest concern currently being the effect of wound healing on refractive outcome. The procedures are not mutually exclusive.</p><p><strong>Conclusions: </strong>Both radial keratotomy and photorefractive keratectomy will be used to surgically correct myopia for the next several years until newer technology is developed to improve the predictability and stability of refractive results currently achieved with each procedure.</p>","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 4","pages":"443-64"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18534994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photorefractive keratectomy. 光折变角膜切除术。
Journal of refractive and corneal surgery Pub Date : 1994-07-01
M Gordon
{"title":"Photorefractive keratectomy.","authors":"M Gordon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 4","pages":"466"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18535002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optometrists barred from using therapeutic lasers in Georgia. 佐治亚州禁止验光师使用激光治疗。
Journal of refractive and corneal surgery Pub Date : 1994-07-01
R P Tucker
{"title":"Optometrists barred from using therapeutic lasers in Georgia.","authors":"R P Tucker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 4","pages":"467"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18535004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Summit builds on co-management concept. 峰会建立在共同管理的理念之上。
Journal of refractive and corneal surgery Pub Date : 1994-07-01 DOI: 10.3928/1081-597X-19940701-03
M. Moretti
{"title":"Summit builds on co-management concept.","authors":"M. Moretti","doi":"10.3928/1081-597X-19940701-03","DOIUrl":"https://doi.org/10.3928/1081-597X-19940701-03","url":null,"abstract":"","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 4 1","pages":"396-7"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70145634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Summit builds on co-management concept. 峰会建立在共同管理的理念之上。
Journal of refractive and corneal surgery Pub Date : 1994-07-01
{"title":"Summit builds on co-management concept.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 4","pages":"396-7"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18537820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical results of penetrating keratoplasty in essential iris atrophy. 穿透性角膜移植术治疗原发性虹膜萎缩的疗效。
Journal of refractive and corneal surgery Pub Date : 1994-07-01
B M DeBroff, R A Thoft
{"title":"Surgical results of penetrating keratoplasty in essential iris atrophy.","authors":"B M DeBroff,&nbsp;R A Thoft","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Results of penetrating keratoplasty in iridocorneal endothelial syndrome have been considered favorable based on past studies; however, documented results in eyes specifically with essential iris atrophy are lacking.</p><p><strong>Methods: </strong>A retrospective study was performed to evaluate all patients at the University of Pittsburgh with essential iris atrophy who had undergone penetrating keratoplasty for corneal decompensation over 21 years (1971-1992).</p><p><strong>Results: </strong>Penetrating keratoplasty had been performed on six eyes with essential iris atrophy for corneal decompensation. All eyes postoperatively had evidence of persistent anterior uveitis resistant to corticosteroid treatment with one or more episodes of graft reaction. Five of the six eyes (83.3%) ultimately went on to graft failure. Two of the six eyes (33.3%) rejected grafts on two separate occasions.</p><p><strong>Conclusions: </strong>Penetrating keratoplasty in essential iris atrophy was frequently associated with chronic anterior uveitis and immunologic graft failure.</p>","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 4","pages":"428-32"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18537825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refractive stability after cataract extraction using a 6.5-millimeter scleral pocket incision with horizontal or radial sutures. 6.5毫米巩膜袋切口水平或径向缝合白内障摘除术后屈光稳定性的研究。
Journal of refractive and corneal surgery Pub Date : 1994-05-01
T P Werblin
{"title":"Refractive stability after cataract extraction using a 6.5-millimeter scleral pocket incision with horizontal or radial sutures.","authors":"T P Werblin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Radial suturing of 6.5-millimeter scleral tunnel incisions following cataract surgery can create significant with-the-rule astigmatism in the immediate postoperative period. Because of the significant visual distortion and slow visual recovery seen with radial suturing, this study was undertaken to compare two other suturing techniques which induce lesser amounts of with-the-rule astigmatism in the immediate postoperative period.</p><p><strong>Methods: </strong>The refractive behavior of eyes closed with loose radial sutures and with horizontal sutures was compared to the behavior of eyes closed with the more traditional \"tight\" radial sutures following phacoemulsification surgery.</p><p><strong>Results: </strong>Eyes sutured with loosely tied radial sutures demonstrated minimal with-the-rule cylinder immediately following surgery (1.25 D) and showed a more rapid stabilization of astigmatism than did the eyes tied with tight radial sutures, 2 months versus up to 6 months. However, the eyes tied with horizontal sutures, which showed no induced with-the-rule astigmatism at the time of surgery, showed even more rapid stabilization between 5 days and 1 month from the time of surgery.</p><p><strong>Conclusion: </strong>To get the most rapid visual rehabilitation following cataract surgery, a wound closure which generates no induced with-the-rule cylinder such as horizontal sutures would be required.</p>","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 3","pages":"339-42"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18528292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Excimer laser photorefractive keratectomy for treatment of keratoconus. 准分子激光光屈光性角膜切除术治疗圆锥角膜。
Journal of refractive and corneal surgery Pub Date : 1994-05-01 DOI: 10.3928/1081-597X-19940501-12
Jes Mortensen, Arne Öhrström
{"title":"Excimer laser photorefractive keratectomy for treatment of keratoconus.","authors":"Jes Mortensen, Arne Öhrström","doi":"10.3928/1081-597X-19940501-12","DOIUrl":"https://doi.org/10.3928/1081-597X-19940501-12","url":null,"abstract":"BACKGROUND\u0000Five eyes with keratoconus that were scheduled for penetrating keratoplasty were treated instead with excimer laser photorefractive keratectomy to reduce the steepness of the cone. The follow up after 6 to 12 months is reported here.\u0000\u0000\u0000METHODS\u0000A 193-nanometer excimer laser system VISX 20/20 was used for correction of myopia or astigmatism. The patients had a complete ophthalmological examination including slit-lamp microscopy and videokeratography. The patients were followed with six examinations during a period of at least 6 months.\u0000\u0000\u0000RESULTS\u0000In four eyes, a reduction of the astigmatism was achieved with an increase of visual acuity. There were no problems with wound healing or any signs that the excimer adversely affected the cornea or activated the keratoconus disease process.\u0000\u0000\u0000CONCLUSION\u0000The treatment of keratoconus with excimer laser has been regarded as seriously contraindicated on a speculative basis. This risk seems to be exaggerated.","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 3 1","pages":"368-72"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70145577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 40
Effect of nitrogen flow on recovery of vision after excimer laser photorefractive keratectomy without nitrogen flow. 氮流对无氮流准分子激光屈光性角膜切除术后视力恢复的影响。
Journal of refractive and corneal surgery Pub Date : 1994-05-01
E Maguen, A B Nesburn, T Papaioannou, J J Salz, J I Macy, C Warren
{"title":"Effect of nitrogen flow on recovery of vision after excimer laser photorefractive keratectomy without nitrogen flow.","authors":"E Maguen,&nbsp;A B Nesburn,&nbsp;T Papaioannou,&nbsp;J J Salz,&nbsp;J I Macy,&nbsp;C Warren","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Excimer laser (VISX) photorefractive keratectomy was performed using nitrogen flowing through the ocular fixation ring. It was felt that eliminating nitrogen flow may provide faster early visual rehabilitation.</p><p><strong>Methods: </strong>Two groups of 50 consecutive eyes underwent photorefractive keratectomy with (N2 flow) and without (no N2 flow) nitrogen flow, and were evaluated at 1 month postoperatively.</p><p><strong>Results: </strong>There were more under- or overcorrections exceeding 1.00 diopter (D) in the N2 flow than in the no N2 flow groups. Eighteen eyes in the N2 flow and 11 in no N2 flow groups saw 20/50 or less, without correction. Fourteen eyes in the N2 flow and nine eyes in the no N2 flow groups lost two or more lines of best spectacle-corrected visual acuity. Four eyes in the N2 flow and none in the no N2 flow groups increased more than 1.00 D of astigmatism.</p><p><strong>Conclusion: </strong>The elimination of nitrogen flow in photorefractive keratectomy performed with the VISX laser appears to improve visual results in the early postoperative period.</p>","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 3","pages":"321-6"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18528289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Excimer laser photorefractive keratectomy for treatment of keratoconus. 准分子激光光屈光性角膜切除术治疗圆锥角膜。
Journal of refractive and corneal surgery Pub Date : 1994-05-01
J Mortensen, A Ohrström
{"title":"Excimer laser photorefractive keratectomy for treatment of keratoconus.","authors":"J Mortensen,&nbsp;A Ohrström","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Five eyes with keratoconus that were scheduled for penetrating keratoplasty were treated instead with excimer laser photorefractive keratectomy to reduce the steepness of the cone. The follow up after 6 to 12 months is reported here.</p><p><strong>Methods: </strong>A 193-nanometer excimer laser system VISX 20/20 was used for correction of myopia or astigmatism. The patients had a complete ophthalmological examination including slit-lamp microscopy and videokeratography. The patients were followed with six examinations during a period of at least 6 months.</p><p><strong>Results: </strong>In four eyes, a reduction of the astigmatism was achieved with an increase of visual acuity. There were no problems with wound healing or any signs that the excimer adversely affected the cornea or activated the keratoconus disease process.</p><p><strong>Conclusion: </strong>The treatment of keratoconus with excimer laser has been regarded as seriously contraindicated on a speculative basis. This risk seems to be exaggerated.</p>","PeriodicalId":79348,"journal":{"name":"Journal of refractive and corneal surgery","volume":"10 3","pages":"368-72"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18529212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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