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[PMID]:28412801
[Au] Autor:Peng TT; Wang Y; Bao XY
[Ad] Endereço:Wuhan Aier Eye Hospital, Wuhan 430063, China.
[Ti] Título:[Preliminary report on the application of femtosecond laser-assisted anterior capsulotomy in intumescent white cataract surgery].
[So] Source:Zhonghua Yan Ke Za Zhi;53(4):281-287, 2017 Apr 11.
[Is] ISSN:0412-4081
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To assess the effect of femtosecond laser-assisted anterior capsulotomy in intumescent white cataract surgery. Retrospective case series study. One hundred and fifty cataract patients (150 eyes) from June 2014 to June 2015 in Wuhan Aier ophthalmology hospital were enrolled in this study. They were divided into three groups: 50 intumescent white cataract patients (50 eyes) in the study group were performed femtosecond laser-assisted capsulotomy (LenSx system) operation selectively. Fifty intumescent white cataract patients (50 eyes) underwent normal manual continuous circular capsulorhexis as the control group 1. Fifty other types cataract patients (50 eyes) underwent femtosecond laser-assisted capsulotomy as the control group 2. To observe the complications such as radial tear in anterior capsule, posterior capsule rupture and vitreous prolapse occurred during operations in each group respectively. The microscopic images of the free anterior capsule after dyeing were observed in the studygroup and the control group 2. Using the German company Oculus Pentacam three-dimensional anterior eye segment system to collect the Scheimplug images of each group at 1, 3, 6 months and 1 year after operation. The data were analyzed by SPSS19.0 software package. Complications during operations in all groups were compared with Fisher exact test. The eccentricity and tilt of IOL in each group were analyzed by single factor analysis of variance. The SNK-q test was used to compare the different follow-up time groups. One hundred and fifty patients aged from 50 to 86 years old, including 72 male cases and 78 female cases. In study group, radial tear in anterior capsule occurred in 2 eyes (4%), adherent tongue-like capsule adhesion was found in 6 eyes (12%), incomplete capsulotomy button happened in 2 eyes (4%), and posterior capsule rupture and vitreous prolapse occurred in 1 eye (2%). In the control group 1, radial tear in anterior capsule occurred in 8 eyes (16%) and posterior capsule rupture and vitreous prolapse occurred in 3 eyes (6%). The cases number of radial tear in anterior capsule and posterior capsule rupture and vitreous prolapse in the study group was obviously lower than the control group 1. The difference was statistically significant ( 0.05). In the control group 2, all 50 eyes were successfully completed. The implantation was uneventful and the IOL was centered. And posterior capsular rupture and vitreous prolapse did not occur. The difference was statistically significant between the study group and the control group 2 ( 0.05). After 1 year follow-up, the study group and the control group 2 showed no significant IOL tilt and eccentricity. The eccentricity and tilt of IOL in horizontal and vertical direction in control group 1 were significantly higher than those in the study group ( was 2.31, 1.10, 2.78 and 2.90 respectively) and control group 2 ( was 2.50, 2.32, 2.56 and 2.18respectively). The difference was statistically significant ( 0.05). Femtosecond laser-assisted anterior capsulotomy is accurate circle and center to avoid IOL eccentricity and tilt caused by capsular bag contraction asymmetrically after implantation, so as to ensure the long-term stability of the visual quality postoperatively. .
[Mh] Termos MeSH primário: Extração de Catarata/métodos
Terapia a Laser/métodos
[Mh] Termos MeSH secundário: Idoso
Análise de Variância
Ruptura da Cápsula Anterior do Olho/diagnóstico
Ruptura da Cápsula Anterior do Olho/etiologia
Capsulorrexe/efeitos adversos
Capsulorrexe/métodos
Estudos de Casos e Controles
Extração de Catarata/efeitos adversos
Feminino
Seguimentos
Seres Humanos
Terapia a Laser/efeitos adversos
Implante de Lente Intraocular
Masculino
Complicações Pós-Operatórias/diagnóstico
Estudos Retrospectivos
Fatores de Tempo
Acuidade Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170417
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0412-4081.2017.04.010


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[PMID]:27387849
[Au] Autor:Day AC; Gore DM; Bunce C; Evans JR
[Ad] Endereço:NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, 11 - 43 Bath Street, London, UK, EC1V 9EL.
[Ti] Título:Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery.
[So] Source:Cochrane Database Syst Rev;7:CD010735, 2016 Jul 08.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cataract is the leading cause of blindness in the world, and cataract surgery is one of the most commonly performed operations in the Western world. Preferred surgical techniques have changed dramatically over the past half century with associated improvements in outcomes and safety. Femtosecond laser platforms that can accurately and reproducibly perform key steps in cataract surgery, including corneal incisions, capsulotomy and lens fragmentation, are now available. The potential advantages of laser-assisted surgery are broad, and include greater safety and better visual outcomes through greater precision and reproducibility. OBJECTIVES: To compare the effectiveness of laser-assisted cataract surgery with standard ultrasound phacoemulsification cataract surgery by gathering evidence on safety from randomised controlled trials (RCTs). SEARCH METHODS: We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials Register) (2016, Issue 4), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to May 2016), EMBASE (January 1980 to May 2016), Latin American and Caribbean Health Sciences Literature Database (LILACS) (January 1982 to May 2016), the ISRCTN registry (www.isrctn.com/editAdvancedSearch), ClinicalTrials.gov (www.clinicaltrials.gov), the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en) and the U.S. Food and Drugs Administration (FDA) website (www.fda.gov). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 10 May 2016. SELECTION CRITERIA: We included randomised controlled trials where laser-assisted cataract surgery was compared to standard ultrasound phacoemulsification cataract surgery. We graded the certainty of the evidence using GRADE. DATA COLLECTION AND ANALYSIS: Two review authors independently screened the search results, assessed risk of bias and extracted data using the standard methodological procedures expected by Cochrane. The primary outcome for this review was intraoperative complications in the operated eye, namely anterior capsule and posterior capsule tears. The secondary outcomes were visual acuity (corrected distance visual acuity (CDVA) and uncorrected distance visual acuity (UDVA)), refractive outcomes, quality of vision (as measured by any validated visual function score), postoperative complications and cost-effectiveness. MAIN RESULTS: We included 16 RCTs conducted in Germary, Hungary, Italy, India, China and Brazil that enrolled a total of 1638 eyes of 1245 adult participants. Overall, the studies were at unclear or high risk of bias. In 11 of the studies the authors reported financial links with the manufacturer of the laser platform evaluated in their studies. Five of the studies were within-person (paired-eye) studies with one eye allocated to one procedure and the other eye allocated to the other procedure. These studies were reported ignoring the paired nature of the data.The number of anterior capsule and posterior capsule tears reported in the included studies for both laser cataract surgery and manual phacoemulsification cataract surgery were low. There were four anterior capsule tears and one posterior capsule tear in 1076 eyes reported in 10 studies (2 anterior capsule tears in laser arms, 2 anterior capsule tears and 1 posterior capsule tear in standard phacoemulsification arms). We are very uncertain as to the effect of laser-assisted surgery compared to standard phacoemulsification surgery with respect to these two outcomes. For postoperative cystoid macular oedema and elevated postoperative intraocular pressures, again the evidence was inconclusive (odds ratio (OR) 0.58, 95% confidence interval (CI) 0.20 to 1.68; 957 eyes, 9 studies, low certainty evidence; and OR 0.57, 95% CI 0.11 to 2.86; 903 eyes, 8 studies, low certainty evidence).We found little evidence of any important difference in postoperative visual acuity between laser-assisted and standard phacoemulsification arms. There was a small advantage for laser-assisted cataract surgery at six months in CDVA. However, the mean difference (MD) was -0.03 logMAR (95% CI -0.05 to -0.00; 224 eyes, 3 studies, low certainty evidence) which is equivalent to 1.5 logMAR letters and is therefore, clinically insignificant. No studies reported patient-reported outcome measures such as visual function.There were no data reported on costs or resource use but three studies reported the time taken to do the surgery. There was little evidence of any major difference between the two procedures in this respect (MD 0.1 minutes, 95% CI -0.02 to 0.21; 274 eyes, low certainty evidence). AUTHORS' CONCLUSIONS: The evidence from the 16 randomised controlled trials RCTs included in this review could not determine the equivalence or superiority of laser-assisted cataract surgery compared to standard manual phacoemulsification for our chosen outcomes due to the low to very low certainty of the evidence available from these studies. As complications occur rarely, large, adequately powered, well designed, independent RCTs comparing the safety and efficacy of laser-assisted cataract surgery with standard phacoemulsification cataract surgery are needed. Standardised reporting of complications and visual and refractive outcomes for cataract surgery would facilitate future synthesis. Data on patient-reported outcomes and cost-effectiveness are needed. Paired-eye studies should be analysed and reported appropriately.
[Mh] Termos MeSH primário: Extração de Catarata/métodos
Terapia a Laser/métodos
[Mh] Termos MeSH secundário: Adulto
Ruptura da Cápsula Anterior do Olho/etiologia
Extração de Catarata/efeitos adversos
Seres Humanos
Terapia a Laser/efeitos adversos
Edema Macular/etiologia
Hipertensão Ocular/etiologia
Facoemulsificação/efeitos adversos
Facoemulsificação/métodos
Ruptura da Cápsula Posterior do Olho/etiologia
Ensaios Clínicos Controlados Aleatórios como Assunto
Acuidade Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160802
[Lr] Data última revisão:
160802
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160709
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD010735.pub2


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[PMID]:26692055
[Au] Autor:Boss JD; McDermott M
[Ad] Endereço:Kresge Eye Institute, Wayne State University, Detroit, Michigan - USA.
[Ti] Título:Capsulorhexis tearing pattern during phacoemulsification in anterior lenticonus due to Alport syndrome.
[So] Source:Eur J Ophthalmol;26(3):e39-41, 2016 Apr 12.
[Is] ISSN:1724-6016
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To describe the tearing pattern during continuous curvilinear capsulorhexis in a patient with anterior lenticonus due to Alport syndrome. METHODS: A patient with bilateral anterior lenticonus underwent successful bilateral phacoemulsification and implantation of a single-piece intraocular lens. RESULTS: The capsule tore in an atypical cogwheel-like tearing pattern during capsulorhexis. This tearing pattern likely correlates to the known ultrastructural characteristics of thinning and periodic dehiscence and breaks in the anterior capsule. CONCLUSIONS: Knowing this tearing pattern preoperatively can help to prevent capsule runoff and capsule rupture.
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/patologia
Cápsula Anterior do Cristalino/lesões
Capsulorrexe/efeitos adversos
Doenças do Cristalino/cirurgia
Implante de Lente Intraocular
Nefrite Hereditária/complicações
Facoemulsificação
[Mh] Termos MeSH secundário: Adulto
Ruptura da Cápsula Anterior do Olho/etiologia
Feminino
Seres Humanos
Doenças do Cristalino/etiologia
Acuidade Visual
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160416
[Lr] Data última revisão:
160416
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151223
[St] Status:MEDLINE


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[PMID]:25937340
[Au] Autor:Roberts TV; Lawless M; Sutton G; Hodge C
[Ti] Título:Anterior capsule integrity after femtosecond laser-assisted cataract surgery.
[So] Source:J Cataract Refract Surg;41(5):1109-10, 2015 May.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/etiologia
Cápsula Anterior do Cristalino/fisiopatologia
Capsulorrexe/efeitos adversos
Capsulotomia Posterior/efeitos adversos
[Mh] Termos MeSH secundário: Ruptura da Cápsula Anterior do Olho/fisiopatologia
Ruptura da Cápsula Anterior do Olho/prevenção & controle
Seres Humanos
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1512
[Cu] Atualização por classe:150608
[Lr] Data última revisão:
150608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150505
[St] Status:MEDLINE


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[PMID]:25743777
[Au] Autor:Agrawal N; Nayak DP; Haripriya A; Bhuwania P
[Ad] Endereço:Aravind Eye Hospital, Madurai - India.
[Ti] Título:Phacoemulsification with toric IOL implantation in Alport syndrome with anterior lenticonus having spontaneously ruptured anterior capsule.
[So] Source:Eur J Ophthalmol;25(5):e78-80, 2015 Jul 30.
[Is] ISSN:1724-6016
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To report the outcome of phacoemulsification with toric intraocular lens (IOL) implantation in Alport syndrome with spontaneously ruptured capsule. METHODS: Case report and literature review. RESULTS: A 2.2-mm clear corneal phacoemulsification with toric lens implantation was done in anterior lenticonus with spontaneously ruptured anterior capsule. The toric IOL was well-centered with good visual outcome. CONCLUSIONS: Safe phacoemulsification with toric IOL implantation is possible in cases with spontaneous rupture of anterior lens capsule. Ability to achieve compact and complete capsulorhexis is one of the key steps to achieve favorable results.
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/cirurgia
Doenças do Cristalino/cirurgia
Implante de Lente Intraocular
Nefrite Hereditária/complicações
Facoemulsificação
[Mh] Termos MeSH secundário: Ruptura da Cápsula Anterior do Olho/diagnóstico
Ruptura da Cápsula Anterior do Olho/etiologia
Seres Humanos
Doenças do Cristalino/diagnóstico
Doenças do Cristalino/etiologia
Lentes Intraoculares
Masculino
Nefrite Hereditária/diagnóstico
Desenho de Prótese
Ruptura Espontânea
Acuidade Visual
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:150803
[Lr] Data última revisão:
150803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150307
[St] Status:MEDLINE


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[PMID]:25661149
[Au] Autor:Stephenson PD
[Ad] Endereço:Venice, Florida, USA.
[Ti] Título:February consultation #9.
[So] Source:J Cataract Refract Surg;41(2):475; discussion 476, 2015 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/etiologia
Doença Iatrogênica
Hipertensão Ocular/terapia
Paracentese/efeitos adversos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:150209
[Lr] Data última revisão:
150209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE


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[PMID]:25661148
[Au] Autor:Lin EY
[Ad] Endereço:Norfolk, Virginia, USA.
[Ti] Título:February consultation #7.
[So] Source:J Cataract Refract Surg;41(2):474; discussion 476, 2015 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/etiologia
Doença Iatrogênica
Hipertensão Ocular/terapia
Paracentese/efeitos adversos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:150209
[Lr] Data última revisão:
150209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE


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[PMID]:25661147
[Au] Autor:Berdahl J
[Ad] Endereço:Sioux Falls, South Dakota, USA.
[Ti] Título:February consultation #8.
[So] Source:J Cataract Refract Surg;41(2):474-5; discussion 476, 2015 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/etiologia
Doença Iatrogênica
Hipertensão Ocular/terapia
Paracentese/efeitos adversos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:150209
[Lr] Data última revisão:
150209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE


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[PMID]:25661146
[Au] Autor:Wiley WF
[Ad] Endereço:Cleveland, Ohio, USA.
[Ti] Título:February consultation #5.
[So] Source:J Cataract Refract Surg;41(2):473; discussion 476, 2015 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/etiologia
Doença Iatrogênica
Hipertensão Ocular/terapia
Paracentese/efeitos adversos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:150209
[Lr] Data última revisão:
150209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE


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[PMID]:25661145
[Au] Autor:Waring GO
[Ad] Endereço:Charleston, South Carolina, USA.
[Ti] Título:February consultation #6.
[So] Source:J Cataract Refract Surg;41(2):473-4; discussion 476, 2015 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ruptura da Cápsula Anterior do Olho/etiologia
Doença Iatrogênica
Hipertensão Ocular/terapia
Paracentese/efeitos adversos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:150209
[Lr] Data última revisão:
150209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE



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