Base de dados : MEDLINE
Pesquisa : E04.540.825.600 [Categoria DeCS]
Referências encontradas : 9940 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 994 ir para página                         

  1 / 9940 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29273016
[Au] Autor:Nam SW; Lim DH; Hyun J; Chung ES; Chung TY
[Ad] Endereço:Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, #81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
[Ti] Título:Buffering zone of implantable Collamer lens sizing in V4c.
[So] Source:BMC Ophthalmol;17(1):260, 2017 Dec 22.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to identify factors related to the unexpected vault in V4c implantable collamer lens (ICL; STAAR Surgical) implantation. METHODS: V4c ICLs were implanted in 43 eyes of 43 patients for the correction of myopia. The implanted V4c ICL sizes were determined individually with our previous V4 ICL sizing nomogram based on the sulcus-to-sulcus diameter (STS), and the V4 ICL sizes were then converted to V4c ICL sizes with a size-converting table. We defined the "normal-sizing group" as having a pre-converted ICL size larger than the STS, and the "under-sizing group" as having a pre-converted ICL size smaller than the STS. Refractive outcomes, safety and parameters related to postoperative vault were compared between the two groups. RESULTS: The value of "actual ICL size - STS" differed significantly between the normal-sizing and under-sizing groups (p < 0.001), but postoperative vault did not differ significantly (p = 0.442). The demographics, implanted ICL characteristics, effectiveness indexes, safety indexes, and parameters related to postoperative vault did not differ significantly between the two groups (p > 0.05). Two patients in the normal-sizing group exhibited over-vaulting; these patients had shallow anterior chambers and were implanted with high-dioptric-power ICLs. CONCLUSIONS: The achievement of acceptable vault in both normal-sizing and under-sizing groups indicates the existence of a buffering zone in V4c ICL sizing. The smaller size of V4c ICLs should be considered in patients susceptible to over-vaulting, such as those with shallow anterior chambers and high-dioptric-power ICLs.
[Mh] Termos MeSH primário: Miopia/cirurgia
Lentes Intraoculares Fácicas
Refração Ocular/fisiologia
Acuidade Visual
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seguimentos
Seres Humanos
Implante de Lente Intraocular
Masculino
Meia-Idade
Miopia/fisiopatologia
Desenho de Prótese
Estudos Retrospectivos
Fatores de Tempo
Resultado do Tratamento
Testes Visuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171224
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0663-4


  2 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28470642
[Au] Autor:Hammer A; Wolfensberger TJ
[Ad] Endereço:Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.
[Ti] Título:Iris Clip Lens Implantation with Novel Approach for Aphakia After Previous Filtration Surgery.
[Ti] Título:Irisfixierte Linsenimplantation nach Filtrationschirurgie..
[So] Source:Klin Monbl Augenheilkd;234(4):432-435, 2017 Apr.
[Is] ISSN:1439-3999
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:To present a novel and simplified surgical technique of Artisan lens implantation for intraocular lens luxation and aphakia in glaucoma patients with previous superior filtration surgery. Analysis of 12 patients with a history of previous superior filtration surgery for glaucoma, who underwent artisan lens implantation. To allow lens manipulation and implantation without alteration of the filtration bleb, the main sclerocorneal incision was performed laterally and the Artisan lens was held in place for enclavation of the iris stroma via a superior corneal incision without disturbing the filtration bleb. Mean pre-operative visual acuity was 0.54 ± 0.85 LogMAR, and intraocular pressure (IOP) was 15.8 ± 7.7 mmHg. At the end of follow-up (11.6 ± 8.1 months), visual acuity had improved to 0.32 ± 0.57 LogMAR and intraocular pressure was 14.7 ± 5.4 mmHg. No disturbance of the filtration bleb was observed. Artisan lens implantation can be performed successfully via a combined lateral and superior approach despite the presence of a filtration bleb at the 12 o'clock position.
[Mh] Termos MeSH primário: Afacia/terapia
Cirurgia Filtrante/instrumentação
Cirurgia Filtrante/métodos
Implante de Lente Intraocular/instrumentação
Implante de Lente Intraocular/métodos
Lentes Intraoculares
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Afacia/diagnóstico
Terapia Combinada/instrumentação
Terapia Combinada/métodos
Feminino
Seres Humanos
Iris/cirurgia
Masculino
Resultado do Tratamento
Acuidade Visual
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-104430


  3 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29465569
[Au] Autor:Kang MJ; Joo CK
[Ad] Endereço:Department of Ophthalmology and Catholic Institute for Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
[Ti] Título:Three cases of a torn haptic after scleral fixation using a hydrophobic acrylic intraocular lens: Case reports.
[So] Source:Medicine (Baltimore);97(8):e9853, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: We report 3 cases of a torn haptic after successful scleral fixation with a hydrophobic acrylic intraocular lens. PATIENT CONCERNS: Patients complained of decreased visual acuity about 1 week to 1 month after scleral fixation. DIAGNOSES: In all 3 cases, the direction of the damaged haptic correlated with the direction of the pulling force made by the hung suture material. Observation of a cheese-wiring effect on scanning electron microscopy suggested that the haptic was cut by the suture. INTERVENTIONS: Patients underwent re-scleral fixation with caution. OUCTOMES: There was no complication of broken haptic after re-scleral fixation. LESSONS: To avoid unexpected haptic tears, great caution is needed; surgeons should avoid applying excessive pulling force to the intraocular lens when performing scleral fixation using a hydrophobic acrylic intraocular lens.
[Mh] Termos MeSH primário: Implante de Lente Intraocular/métodos
Lentes Intraoculares
Esclera/cirurgia
[Mh] Termos MeSH secundário: Acrilatos
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias
Reoperação
Técnicas de Sutura
Transtornos da Visão/etiologia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Acrylates)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009853


  4 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29422757
[Au] Autor:Varshney A; Das M; Chaudhary P; Kumari R; Yadav K
[Ad] Endereço:Department of Vitreoretina, C. L. Gupta Eye Institute, Moradabad, Uttar Pradesh, India.
[Ti] Título: as a Causative Agent for Postoperative Endophthalmitis.
[So] Source:Middle East Afr J Ophthalmol;24(4):213-215, 2017 Oct-Dec.
[Is] ISSN:0975-1599
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:We report a case of a 55-year-old female who presented with pain, redness, and profound visual loss in her right eye 2 weeks after cataract surgery. An ophthalmic examination showed light perception vision, corneal edema with severe anterior chamber reaction and hypopyon, exudative membranes on the anterior lens surface, and dense vitreous exudates. Under the impression of acute postoperative exogenous endophthalmitis, immediate pars plana vitrectomy with culture of vitreous aspirate and intravitreal antibiotic injections were performed. Bacterial growth was observed on culture plates and broths which were identified as by VITEK 2 compact system. So far, no report has been published regarding endophthalmitis due to . Here, we present the first report of isolated from the ocular specimen.
[Mh] Termos MeSH primário: Aeromonas salmonicida/isolamento & purificação
Endoftalmite/microbiologia
Infecções Oculares Bacterianas/microbiologia
Infecções por Bactérias Gram-Negativas/microbiologia
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Amicacina/uso terapêutico
Antibacterianos/uso terapêutico
Extração de Catarata
Dexametasona/uso terapêutico
Quimioterapia Combinada
Endoftalmite/diagnóstico
Endoftalmite/tratamento farmacológico
Infecções Oculares Bacterianas/diagnóstico
Infecções Oculares Bacterianas/tratamento farmacológico
Feminino
Glucocorticoides/uso terapêutico
Infecções por Bactérias Gram-Negativas/diagnóstico
Infecções por Bactérias Gram-Negativas/tratamento farmacológico
Seres Humanos
Injeções Intravítreas
Implante de Lente Intraocular
Meia-Idade
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Glucocorticoids); 7S5I7G3JQL (Dexamethasone); 84319SGC3C (Amikacin)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE
[do] DOI:10.4103/meajo.MEAJO_238_17


  5 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29422754
[Au] Autor:Sahu PK; Das GK; Agrawal S; Kumar S; Kumar N
[Ad] Endereço:Department of Ophthalmology, UCMS and GTB Hospital, New Delhi, India.
[Ti] Título:Comparative Evaluation of Corneal Endothelium in Diabetic Patients Undergoing Phacoemulsification.
[So] Source:Middle East Afr J Ophthalmol;24(4):195-201, 2017 Oct-Dec.
[Is] ISSN:0975-1599
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine if phacoemulsification with intraocular lens implantation has a greater impact on the corneal endothelium of type 2 diabetic patients as compared to nondiabetics. MATERIALS AND METHODS: This study compared the endothelial status in 60 diabetics with good glycemic control and 60 nondiabetics before and after uneventful phacoemulsification. Central corneal endothelial cell density, percentage hexagonality and percentage coefficient of variation (%CV) were measured using a specular microscope. RESULTS: Data were age and sex matched. Diabetics showed significantly higher loss in endothelial cell count as compared to nondiabetics. At the end of 3 months, there was a decline of 157 endothelial cell (standard deviation [SD] 90) in the diabetic group and 121 (SD 50) in the control group. This was statistically significant ( = 0.008). Furthermore, the diabetics showed a slower recovery trend in the endothelial healing response as evidenced by lower change in the %CV. The change in %CV was 4.5 in the control group and 3.1 in diabetic group which was statistically significant ( = 0.016). Significant correlation was found between energy used and change in endothelial count as well as %CV in nondiabetics only. CONCLUSION: In spite of good glycemic control, diabetics have significantly more endothelial damage in comparison to nondiabetics with similar nuclear grading and phaco energy used. This warrants a more careful use of phaco energy in diabetics.
[Mh] Termos MeSH primário: Perda de Células Endoteliais da Córnea/diagnóstico
Diabetes Mellitus Tipo 2/complicações
Epitélio Posterior/patologia
Implante de Lente Intraocular
Facoemulsificação
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Idoso
Glicemia/metabolismo
Contagem de Células
Perda de Células Endoteliais da Córnea/etiologia
Feminino
Hemoglobina A Glicada/metabolismo
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE
[do] DOI:10.4103/meajo.MEAJO_212_16


  6 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29422749
[Au] Autor:Al Somali AI; Al-Dossari FN; Emara KE; Al Habash A
[Ad] Endereço:Department of Ophthalmology, King Faisal University, Al Ahsa, Kingdom of Saudi Arabia.
[Ti] Título:Outcomes of Scleral-fixated Intraocular-lens in Children with Idiopathic Ectopia Lentis.
[So] Source:Middle East Afr J Ophthalmol;24(4):167-170, 2017 Oct-Dec.
[Is] ISSN:0975-1599
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of the study was to review the safety and stability of scleral-fixated intraocular lens (IOL) 2 years after implantation in children with idiopathic ectopia lentis (EL). METHODS: This retrospective case series enrolled children with EL managed between 2011 and 2015 at a tertiary eye hospital in the eastern of Saudi Arabia. Data were collected on age, gender, vision, isolated or syndromic pathology, intraoperative and postoperative complications, spherical equivalent refraction, and final best-corrected visual acuity (BCVA). RESULTS: The series included 18 eyes of 11 children with EL (6 males and 5 females). There were 7 bilateral and 4 unilateral cases. The median age was 3.5 years (25% quartile 1 year; range: 1-8 years). Preoperatively, fixation was absent in 3 eyes, 8 eyes were fixating but vision could not be recorded. In the remaining seven eyes, median distant visual acuity was 0.1 (25% quartile: 0.08). The median postoperative follow-up was 24 months (25% quartile, 7 months). Complications included two eyes with iris capture and one eye with lens subluxation requiring re-implantation. Postoperative BCVA was better than 20/60 in 15 (83%) eyes. At last follow-up, 6 eyes required myopic correction, 1 eye was emmetropic, and 11 eyes were hypermetropic. One eye with glaucoma was managed medically. CONCLUSION: Scleral fixated IOL in eyes of young children with EL had good visual outcomes and high stability. However, there is a high incidence of residual refractive error.
[Mh] Termos MeSH primário: Ectopia do Cristalino/cirurgia
Implante de Lente Intraocular/métodos
Lentes Intraoculares
Esclera/cirurgia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Ectopia do Cristalino/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Resultado do Tratamento
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE
[do] DOI:10.4103/meajo.MEAJO_105_16


  7 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29227507
[Au] Autor:Nistad K; Göransson F; Støle E; Shams H; Gjerdrum B
[Ti] Título:The Use of Capsular Tension Rings to Reduce Refractive Shift in Patients With Implantation of Trifocal Intraocular Lenses.
[So] Source:J Refract Surg;33(12):802-806, 2017 Dec 01.
[Is] ISSN:1081-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine whether use of a capsular tension ring (CTR) can increase refractive stability in patients with implantation of two different trifocal intraocular lenses (IOLs). METHODS: A prospective, consecutive series of eyes underwent refractive lens exchange with implantation of two different trifocal IOL designs: FineVision Micro F (non-toric) and FineVision POD FT (toric) (PhysIOL, Liege, Belgium). Power calculation was determined using the Haigis formula. Refractive lens exchange surgery was performed according to the standard Memira protocol. Refractive results and stability were assessed at 2 weeks and 3 months postoperatively. RESULTS: Three hundred eighty-eight eyes were included in the analysis. Overall, 71% and 76% of MicroF eyes implanted with (n = 139) and without (n = 104) a CTR, respectively, had hyperopic shift; 9% of MicroF eyes with a CTR had a shift of greater than +0.50 to +0.75 or less diopters (D) and 4% had a shift of greater than +0.75 D. In MicroF eyes without a CTR, 12% and 3% of eyes experienced a refractive shift of greater than +0.50 to +0.75 D or less and greater than +0.75 D, respectively. In the POD FT group, 72% and 69% of eyes with (n = 81) and without (n = 64) a CTR, respectively, had hyperopic shift; 10% of POD FT eyes with a CTR had a change of greater than +0.50 to +0.75 D or less and 7% had a shift of greater than +0.75 D. In POD FT eyes without a CTR, 13% and 3% experienced a refractive shift of greater than +0.50 to +0.75 D or less and greater than +0.75 D, respectively. For the MicroF design, the best refractive stability was found in the CTR group and the poorest stability in the non-CTR group (P = .084). For the POD FT design, the best refractive stability was found in the non-CTR group and the poorest stability in the CTR group (P = .297). CONCLUSIONS: Up to 7% of eyes implanted with FineVision trifocal IOLs had a hyperopic shift of greater than +0.75 D approximately 2 weeks to 3 months postoperatively. Using a CTR in MicroF eyes had no statistically significant effect on refractive stability. Placing a CTR with POD FT IOLs appeared to reduce refractive stability, although not significantly. [J Refract Surg. 2017;33(12):802-806.].
[Mh] Termos MeSH primário: Lentes Intraoculares
Facoemulsificação
Próteses e Implantes
Implante de Prótese
Erros de Refração/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Implante de Lente Intraocular
Masculino
Meia-Idade
Estudos Prospectivos
Pseudofacia/fisiopatologia
Refração Ocular/fisiologia
Testes Visuais
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.3928/1081597X-20170829-02


  8 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29227506
[Au] Autor:Ferreira TB; Ribeiro P; Ribeiro FJ; O'Neill JG
[Ti] Título:Comparison of Methodologies Using Estimated or Measured Values of Total Corneal Astigmatism for Toric Intraocular Lens Power Calculation.
[So] Source:J Refract Surg;33(12):794-800, 2017 Dec 01.
[Is] ISSN:1081-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare the prediction error in the calculation of toric intraocular lenses (IOLs) associated with methods that estimate the power of the posterior corneal surface (ie, Barrett toric calculator and Abulafia-Koch formula) with that of methods that consider real measures obtained using Scheimpflug imaging: a software that uses vectorial calculation (Panacea toric calculator: http://www.panaceaiolandtoriccalculator.com) and a ray tracing software (PhacoOptics, Aarhus Nord, Denmark). METHODS: In 107 eyes of 107 patients undergoing cataract surgery with toric IOL implantation (Acrysof IQ Toric; Alcon Laboratories, Inc., Fort Worth, TX), predicted residual astigmatism by each calculation method was compared with manifest refractive astigmatism. Prediction error in residual astigmatism was calculated using vector analysis. RESULTS: All calculation methods resulted in overcorrection of with-the-rule astigmatism and undercorrection of against-the-rule astigmatism. Both estimation methods resulted in lower mean and centroid astigmatic prediction errors, and a larger number of eyes within 0.50 diopters (D) of absolute prediction error than methods considering real measures (P < .001). Centroid prediction error (CPE) was 0.07 D at 172° for the Barrett toric calculator and 0.13 D at 174° for the Abulafia-Koch formula (combined with Holladay calculator). For methods using real posterior corneal surface measurements, CPE was 0.25 D at 173° for the Panacea calculator and 0.29 D at 171° for the ray tracing software. CONCLUSIONS: The Barrett toric calculator and Abulafia-Koch formula yielded the lowest astigmatic prediction errors. Directly evaluating total corneal power for toric IOL calculation was not superior to estimating it. [J Refract Surg. 2017;33(12):794-800.].
[Mh] Termos MeSH primário: Astigmatismo/diagnóstico
Córnea/patologia
Implante de Lente Intraocular
Lentes Intraoculares
Óptica e Fotônica/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Biometria/métodos
Topografia da Córnea
Feminino
Seres Humanos
Masculino
Meia-Idade
Nomogramas
Facoemulsificação
Refração Ocular/fisiologia
Estudos Retrospectivos
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.3928/1081597X-20171004-03


  9 / 9940 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29409483
[Au] Autor:Xue K; Jolly JK; Mall SP; Haldar S; Rosen PH; MacLaren RE
[Ad] Endereço:Oxford Eye Hospital, Oxford Universities Hospitals NHS Foundation Trust, Oxford, UK. kanmin.xue@ndcn.ox.ac.uk.
[Ti] Título:Real-world refractive outcomes of toric intraocular lens implantation in a United Kingdom National Health Service setting.
[So] Source:BMC Ophthalmol;18(1):30, 2018 Feb 06.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: With increasing availability of toric intraocular lenses (IOL) for cataract surgery, real-world refractive outcome data is needed to aid the counselling of patients regarding lens choice. We aim to assess the outcomes of toric intraocular lens use in the non-specialist environment of a typical United Kingdom NHS cataract service. METHODS: A retrospective cohort study conducted at the Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, UK. All patients who received a toric IOL implant over a 10 months period. Patients underwent pre-operative corneal marking, phacoemulsification and toric IOL implantation. Biometry was obtained using a Zeiss IOLMaster 500 and the toric IOLs were selected using the manufacturers' online calculators. Post-operative refractions were obtained from optometrist's manifest refraction or by autorefraction. The outcome measures were post-operative unaided visual acuity (UVA), spherical equivalent refraction, cylindrical correction and all complications. RESULTS: Thirty-two eyes of 24 patients aged 21-86 years (mean 66.4, SD 14.5) were included. UVA was superior to pre-operative best-corrected visual acuity (BCVA) in 81% of eyes, same in 16% and inferior in 3%, resulting in a median improvement of 0.20 LogMAR (IQR 0.10 to 0.30). 56%, 81%, 94% and 100% of eyes were within ±0.5, ±1.0, ±1.5 and ±2.0 D of predicted spherical equivalent, respectively. Three (9%) eyes required further surgery to rectify significant IOL rotation. CONCLUSIONS: Reduced cylindrical correction and improved UVA could be expected in the majority of patients undergoing toric IOL implantation. Patients should be counselled about the risk of lens rotation.
[Mh] Termos MeSH primário: Astigmatismo/fisiopatologia
Implante de Lente Intraocular
Lentes Intraoculares
Facoemulsificação
Pseudofacia/fisiopatologia
Refração Ocular/fisiologia
Acuidade Visual/fisiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Medicina Estatal
Reino Unido
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0692-7


  10 / 9940 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29394929
[Au] Autor:Vasquez-Perez A; Simpson A; Nanavaty MA
[Ad] Endereço:Sussex Eye Hospital, Brighton & Sussex University Hospitals NHS Trust, Eastern Road, Brighton, BN2 5BF, UK.
[Ti] Título:Femtosecond laser-assisted cataract surgery in a public teaching hospital setting.
[So] Source:BMC Ophthalmol;18(1):26, 2018 Feb 02.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To evaluate the efficiency and practicality of femtosecond laser assisted cataract surgery (FLACS) in a public teaching hospital setting using a mobile FLACS system compared to conventional phacoemulsification cataract surgery (CPCS). METHODS: Ninety eyes from 90 patients underwent either FLACS or CPCS (45 in each group). Cataracts were graded using the Lens Opacities Classification System III system. Outcome measures included total surgery duration, femtosecond laser treatment time, vacuum time (VT), total phacoemulsification time (TPT) and total phacoemulsification power (TPP). RESULTS: No differences were observed in the preoperative mean cataract grades and co-morbidities. FLACS took longer than CPCS with a mean difference of 5.2 ± 4.5 min (range: 0-18.8 min). The average femtosecond laser treatment time was 4.3 ± 3.4 min (range: 1-15.5 min). The VT was 2.51 ± 0.45 min (range: 1.59-4.10 min). Although not significant, TPT in FLACS showed a trend towards improvement (mean 1.0 ± 0.6 s; range: 0.1-2.4 s) compared to CPCS (mean 1.2 ± 0.6 min; range: 0.5-2.5 min). Whereas, TPP was significantly less in FLACS (mean 17.9 ± 5.0%; range: 5-27%) compared to CPCS (mean 20.3 ± 4.1%; range: 12.0-28.7%)(p = 0.031). CONCLUSIONS: The mobile FLACS system housed in the same operating room increased the surgical duration by 5.2 min. The average VT was 2.51 min, which was lower in comparison to published experience using non-mobile FLACS systems.
[Mh] Termos MeSH primário: Extração de Catarata/métodos
Terapia a Laser/métodos
Implante de Lente Intraocular
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Hospitais Públicos
Hospitais de Ensino
Seres Humanos
Complicações Intraoperatórias
Masculino
Meia-Idade
Duração da Cirurgia
Facoemulsificação
Estudos Prospectivos
Pseudofacia/fisiopatologia
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180204
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0693-6



página 1 de 994 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde