摘要:

Cataract surgery with intraocular lens implantation is a highly successful surgical procedure. The techniques introduced over the past 25 years have reduced the incidence of many of the complications associated with cataract extraction in the past. As more sophisticated surgical techniques are developed and as cataract surgery becomes more advanced, pharmacologic intervention will become increasingly important. Drug therapy can be used to facilitate surgery, to prevent complications, and to hasten visual rehabilitation. We will discuss several groups of drugs including antibiotics and antiseptics, mydriatics and miotics, irrigating solutions, viscoelastics, anti-inflammatory agents, antimetabolites, and collagen shields.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Complications of cataract surgery are rare and continue to decrease with the emergence of new styles of surgery. Phacoemulsification gives a new importance to intravitreal nucleus remnants. Capsulorhexis has dramatically reduced the rate of lens dislocation. This review emphasizes the importance of some remaining complications of lens surgery, although they are far less frequent than 10 years ago.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Preoperatively and postoperatively, short-term as well as long-term, the lens capsule has become a structure of critical importance for the success of cataract surgery. This report reviews the pertinent literature during the last 2 years on capsular surgery, capsule-related complications, and secondary capsular opacification, including its treatment and prevention. Although the surgical aspects appear to be satisfactorily solved, at least concerning current options for cataract surgery, secondary capsular opacification remains to be one, if not the most important complication of normal cataract surgery. The solution to this complication awaits a major breakthrough.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

The management of patients with coincident cataract and glaucoma is a common and challenging clinical problem. Recent technologic advances in both cataract and glaucoma surgery have made the combined procedure a more viable option than in the past. The use of small-incision cataract surgery and trabeculectomy with antimetabolites performed beneath a 4-mm scleral flap with a limbus-based conjunctival flap and releasable or laserable sutures have resulted in a combined procedure that can closely mimic the standard trabeculectomy in terms of surgical methods. This discussion reviews many of the pertinent articles that have appeared in the literature during the scanning period and that address the management of combined cataract and glaucoma. The intention is not to provide a comprehensive review of this important topic but to discuss present opinions on issues such as antimetabolites, small-pupil phacoemulsification, sutured lenses, and the pseudoexfoliation syndrome as they relate to the combined glaucoma procedure.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Cataract surgery is the most common surgical procedure in the United States, and the likelihood of encountering complications from concurrent corneal disease and cataract surgery is great. The rise of pseudophakic bullous keratopathy as an indication for corneal transplantation reflects the current trend toward increasing corneal pathology arising from cataract surgery and intraocular lens complications. Attitudes regarding astigmatism have changed drastically. Cataract surgery, coupled with astigmatic procedures, is becoming the procedure of choice for visual rehabilitation. Congenital corneal conditions and systemic disease processes are also considered in this review.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Cataract surgery has influenced the course of certain retinal diseases just as vitreoretinal procedures have led to the de novo presentation or progression of cataracts. We review nearly 100 articles from the recent literature to determine the prevailing data and opinions concerning these vital issues.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Several laser technologies including 1053-nm picosecond, excimer, erbium:yttrium-aluminum-gamet, and neodymium:yttrium-aluminum-garnet (Nd:YAG) have been studied for use in the removal of cataractous lens tissue. Nd:YAG laser phacolysis involves laser pulses striking a titanium target that are incorporated into an irrigation-aspiration probe. With further refinement, Nd:YAG laser phacolysis may provide an alternative means of lens removal through a small incision, however, further study is required.

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1040-8738    

出版商:OVID    

年代:1993

数据来源: OVID