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Day-case cataract surgery.   总被引:4,自引:4,他引:0       下载免费PDF全文
The results of 501 day-case cataract extractions are presented. This is a safe way to manage an operation for which there will be an increased demand. Only 13% of these patients stated that they would have preferred to stay in hospital after surgery.  相似文献   

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Day-case cataract surgery.   总被引:6,自引:6,他引:0       下载免费PDF全文
The results of a series of 40 cataract extractions with lens implantation performed on day-case patients under local anaesthesia are reported. The ways in which modern surgical techniques have rendered this a safe procedure are described, and the potential benefits of day-case intraocular surgery are discussed.  相似文献   

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Radiation cataract. Review   总被引:1,自引:0,他引:1  
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Daycase cataract surgery.   总被引:3,自引:1,他引:2       下载免费PDF全文
The increasing demand for cataract surgery, combined with limited resources, has created renewed interest in daycase admission. We have audited the results of all daycase and inpatient cataract surgery in a large unit over a six-month period to determine the factors influencing daycase admission and surgical outcome; 34% of cataract patients were admitted as daycases in the study period. Neither distance travelled by the patient nor age appear to influence daycase admission. However, the differing policies of the individual consultant surgeons resulted in a wide variation in the number of operations performed on a daycase basis by each firm. The rate of preoperative complications was unaffected by daycase admission, by the grade of surgeon operating, or by the type of anaesthetic employed. Only 2.1% of daycase admissions resulted in unplanned inpatient admission on the day of surgery, with another 2.1% being readmitted within six months of surgery. Late cancellation of surgery was much lower for daycases (0.4%) than for inpatients (5.1%).  相似文献   

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Today, cataract surgeons can control postoperative refraction after cataract removal with improved intraocular-lens calculation formulas and minimal invasive surgery. However, a physiologically healthy status of the human lens (transparency, accommodation) cannot yet be regained completely postoperatively. Refractional outcome should be planned by the surgeon according to the patient's requirements. The preoperative planning also should include consideration of the intraocular-lens material needed.  相似文献   

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Laser cataract surgery.   总被引:4,自引:0,他引:4  
Lasers have been investigated for cataract removal for nearly two decades. The technology has now reached a stage at which cataract can indeed be removed entirely with laser alone. Neodymium:yttrium-aluminum-garnet and erbium:yttrium-aluminum-garnet are the laser sources being utilized at the present time by manufacturers of laser cataract surgery systems. Initial clinical experience reported in the literature has served to highlight both the laser's capabilities and areas that need further refinement. Despite the thrill associated with the availability of this alluring new technology for cataract removal, laser systems with higher efficiency and innovative surgical techniques to optimally utilize their capabilities are necessary if laser cataract surgery is to be an improvement over current techniques.  相似文献   

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Cell mediated immunity in relation to cataract and cataract surgery.   总被引:1,自引:0,他引:1  
Two groups of patients suffering from cataract were investigated by the lymphocyte stimulation test. One group was tested before and the other after cataract surgery. Human (total) lens crystallins and bovine alpha crystallin were used as the antigens. Lymphocytes of healthy persons showed practically no positive stimulation with either antigen. Of the patients tested before operation 38% reacted positively with lens crystallins and 15% with alpha crystallin. This difference in sensitisation suggests a leakage of lenticular antigens other than alpha crystallin out of the lens during cataract progression. Extracapsular lens extraction caused an increase in the number of patients reacting positively with lens crystallins and alpha crystallin as compared to patients not operated upon. Intracapsular lens extraction on the other hand resulted in less sensitisation to lens crystallins as compared to patients not operated upon.  相似文献   

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Astigmatism following cataract surgery.   总被引:8,自引:5,他引:3       下载免费PDF全文
The changes in corneal curvature were determined at regular intervals over a one-year period following intracapsular cataract extraction by microsurgical techniques. During the first postoperative month photokeratometric measurements showed rapid changes in astigmatism associated with large changes in the direction of the axis. Thereafter astigmatism against-the-rule predominated. Data from the small group of patients who underwent surgery in which the technique of phacoemulsification was used show that the smaller changes in corneal curvature are attributable to the smaller incision size and reduced number of sutures. With patients who underwent intracapsular extraction a comparison has been made between the effects of large and small section sizes, and a procedure is outlined whereby surgically induced astigmatism may be minimised.  相似文献   

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We report on our investigation into astigmatism in 40 eyes following a corneal cataract incision closed with a continuous 10/0 nylon monofilament suture (Ethilon). Immediately after surgery there was astigmatism caused by the nylon suture (suture-induced astigmatism), its severity depending on the tightness of the suture. It ranged from 1 to 10-5 dioptres, the mean value 4-09 dioptres with a standard deviation of +/-2-5. Removing the nylon suture eliminated this astigmatism and within a few weeks the corneal astigmatism correction in 48% of eyes returned to the preoperative level. In 80% of eyes the difference between the final postoperative corneal astigmatism (4 months after removing the continuous suture) and the preoperative astigmatism was 0-75 dioptres or less and the maximum change was 1-5 dioptres. In 40% of eyes the axis of the cylinder changed from a horizontal to an oblique axis but did not change from a with- to against-the-rule axis. The degree of astigmatism remained constant while the suture was in place and in 50% of eyes was equal to or less than 3 dioptres. The mean of the spherical equivalents was 11-31 dioptres with a standard deviation of +/-1-25. A spectacle correction 14 days after operation prescribed either as the mean spherical equivalent (11-50 dioptres) or according to the patient's refraction will give satisfactory vision until the suture is removed 4 months after operation. The degree of astigmatism following a corneal section and continuous nylon suture compares very favourably with astigmatism following other suturing techniques for cataract.  相似文献   

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PURPOSE: To evaluate the visual outcome and safety of simultaneous bilateral cataract extraction. SETTING: Stobhill Hospital NHS Trust, Glasgow, United Kingdom. METHODS: This retrospective case review comprised 259 consecutive patients (518 eyes) who had simultaneous bilateral cataract surgery. Surgeries included bilateral extracapsular procedures, uniocular extracapsular procedures performed simultaneously with a different type of intraocular lens surgery in the other eye, and 1 bilateral intracapsular procedure. Outcome measures were postoperative best spectacle-corrected visual acuity (BSCVA), intraoperative and postoperative complication rates, and conjunctival swab culture results. RESULTS: Eighty-three percent of patients (75% of eyes) with measured preoperative and postoperative BSCVA achieved an acuity of 6/12 or better. Intraoperative and postoperative complication rates were similar to those in previous reports of unilateral extracapsular surgery and simultaneous bilateral cataract surgery. Endophthalmitis occurred in 1 eye (0.19%). There were no bilateral complications that resulted in visual loss. Cultures were positive from 42% of conjunctival swabs; 81% of positive cultures were coagulase-negative Staphylococcus and 10% were Staphylococcus aureus. CONCLUSIONS: Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or postoperative complications, and visual acuity results were good.  相似文献   

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Ultraviolet radiation and cataract.   总被引:3,自引:0,他引:3  
While solar radiation falling on earth comprises light in the infrared, visible, UVA, UVB, and even UVC ranges, the light incident on, and thus important to the biology of, the eye lens is essentially in the visible and UVA regions. Thus, direct photochemical damage to the lens from UVB radiation is minor, though long-term UVA (and even visible range) irradiation is seen to lead to lens malfunction. Short-term exposure of the lens in vivo to UVA light leads to compromised optical and biochemical properties which are repaired in time, while higher doses affect permanent damage. Such longer wavelength light-mediated changes in the lens occur through photodynamic means, affected by some of the compounds that accumulate in the lens over a period of time, which act as sensitizers. Isolation and chemical identification of over a dozen such compounds has been done, and their photoactive properties have been studied. While several of these are photodynamic and generate reactive oxygen species when UVA light is shone on them, other compounds that accumulate in the lens act as antioxidants.  相似文献   

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