REDUCTION OF POSTOPERATIVE AGAINST-THE-RULE ASTIGMATISM BY LATERAL INCISION TECHNIQUE

被引:26
作者
AXT, JC
MCCAFFERY, JM
机构
关键词
AGAINST-THE-RULE; ASTIGMATISM; AXIS; CYLINDER; LATERAL; SUTURE;
D O I
10.1016/S0886-3350(13)80310-0
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A group of 80 preoperative against-the-rule (AR) eyes had cataract removal and intraocular lens implantation with lateral (temporal) incision and suturing. Fifty-six of the 80 eyes had extracapsular cataract extraction (ECCE) and 24 had phacoemulsification (KPE) with capsulorhexis. For both procedures, subgroups (21 of ECCE, ten of KPE) with high preoperative AR astigmatism (greater-than-or-equal-to -2.0 D) were evaluated. Analysis of the postoperative data provided the following: (1) induced postoperative cylinder decrease, (2) effect of cutting and not cutting sutures, (3) induced axial shift, (4) postoperative astigmatic change as a function of time, and (5) comparative effectiveness of ECCE and KPE lateral incision procedures in reducing postoperative AR astigmatism.
引用
收藏
页码:380 / 386
页数:7
相关论文
共 8 条
[1]  
Masket S, Nonkeratometric control of postoperative astigmatism, Am Intra-Ocular Implant Soc J, 11, pp. 134-137, (1985)
[2]  
Axt JC, Longitudinal study of postoperative astigmatism, J Cataract Refract Surg, 13, pp. 381-388, (1987)
[3]  
Rowsey JJ, Ten caveats in keratorefractive surgery, Ophthalmology, 90, pp. 148-155, (1983)
[4]  
Maltzman BA, Cinotti DJ, Horan CA, Rengel AM, Posterior chamber implants and postoperative refractive astigmatism, CLAO J, 9, pp. 229-231, (1983)
[5]  
Masket S, Temporal incision for astigmatic control in secondary implantation, J Cataract Refract Surg, 12, pp. 179-181, (1986)
[6]  
Cravy TV, Routine use of a lateral approach to cataract extraction to achieve rapid and sustained stabilization of postoperative astigmatism, J Cataract Refract Surg, 17, pp. 415-423, (1991)
[7]  
Nordan LT, Maxwell WA, Refractive surgery and informed consent: Radial keratotomy with small optical zone hexagonal keratotomy, J Cataract Refract Surg, 18, pp. 420-421, (1992)
[8]  
Agapitos PJ, Lindstrom RL, Williams PA, Sanders DR, Analysis of astigmatic keratotomy, J Cataract Refract Surg, 15, pp. 13-18, (1989)