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Cataract Extraction

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1. Manual small incision cataract surgery (MSICS) with posterior chamber intraocular lens versus extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens for age-related cataract. (PubMed)

Manual small incision cataract surgery (MSICS) with posterior chamber intraocular lens versus extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens for age-related cataract. Age-related cataract is the opacification of the lens, which occurs as a result of denaturation of lens proteins. Age-related cataract remains the leading cause of blindness globally, except in the most developed countries. A key question is what is the best way of removing the lens, especially (...) in lower income settings.To compare two different techniques of lens removal in cataract surgery: manual small incision surgery (MSICS) and extracapsular cataract extraction (ECCE).We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (2014, Issue 8), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to September 2014), EMBASE (January 1980 to September 2014), Latin American and Caribbean Health

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2014 Cochrane

2. Multifocal versus monofocal intraocular lenses after cataract extraction. (PubMed)

Multifocal versus monofocal intraocular lenses after cataract extraction. Good unaided distance visual acuity (VA) is now a realistic expectation following cataract surgery and intraocular lens (IOL) implantation. Near vision, however, still requires additional refractive power, usually in the form of reading glasses. Multiple optic (multifocal) IOLs are available which claim to allow good vision at a range of distances. It is unclear whether this benefit outweighs the optical compromises

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2016 Cochrane

3. Phacoemulsification with posterior chamber intraocular lens versus extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens for age-related cataract. (PubMed)

Phacoemulsification with posterior chamber intraocular lens versus extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens for age-related cataract. Age-related cataract is one of the leading causes of blindness worldwide. Therefore, it is important to establish the most effective surgical technique for cataract surgery.The aim of this review is to examine the effects of two types of cataract surgery for age-related cataract: phacoemulsification and extracapsular (...) cataract extraction (ECCE).We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library 2013, Issue 4), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to May 2013), EMBASE (January 1980 to May 2013), Latin American and Caribbean Literature on Health Sciences (LILACS) (January 1982 to May 2013), Web of Science Conference Proceedings Citation Index - Science (CPCI-S) (January 1970

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2014 Cochrane

4. Risk factors for refractive error after cataract surgery: Analysis of 282 811 cataract extractions reported to the European Registry of Quality Outcomes for cataract and refractive surgery. (PubMed)

Risk factors for refractive error after cataract surgery: Analysis of 282 811 cataract extractions reported to the European Registry of Quality Outcomes for cataract and refractive surgery. To analyze risk factors for refractive error after cataract surgery and provide a benchmark for refractive outcomes after standard cataract surgery.One hundred cataract surgery clinics from 12 European countries.Multicenter database study.Data on consecutive cataract extractions reported to the European (...) complications were in varying degrees related to a postoperative refractive error.Several risk factors (poor preoperative CDVA, ocular comorbidity, and previous eye surgery) were related to poor refractive outcomes after cataract extraction. When these risk factors are present, care should be taken with the preoperative examination and choice of IOL to avoid a refractive surprise. The average outcomes can be used as a refractive outcome benchmark.Copyright © 2018 ASCRS and ESCRS. Published by Elsevier Inc

2018 Journal of cataract and refractive surgery

5. Microbypass stent implantation with cataract extraction and endocyclophotocoagulation versus microbypass stent with cataract extraction for glaucoma. (PubMed)

Microbypass stent implantation with cataract extraction and endocyclophotocoagulation versus microbypass stent with cataract extraction for glaucoma. To compare the outcomes of combined microbypass stent implantation, cataract extraction, and endocyclophotocoagulation (ECP) with those of implantation of the same microbypass stent with concomitant cataract surgery in patients with open-angle glaucoma (OAG).Private Practice, Sioux Falls, South Dakota, USA.Retrospective consecutive case (...) series.Patients from January 2015 to August 2016 were included. The study group comprised eyes that had implantation of a microbypass stent in combination with cataract extraction and ECP. To compare outcomes, a control group of eyes with similar baseline characteristics that had implantation of a stent in combination with cataract surgery was established. Data were collected preoperatively and postoperatively at 1 day, 1 week, and 1, 3, 6, and 12 months. Data included intraocular pressure (IOP) and number

2017 Journal of cataract and refractive surgery

6. Commentary: Combined cataract extraction with a new nonvalved glaucoma drainage device in adult eyes with cataract and refractory glaucoma (PubMed)

Commentary: Combined cataract extraction with a new nonvalved glaucoma drainage device in adult eyes with cataract and refractory glaucoma 30127141 2018 08 24 2018 12 02 1998-3689 66 9 2018 09 Indian journal of ophthalmology Indian J Ophthalmol Commentary: Combined cataract extraction with a new nonvalved glaucoma drainage device in adult eyes with cataract and refractory glaucoma. 1284 10.4103/ijo.IJO_1347_18 Kumar Harsh H Department of Glaucoma, Centre for Sight, Safadarjung Enclave, New (...) Delhi, India. eng Journal Article Comment India Indian J Ophthalmol 0405376 0301-4738 IM Indian J Ophthalmol. 2018 Sep;66(9):1278-1283 30127140 Adult Cataract Cataract Extraction Drainage Glaucoma surgery Glaucoma Drainage Implants Humans Intraocular Pressure Postoperative Complications Retrospective Studies There are no conflicts of interest 2018 8 22 6 0 2018 8 22 6 0 2018 8 25 6 0 ppublish 30127141 IndianJOphthalmol_2018_66_9_1284_239330 10.4103/ijo.IJO_1347_18 PMC6113806 Indian J Ophthalmol

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2018 Indian journal of ophthalmology

7. Combined cataract extraction with a new nonvalved glaucoma drainage device in adult eyes with cataract and refractory glaucoma (PubMed)

Combined cataract extraction with a new nonvalved glaucoma drainage device in adult eyes with cataract and refractory glaucoma The purpose of the study is to report the outcomes of simultaneous cataract extraction (CE) and a new nonvalved glaucoma drainage device (GDD), Aurolab Aqueous Drainage Implant (AADI), in eyes with cataract and refractory glaucoma.This was a non-comparative, interventional, retrospective study. Consecutive patients who underwent AADI together with phacoemulsification (...) %). Total success was seen in 17 eyes (89.5%). None of the patients lost vision.Combining cataract extraction with the new non-valved Aurolab Aqueous Drainage Implant, appears to be an effective and safe technique in eyes with refractory glaucoma and cataract. Larger studies and further follow-up is recommended for such patients.

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2018 Indian journal of ophthalmology

8. Sequential pars plana vitrectomy and cataract extraction with intraocular lens implantation in patient with corneal inlay who developed retinal detachment followed by cataract. (PubMed)

Sequential pars plana vitrectomy and cataract extraction with intraocular lens implantation in patient with corneal inlay who developed retinal detachment followed by cataract. Twenty-one months after successful small-aperture corneal inlay (Kamra) implantation simultaneous with myopic laser in situ keratomileusis, a patient presented with a superior rhegmatogenous macula-involving retinal detachment. Successful pars plana vitrectomy, transscleral cryotherapy, and gas tamponade were performed (...) with the inlay in situ. Three months later, uneventful phacoemulsification and posterior chamber intraocular lens implantation were performed, also with the inlay in situ, for a visually significant cataract. Visualization of the central and peripheral retina and the anterior segment was possible in both procedures through the central aperture and around the periphery of the inlay. An indirect noncontact visualization system was helpful in the retinal surgery, and rotating the eye was helpful in both

2017 Journal of cataract and refractive surgery

9. Microarchitecture of Schlemm's Canal Before and After Cataract Extraction Surgery. (PubMed)

Microarchitecture of Schlemm's Canal Before and After Cataract Extraction Surgery. Schlemm's canal expands after cataract extraction, both in area and in volume by 25% as was measured using Enhanced-Depth Imaging Optical Coherent Tomography in patients before and one week after cataract extraction.This study aims to characterize the structural and volume changes on the microstructure of Schlemm's canal (SC) in patients before and after uneventful phacoemulsification cataract extraction (CE

2019 Journal of Glaucoma

10. Relative effectiveness assessment of Femtosecond laser-assisted cataract surgery (FLACS) compared to standard ultrasound phacoemulsification cataract surgery

Thickness CDSR Cochrane Database of Systematic Reviews CDVA Corrected Distance Visual Acuity CI Confidence interval CME Cystoid macular oedema CRD Centre for Reviews and Dissemination COI Conflicts of interests CTR Clinical Trials Register CUR Health problem and current use of the technology domain D Dioptres DALYs Disability-adjusted life years ECCE Extracapsular cataract extraction ECL Endothelial Cell Loss EFF Clinical effectiveness domain EPT Effective phacoemulsification time ETH Potential ethical (...) aspects EU European Union EUREQUO European Registry of Quality Outcomes for Cataract and Refractive Surgery FLACS Femtosecond laser-assisted cataract surgery FS Femtosecond(s) FUNCANIS Fundación Canaria de Investigación Sanitaria GBD Global Burden of Disease GÖG Gesundheit Österreich GmbH GRADE Grading of Recommendations Assessment, Development and Evaluation ICCE Intracapsular cataract extraction ICD International Classification of Diseases ICTRP International Clinical Trials Registry Platform IOL

2018 EUnetHTA

11. Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. (PubMed)

Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. 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.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).We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials

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2016 Cochrane

12. Effects of Cataract Surgery on Endothelium in Transplanted Corneal Grafts: Comparison of Extracapsular Cataract Extraction and Phacoemulsification for Complicated Cataract after Penetrating Keratoplasty (PubMed)

Effects of Cataract Surgery on Endothelium in Transplanted Corneal Grafts: Comparison of Extracapsular Cataract Extraction and Phacoemulsification for Complicated Cataract after Penetrating Keratoplasty The endothelium should be carefully evaluated when choosing a surgical technique for cataract removal. Therefore, we aimed to study the effects of different cataract surgery techniques on endothelial cell loss in transplanted corneal grafts.A total of 54 patients who received complicated (...) included in this study, extracapsular cataract extraction (ECCE) was performed in 34 eyes of 33 patients (ECCE group) whereas phacoemulsification was performed in 20 eyes of 20 patients (phacoemulsification group). There was no significant difference in the median age (P = 0.081) or preoperative ECD (P = 0.585) between the two groups. At 6 months after cataract surgery, ECD in ECCE group was significantly higher than that in phacoemulsification group (P = 0.043). In addition, the endothelial cell loss

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2016 Chinese medical journal

13. Corneal perforation in undiagnosed Sjögren’s syndrome following topical NSAID and steroid drops post routine cataract extraction (PubMed)

Corneal perforation in undiagnosed Sjögren’s syndrome following topical NSAID and steroid drops post routine cataract extraction A 74-year-old man presented with a progressive decrease in visual acuity and foreign body sensation in his right eye 8 days post uncomplicated phacoemulsification cataract surgery and intraocular lens insertion. The patient had been placed on a perioperative cataract regimen which consisted of G. Maxitrol (dexamethasone, polymyxin B sulfate, neomycin sulfate) four

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2018 BMJ case reports

14. A multicenter retrospective comparison of goniotomy versus trabecular bypass device implantation in glaucoma patients undergoing cataract extraction (PubMed)

A multicenter retrospective comparison of goniotomy versus trabecular bypass device implantation in glaucoma patients undergoing cataract extraction The aim of this study was to compare intraocular pressure (IOP) outcomes in eyes with cataract and glaucoma undergoing phacoemulsification (phaco) in combination with goniotomy using the Kahook Dual Blade (KDB) or implantation of a single iStent trabecular bypass device.Retrospective analysis of IOP and IOP-lowering medication reduction in eyes (...) compared to the phaco-iStent group (1.1 vs 0.9 medications, respectively; P=0.001). The most common adverse event was IOP spikes occurring in 12.6% of phaco-iStent eyes and 6.3% of phaco-goniotomy with KDB eyes (P=0.024).Goniotomy with the KDB combined with cataract surgery significantly lowers both IOP and the need for IOP-lowering medications compared to cataract extraction with iStent implantation in glaucomatous eyes through 6 months of postoperative follow-up.

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2018 Clinical ophthalmology (Auckland, N.Z.)

15. Visual outcome and complications of cataract extraction after pars plana vitrectomy (PubMed)

Visual outcome and complications of cataract extraction after pars plana vitrectomy To evaluate the visual outcomes and complications of phacoemulsification in previously vitrectomized eyes.A retrospective analysis of 87 consecutive vitrectomized eyes (87 patients) which had undergone phacoemulsification with intraocular lens implantation between 2013 and 2016.The mean interval from pars plana vitrectomy (PPV) to cataract surgery (CS) was 18.8 months. Mean age at CS was 61.5 years

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2018 Clinical ophthalmology (Auckland, N.Z.)

16. Anterior chamber fibrinoid syndrome after cataract extraction in a patient on ibrutinib for B-cell chronic lymphocytic leukemia: a case report and review of the literature (PubMed)

Anterior chamber fibrinoid syndrome after cataract extraction in a patient on ibrutinib for B-cell chronic lymphocytic leukemia: a case report and review of the literature Ibrutinib is a tyrosine kinase inhibitor commonly used in patients with chronic lymphocytic leukemia. Based on the published literature, it has a very sound ophthalmologic safety profile. In the following, we describe a case of anterior chamber fibrinoid syndrome in a patient on ibrutinib for B-cell chronic lymphocytic (...) leukemia after uncomplicated cataract extraction.A 75-year-old white man with B-cell chronic lymphocytic leukemia on ibrutinib therapy and without significant past ocular history presented 1 day after uncomplicated phacoemulsification with in-the-bag intraocular lens implantation with multiple, discrete, pigmented cords in the anterior chamber. His vision was 20/100 and intraocular pressure was 43 mmHg. There was no hypopyon, hyphema, or cellular reaction. The dilated fundus examination

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2018 Journal of medical case reports

17. A clinical assessment of visual performance of combining the TECNIS® Symfony Extended Range of Vision IOL (ZXR00) with the +3.25 D TECNIS Multifocal 1-piece IOL (ZLB00) in subjects undergoing bilateral cataract extraction (PubMed)

A clinical assessment of visual performance of combining the TECNIS® Symfony Extended Range of Vision IOL (ZXR00) with the +3.25 D TECNIS Multifocal 1-piece IOL (ZLB00) in subjects undergoing bilateral cataract extraction To combine the increased depth of focus of the TECNIS® Symfony intraocular lens (IOL) with a TECNIS Multifocal (MF) low-add IOL (+3.25) to enable a patient to be less dependent on corrective lenses.Clinic in Canada.Single-center, prospective, open-label.Fifty patients were

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2018 Clinical ophthalmology (Auckland, N.Z.)

18. Metabolic syndrome and some of its components in relation to risk of cataract extraction. A prospective cohort study of men. (PubMed)

Metabolic syndrome and some of its components in relation to risk of cataract extraction. A prospective cohort study of men. To evaluate the relationship between metabolic syndrome and some of its components with the incidence of cataract extraction.A population-based prospective cohort with a total of 45 049 men, aged 45-79 years, from the Cohort of Swedish Men completed in 1997 a self-administered questionnaire concerning anthropometric measurements and lifestyle factors. The men were (...) followed from 1 January 1998 through 31 December 2012, and the cohort was matched with registers of cataract extraction. The main outcome measure was incident cases of age-related cataract extraction.Over the 15-years of follow-up, 7573 incident cases of cataract extraction were identified. After controlling for potential confounders, the association between single components of metabolic syndrome, abdominal adiposity, diabetes and hypertension and risk of cataract extraction was rate ratio (RR): 1.04

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2018 Acta ophthalmologica

19. Routine preoperative medical testing for cataract surgery. (PubMed)

preoperative medical testing was compared to no preoperative or selective preoperative testing prior to age-related cataract surgery.Two review authors independently assessed abstracts to identify possible trials for inclusion. For each included study, two review authors independently documented study characteristics, extracted data, and assessed risk of bias.We identified three randomized clinical trials that compared routine preoperative medical testing versus selective or no preoperative testing (...) Routine preoperative medical testing for cataract surgery. Cataract surgery is practiced widely, and substantial resources are committed to an increasing cataract surgical rate in low- and middle-income countries. With the current volume of cataract surgery and future increases, it is critical to optimize the safety and cost-effectiveness of this procedure. Most cataracts are performed on older individuals with correspondingly high systemic and ocular comorbidities. It is likely that routine

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2019 Cochrane

20. Development of Monofixation Syndrome After Extraction of Dense Cataracts. (PubMed)

Development of Monofixation Syndrome After Extraction of Dense Cataracts. If the interruption of macular fusion for an extended period of time is the key event that results in the development of monofixation syndrome, then the decreased macular input caused by dense cataracts may cause monofixation syndrome in adults. This study was designed to test this hypothesis.The study design was a retrospective chart review that identified patients with unilateral cataracts at two southern Louisiana (...) medical centers. Patients were assigned to the dense cataract group if a unilateral cataract had been present for at least 3 months and led to a visual acuity of worse than 20/200. Patients in the control group had a unilateral cataract for more than 3 months and visual acuity better than 20/200 in the affected eye. Stereoacuity was assessed using the Titmus or Randot stereo test. A Worth 4-dot test viewed at a distance of 20 feet was used to assess the presence of a macular scotoma. The criteria

2017 Journal of pediatric ophthalmology and strabismus

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