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INTRODUCTION Cataract is frequently associated with vitreo-retinal pathology such as vitreous hemorrhage,retinal detachment,proliferative vitreoretinal disease,espe-cially in patients with diabetes mellitus,ocular trauma and elderly population(Vatavuk and Pentz,2004;Vatavuk et al.,2005).The cataract can be removed together with vitrectomy or later on in a separate surgical procedure(Tyagi et al.,1998;Lam et al.,1998).The primary indication for the primary re-moval of cataract and vitrect… 相似文献
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Objective: To analyze the effectiveness and safety of corneal relaxing incisions (CRI) in correcting keratometric astigmatism during cataract surgery. Methods: A prospective study of two groups: control group and treatment group. A treatment group included 25 eyes of 25 patients who had combined clear corneal phacoemulsification, IOL implantation and CRI. A control group included 25 eyes of 25 patients who had clear corneal phacoemulsification and IOL implantation.Postoperative keratometric astigmatism was measured at 1 week, 1 month, 3 months and 6 months. Results: CRI significantly decreased keratometric astigmatism in patients with preexisting astigmatism compared with astigmatic changes in the control group. In eyes with CRI, the mean keratometric astigmatism was 0.29±0.17 D (range 0 to 0.5 D) at 1 week, 0.41±0.21 D (range 0 to 0.82 D) at 1 month, respectively reduced by 2.42 D and 2.30 D at 1 week and 1 month postoperatively (P=0.000, P=0.000), and postoperative astigmatism was stable until 6 months follow-up. The keratometric astigmatism of all patients decreased to less than 1.00 D postoperatively. Conclusions: CRI is a practical, simple, safe and effective method to reduce preexisting astigmatism during cataract surgery. A modified nomogram is proposed. The long-term effect of CRI should be investigated. 相似文献
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INTRODUCTION The advent of phacoemulsification, foldableintraocular lenses (IOLs), and improved incisiondesigns has decreased the incidence and extent ofsurgically induced astigmatism in cataract patients.Aproximately 15% to 20% of cataract patients,however, have more than 1.5 diopters (D) of kera-tometric astigmatism, refractive astigmatism, orboth (Hoffer, 1980). Interest in reducing preexist-ing astigmatism simultaneously with cataract sur-gery has grown in recent years. Availa… 相似文献
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