JCRS Table of Contents: December 1998

December 1998 Subscription Information Volume 24, Number 12

From the Editor: Reporting astigmatism data; Douglas D. Koch, MD

Guest Editorial: Simplicity and complexity in topical anesthesia for cataract surgery; Charles Claoué, MA, MD, FRCS, FRCOphth

Letters: Assessment of surgically induced astigmatism: Toward an international standard; Michael Goggin, FRCSI (Ophth), Konrad Pesudovs, FAAO; Format for reporting surgically induced astigmatism on aggregate data; Kristian Naeser, MD; Assessment of surgically induced astigmatism: Toward an international standard II; Michael Goggin, FRCSI (Ophth), Konrad Pesudovs, FAAO

Consultation Section: Cataract Surgical Problem, edited by Samuel Masket, MD; After neodymium:YAG capsulotomy and piggyback lens implantation to correct anisometropia and glare phenomena in a 38-year-old man, the entoptic phenomena persisted or worsened. A visually significant axial posterior subcapsular cataract was also present in the fellow eye. How would you manage this problem?; H. Burkhard Dick, MD, Norbert Pfeiffer, MD, Omar F. Almallah, MD, Ken Hayashi, MD, Thomas Neuhann, MD, Joel K. Shugar, MD, MSEE, Ehud I. Assia, MD, Jack T. Holladay, MD, MSEE, Stephen S. Lane, MD, James P. Gills, MD, J.L. Gayton, MD

Techniques: Simplified anesthesia technique for scleral tunnel phacoemulsification; Thomas John, MD

Articles: Relative strength of photodynamic biologic tissue glue in penetrating keratoplasty in cadaver eyes; Kenneth M. Goins, MD, John Khadem, MD, MPH, Parag A. Majmudar, MD; In a human cadaver eye model, a tissue adhesive created tensile strength in PKP wounds that was comparable to that created by sutures.
: Changes in corneal epithelial barrier function after excimer laser photorefractive keratectomy; Ji Young Kim, MD, Jun Ho Heo, MD, Sung Jae Park, MD, Yong Suk Choi, MD, Won Ryang Wee, MD, Jin Hak Lee, MD; Increased permeability of the corneal epithelial barrier occurred after PRK. Care should be taken to minimize further epithelial trauma for 2 weeks postoperatively.; Corneal hydration and central islands after excimer laser photorefractive keratectomy; Tetsuro Oshika, MD, Stephen D. Klyce, PhD, Michael K. Smolek, PhD, Marguerite B. McDonald, MD; Because of uneven corneal surface hydration during excimer laser PRK, incident laser light is reflected and absorbed, resulting in central island formation.; Three year results of photoastigmatic refractive keratectomy for mild and atypical keratoconus; Israel Kremer, MD, Yoram Shochot, MD, Audry Kaplan MD, Michael Blumenthal, MD; Three years after PARK in 8 eyes with stable mild keratoconus, the cylinder was partially reduced and uncorrected visual acuity improved except in 1 eye in which keratoconus progressed.; Interface inflammation after laser in situ keratomileusis Sands of the Sahara syndrome; Stephen C. Kaufman, MD, PhD, Dmitri Y. Maitchouk, MD, Auguste G.Y. Chiou, MD, Roger W. Beuerman, PhD; Post-LASIK interface inflammation may be totally or in part due to sterile debris on the keratome blade. In this study of a rabbit model, cleaning the blade reduced the interface debris.; Preoperative measurement of scotopic pupil dilation using an office pupillometer; Michael Colvard, MD; Use of a light-amplification pupillometer can help surgeons evaluate scotopic pupillary response in refractive surgery candidates.; Aqueous humor lidocaine concentrations in topical and intracameral anesthesia
Anders Behndig, MD, Christina Lindén, MD; Aqueous humor concentrations of lidocaine were 3 times higher after 6 drops were administered than after 3 drops and 250 times higher after intracameral injection.; Topical tetracaine versus topical tetracaine plus intracameral lidocaine for cataract surgery; Noel S. Carino, MD, Allan R. Slomovic, MD, MA, FRCS(C), Frances Chung, MD, FRCP(C), Arie L. Marcovich, MD; Use of intracameral lidocaine 1% for phacoemulsification decreased patients' subjective pain and increased surgeon satisfaction.; Pain in scleral pocket incision cataract surgery using topical 1609 and peribulbar anesthesia; Pekka Virtanen, MD, Teija Huha, MD; Cataract surgery with a scleral pocket incision can be safely performed with topical oxybuprocaine anesthesia without producing more pain or discomfort for the patient than with peribulbar anesthesia.; Inhibition of posterior capsule opacification with an immunotoxin specific for lens epithelial cells: 24 month clinical results 1614; Donald S. Clark, PhD, Jared M. Emery, MD, Mark F. Munsell, MS; A new immunotoxin (MDX-RA) was well tolerated and highly effective in reducing PCO for up to 24 months after cataract surgery.; Mathematical model to predict the need for neodymium:YAG capsulotomy based on posterior capsule opacification rate; Donald S. Clark, PhD, Mark F. Munsell, MS, Jared M. Emery, MD; A mathematical model was developed to predict the need for Nd:YAG capsulotomy based on the rate of early PCO development.; Comparison of methods to assess visual impairment from glare and light scattering with posterior capsule opacification; James C.H. Tan, MBBS, David J. Spalton, FRCOphth, Geoffrey B. Arden, PhD; Visual function in eyes with PCO was effectively assessed by combining visual acuity and glare measurements.; Reproducibility of posterior capsule opacification measurement using Scheimpflug videophotography; Ken Hayashi, MD, Hideyuki Hayashi, MD, Fuminori Nakao, MD, Fumihiko Hayashi, MD; Reproducibility of PCO measurements with the Scheimpflug videophotography system was excellent and suggests that his method would be useful for research and clinical management.; Surgically induced astigmatism with superior and temporal incisions in cases 1636 of with-the-rule preoperative astigmatism; Stan J. Roman, MD, François X. Auclin, MD, Didier A. Chong-Sit, MD, Martine M. Ullern, MD; In a prospective study of 3 incisions, SIA was higher and UCVA poorer in eyes with a superior corneal incision than in those with a superior scleral or temporal corneal incision.; Long-term course of surgically induced astigmatism after a 5.0 mm sclerocorneal valve incision; Georg Rainer, MD, Clemens Vass, MD, Rupert Menapace, MD, Panos Papapanos, MD, Karin Strenn, MD, Oliver Findl, MD; Five years after cataract surgery with a 5.0 mm superior sclerocorneal valve incision and PMMA IOL implantation, a small but statistically significant amount of SIA was present.; Two year follow-up of astigmatism after phacoemulsification with adjusted and unadjusted sutured versus sutureless 5.2 mm superior scleral incisions; Niels Lyhne, MD, Leif Corydon, MD; In this 2 year follow-up, astigmatism changes after phacoemulsification using adjusted and unadjusted sutured versus sutureless 5.2 mm superior scleral incisions were compared.; Position of poly(methyl methacrylate) and silicone intraocular lenses after phacoemulsification; Meng-Chi Wang, MD, Lin-Chung Woung, MD, DMsc, Chao-Yu Hu, MD, Han-Chin Kuo, MD; Six months after cataract extraction and IOL implantation, there was no statistical difference between PMMA and silicone IOLs in the amount of tilt and decentration.; Combined topical-peribulbar anesthesia for cataract surgery; Kulin Kothari, MS, Jugal Shah, MS, Manish Shah, MS, Madhavi Gaonkar, MS, Mukesh Daftary, MD; Low-volume peribulbar anesthesia supplemented by topical anesthesia provided effective anesthesia during phacoemulsification. This method has the advantages of topical anesthesia but decreases the risks.

Case Reports: Cataract formation after posterior chamber phakic intraocular lens implantation; Fernando Trindade, MD, Frederico Pereira, MD

Continuing Medical Education
CME Coordinator: David E. Silverstone, MD
Ophthalmologists who read the Journal of Cataract & Refractive Surgery can now earn 5CME credits in Category 1 of the Physician's Recognition Award of the American Medical Association. Questions have been developed for five articles in this issue, marked with a symbol () in the table of contents. Detailed instructions and a copy of the CME quiz can be obtained from the ASCRS web site (http://www.ascrs.org/publications/jcrs/cmeinfo.html) or ASCRS Fax-on-Demand (800-701-7643).