Jin Da Wang

Beijing Tongren Hospital

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Jing Shang Zhang

Beijing Tongren Hospital

Xiu Hua Wan

Beijing Tongren Hospital

Ying Xiong

Beijing Tongren Hospital

Jing Li

Chinese Academy of Medical Sciences & Peking Union Medical College

Mayinuer Yusufu

University of Melbourne

Qi Sheng You

Kresge Eye Institute

Xiu Sun

Beijing Ditan Hospital

Xiao Xia Li

Capital Medical University

Kai Cao

Capital Medical University

Gu Zhu

QIMR Berghofer Medical Research Institute

Cooperative Institutions

Capital Medical University

Beijing Tongren Hospital

Chinese PLA General Hospital

Beijing Institute of Neurosurgery

Institute of Ophthalmology

Tongren Hospital

Chinese Academy of Medical Sciences & Peking Union Medical College

Singapore Eye Research Institute

Chinese Academy of Sciences

Singapore National Eye Center

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The effect of retaining intact posterior capsule in congenital cataract surgery in children aged 4–8 years

BMC Ophthalmology (2021)

Jing Shang Zhang Jin Da Wang Mayinuer Yusufu Kai Cao Shan Jin

Abstract Background The present study sought to observe the effect of retaining intact posterior capsule in congenital cataract surgery in children aged 4–8 years. Methods This is a retrospective case control study. Seventy-seven children (130 eyes) aged from 4 to 8 years who underwent cataract surgery were divided into two groups. In Group A, 50 eyes underwent phacoemulsification, intraocular lens implantation and posterior capsule capsulotomy combined with anterior vitrectomy. In Group B, 80 eyes underwent cataract phacoemulsification and intraocular lens implantation. The postoperative visual acuity and the rate of complications were compared. Results In all patients, cataract surgeries were performed evenly without intraoperative complications. The follow-up time ranged from 6 months to 42 months. No apparent visual axis opacity was detected in group A during the follow-up. By the last visit, apparent visual axis opacity was detected in 31 eyes (38.75%) in group B. Among them, 9 eyes (29.03%) with mild posterior capsule opacification (PCO) were treated with Nd:YAG laser, 3 eyes (9.68%) with thick proliferative membranes were treated with posterior capsule capsulotomy combined with anterior vitrectomy and proliferative membranes in 19 eyes (61.29%) were completely aspired and the posterior capsule was retained. During follow-up, only 2 (6.45%) eyes had PCO recurrence and were treated with Nd:YAG laser. The visual acuity was significantly higher than that before surgery in all patients. Conclusions For older children, the incidence of PCO will be low even if intact posterior capsule is retained. Either Nd:YAG laser or surgical treatment for PCO will be able to maintain good vision.

Posterior Capsulotomy

Capsule

Posterior Capsule Opacification

10.1186/s12886-021-02098-9

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Citations (7)

The Association Between Ocular Biometric Parameters and the Three Novel Primary Angle Closure Glaucoma (PACG) Susceptibility Loci

Monisha E. Nongpiur Chiea Chuen Khor Liang Xu Jost Jonas Jin Da Wang

Angle-closure glaucoma

Closure (psychology)

Association (psychology)

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The Association of Myopia Progression with Changes in Retinal Thickness among Primary School Students with Myopia

Journal of Ophthalmology (2024)

Jing Shang Zhang Jing Li Jin Da Wang Ying Xiong Kai Cao

To observe the relationship between myopia progression and changes in retinal thickness during one year of follow-up among primary school children.

Association (psychology)

10.1155/2024/1055700

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Outcomes of Phacoemulsification Using Different Size of Clear Corneal Incision in Eyes with Previous Radial Keratotomy

PLoS ONE (2016)

Jing Shang Zhang Xue Liu Jin Da Wang Ying Xiong Jing Li

To evaluate visual outcomes and complications after phacoemulsification in eyes with cataract and previous radial keratotomy (RK) cuts using different sizes of clear corneal incisions.The study was a retrospective study. Thirty eyes with cataract and previous RK underwent phacoemulsification and intraocular lens (IOL) implantation. Among them 7 eyes had 8 RK cuts, 13 eyes had 12 RK cuts, and 10 eyes had 16 RK cuts. Phacoemulsification and IOL implantation were performed through a 2.0-3.2 mm clear corneal incision by a single surgeon. In the 8 RK cuts group, 3.2 mm clear corneal incisions were used in 4 eyes, and 3.0 mm clear corneal incisions were used in 3 eyes. In the 12 RK cuts group, 3.2 mm clear corneal incisions were used in 6 eyes, and 2.2 mm clear corneal incisions were used in 7 eyes. In the 16 RK cuts group, 3.2 mm clear corneal incisions were used in 5 eyes, and 2.0 mm clear corneal incisions were used in 5 eyes. Patients were followed up 1 day, 1 week, 1 month, 3 months, 6 months, 1 year, 2 years, and 3 years postoperatively and were examined for the dehiscence of RK cuts during or after the surgery, post-operative best-corrected visual acuity (BCVA), corneal astigmatism, corneal endothelial cell density and complications.Successful phacoemulsification with IOL implantation was performed in all eyes. No wound dehiscence was noted in any eyes with 8 or 12 RK cuts. Wound dehiscence was noted in 2 eyes with 16 RK cuts. The dehiscence of RK cuts was closed successfully by injecting an air bubble with or without viscoelastic agent into the anterior chamber at the end of surgery. During the follow-up, the cuts were well apposed in all eyes, and no new dehiscence of RK cuts was noted. At the last follow-up, mean BCVA (0.2 ± 0.18 logMAR) was better than preoperative BCVA(0.45±0.19 logMAR) (P < 0.001). There was no significant difference between the long-term preoperative and postoperative mean corneal astigmatism (P = 0.3). However, there was a significant reduction in postoperative corneal endothelial cell density (1866.5±773.9 / mm2 vs 2421.7±655.7 / mm2) (P < 0.001).Phacoemulsification and IOL implantation with clear corneal incisions in eyes with previous RK were associated with good surgical outcomes. Wound dehiscence was not specificaly related to the size of clear corneal incision during phacoemulsification in these eyes.

Radial keratotomy

Astigmatism

10.1371/journal.pone.0165474

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Congenital aniridia with cataract: case series

BMC Ophthalmology (2017)

Jin Da Wang Jing Shang Zhang Ying Xiong Jing Li Xiao Xia Li

This study evaluates patients with congenital aniridia and cataract who underwent phacoemulsification, capsular tension ring placement, and foldable intraocular lens implantation.In this prospective case series, 10 patients (17 eyes) underwent cataract surgery via a 3.2 mm clear corneal incision. A continuous circular capsulorhexis with <6 mm diameter was employed. A capsular tension ring and HOYA yellow foldable posterior chamber intraocular lens was implanted. All patients wore color contact lenses postoperatively. Paired t test was used to compare visual acuity, intraocular pressure, and corneal endothelial changes before and after surgery.A single surgeon performed all surgeries. The best-corrected visual acuity improved from value 1.03 ± 0.27LogMAR preoperatively to value 0.78 ± 0.26LogMAR postoperatively (p = 0.000). The photophobic symptoms improved significantly after surgery. The mean corneal endothelial cell density before and after surgery was 3280 ± 473 cells/mm2 and 2669 ± 850 cells/mm2, respectively (p = 0.006). None of the patients developed corneal endothelial decompensation or secondary glaucoma after surgery.Treatment of congenital aniridia and coexistent cataract by phacoemulsification, posterior chamber foldable lens implantation, capsular tension ring placement was safe and effective. Use of colored contact lenses in the postoperative period can reduce photophobic symptoms in this group of patients.ChiCTR-OOC-17011638 (retrospectively registered at 12,June,2017).

Aniridia

10.1186/s12886-017-0503-6

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The effect of OASIS iris expander in phacoemulsification surgery of cataract with small pupil

Investigative Ophthalmology & Visual Science (2018)

Jing Shang Zhang Jin Da Wang Xiu Hua Wan

IRIS (biosensor)

Pupil size

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Five-Year Incidence of Age-Related Cataract and Cataract Surgery in the Adult Population of Greater Beijing

Ophthalmology (2010)

Jing Shang Zhang Liang Xu Ya Xing Wang Qi Sheng You Jin Da Wang

10.1016/j.ophtha.2010.08.021

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Citations (50)

Effect of Lens Capsular Tension Ring on Preventing Capsular Contraction Syndrome in the Surgery of Retinitis Pigmentosa Combined with Cataract: Retrospective Case Series

Authorea (Authorea) (2020)

Chang Xi Chen Jin Da Wang Jing Shang Zhang Ying Xiong Jing Li

PURPOSE: To observe the effect of phacoemulsification and intraocular lens (IOL) implantation with or without lens capsular tension ring (CTR) on retinitis pigmentosa (RP) combined with cataract patients. DESIGN: Retrospective cases series study. METHODS: 63cases (84 eyes) of RP with cataract were collected including 30 males and 33 females. Phacoemulsification with 3.0mm clear corneal incision was performed in all the patients. IOL+CTR implantation was performed in 44 eyes, and only IOL implantation was performed in 40 eyes. All cases were followed up at 1 week and 1, 3, 6 months after the surgery to compare the best corrected visual acuity (BCVA), intraocular pressure (IOP), corneal endothelial cell count and complications before and after the surgery. RESULTS: all surgery were successfully completed by the same physician, and IOL and CTR were all implanted in capsule without complications. The BCVA at 6 months after surgery was 0.91±0.88 LogMAR. It improved a little compared with the BCVA(1.3±0.7LogMAR) before surgery and there was a signifcant difference in statistic(P=0.003). Four cases of capsule contraction syndrome(CCS) occurred in no CTR implantation group and there was no CCS in CTR group. There was signifcant difference in statistic about the incidence of CCS between two groups(P=0.047). CONCLUSIONS: Phacoemulsification for RP combined with cataract is safe and reliable, and CTR implantation is helpful to reduce the complications caused by capsule contraction.

10.22541/au.159284900.06066124

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Advisability of primary intraocular lens implantation for infants under 2: A systematic review and meta-analysis

Authorea (Authorea) (2020)

Shanshan Jin Jing Shang Zhang Jin Da Wang Yusufu Mayinuer Kai Cao

Purposes: The present meta-analysis compared the postoperative visual performance of primary intraocular lens (IOL) implantation and primary aphakia in cataract infants. Methods: We performed a systematic literature search in PubMed, EMBASE and Science Direct. Postoperative visual acuity (VA) and complications were extracted and pooled. Results: Four randomized controlled trails (RCTs) and seven retrospective studies were included. The postoperative VA in primary IOL group was better than that in primary aphakia group [MD=-0.12, 95% CI: (-0.19, -0.05), p=0.91]. There was no significant difference in the incidence of glaucoma, retinal detachment and nystagmus between primary IOL group and primary aphakia group [OR=1.27, 95% CI: (0.79, 2.05), p=0.84 for glaucoma; OR=0.49, 95%CI: (0.07, 3.30), p=0.34 for retinal detachment;; OR=1.11, 95%CI: (0.62, 1.98), p=0.73 for nystagmus]. Analysis of unilateral subgroup indicated there were fewer infants with strabismus in primary IOL group compared with primary aphakia group [OR=0.40, 95% CI: (0.21, 0.79), p=0.46]. The primary IOL group needed more visual axis opacification (VAO) clearing than primary aphakia group [OR=9.33, 95%CI: (5.21, 16.73), p=0.27]. Conclusion: Primary IOL implantation provided more visual benefits. IOL implantation may decrease the incidence of strabismus in comparison with primary aphakia in unilateral subgroup. However, these advantages could be offset by a higher VAO clearing surgery.

Aphakia

Subgroup analysis

10.22541/au.159986383.36511336

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Citations (1)

Five-Year Incidence of Age-related Macular Degeneration

Ophthalmology (2012)

Qi Sheng You Liang Xu Hua Yang Yi Bin Li Shuang Wang

10.1016/j.ophtha.2012.06.043

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Citations (73)