{"_buckets": {"deposit": "8796324c-55f3-4e8d-9d14-0d6eea3bd7cc"}, "_deposit": {"id": "39023", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "39023"}, "status": "published"}, "_oai": {"id": "oai:tsukuba.repo.nii.ac.jp:00039023"}, "item_5_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2016-07", "bibliographicIssueDateType": "Issued"}, "bibliographicPageStart": "95", "bibliographicVolumeNumber": "16", "bibliographic_titles": [{"bibliographic_title": "BMC ophthalmology"}]}]}, "item_5_creator_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u4e94\u6240, \u6b63\u5f66"}], "nameIdentifiers": [{"nameIdentifier": "204282", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "70701019", "nameIdentifierScheme": "e-Rad", "nameIdentifierURI": "https://nrid.nii.ac.jp/ja/nrid/1000070701019"}, {"nameIdentifier": "0000003653", "nameIdentifierScheme": "\u7b51\u6ce2\u5927\u5b66\u7814\u7a76\u8005\u7dcf\u89a7", "nameIdentifierURI": "http://trios.tsukuba.ac.jp/researcher/0000003653"}]}]}, "item_5_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Background\nPtosis incidence following cataract surgery is reduced with a recently developed phacoemulsification technique using a small incision. However, it remains uncertain whether an upper transconjunctival sclerocorneal incision can cause minor blepharoptosis. In the present prospective study, patients underwent cataract surgery with either an upper or temporal 2.4-mm transconjunctival sclerocorneal incision. We measured the marginal reflex distance 1 (MRD1) preoperatively and postoperatively, and compared these measurements between the two different incision types. Further we explored the risk factors of the postoperative MRD1 reduction.\nMethods\nThe study population included patients who underwent cataract surgery on both eyes at Aichi Medical University between October 2013 and September 2015. In each patient, one eye was operated using an upper 2.4-mm transconjunctival sclerocorneal incision, and the other with a temporal incision. We prespecified that an MRD1 difference of \u22650.5 mm between the pre- and post-surgical measurements indicated postoperative ptosis, which was a strict criterion. MRD1 was measured using digital photography, and we calculated the difference between the preoperative and postoperative MRD1 values. This change in MRD1 was compared between the groups with different incision locations. The change in MRD1 was analyzed by using the multivariate regression model including incision position (temporal or upper), preoperative MRD1, and preoperative distance between medial and lateral canthi.\nResults\nWe assessed data from a total of 34 patients. The mean change in MRD1 from pre-operation to post-operation measurements was \u22120.26\u2009\u00b1\u20090.93 with the temporal incision and \u22120.24\u2009\u00b1\u20090.86 with the upper incision. The mean difference in the change in MRD1 between the different two incision types was \u22120.02, with a 95 % CI of \u22120.24 to 0.20, establishing equivalence between these incision types. The multivariate regression analysis showed that the preoperative MRD1 was significantly associated with the reduction of MRD1 after surgery (p\u2009=\u20090.034).\nConclusions\nCataract surgery using upper and temporal 2.4-mm transconjunctival sclerocorneal incisions are clinically equivalent with regards to change in MRD1, and neither incision type caused critical postoperative ptosis. The longer preoperative MRD1 was significantly associated with the reduction of MRD1 after surgery.", "subitem_description_type": "Abstract"}]}, "item_5_publisher_27": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "BioMed Central"}]}, "item_5_relation_10": {"attribute_name": "PubMed\u756a\u53f7", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "27387207", "subitem_relation_type_select": "PMID"}}]}, "item_5_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1186/s12886-016-0286-1", "subitem_relation_type_select": "DOI"}}]}, "item_5_rights_12": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "\u00a9 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated."}]}, "item_5_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_5_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1471-2415", "subitem_source_identifier_type": "ISSN"}]}, "item_5_source_id_9": {"attribute_name": "\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA12035369", "subitem_source_identifier_type": "NCID"}]}, "item_5_subject_20": {"attribute_name": "NII\u30b5\u30d6\u30b8\u30a7\u30af\u30c8", "attribute_value_mlt": [{"subitem_subject": "\u533b\u5b66", "subitem_subject_scheme": "Other"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Tamaki, Rikiya"}], "nameIdentifiers": [{"nameIdentifier": "141566", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Gosho, Masahiko"}], "nameIdentifiers": [{"nameIdentifier": "141567", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mizumoto, Kyoichi"}], "nameIdentifiers": [{"nameIdentifier": "141568", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kato, Nahoko"}], "nameIdentifiers": [{"nameIdentifier": "141569", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Zako, Masahiro"}], "nameIdentifiers": [{"nameIdentifier": "141570", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2016-08-25"}], "displaytype": "detail", "download_preview_message": "", "filename": "BMC-O_16-95.pdf", "filesize": [{"value": "761.9 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_6", "mimetype": "application/pdf", "size": 7619000, "url": {"label": "BMC-O_16-95", "url": "https://tsukuba.repo.nii.ac.jp/record/39023/files/BMC-O_16-95.pdf"}, "version_id": "349ab800-5ebb-462e-9ae5-7f0dae409c4b"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Influence of upper and temporal transconjunctival sclerocorneal incision on marginal reflex distance after cataract surgery", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "Influence of upper and temporal transconjunctival sclerocorneal incision on marginal reflex distance after cataract surgery"}]}, "item_type_id": "5", "owner": "1", "path": ["2780/3074", "3/62/5297/3192"], "permalink_uri": "http://hdl.handle.net/2241/00143690", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_name_i18n": "\u516c\u958b\u65e5", "attribute_value": "2016-08-25"}, "publish_date": "2016-08-25", "publish_status": "0", "recid": "39023", "relation": {}, "relation_version_is_last": true, "title": ["Influence of upper and temporal transconjunctival sclerocorneal incision on marginal reflex distance after cataract surgery"], "weko_shared_id": 5}