Intraocular lens implantation for patients with coloboma of the iris
Identifieur interne : 003068 ( Ncbi/Curation ); précédent : 003067; suivant : 003069Intraocular lens implantation for patients with coloboma of the iris
Auteurs : Juanjuan Li [République populaire de Chine] ; Yan Li [République populaire de Chine] ; Zhulin Hu [République populaire de Chine] ; Lei Kong [République populaire de Chine]Source :
- Experimental and Therapeutic Medicine [ 1792-0981 ] ; 2014.
Abstract
The aim of this study was to analyze the techniques for intraocular lens (IOL) implantation in patients with coloboma of the iris. A retrospective cohort study was used to analyze the degree of iris coloboma and the characteristics of the crystalline lens in 56 patients with iris coloboma. The patients with a lesser degree of coloboma of the iris and an intact lens capsule were treated by iris suture and IOL implantation into the posterior chamber. Patients with an iris coloboma confined to one quadrant, severe iris atrophy and significant lens capsule coloboma were treated with an annular suture at the edge of the pupil and IOL implantation into the anterior chamber. Patients with a greater degree of iris coloboma and an intact lens capsule were treated with an artificial iris and IOL implantation. The patients were followed up for between five months and five years after surgery. Data relating to vision, photophobia, IOL location, postoperative complications and treatment were also obtained at follow-up. The vision of the patients was improved to varying degrees following the surgery, with the exception of those with amblyopia or serious corneal scars. The photophobia of the patients had also improved. The patients’ levels of satisfaction and comfort were deemed to be satisfactory. Early postoperative complications included hyphema, increased intraocular pressure and uveitis. However, serious complications such as corneal decompensation and IOL dislocation were not observed. Various techniques for IOL implantation were selected based on the degree of iris and lens capsule coloboma; these techniques were capable of improving the vision and photophobia of the patients.
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DOI: 10.3892/etm.2014.1615
PubMed: 24926350
PubMed Central: 4043619
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China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021</wicri:regionArea><wicri:noRegion>Yunnan 650021</wicri:noRegion></affiliation></author><author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name><affiliation wicri:level="1"><nlm:aff id="af2-etm-07-06-1595">Department of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021, P.R. 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China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021</wicri:regionArea><wicri:noRegion>Yunnan 650021</wicri:noRegion></affiliation></author><author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name><affiliation wicri:level="1"><nlm:aff id="af2-etm-07-06-1595">Department of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021</wicri:regionArea><wicri:noRegion>Yunnan 650021</wicri:noRegion></affiliation></author><author><name sortKey="Hu, Zhulin" sort="Hu, Zhulin" uniqKey="Hu Z" first="Zhulin" last="Hu">Zhulin Hu</name><affiliation wicri:level="1"><nlm:aff id="af1-etm-07-06-1595">Department of Ophthalmology, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021</wicri:regionArea><wicri:noRegion>Yunnan 650021</wicri:noRegion></affiliation></author><author><name sortKey="Kong, Lei" sort="Kong, Lei" uniqKey="Kong L" first="Lei" last="Kong">Lei Kong</name><affiliation wicri:level="1"><nlm:aff id="af1-etm-07-06-1595">Department of Ophthalmology, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Ophthalmology, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650021</wicri:regionArea><wicri:noRegion>Yunnan 650021</wicri:noRegion></affiliation></author></analytic><series><title level="j">Experimental and Therapeutic Medicine</title><idno type="ISSN">1792-0981</idno><idno type="eISSN">1792-1015</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study was to analyze the techniques for intraocular lens (IOL) implantation in patients with coloboma of the iris. A retrospective cohort study was used to analyze the degree of iris coloboma and the characteristics of the crystalline lens in 56 patients with iris coloboma. The patients with a lesser degree of coloboma of the iris and an intact lens capsule were treated by iris suture and IOL implantation into the posterior chamber. Patients with an iris coloboma confined to one quadrant, severe iris atrophy and significant lens capsule coloboma were treated with an annular suture at the edge of the pupil and IOL implantation into the anterior chamber. Patients with a greater degree of iris coloboma and an intact lens capsule were treated with an artificial iris and IOL implantation. The patients were followed up for between five months and five years after surgery. Data relating to vision, photophobia, IOL location, postoperative complications and treatment were also obtained at follow-up. The vision of the patients was improved to varying degrees following the surgery, with the exception of those with amblyopia or serious corneal scars. The photophobia of the patients had also improved. The patients’ levels of satisfaction and comfort were deemed to be satisfactory. Early postoperative complications included hyphema, increased intraocular pressure and uveitis. However, serious complications such as corneal decompensation and IOL dislocation were not observed. Various techniques for IOL implantation were selected based on the degree of iris and lens capsule coloboma; these techniques were capable of improving the vision and photophobia of the patients.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Eagle, Rc" uniqKey="Eagle R">RC Eagle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beekhuis, Wh" uniqKey="Beekhuis W">WH Beekhuis</name></author><author><name sortKey="Drost, Nh" uniqKey="Drost N">NH Drost</name></author><author><name sortKey="Van Der Velden Samderubun, Em" uniqKey="Van Der Velden Samderubun E">EM van der Velden/Samderubun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Palacz, O" uniqKey="Palacz O">O Palacz</name></author><author><name sortKey="Lubi Ski, W" uniqKey="Lubi Ski W">W Lubiński</name></author><author><name sortKey="Barnyk, K" uniqKey="Barnyk K">K 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