Surgical management and outcomes of dislocated intraocular lenses
Identifieur interne : 000B88 ( Istex/Corpus ); précédent : 000B87; suivant : 000B89Surgical management and outcomes of dislocated intraocular lenses
Auteurs : Mozart O. Mello Jr. ; Ingrid U. Scott ; William E. Smiddy ; Harry W. Flynn Jr. ; William FeuerSource :
- Ophthalmology [ 0161-6420 ] ; 1999.
Abstract
Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.
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DOI: 10.1016/S0161-6420(99)00017-2
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical management and outcomes of dislocated intraocular lenses</title><author><name sortKey="Mello Jr, Mozart O" sort="Mello Jr, Mozart O" uniqKey="Mello Jr M" first="Mozart O" last="Mello Jr.">Mozart O. Mello Jr.</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Scott, Ingrid U" sort="Scott, Ingrid U" uniqKey="Scott I" first="Ingrid U" last="Scott">Ingrid U. Scott</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Smiddy, William E" sort="Smiddy, William E" uniqKey="Smiddy W" first="William E" last="Smiddy">William E. Smiddy</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Flynn Jr, Harry W" sort="Flynn Jr, Harry W" uniqKey="Flynn Jr H" first="Harry W" last="Flynn Jr.">Harry W. Flynn Jr.</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Feuer, William" sort="Feuer, William" uniqKey="Feuer W" first="William" last="Feuer">William Feuer</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1F7C01FC2A019D6E530373558319B548C64DEEA1</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1016/S0161-6420(99)00017-2</idno><idno type="url">https://api.istex.fr/document/1F7C01FC2A019D6E530373558319B548C64DEEA1/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000B88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Surgical management and outcomes of dislocated intraocular lenses</title><author><name sortKey="Mello Jr, Mozart O" sort="Mello Jr, Mozart O" uniqKey="Mello Jr M" first="Mozart O" last="Mello Jr.">Mozart O. Mello Jr.</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Scott, Ingrid U" sort="Scott, Ingrid U" uniqKey="Scott I" first="Ingrid U" last="Scott">Ingrid U. Scott</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Smiddy, William E" sort="Smiddy, William E" uniqKey="Smiddy W" first="William E" last="Smiddy">William E. Smiddy</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Flynn Jr, Harry W" sort="Flynn Jr, Harry W" uniqKey="Flynn Jr H" first="Harry W" last="Flynn Jr.">Harry W. Flynn Jr.</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Feuer, William" sort="Feuer, William" uniqKey="Feuer W" first="William" last="Feuer">William Feuer</name><affiliation><mods:affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Ophthalmology</title><title level="j" type="abbrev">OPHTHA</title><idno type="ISSN">0161-6420</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">107</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="62">62</biblScope><biblScope unit="page" to="67">67</biblScope></imprint><idno type="ISSN">0161-6420</idno></series><idno type="istex">1F7C01FC2A019D6E530373558319B548C64DEEA1</idno><idno type="DOI">10.1016/S0161-6420(99)00017-2</idno><idno type="PII">S0161-6420(99)00017-2</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0161-6420</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Mozart O Mello, Jr. MD</name><affiliations><json:string>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</json:string></affiliations></json:item><json:item><name>Ingrid U Scott MD, MPH</name><affiliations><json:string>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</json:string></affiliations></json:item><json:item><name>William E Smiddy MD</name><affiliations><json:string>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</json:string></affiliations></json:item><json:item><name>Harry W Flynn, Jr. MD</name><affiliations><json:string>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</json:string></affiliations></json:item><json:item><name>William Feuer MS</name><affiliations><json:string>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</json:string></affiliations></json:item></author><language><json:string>eng</json:string></language><abstract>Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and >20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.</abstract><qualityIndicators><score>5.697</score><pdfVersion>1.2</pdfVersion><pdfPageSize>586 x 786 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1364</abstractCharCount><pdfWordCount>3453</pdfWordCount><pdfCharCount>22378</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>187</abstractWordCount></qualityIndicators><title>Surgical management and outcomes of dislocated intraocular lenses</title><pii><json:string>S0161-6420(99)00017-2</json:string></pii><genre><json:string>research-article</json:string></genre><host><volume>107</volume><pii><json:string>S0161-6420(00)X0001-2</json:string></pii><pages><last>67</last><first>62</first></pages><issn><json:string>0161-6420</json:string></issn><issue>1</issue><genre></genre><language><json:string>unknown</json:string></language><title>Ophthalmology</title><publicationDate>2000</publicationDate></host><categories><wos><json:string>OPHTHALMOLOGY</json:string></wos></categories><publicationDate>1999</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1016/S0161-6420(99)00017-2</json:string></doi><id>1F7C01FC2A019D6E530373558319B548C64DEEA1</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/1F7C01FC2A019D6E530373558319B548C64DEEA1/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/1F7C01FC2A019D6E530373558319B548C64DEEA1/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/1F7C01FC2A019D6E530373558319B548C64DEEA1/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Surgical management and outcomes of dislocated intraocular lenses</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>American Academy of Ophthalmology, Inc., ©2000</p></availability><date>2000</date></publicationStmt><notesStmt><note>Supported in part by Research to Prevent Blindness, Inc., New York, NY.</note><note>Manuscript no. 99171.</note><note type="content">Section title: Article for CME Credit</note><note type="content">Figure 1: Patients’ visual acuities before and after management of IOL dislocation.</note><note type="content">Figure 2: A, Anterior segment photograph of a patient with a dislocated silicone three-piece IOL. B, Anterior segment photograph of the same patient as in Figure 2A with the silicone three-piece IOL repositioned into the ciliary sulcus. The VA returned to 20/20 postoperatively.</note><note type="content">Figure 3: A, Fundus photograph of a silicone place IOL resting on the surface of the retina. B, Anterior segment photograph of the same patient as in Figure 3A with the silicone plate IOL supported by residual capsule. The VA returned to 20/20 in the undilated state.</note><note type="content">Table 1: Patients with Recurrent Intraocular Lens Dislocationlegend</note><note type="content">Table 2: Patients with Postoperative Retinal Detachmentlegend</note><note type="content">Table 3: Causes of Decreased Final Visual Acuity legend</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Surgical management and outcomes of dislocated intraocular lenses</title><author><persName><forename type="first">Mozart O</forename><surname>Mello, Jr.</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation></author><author><persName><forename type="first">Ingrid U</forename><surname>Scott</surname></persName><roleName type="degree">MD, MPH</roleName><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation></author><author><persName><forename type="first">William E</forename><surname>Smiddy</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation></author><author><persName><forename type="first">Harry W</forename><surname>Flynn, Jr.</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation></author><author><persName><forename type="first">William</forename><surname>Feuer</surname></persName><roleName type="degree">MS</roleName><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation></author></analytic><monogr><title level="j">Ophthalmology</title><title level="j" type="abbrev">OPHTHA</title><idno type="pISSN">0161-6420</idno><idno type="PII">S0161-6420(00)X0001-2</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999"></date><biblScope unit="volume">107</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="62">62</biblScope><biblScope unit="page" to="67">67</biblScope></imprint></monogr><idno type="istex">1F7C01FC2A019D6E530373558319B548C64DEEA1</idno><idno type="DOI">10.1016/S0161-6420(99)00017-2</idno><idno type="PII">S0161-6420(99)00017-2</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.</p></abstract></profileDesc><revisionDesc><change when="1999-08-25">Registration</change><change when="1999">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/1F7C01FC2A019D6E530373558319B548C64DEEA1/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: ce:floats; body; tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"><istex:entity SYSTEM="gr1" NDATA="IMAGE" name="GR1"></istex:entity><istex:entity SYSTEM="gr2" NDATA="IMAGE" name="GR2"></istex:entity><istex:entity SYSTEM="gr3" NDATA="IMAGE" name="GR3"></istex:entity></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>OPHTHA</jid><aid>16</aid><ce:pii>S0161-6420(99)00017-2</ce:pii><ce:doi>10.1016/S0161-6420(99)00017-2</ce:doi><ce:copyright type="society" year="2000">American Academy of Ophthalmology, Inc.</ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>Supported in part by Research to Prevent Blindness, Inc., New York, NY.</ce:note-para></ce:article-footnote><ce:dochead><ce:textfn>Article for CME Credit</ce:textfn></ce:dochead><ce:title>Surgical management and outcomes of dislocated intraocular lenses</ce:title><ce:presented>Presented in part at the annual meeting of the American Academy of Ophthalmology, October 26, 1999, Orlando, FL.</ce:presented><ce:author-group><ce:author><ce:given-name>Mozart O</ce:given-name><ce:surname>Mello</ce:surname><ce:suffix>Jr.</ce:suffix><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Ingrid U</ce:given-name><ce:surname>Scott</ce:surname><ce:degrees>MD, MPH</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>William E</ce:given-name><ce:surname>Smiddy</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Harry W</ce:given-name><ce:surname>Flynn</ce:surname><ce:suffix>Jr.</ce:suffix><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>William</ce:given-name><ce:surname>Feuer</ce:surname><ce:degrees>MS</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</ce:textfn></ce:affiliation></ce:author-group><ce:date-received day="30" month="3" year="1999"></ce:date-received><ce:date-accepted day="25" month="8" year="1999"></ce:date-accepted><ce:miscellaneous>Manuscript no. 99171.</ce:miscellaneous><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:section-title>Objective</ce:section-title><ce:simple-para>To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).</ce:simple-para></ce:abstract-sec><ce:abstract-sec><ce:section-title>Design</ce:section-title><ce:simple-para>Retrospective consecutive noncomparative case series.</ce:simple-para></ce:abstract-sec><ce:abstract-sec><ce:section-title>Participants</ce:section-title><ce:simple-para>All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.</ce:simple-para></ce:abstract-sec><ce:abstract-sec><ce:section-title>Methods</ce:section-title><ce:simple-para>Demographic and clinical data were abstracted from patients’ medical records.</ce:simple-para></ce:abstract-sec><ce:abstract-sec><ce:section-title>Main outcome measures</ce:section-title><ce:simple-para>Visual acuity at final follow-up and surgical complications.</ce:simple-para></ce:abstract-sec><ce:abstract-sec><ce:section-title>Results</ce:section-title><ce:simple-para>The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.</ce:simple-para></ce:abstract-sec><ce:abstract-sec><ce:section-title>Conclusions</ce:section-title><ce:simple-para>Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Surgical management and outcomes of dislocated intraocular lenses</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Surgical management and outcomes of dislocated intraocular lenses</title></titleInfo><name type="personal"><namePart type="given">Mozart O</namePart><namePart type="family">Mello, Jr.</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ingrid U</namePart><namePart type="family">Scott</namePart><namePart type="termsOfAddress">MD, MPH</namePart><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">William E</namePart><namePart type="family">Smiddy</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Harry W</namePart><namePart type="family">Flynn, Jr.</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">William</namePart><namePart type="family">Feuer</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article">Full-length article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1999</dateIssued><dateValid encoding="w3cdtf">1999-08-25</dateValid><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.</abstract><note>Supported in part by Research to Prevent Blindness, Inc., New York, NY.</note><note>Manuscript no. 99171.</note><note type="content">Section title: Article for CME Credit</note><note type="content">Figure 1: Patients’ visual acuities before and after management of IOL dislocation.</note><note type="content">Figure 2: A, Anterior segment photograph of a patient with a dislocated silicone three-piece IOL. B, Anterior segment photograph of the same patient as in Figure 2A with the silicone three-piece IOL repositioned into the ciliary sulcus. The VA returned to 20/20 postoperatively.</note><note type="content">Figure 3: A, Fundus photograph of a silicone place IOL resting on the surface of the retina. B, Anterior segment photograph of the same patient as in Figure 3A with the silicone plate IOL supported by residual capsule. The VA returned to 20/20 in the undilated state.</note><note type="content">Table 1: Patients with Recurrent Intraocular Lens Dislocationlegend</note><note type="content">Table 2: Patients with Postoperative Retinal Detachmentlegend</note><note type="content">Table 3: Causes of Decreased Final Visual Acuity legend</note><relatedItem type="host"><titleInfo><title>Ophthalmology</title></titleInfo><titleInfo type="abbreviated"><title>OPHTHA</title></titleInfo><originInfo><dateIssued encoding="w3cdtf">200001</dateIssued></originInfo><identifier type="ISSN">0161-6420</identifier><identifier type="PII">S0161-6420(00)X0001-2</identifier><part><date>200001</date><detail type="volume"><number>107</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="issue pages"><start>1</start><end>220</end></extent><extent unit="pages"><start>62</start><end>67</end></extent></part></relatedItem><identifier type="istex">1F7C01FC2A019D6E530373558319B548C64DEEA1</identifier><identifier type="DOI">10.1016/S0161-6420(99)00017-2</identifier><identifier type="PII">S0161-6420(99)00017-2</identifier><recordInfo><recordOrigin>ELSEVIER</recordOrigin><recordContentSource>American Academy of Ophthalmology, Inc., ©2000</recordContentSource></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/1F7C01FC2A019D6E530373558319B548C64DEEA1/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">OPHTHALMOLOGY</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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