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Kataraktchirurgie bei Nanophthalmus mit einer Bulbuslänge unter 20,5 mm

Identifieur interne : 000C02 ( PascalFrancis/Curation ); précédent : 000C01; suivant : 000C03

Kataraktchirurgie bei Nanophthalmus mit einer Bulbuslänge unter 20,5 mm

Auteurs : A. Jünemann [Allemagne] ; M. Küchle [Allemagne] ; A. H Ndel [Allemagne] ; G. O. H. Naumann [Allemagne]

Source :

RBID : Pascal:98-0128006

Descripteurs français

English descriptors

Abstract

Backround Aim of this study was to analyze the results of cataract surgery in nanophthalmic eyes with axial length of less than 20.5 mm. Patients and Methods From 1991 to 1996 extracapsular cataract extraction with posterior chamber lens implantation was performed in 20 eyes of 19 patients (mean age 70.2 ± 12.7 years, 4 male, 16 female) with axial length of less than 20.5 mm. Mean preoperative visual acuity was 0.16±0.15, refractive error +5,1±3.8 dpt and intraocular pressure 18.7 ± 10.3 mm Hg. The mean follow-up was 24.4 months. Patient data were collected prospectively with standardized "Erlanger Augenblätter" and the computer-aided automatized operation record system "OPERA". These data together with the biometrical data were analized in a retrolective manner. Results Preoperatively 6 of 20 eyes had angle closure situation, 7 of 20 eyes had undergone intraocular surgery previously (5 x iridotomy, 1 x surgical iridectomy, 1 x filtration procedure). Pseudoexfoliation syndrome was present in 3 eyes. The posterior chamber lens (mean refractive power 31.7 ± 3.0 dpt, optic diameter 6.5 and 7.0 mm) was positioned d 18 x intracapsular, 2 x into the sulcus and 1 x by scleral fixation due to capsular rupture without vitreous loss. In 16 of 20 eyes iris surgery was performed additionally, in one eye an anterior sclerotomy was necessary. Intraoperatively "vis a tergo" ocurred in 10 eyes and anterior chamber hemorrhage in one eye. Visual acuity inproved in 16 of 20 eyes. The mean visual acuity was 0.3 ± 0.2. At the end of follow-up 13 eyes had an improvement of visual acuity. Mean intraocular pressure was 16.5±3.3 mmHg, refractive error was +0.47±2.9 dpt and differed by -0.49±1,8 dpt from the preoperatively calculated refraction. Postoperatively angle closure glaucoma developed in one eye, a ciliopseudophakic angle closure glaucoma and recurrent iris bombata in one eye. Reoperations included cyclokryokoagulation in two eyes, pars plana vitrectomy in one eye and repeated Nd-YAG iridotomies in one eye. Conclusion Regarding the special anatomic situation, the surgical procedure has to be planned individually, including the determination of sclera thickness, corneal diameter and lens volume/eye volume ratio.
pA  
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A08 01  1  GER  @1 Kataraktchirurgie bei Nanophthalmus mit einer Bulbuslänge unter 20,5 mm
A11 01  1    @1 JÜNEMANN (A.)
A11 02  1    @1 KÜCHLE (M.)
A11 03  1    @1 HÄNDEL (A.)
A11 04  1    @1 NAUMANN (G. O. H.)
A14 01      @1 Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg, Schwabachanlage 6 @2 91054 Erlangen @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
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A44       @0 0000 @1 © 1998 INIST-CNRS. All rights reserved.
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A61       @0 A
A64   1    @0 Klinische Monatsblätter für Augenheilkunde
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A68 01  1  ENG  @1 Cataract surgery in nanophthalmic eyes with axial length less than 20.5 mm
C01 01    ENG  @0 Backround Aim of this study was to analyze the results of cataract surgery in nanophthalmic eyes with axial length of less than 20.5 mm. Patients and Methods From 1991 to 1996 extracapsular cataract extraction with posterior chamber lens implantation was performed in 20 eyes of 19 patients (mean age 70.2 ± 12.7 years, 4 male, 16 female) with axial length of less than 20.5 mm. Mean preoperative visual acuity was 0.16±0.15, refractive error +5,1±3.8 dpt and intraocular pressure 18.7 ± 10.3 mm Hg. The mean follow-up was 24.4 months. Patient data were collected prospectively with standardized "Erlanger Augenblätter" and the computer-aided automatized operation record system "OPERA". These data together with the biometrical data were analized in a retrolective manner. Results Preoperatively 6 of 20 eyes had angle closure situation, 7 of 20 eyes had undergone intraocular surgery previously (5 x iridotomy, 1 x surgical iridectomy, 1 x filtration procedure). Pseudoexfoliation syndrome was present in 3 eyes. The posterior chamber lens (mean refractive power 31.7 ± 3.0 dpt, optic diameter 6.5 and 7.0 mm) was positioned d 18 x intracapsular, 2 x into the sulcus and 1 x by scleral fixation due to capsular rupture without vitreous loss. In 16 of 20 eyes iris surgery was performed additionally, in one eye an anterior sclerotomy was necessary. Intraoperatively "vis a tergo" ocurred in 10 eyes and anterior chamber hemorrhage in one eye. Visual acuity inproved in 16 of 20 eyes. The mean visual acuity was 0.3 ± 0.2. At the end of follow-up 13 eyes had an improvement of visual acuity. Mean intraocular pressure was 16.5±3.3 mmHg, refractive error was +0.47±2.9 dpt and differed by -0.49±1,8 dpt from the preoperatively calculated refraction. Postoperatively angle closure glaucoma developed in one eye, a ciliopseudophakic angle closure glaucoma and recurrent iris bombata in one eye. Reoperations included cyclokryokoagulation in two eyes, pars plana vitrectomy in one eye and repeated Nd-YAG iridotomies in one eye. Conclusion Regarding the special anatomic situation, the surgical procedure has to be planned individually, including the determination of sclera thickness, corneal diameter and lens volume/eye volume ratio.
C02 01  X    @0 002B25B
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C03 01  X  SPA  @0 Catarata @5 04
C03 02  X  FRE  @0 Extraction @5 07
C03 02  X  ENG  @0 Extraction @5 07
C03 02  X  SPA  @0 Extracción @5 07
C03 03  X  FRE  @0 Extracapsulaire @5 08
C03 03  X  ENG  @0 Extracapsular @5 08
C03 03  X  SPA  @0 Extracapsular @5 08
C03 04  X  FRE  @0 Lentille intraoculaire @5 10
C03 04  X  ENG  @0 Intraocular lens @5 10
C03 04  X  SPA  @0 Lente intraocular @5 10
C03 05  X  FRE  @0 Implantation @5 11
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C03 06  X  FRE  @0 Biométrie @5 13
C03 06  X  ENG  @0 Biometrics @5 13
C03 06  X  SPA  @0 Biometría @5 13
C03 07  X  FRE  @0 Oeil @5 14
C03 07  X  ENG  @0 Eye @5 14
C03 07  X  SPA  @0 Ojo @5 14
C03 08  X  FRE  @0 Traitement @5 17
C03 08  X  ENG  @0 Treatment @5 17
C03 08  X  GER  @0 Aufbereiten @5 17
C03 08  X  SPA  @0 Tratamiento @5 17
C03 09  X  FRE  @0 Homme @5 20
C03 09  X  ENG  @0 Human @5 20
C03 09  X  SPA  @0 Hombre @5 20
C03 10  X  FRE  @0 Evolution @5 23
C03 10  X  ENG  @0 Evolution @5 23
C03 10  X  SPA  @0 Evolución @5 23
C03 11  X  FRE  @0 Postopératoire @5 24
C03 11  X  ENG  @0 Postoperative @5 24
C03 11  X  SPA  @0 Postoperatorio @5 24
C03 12  X  FRE  @0 Complication @5 35
C03 12  X  ENG  @0 Complication @5 35
C03 12  X  SPA  @0 Complicación @5 35
C03 13  X  FRE  @0 Nanophtalmie @4 CD @5 96
C03 13  X  ENG  @0 Nanophthalmia @4 CD @5 96
C07 01  X  FRE  @0 Oeil pathologie @5 37
C07 01  X  ENG  @0 Eye disease @5 37
C07 01  X  SPA  @0 Ojo patología @5 37
C07 02  X  FRE  @0 Malformation @5 38
C07 02  X  ENG  @0 Malformation @5 38
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C07 03  X  FRE  @0 Maladie congénitale @5 39
C07 03  X  ENG  @0 Congenital disease @5 39
C07 03  X  SPA  @0 Enfermedad congénita @5 39
C07 04  X  FRE  @0 Cristallin pathologie @5 46
C07 04  X  ENG  @0 Lens disease @5 46
C07 04  X  SPA  @0 Cristalino patología @5 46
C07 05  X  FRE  @0 Segment antérieur pathologie @2 NM @5 47
C07 05  X  ENG  @0 Anterior segment disease @2 NM @5 47
C07 05  X  SPA  @0 Segmento anterior patología @2 NM @5 47
C07 06  X  FRE  @0 Chirurgie @5 53
C07 06  X  ENG  @0 Surgery @5 53
C07 06  X  SPA  @0 Cirugía @5 53
N21       @1 082

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<term>Extraction</term>
<term>Eye</term>
<term>Human</term>
<term>Implantation</term>
<term>Intraocular lens</term>
<term>Nanophthalmia</term>
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<term>Cataracte</term>
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<term>Implantation</term>
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<term>Evolution</term>
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<div type="abstract" xml:lang="en">Backround Aim of this study was to analyze the results of cataract surgery in nanophthalmic eyes with axial length of less than 20.5 mm. Patients and Methods From 1991 to 1996 extracapsular cataract extraction with posterior chamber lens implantation was performed in 20 eyes of 19 patients (mean age 70.2 ± 12.7 years, 4 male, 16 female) with axial length of less than 20.5 mm. Mean preoperative visual acuity was 0.16±0.15, refractive error +5,1±3.8 dpt and intraocular pressure 18.7 ± 10.3 mm Hg. The mean follow-up was 24.4 months. Patient data were collected prospectively with standardized "Erlanger Augenblätter" and the computer-aided automatized operation record system "OPERA". These data together with the biometrical data were analized in a retrolective manner. Results Preoperatively 6 of 20 eyes had angle closure situation, 7 of 20 eyes had undergone intraocular surgery previously (5 x iridotomy, 1 x surgical iridectomy, 1 x filtration procedure). Pseudoexfoliation syndrome was present in 3 eyes. The posterior chamber lens (mean refractive power 31.7 ± 3.0 dpt, optic diameter 6.5 and 7.0 mm) was positioned d 18 x intracapsular, 2 x into the sulcus and 1 x by scleral fixation due to capsular rupture without vitreous loss. In 16 of 20 eyes iris surgery was performed additionally, in one eye an anterior sclerotomy was necessary. Intraoperatively "vis a tergo" ocurred in 10 eyes and anterior chamber hemorrhage in one eye. Visual acuity inproved in 16 of 20 eyes. The mean visual acuity was 0.3 ± 0.2. At the end of follow-up 13 eyes had an improvement of visual acuity. Mean intraocular pressure was 16.5±3.3 mmHg, refractive error was +0.47±2.9 dpt and differed by -0.49±1,8 dpt from the preoperatively calculated refraction. Postoperatively angle closure glaucoma developed in one eye, a ciliopseudophakic angle closure glaucoma and recurrent iris bombata in one eye. Reoperations included cyclokryokoagulation in two eyes, pars plana vitrectomy in one eye and repeated Nd-YAG iridotomies in one eye. Conclusion Regarding the special anatomic situation, the surgical procedure has to be planned individually, including the determination of sclera thickness, corneal diameter and lens volume/eye volume ratio.</div>
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<s0>Backround Aim of this study was to analyze the results of cataract surgery in nanophthalmic eyes with axial length of less than 20.5 mm. Patients and Methods From 1991 to 1996 extracapsular cataract extraction with posterior chamber lens implantation was performed in 20 eyes of 19 patients (mean age 70.2 ± 12.7 years, 4 male, 16 female) with axial length of less than 20.5 mm. Mean preoperative visual acuity was 0.16±0.15, refractive error +5,1±3.8 dpt and intraocular pressure 18.7 ± 10.3 mm Hg. The mean follow-up was 24.4 months. Patient data were collected prospectively with standardized "Erlanger Augenblätter" and the computer-aided automatized operation record system "OPERA". These data together with the biometrical data were analized in a retrolective manner. Results Preoperatively 6 of 20 eyes had angle closure situation, 7 of 20 eyes had undergone intraocular surgery previously (5 x iridotomy, 1 x surgical iridectomy, 1 x filtration procedure). Pseudoexfoliation syndrome was present in 3 eyes. The posterior chamber lens (mean refractive power 31.7 ± 3.0 dpt, optic diameter 6.5 and 7.0 mm) was positioned d 18 x intracapsular, 2 x into the sulcus and 1 x by scleral fixation due to capsular rupture without vitreous loss. In 16 of 20 eyes iris surgery was performed additionally, in one eye an anterior sclerotomy was necessary. Intraoperatively "vis a tergo" ocurred in 10 eyes and anterior chamber hemorrhage in one eye. Visual acuity inproved in 16 of 20 eyes. The mean visual acuity was 0.3 ± 0.2. At the end of follow-up 13 eyes had an improvement of visual acuity. Mean intraocular pressure was 16.5±3.3 mmHg, refractive error was +0.47±2.9 dpt and differed by -0.49±1,8 dpt from the preoperatively calculated refraction. Postoperatively angle closure glaucoma developed in one eye, a ciliopseudophakic angle closure glaucoma and recurrent iris bombata in one eye. Reoperations included cyclokryokoagulation in two eyes, pars plana vitrectomy in one eye and repeated Nd-YAG iridotomies in one eye. Conclusion Regarding the special anatomic situation, the surgical procedure has to be planned individually, including the determination of sclera thickness, corneal diameter and lens volume/eye volume ratio.</s0>
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<s5>04</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Catarata</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Extraction</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Extraction</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Extracción</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Extracapsulaire</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Extracapsular</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Extracapsular</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Lentille intraoculaire</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Intraocular lens</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Lente intraocular</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Implantation</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Implantation</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Implantación</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Biométrie</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Biometrics</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Biometría</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Oeil</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Eye</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Ojo</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="GER">
<s0>Aufbereiten</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Evolution</s0>
<s5>23</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Evolution</s0>
<s5>23</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Evolución</s0>
<s5>23</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Postopératoire</s0>
<s5>24</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Postoperative</s0>
<s5>24</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Postoperatorio</s0>
<s5>24</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Complication</s0>
<s5>35</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Complication</s0>
<s5>35</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Complicación</s0>
<s5>35</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Nanophtalmie</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Nanophthalmia</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Oeil pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Malformation</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Malformation</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Malformación</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Maladie congénitale</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Congenital disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Enfermedad congénita</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Cristallin pathologie</s0>
<s5>46</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Lens disease</s0>
<s5>46</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Cristalino patología</s0>
<s5>46</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Segment antérieur pathologie</s0>
<s2>NM</s2>
<s5>47</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Anterior segment disease</s0>
<s2>NM</s2>
<s5>47</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Segmento anterior patología</s0>
<s2>NM</s2>
<s5>47</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>53</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>53</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>53</s5>
</fC07>
<fN21>
<s1>082</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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