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Capsular bag shrinkage after implantation of an open-loop silicone lens and a poly(methyl methacrylate) capsule tension ring

Identifieur interne : 000229 ( Istex/Corpus ); précédent : 000228; suivant : 000230

Capsular bag shrinkage after implantation of an open-loop silicone lens and a poly(methyl methacrylate) capsule tension ring

Auteurs : Karin Strenn ; Rupert Menapace ; Clemens Vass

Source :

RBID : ISTEX:41C2290A664512053197B87509B758A5667696A8

Abstract

Purpose: To quantify the dynamics of capsular bag shrinkage after cataract surgery.Setting: University Eye Hospital, Vienna, Austria.Methods: Nineteen eyes in 13 patients had clear corneal cataract surgery with implantation of a foldable, open-loop, silicone posterior chamber intraocular lens (IOL) (AMO SI-30). At the same time, an open, poly(methyl methacrylate) capsule tension ring (Morcher type 14 or 14A) was inserted to allow measurement of capsular bag circumference and diameter. After surgery, capsular bag shrinkage was quantified by measuring anterior chamber depth (ACD), iris-lens distance (ILD), and distance between the eyelets of the capsule tension ring using optical methods. Capsular bag circumference (CBC) was deduced from these measurements, which were taken 1 day (baseline), 1 week, and 1 and 3 months postoperatively.Results: Between 1 day and 3 months, all three parameters decreased significantly. During the first postoperative week, ACID and ILD did not change, while both parameters decreased between 1 week and 1 month. After 1 month, ACID did not decrease further; ILD continued to decrease. The CBC decreased during the entire postoperative period.Conclusion: Besides ACID and ILD, CBC significantly decreased during the first 3 months after cataract surgery with in-the-bag posterior chamber IOL implantation. The CBC can be calculated from the distance between the ends of the capsule tension ring, which can be measured gonioscopically. From this, the diameter of the capsular bag can be calculated in the living eye. The influence of the capsule tension ring itself on capsular bag shrinkage remains to be established.

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DOI: 10.1016/S0886-3350(97)80027-2

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ISTEX:41C2290A664512053197B87509B758A5667696A8

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<div type="abstract" xml:lang="en">Purpose: To quantify the dynamics of capsular bag shrinkage after cataract surgery.Setting: University Eye Hospital, Vienna, Austria.Methods: Nineteen eyes in 13 patients had clear corneal cataract surgery with implantation of a foldable, open-loop, silicone posterior chamber intraocular lens (IOL) (AMO SI-30). At the same time, an open, poly(methyl methacrylate) capsule tension ring (Morcher type 14 or 14A) was inserted to allow measurement of capsular bag circumference and diameter. After surgery, capsular bag shrinkage was quantified by measuring anterior chamber depth (ACD), iris-lens distance (ILD), and distance between the eyelets of the capsule tension ring using optical methods. Capsular bag circumference (CBC) was deduced from these measurements, which were taken 1 day (baseline), 1 week, and 1 and 3 months postoperatively.Results: Between 1 day and 3 months, all three parameters decreased significantly. During the first postoperative week, ACID and ILD did not change, while both parameters decreased between 1 week and 1 month. After 1 month, ACID did not decrease further; ILD continued to decrease. The CBC decreased during the entire postoperative period.Conclusion: Besides ACID and ILD, CBC significantly decreased during the first 3 months after cataract surgery with in-the-bag posterior chamber IOL implantation. The CBC can be calculated from the distance between the ends of the capsule tension ring, which can be measured gonioscopically. From this, the diameter of the capsular bag can be calculated in the living eye. The influence of the capsule tension ring itself on capsular bag shrinkage remains to be established.</div>
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<abstract>Purpose: To quantify the dynamics of capsular bag shrinkage after cataract surgery.Setting: University Eye Hospital, Vienna, Austria.Methods: Nineteen eyes in 13 patients had clear corneal cataract surgery with implantation of a foldable, open-loop, silicone posterior chamber intraocular lens (IOL) (AMO SI-30). At the same time, an open, poly(methyl methacrylate) capsule tension ring (Morcher type 14 or 14A) was inserted to allow measurement of capsular bag circumference and diameter. After surgery, capsular bag shrinkage was quantified by measuring anterior chamber depth (ACD), iris-lens distance (ILD), and distance between the eyelets of the capsule tension ring using optical methods. Capsular bag circumference (CBC) was deduced from these measurements, which were taken 1 day (baseline), 1 week, and 1 and 3 months postoperatively.Results: Between 1 day and 3 months, all three parameters decreased significantly. During the first postoperative week, ACID and ILD did not change, while both parameters decreased between 1 week and 1 month. After 1 month, ACID did not decrease further; ILD continued to decrease. The CBC decreased during the entire postoperative period.Conclusion: Besides ACID and ILD, CBC significantly decreased during the first 3 months after cataract surgery with in-the-bag posterior chamber IOL implantation. The CBC can be calculated from the distance between the ends of the capsule tension ring, which can be measured gonioscopically. From this, the diameter of the capsular bag can be calculated in the living eye. The influence of the capsule tension ring itself on capsular bag shrinkage remains to be established.</abstract>
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<p>Purpose: To quantify the dynamics of capsular bag shrinkage after cataract surgery.Setting: University Eye Hospital, Vienna, Austria.Methods: Nineteen eyes in 13 patients had clear corneal cataract surgery with implantation of a foldable, open-loop, silicone posterior chamber intraocular lens (IOL) (AMO SI-30). At the same time, an open, poly(methyl methacrylate) capsule tension ring (Morcher type 14 or 14A) was inserted to allow measurement of capsular bag circumference and diameter. After surgery, capsular bag shrinkage was quantified by measuring anterior chamber depth (ACD), iris-lens distance (ILD), and distance between the eyelets of the capsule tension ring using optical methods. Capsular bag circumference (CBC) was deduced from these measurements, which were taken 1 day (baseline), 1 week, and 1 and 3 months postoperatively.Results: Between 1 day and 3 months, all three parameters decreased significantly. During the first postoperative week, ACID and ILD did not change, while both parameters decreased between 1 week and 1 month. After 1 month, ACID did not decrease further; ILD continued to decrease. The CBC decreased during the entire postoperative period.Conclusion: Besides ACID and ILD, CBC significantly decreased during the first 3 months after cataract surgery with in-the-bag posterior chamber IOL implantation. The CBC can be calculated from the distance between the ends of the capsule tension ring, which can be measured gonioscopically. From this, the diameter of the capsular bag can be calculated in the living eye. The influence of the capsule tension ring itself on capsular bag shrinkage remains to be established.</p>
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<ce:copyright type="society" year="1997">American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright>
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<ce:title id="ttl005">Capsular bag shrinkage after implantation of an open-loop silicone lens and a poly(methyl methacrylate) capsule tension ring</ce:title>
<ce:author-group id="AUG005">
<ce:author id="AUT005">
<ce:given-name>Karin</ce:given-name>
<ce:surname>Strenn</ce:surname>
<ce:degrees>MD</ce:degrees>
<ce:cross-ref id="crr005" refid="cor1">
<ce:sup>*</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author id="AUT010">
<ce:given-name>Rupert</ce:given-name>
<ce:surname>Menapace</ce:surname>
<ce:degrees>MD</ce:degrees>
</ce:author>
<ce:author id="AUT015">
<ce:given-name>Clemens</ce:given-name>
<ce:surname>Vass</ce:surname>
<ce:degrees>MD</ce:degrees>
</ce:author>
<ce:affiliation id="aff1">
<ce:textfn>From University Eye Hospital, Vienna, Austria.</ce:textfn>
<sa:affiliation>
<sa:organization>University Eye Hospital</sa:organization>
<sa:city>Vienna</sa:city>
<sa:country>Austria</sa:country>
</sa:affiliation>
</ce:affiliation>
<ce:correspondence id="cor1">
<ce:label>*</ce:label>
<ce:text>Reprint requests to Karin Strenn, MD, Universitätsklinik für Augenheilkunde, Allgemeines Krankenhaus, Währinger Gürtel 18-20, A-1090 Wien, Austria.</ce:text>
</ce:correspondence>
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<ce:section-title id="SET005">Abstract</ce:section-title>
<ce:abstract-sec id="abs005">
<ce:simple-para id="SP0005">
<ce:bold>Purpose:</ce:bold>
To quantify the dynamics of capsular bag shrinkage after cataract surgery.</ce:simple-para>
<ce:simple-para id="SP0010">
<ce:bold>Setting:</ce:bold>
University Eye Hospital, Vienna, Austria.</ce:simple-para>
<ce:simple-para id="SP0015">
<ce:bold>Methods:</ce:bold>
Nineteen eyes in 13 patients had clear corneal cataract surgery with implantation of a foldable, open-loop, silicone posterior chamber intraocular lens (IOL) (AMO SI-30). At the same time, an open, poly(methyl methacrylate) capsule tension ring (Morcher type 14 or 14A) was inserted to allow measurement of capsular bag circumference and diameter. After surgery, capsular bag shrinkage was quantified by measuring anterior chamber depth (ACD), iris-lens distance (ILD), and distance between the eyelets of the capsule tension ring using optical methods. Capsular bag circumference (CBC) was deduced from these measurements, which were taken 1 day (baseline), 1 week, and 1 and 3 months postoperatively.</ce:simple-para>
<ce:simple-para id="SP0020">
<ce:bold>Results:</ce:bold>
Between 1 day and 3 months, all three parameters decreased significantly. During the first postoperative week, ACID and ILD did not change, while both parameters decreased between 1 week and 1 month. After 1 month, ACID did not decrease further; ILD continued to decrease. The CBC decreased during the entire postoperative period.</ce:simple-para>
<ce:simple-para id="SP0025">
<ce:bold>Conclusion:</ce:bold>
Besides ACID and ILD, CBC significantly decreased during the first 3 months after cataract surgery with in-the-bag posterior chamber IOL implantation. The CBC can be calculated from the distance between the ends of the capsule tension ring, which can be measured gonioscopically. From this, the diameter of the capsular bag can be calculated in the living eye. The influence of the capsule tension ring itself on capsular bag shrinkage remains to be established.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
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<tail>
<ce:bibliography id="R0005">
<ce:section-title id="SET010">References</ce:section-title>
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<titleInfo lang="en">
<title>Capsular bag shrinkage after implantation of an open-loop silicone lens and a poly(methyl methacrylate) capsule tension ring</title>
</titleInfo>
<titleInfo type="alternative" lang="en" contentType="CDATA">
<title>Capsular bag shrinkage after implantation of an open-loop silicone lens and a poly(methyl methacrylate) capsule tension ring</title>
</titleInfo>
<name type="personal">
<namePart type="given">Karin</namePart>
<namePart type="family">Strenn</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>From University Eye Hospital, Vienna, Austria.University Eye HospitalViennaAustria</affiliation>
<description>Reprint requests to Karin Strenn, MD, Universitätsklinik für Augenheilkunde, Allgemeines Krankenhaus, Währinger Gürtel 18-20, A-1090 Wien, Austria.</description>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Rupert</namePart>
<namePart type="family">Menapace</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>From University Eye Hospital, Vienna, Austria.University Eye HospitalViennaAustria</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Clemens</namePart>
<namePart type="family">Vass</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>From University Eye Hospital, Vienna, Austria.University Eye HospitalViennaAustria</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<typeOfResource>text</typeOfResource>
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<publisher>ELSEVIER</publisher>
<dateIssued encoding="w3cdtf">1997</dateIssued>
<copyrightDate encoding="w3cdtf">1997</copyrightDate>
</originInfo>
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<abstract lang="en">Purpose: To quantify the dynamics of capsular bag shrinkage after cataract surgery.Setting: University Eye Hospital, Vienna, Austria.Methods: Nineteen eyes in 13 patients had clear corneal cataract surgery with implantation of a foldable, open-loop, silicone posterior chamber intraocular lens (IOL) (AMO SI-30). At the same time, an open, poly(methyl methacrylate) capsule tension ring (Morcher type 14 or 14A) was inserted to allow measurement of capsular bag circumference and diameter. After surgery, capsular bag shrinkage was quantified by measuring anterior chamber depth (ACD), iris-lens distance (ILD), and distance between the eyelets of the capsule tension ring using optical methods. Capsular bag circumference (CBC) was deduced from these measurements, which were taken 1 day (baseline), 1 week, and 1 and 3 months postoperatively.Results: Between 1 day and 3 months, all three parameters decreased significantly. During the first postoperative week, ACID and ILD did not change, while both parameters decreased between 1 week and 1 month. After 1 month, ACID did not decrease further; ILD continued to decrease. The CBC decreased during the entire postoperative period.Conclusion: Besides ACID and ILD, CBC significantly decreased during the first 3 months after cataract surgery with in-the-bag posterior chamber IOL implantation. The CBC can be calculated from the distance between the ends of the capsule tension ring, which can be measured gonioscopically. From this, the diameter of the capsular bag can be calculated in the living eye. The influence of the capsule tension ring itself on capsular bag shrinkage remains to be established.</abstract>
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<title>Journal of Cataract & Refractive Surgery</title>
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<titleInfo type="abbreviated">
<title>JCRS</title>
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<genre type="Journal">journal</genre>
<originInfo>
<dateIssued encoding="w3cdtf">199712</dateIssued>
</originInfo>
<identifier type="ISSN">0886-3350</identifier>
<identifier type="PII">S0886-3350(97)X8001-0</identifier>
<part>
<detail type="volume">
<number>23</number>
<caption>vol.</caption>
</detail>
<detail type="issue">
<number>10</number>
<caption>no.</caption>
</detail>
<extent unit="issue pages">
<start>1429</start>
<end>1622</end>
</extent>
<extent unit="pages">
<start>1543</start>
<end>1547</end>
</extent>
</part>
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<identifier type="istex">41C2290A664512053197B87509B758A5667696A8</identifier>
<identifier type="DOI">10.1016/S0886-3350(97)80027-2</identifier>
<identifier type="PII">S0886-3350(97)80027-2</identifier>
<identifier type="ArticleID">80027</identifier>
<accessCondition type="use and reproduction" contentType="">© 1997American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</accessCondition>
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