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Centration of intraocular lenses with circular haptics

Identifieur interne : 002256 ( Istex/Corpus ); précédent : 002255; suivant : 002257

Centration of intraocular lenses with circular haptics

Auteurs : Veva De Groot ; Paul Jonckheere ; Marie-José Tassignon

Source :

RBID : ISTEX:35BA3EE3C6BD0A682E47B52C95A11C682D700F44

Abstract

Purpose: To evaluate two intraocular lens (IOL) models with a circular haptic configuration designed to better distribute forces within the capsular bag over 360 degrees.Setting: University and Maria Middelares hospitals, Antwerp, Belgium.Methods: Two IOLs with circular haptics were evaluated for 6 months after implantation: a one-piece, all-poly(methyl methacrylate) (PMMA), Corneal IS M 5.5 lens with a 5.5 mm biconvex optic, overall diameter of 9.8 mm, and two semicircular open haptics (n = 103); a plano-convex, all-PMMA, modified Anis lens with a 5.5 mm plano-convex optic, total diameter of 10.0 or 11.0 mm (depending on diopter), and closed-loop haptics (n = 335). All lenses were inserted through a 5.5 mm scleral incision after phacoemulsification and placed in the capsular bag through a 4.5 mm curvilinear capsulorhexis. The IOLs centered without being rotated.Results: Six months after implantation, the IOL optics were well centered, even in eyes with an eccentric capsulorhexis (19%). In two eyes with partial zonulysis and in seven with posterior capsule rupture, decentration of less than 0.5 mm was observed. Both lenses provided uniform capsular support without causing stress lines in the posterior capsule. There were no cases of capsule contraction syndrome. Posterior capsule fibrosis reducing visual acuity occurred in 4% of eyes in both series.Conclusion: The Corneal IS M 5.5 and the Anis lens with circular haptics prevented late optic decentration and, therefore, would be useful in cases of eccentric capsulorhexis, partial zonulysis, anterior radial tears, and posterior capsule rupture. These IOLs may also prevent capsular contraction.

Url:
DOI: 10.1016/S0886-3350(97)80323-9

Links to Exploration step

ISTEX:35BA3EE3C6BD0A682E47B52C95A11C682D700F44

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: To evaluate two intraocular lens (IOL) models with a circular haptic configuration designed to better distribute forces within the capsular bag over 360 degrees.Setting: University and Maria Middelares hospitals, Antwerp, Belgium.Methods: Two IOLs with circular haptics were evaluated for 6 months after implantation: a one-piece, all-poly(methyl methacrylate) (PMMA), Corneal IS M 5.5 lens with a 5.5 mm biconvex optic, overall diameter of 9.8 mm, and two semicircular open haptics (n = 103); a plano-convex, all-PMMA, modified Anis lens with a 5.5 mm plano-convex optic, total diameter of 10.0 or 11.0 mm (depending on diopter), and closed-loop haptics (n = 335). All lenses were inserted through a 5.5 mm scleral incision after phacoemulsification and placed in the capsular bag through a 4.5 mm curvilinear capsulorhexis. The IOLs centered without being rotated.Results: Six months after implantation, the IOL optics were well centered, even in eyes with an eccentric capsulorhexis (19%). In two eyes with partial zonulysis and in seven with posterior capsule rupture, decentration of less than 0.5 mm was observed. Both lenses provided uniform capsular support without causing stress lines in the posterior capsule. There were no cases of capsule contraction syndrome. Posterior capsule fibrosis reducing visual acuity occurred in 4% of eyes in both series.Conclusion: The Corneal IS M 5.5 and the Anis lens with circular haptics prevented late optic decentration and, therefore, would be useful in cases of eccentric capsulorhexis, partial zonulysis, anterior radial tears, and posterior capsule rupture. These IOLs may also prevent capsular contraction.</div>
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<abstract>Purpose: To evaluate two intraocular lens (IOL) models with a circular haptic configuration designed to better distribute forces within the capsular bag over 360 degrees.Setting: University and Maria Middelares hospitals, Antwerp, Belgium.Methods: Two IOLs with circular haptics were evaluated for 6 months after implantation: a one-piece, all-poly(methyl methacrylate) (PMMA), Corneal IS M 5.5 lens with a 5.5 mm biconvex optic, overall diameter of 9.8 mm, and two semicircular open haptics (n = 103); a plano-convex, all-PMMA, modified Anis lens with a 5.5 mm plano-convex optic, total diameter of 10.0 or 11.0 mm (depending on diopter), and closed-loop haptics (n = 335). All lenses were inserted through a 5.5 mm scleral incision after phacoemulsification and placed in the capsular bag through a 4.5 mm curvilinear capsulorhexis. The IOLs centered without being rotated.Results: Six months after implantation, the IOL optics were well centered, even in eyes with an eccentric capsulorhexis (19%). In two eyes with partial zonulysis and in seven with posterior capsule rupture, decentration of less than 0.5 mm was observed. Both lenses provided uniform capsular support without causing stress lines in the posterior capsule. There were no cases of capsule contraction syndrome. Posterior capsule fibrosis reducing visual acuity occurred in 4% of eyes in both series.Conclusion: The Corneal IS M 5.5 and the Anis lens with circular haptics prevented late optic decentration and, therefore, would be useful in cases of eccentric capsulorhexis, partial zonulysis, anterior radial tears, and posterior capsule rupture. These IOLs may also prevent capsular contraction.</abstract>
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<p>Purpose: To evaluate two intraocular lens (IOL) models with a circular haptic configuration designed to better distribute forces within the capsular bag over 360 degrees.Setting: University and Maria Middelares hospitals, Antwerp, Belgium.Methods: Two IOLs with circular haptics were evaluated for 6 months after implantation: a one-piece, all-poly(methyl methacrylate) (PMMA), Corneal IS M 5.5 lens with a 5.5 mm biconvex optic, overall diameter of 9.8 mm, and two semicircular open haptics (n = 103); a plano-convex, all-PMMA, modified Anis lens with a 5.5 mm plano-convex optic, total diameter of 10.0 or 11.0 mm (depending on diopter), and closed-loop haptics (n = 335). All lenses were inserted through a 5.5 mm scleral incision after phacoemulsification and placed in the capsular bag through a 4.5 mm curvilinear capsulorhexis. The IOLs centered without being rotated.Results: Six months after implantation, the IOL optics were well centered, even in eyes with an eccentric capsulorhexis (19%). In two eyes with partial zonulysis and in seven with posterior capsule rupture, decentration of less than 0.5 mm was observed. Both lenses provided uniform capsular support without causing stress lines in the posterior capsule. There were no cases of capsule contraction syndrome. Posterior capsule fibrosis reducing visual acuity occurred in 4% of eyes in both series.Conclusion: The Corneal IS M 5.5 and the Anis lens with circular haptics prevented late optic decentration and, therefore, would be useful in cases of eccentric capsulorhexis, partial zonulysis, anterior radial tears, and posterior capsule rupture. These IOLs may also prevent capsular contraction.</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>
<ce:copyright-line>Copyright 1997 American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright-line>
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<ce:article-footnote>
<ce:note-para id="ntp005">Presented in part at the Société Belges de lrerres de Contactes meeting, at Ophthalmologica Belgica, Brussels, Belgium, November 1994.</ce:note-para>
<ce:note-para id="ntp010">None of the authors has a proprietary or financial interest in either lens described.</ce:note-para>
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<ce:title id="ttl005">Centration of intraocular lenses with circular haptics</ce:title>
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<ce:author id="AUT005">
<ce:given-name>Veva</ce:given-name>
<ce:surname>De Groot</ce:surname>
<ce:degrees>MD</ce:degrees>
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<ce:given-name>Paul</ce:given-name>
<ce:surname>Jonckheere</ce:surname>
<ce:degrees>MD</ce:degrees>
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<ce:given-name>Marie-José</ce:given-name>
<ce:surname>Tassignon</ce:surname>
<ce:degrees>MD, PhD</ce:degrees>
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<ce:textfn>From the Department of Ophthalmology, University Hospital, Antwerp, Belgium.</ce:textfn>
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<sa:organization>Department of Ophthalmology</sa:organization>
<sa:organization>University Hospital</sa:organization>
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<sa:country>Belgium</sa:country>
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<ce:textfn>Oogkliniek OLV Middelares Hospital, Antwerp, Belgium.</ce:textfn>
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<ce:text>Reprint requests to Veva De Groot, MD, Department of Ophthalmology, University Hospital Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.</ce:text>
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<ce:section-title id="SET005">Abstract</ce:section-title>
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<ce:bold>
<ce:italic>Purpose:</ce:italic>
</ce:bold>
To evaluate two intraocular lens (IOL) models with a circular haptic configuration designed to better distribute forces within the capsular bag over 360 degrees.</ce:simple-para>
<ce:simple-para id="SP0010">
<ce:bold>
<ce:italic>Setting:</ce:italic>
</ce:bold>
University and Maria Middelares hospitals, Antwerp, Belgium.</ce:simple-para>
<ce:simple-para id="SP0015">
<ce:bold>
<ce:italic>Methods:</ce:italic>
</ce:bold>
Two IOLs with circular haptics were evaluated for 6 months after implantation: a one-piece, all-poly(methyl methacrylate) (PMMA), Corneal IS M 5.5 lens with a 5.5 mm biconvex optic, overall diameter of 9.8 mm, and two semicircular open haptics (n = 103); a plano-convex, all-PMMA, modified Anis lens with a 5.5 mm plano-convex optic, total diameter of 10.0 or 11.0 mm (depending on diopter), and closed-loop haptics (n = 335). All lenses were inserted through a 5.5 mm scleral incision after phacoemulsification and placed in the capsular bag through a 4.5 mm curvilinear capsulorhexis. The IOLs centered without being rotated.</ce:simple-para>
<ce:simple-para id="SP0020">
<ce:bold>
<ce:italic>Results:</ce:italic>
</ce:bold>
Six months after implantation, the IOL optics were well centered, even in eyes with an eccentric capsulorhexis (19%). In two eyes with partial zonulysis and in seven with posterior capsule rupture, decentration of less than 0.5 mm was observed. Both lenses provided uniform capsular support without causing stress lines in the posterior capsule. There were no cases of capsule contraction syndrome. Posterior capsule fibrosis reducing visual acuity occurred in 4% of eyes in both series.</ce:simple-para>
<ce:simple-para id="SP0025">
<ce:bold>
<ce:italic>Conclusion:</ce:italic>
</ce:bold>
The Corneal IS M 5.5 and the Anis lens with circular haptics prevented late optic decentration and, therefore, would be useful in cases of eccentric capsulorhexis, partial zonulysis, anterior radial tears, and posterior capsule rupture. These IOLs may also prevent capsular contraction.</ce:simple-para>
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<ce:section-title id="SET010">References</ce:section-title>
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<ce:label>1.</ce:label>
<sb:reference id="SB0005">
<sb:contribution>
<sb:authors>
<sb:author>
<ce:given-name>RN</ce:given-name>
<ce:surname>Brems</ce:surname>
</sb:author>
<sb:author>
<ce:given-name>SB</ce:given-name>
<ce:surname>Park</ce:surname>
</sb:author>
<sb:author>
<ce:given-name>DJ</ce:given-name>
<ce:surname>Apple</ce:surname>
</sb:author>
<sb:et-al></sb:et-al>
</sb:authors>
<sb:title>
<sb:maintitle>Posterior chamber intraocular lenses in a series of 75 autopsy eyes. Part III: correlation of positioning holes and optic edges within the pupillary aperture and visual axis</sb:maintitle>
</sb:title>
</sb:contribution>
<sb:host>
<sb:issue>
<sb:series>
<sb:title>
<sb:maintitle>J Cataract Refract Surg</sb:maintitle>
</sb:title>
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<namePart type="given">Paul</namePart>
<namePart type="family">Jonckheere</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Oogkliniek OLV Middelares Hospital, Antwerp, Belgium.</affiliation>
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<namePart type="given">Marie-José</namePart>
<namePart type="family">Tassignon</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>From the Department of Ophthalmology, University Hospital, Antwerp, Belgium.</affiliation>
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<copyrightDate encoding="w3cdtf">1997</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract lang="en">Purpose: To evaluate two intraocular lens (IOL) models with a circular haptic configuration designed to better distribute forces within the capsular bag over 360 degrees.Setting: University and Maria Middelares hospitals, Antwerp, Belgium.Methods: Two IOLs with circular haptics were evaluated for 6 months after implantation: a one-piece, all-poly(methyl methacrylate) (PMMA), Corneal IS M 5.5 lens with a 5.5 mm biconvex optic, overall diameter of 9.8 mm, and two semicircular open haptics (n = 103); a plano-convex, all-PMMA, modified Anis lens with a 5.5 mm plano-convex optic, total diameter of 10.0 or 11.0 mm (depending on diopter), and closed-loop haptics (n = 335). All lenses were inserted through a 5.5 mm scleral incision after phacoemulsification and placed in the capsular bag through a 4.5 mm curvilinear capsulorhexis. The IOLs centered without being rotated.Results: Six months after implantation, the IOL optics were well centered, even in eyes with an eccentric capsulorhexis (19%). In two eyes with partial zonulysis and in seven with posterior capsule rupture, decentration of less than 0.5 mm was observed. Both lenses provided uniform capsular support without causing stress lines in the posterior capsule. There were no cases of capsule contraction syndrome. Posterior capsule fibrosis reducing visual acuity occurred in 4% of eyes in both series.Conclusion: The Corneal IS M 5.5 and the Anis lens with circular haptics prevented late optic decentration and, therefore, would be useful in cases of eccentric capsulorhexis, partial zonulysis, anterior radial tears, and posterior capsule rupture. These IOLs may also prevent capsular contraction.</abstract>
<note>Presented in part at the Société Belges de lrerres de Contactes meeting, at Ophthalmologica Belgica, Brussels, Belgium, November 1994.</note>
<note>None of the authors has a proprietary or financial interest in either lens described.</note>
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<title>Journal of Cataract & Refractive Surgery</title>
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<title>JCRS</title>
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<dateIssued encoding="w3cdtf">199710</dateIssued>
</originInfo>
<identifier type="ISSN">0886-3350</identifier>
<identifier type="PII">S0886-3350(97)X8298-7</identifier>
<part>
<detail type="volume">
<number>23</number>
<caption>vol.</caption>
</detail>
<detail type="issue">
<number>8</number>
<caption>no.</caption>
</detail>
<extent unit="issue pages">
<start>1127</start>
<end>1274</end>
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<extent unit="pages">
<start>1247</start>
<end>1253</end>
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<identifier type="DOI">10.1016/S0886-3350(97)80323-9</identifier>
<identifier type="PII">S0886-3350(97)80323-9</identifier>
<identifier type="ArticleID">80323</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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<recordOrigin>American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved, ©1997</recordOrigin>
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