Pupil abnormalities on the first postoperative day after cataract surgery
Identifieur interne : 002810 ( Istex/Corpus ); précédent : 002809; suivant : 002811Pupil abnormalities on the first postoperative day after cataract surgery
Auteurs : Y. Yap ; T. Aung ; T. FanSource :
- [ 0165-5701 ]
Abstract
Abstract: Most, if not all, ophthalmologists strive to achieve a round pupil after cataract surgery with posterior chamber lens implantation. The presence of pupil abnormalities and iris modifications is cosmetically undesirable and may affect the quality of postoperative vision. The pupillary motility may be changed which will in turn affect both pupillary light reflexes and pupillary dilatation during fundus examination. In this paper, we prospectively studied 2 groups of patients who underwent uncomplicated cataract surgery with posterior chamber lens implantation; 100 patients who had planned extracapsular cataract extraction (ECCE), and 130 patients who underwent phacoemulsification. On the first postoperative day, we found a 16% rate of pupil abnormalities in the group which underwent ECCE surgery while only 5.3% of the phacoemulsification group had pupil abnormalities. There were different causes in which the two groups. The most common cause of pupil abnormality after ECCE was due to iris sphincter rupture, whereas the most common cause after phacoemulsification was due to iris trauma during phacoemulsification. These pupil abnormalities are the direct consequence of factors in surgery and we suggest ways to minimize the occurrence of such abnormalities in cataract surgery.
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DOI: 10.1007/BF00175258
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<record><TEI wicri:istexFullTextTei="no"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pupil abnormalities on the first postoperative day after cataract surgery</title><author><name sortKey="Yap, Y" sort="Yap, Y" uniqKey="Yap Y" first="Y." last="Yap">Y. Yap</name><affiliation><mods:affiliation>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</mods:affiliation></affiliation></author><author><name sortKey="Aung, T" sort="Aung, T" uniqKey="Aung T" first="T." last="Aung">T. Aung</name><affiliation><mods:affiliation>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</mods:affiliation></affiliation></author><author><name sortKey="Fan, T" sort="Fan, T" uniqKey="Fan T" first="T." last="Fan">T. Fan</name><affiliation><mods:affiliation>Mount Elizabeth Hospital, 0922, Mount Elizabeth, Singapore</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:984AD53D01A98F64D2BA215BF4A29842842B6849</idno><date when="1996" year="1996">1996</date><idno type="doi">10.1007/BF00175258</idno><idno type="url">https://api.istex.fr/document/984AD53D01A98F64D2BA215BF4A29842842B6849/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002810</idno></publicationStmt><sourceDesc><biblStruct><analytic><author><name sortKey="Yap, Y" sort="Yap, Y" uniqKey="Yap Y" first="Y." last="Yap">Y. Yap</name><affiliation><mods:affiliation>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</mods:affiliation></affiliation></author><author><name sortKey="Aung, T" sort="Aung, T" uniqKey="Aung T" first="T." last="Aung">T. Aung</name><affiliation><mods:affiliation>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</mods:affiliation></affiliation></author><author><name sortKey="Fan, T" sort="Fan, T" uniqKey="Fan T" first="T." last="Fan">T. Fan</name><affiliation><mods:affiliation>Mount Elizabeth Hospital, 0922, Mount Elizabeth, Singapore</mods:affiliation></affiliation></author></analytic><series><idno type="ISSN">0165-5701</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0165-5701</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Most, if not all, ophthalmologists strive to achieve a round pupil after cataract surgery with posterior chamber lens implantation. The presence of pupil abnormalities and iris modifications is cosmetically undesirable and may affect the quality of postoperative vision. The pupillary motility may be changed which will in turn affect both pupillary light reflexes and pupillary dilatation during fundus examination. In this paper, we prospectively studied 2 groups of patients who underwent uncomplicated cataract surgery with posterior chamber lens implantation; 100 patients who had planned extracapsular cataract extraction (ECCE), and 130 patients who underwent phacoemulsification. On the first postoperative day, we found a 16% rate of pupil abnormalities in the group which underwent ECCE surgery while only 5.3% of the phacoemulsification group had pupil abnormalities. There were different causes in which the two groups. The most common cause of pupil abnormality after ECCE was due to iris sphincter rupture, whereas the most common cause after phacoemulsification was due to iris trauma during phacoemulsification. These pupil abnormalities are the direct consequence of factors in surgery and we suggest ways to minimize the occurrence of such abnormalities in cataract surgery.</div></front></TEI><istex><corpusName>springer</corpusName><author><json:item><name>E. Y. Yap</name><affiliations><json:string>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</json:string></affiliations></json:item><json:item><name>T. Aung</name><affiliations><json:string>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</json:string></affiliations></json:item><json:item><name>R. F. T. 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On the first postoperative day, we found a 16% rate of pupil abnormalities in the group which underwent ECCE surgery while only 5.3% of the phacoemulsification group had pupil abnormalities. There were different causes in which the two groups. The most common cause of pupil abnormality after ECCE was due to iris sphincter rupture, whereas the most common cause after phacoemulsification was due to iris trauma during phacoemulsification. These pupil abnormalities are the direct consequence of factors in surgery and we suggest ways to minimize the occurrence of such abnormalities in cataract surgery.</abstract><qualityIndicators><score>5.445</score><pdfVersion>1.3</pdfVersion><pdfPageSize>554.28 x 738 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1302</abstractCharCount><pdfWordCount>3189</pdfWordCount><pdfCharCount>20570</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>188</abstractWordCount></qualityIndicators><title>Pupil abnormalities on the first postoperative day after cataract 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day after cataract surgery</ArticleTitle><ArticleFirstPage>187</ArticleFirstPage><ArticleLastPage>192</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2004</Year><Month>7</Month><Day>3</Day></RegistrationDate><Accepted><Year>1996</Year><Month>7</Month><Day>22</Day></Accepted></ArticleHistory><ArticleCopyright><CopyrightHolderName>Kluwer Academic Publishers</CopyrightHolderName><CopyrightYear>1996</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant 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Rise</City><Country>Singapore</Country></OrgAddress></Affiliation><Affiliation ID="Aff3"><OrgName>Mount Elizabeth Hospital</OrgName><OrgAddress><Postcode>0922</Postcode><City>Mount Elizabeth</City><Country>Singapore</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgName>Singapore National Eye Centre</OrgName><OrgAddress><Street>11, Third Hospital Avenue</Street><Postcode>168751</Postcode><Country>Singapore</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading><Para>Most, if not all, ophthalmologists strive to achieve a round pupil after cataract surgery with posterior chamber lens implantation. The presence of pupil abnormalities and iris modifications is cosmetically undesirable and may affect the quality of postoperative vision. The pupillary motility may be changed which will in turn affect both pupillary light reflexes and pupillary dilatation during fundus examination. In this paper, we prospectively studied 2 groups of patients who underwent uncomplicated cataract surgery with posterior chamber lens implantation; 100 patients who had planned extracapsular cataract extraction (ECCE), and 130 patients who underwent phacoemulsification. On the first postoperative day, we found a 16% rate of pupil abnormalities in the group which underwent ECCE surgery while only 5.3% of the phacoemulsification group had pupil abnormalities. There were different causes in which the two groups. The most common cause of pupil abnormality after ECCE was due to iris sphincter rupture, whereas the most common cause after phacoemulsification was due to iris trauma during phacoemulsification. These pupil abnormalities are the direct consequence of factors in surgery and we suggest ways to minimize the occurrence of such abnormalities in cataract surgery.</Para></Abstract><KeywordGroup Language="En"><Heading>Key words</Heading><Keyword>extracapsular cataract extraction</Keyword><Keyword>iris sphincter rupture</Keyword><Keyword>iris trauma</Keyword><Keyword>phacoemulsification</Keyword><Keyword>posterior chamber intraocular lens</Keyword><Keyword>pupil abnormalities</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Pupil abnormalities on the first postoperative day after cataract surgery</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Pupil abnormalities on the first postoperative day after cataract surgery</title></titleInfo><name type="personal"><namePart type="given">E.</namePart><namePart type="given">Y.</namePart><namePart type="family">Yap</namePart><affiliation>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">T.</namePart><namePart type="family">Aung</namePart><affiliation>Department of Ophthalmology, Tan Tock Seng Hospital, 1130, Moulmein Rise, Singapore</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.</namePart><namePart type="given">F.</namePart><namePart type="given">T.</namePart><namePart type="family">Fan</namePart><affiliation>Mount Elizabeth Hospital, 0922, Mount Elizabeth, Singapore</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper"></genre><originInfo><publisher>Kluwer Academic Publishers; http://www.wkap.nl</publisher><place><placeTerm type="text">Dordrecht</placeTerm></place><dateIssued encoding="w3cdtf">1996-07-01</dateIssued><copyrightDate encoding="w3cdtf">1996</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Abstract: Most, if not all, ophthalmologists strive to achieve a round pupil after cataract surgery with posterior chamber lens implantation. The presence of pupil abnormalities and iris modifications is cosmetically undesirable and may affect the quality of postoperative vision. The pupillary motility may be changed which will in turn affect both pupillary light reflexes and pupillary dilatation during fundus examination. In this paper, we prospectively studied 2 groups of patients who underwent uncomplicated cataract surgery with posterior chamber lens implantation; 100 patients who had planned extracapsular cataract extraction (ECCE), and 130 patients who underwent phacoemulsification. On the first postoperative day, we found a 16% rate of pupil abnormalities in the group which underwent ECCE surgery while only 5.3% of the phacoemulsification group had pupil abnormalities. There were different causes in which the two groups. The most common cause of pupil abnormality after ECCE was due to iris sphincter rupture, whereas the most common cause after phacoemulsification was due to iris trauma during phacoemulsification. These pupil abnormalities are the direct consequence of factors in surgery and we suggest ways to minimize the occurrence of such abnormalities in cataract surgery.</abstract><relatedItem type="host"><titleInfo><title>International Ophthalmology</title></titleInfo><titleInfo type="abbreviated"><title>Int Ophthalmol</title></titleInfo><genre type="Journal" displayLabel="Archive Journal"></genre><originInfo><dateIssued encoding="w3cdtf">1996-07-01</dateIssued><copyrightDate encoding="w3cdtf">1997</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Ophthalmology</topic></subject><identifier type="ISSN">0165-5701</identifier><identifier type="eISSN">1573-2630</identifier><identifier type="JournalID">10792</identifier><identifier type="IssueArticleCount">10</identifier><identifier type="VolumeIssueCount">6</identifier><part><date>1996</date><detail type="volume"><number>20</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="pages"><start>187</start><end>192</end></extent></part><recordInfo><recordOrigin>Kluwer Academic Publishers, 1997</recordOrigin></recordInfo></relatedItem><identifier type="istex">984AD53D01A98F64D2BA215BF4A29842842B6849</identifier><identifier type="DOI">10.1007/BF00175258</identifier><identifier type="ArticleID">BF00175258</identifier><identifier type="ArticleID">Art4</identifier><accessCondition type="use and reproduction" contentType="copyright">Kluwer Academic Publishers, 1996</accessCondition><recordInfo><recordContentSource>SPRINGER</recordContentSource><recordOrigin>Kluwer Academic Publishers, 1996</recordOrigin></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/984AD53D01A98F64D2BA215BF4A29842842B6849/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct xml:id="b0"><analytic><title level="a" type="main">Complications of intraocular lenses. 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