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Secondary closure of posterior continuous curvilinear capsulorhexis

Identifieur interne : 004381 ( Istex/Corpus ); précédent : 004380; suivant : 004382

Secondary closure of posterior continuous curvilinear capsulorhexis

Auteurs : M. J. Tassignon ; V. De Groot ; R. M. E. Smets ; B. Tawab ; F. Vervecken

Source :

RBID : ISTEX:3C6E760BE2891781EBDE1D09E38C6D65E6588CAE

Abstract

Purpose: To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO).Setting: Department of Ophthalmology, University Hospital Antwerp, Belgium.Methods: A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) implantation in eyes at risk for PCO (uveitic, young adult), retinal detachment after neodymium:YAG (Nd:YAG) laser capsulotomy (highly myopic) or for cystoid macular edema (uveitic, diabetic) and in eyes in which the posterior capsule was opaque intraoperatively. The 51 eyes of 40 patients had a follow-up ranging from 6 months to 2 years.Results: Four eyes (8%) developed partial closure of the posterior CCC without vision impairment; 6 eyes (12%) had total closure, of which 2 (4%) had a loss of two or more Snellen lines necessitating an Nd:YAG laser capsulotomy.Conclusion: Young adult eyes and eyes with underlying diabetic retinopathy or uveitis are at risk for total closure of the posterior CCC. Only young adult eyes required Nd:YAG laser capsulotomy after the posterior CCC.

Url:
DOI: 10.1016/S0886-3350(96)80068-X

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ISTEX:3C6E760BE2891781EBDE1D09E38C6D65E6588CAE

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO).Setting: Department of Ophthalmology, University Hospital Antwerp, Belgium.Methods: A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) implantation in eyes at risk for PCO (uveitic, young adult), retinal detachment after neodymium:YAG (Nd:YAG) laser capsulotomy (highly myopic) or for cystoid macular edema (uveitic, diabetic) and in eyes in which the posterior capsule was opaque intraoperatively. The 51 eyes of 40 patients had a follow-up ranging from 6 months to 2 years.Results: Four eyes (8%) developed partial closure of the posterior CCC without vision impairment; 6 eyes (12%) had total closure, of which 2 (4%) had a loss of two or more Snellen lines necessitating an Nd:YAG laser capsulotomy.Conclusion: Young adult eyes and eyes with underlying diabetic retinopathy or uveitis are at risk for total closure of the posterior CCC. Only young adult eyes required Nd:YAG laser capsulotomy after the posterior CCC.</div>
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<ce:copyright type="society" year="1996">American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright>
<ce:copyright-line>Copyright 1996 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:note-para id="ntp005">Presented at the 13th Congress of the European Society of Cataract and Refractive Surgeons, Amsterdam, The Netherlands, October 1995.</ce:note-para>
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<ce:note-para id="ntp010">No author has a proprietary or financial interest in any lens described.</ce:note-para>
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<ce:title id="ttl005">Secondary closure of posterior continuous curvilinear capsulorhexis</ce:title>
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<ce:surname>Tassignon</ce:surname>
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<ce:surname>De Groot</ce:surname>
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<ce:italic>
<ce:bold>Purpose:</ce:bold>
</ce:italic>
To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO).</ce:simple-para>
<ce:simple-para id="SP0010">
<ce:italic>
<ce:bold>Setting:</ce:bold>
</ce:italic>
Department of Ophthalmology, University Hospital Antwerp, Belgium.</ce:simple-para>
<ce:simple-para id="SP0015">
<ce:italic>
<ce:bold>Methods:</ce:bold>
</ce:italic>
A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) implantation in eyes at risk for PCO (uveitic, young adult), retinal detachment after neodymium:YAG (Nd:YAG) laser capsulotomy (highly myopic) or for cystoid macular edema (uveitic, diabetic) and in eyes in which the posterior capsule was opaque intraoperatively. The 51 eyes of 40 patients had a follow-up ranging from 6 months to 2 years.</ce:simple-para>
<ce:simple-para id="SP0020">
<ce:italic>
<ce:bold>Results:</ce:bold>
</ce:italic>
Four eyes (8%) developed partial closure of the posterior CCC without vision impairment; 6 eyes (12%) had total closure, of which 2 (4%) had a loss of two or more Snellen lines necessitating an Nd:YAG laser capsulotomy.</ce:simple-para>
<ce:simple-para id="SP0025">
<ce:italic>
<ce:bold>Conclusion:</ce:bold>
</ce:italic>
Young adult eyes and eyes with underlying diabetic retinopathy or uveitis are at risk for total closure of the posterior CCC. Only young adult eyes required Nd:YAG laser capsulotomy after the posterior CCC.</ce:simple-para>
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<ce:section-title id="SET010">References</ce:section-title>
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<ce:bib-reference id="bib1">
<ce:label>1.</ce:label>
<sb:reference id="SB0005">
<sb:contribution>
<sb:authors>
<sb:author>
<ce:given-name>R</ce:given-name>
<ce:surname>Frezzotti</ce:surname>
</sb:author>
<sb:author>
<ce:given-name>A</ce:given-name>
<ce:surname>Caporossi</ce:surname>
</sb:author>
</sb:authors>
<sb:title>
<sb:maintitle>Pathogenesis of posterior capsular opacification. Part I. Epidemiological and clinico-statistical data</sb:maintitle>
</sb:title>
</sb:contribution>
<sb:host>
<sb:issue>
<sb:series>
<sb:title>
<sb:maintitle>J Cataract Refract Surg</sb:maintitle>
</sb:title>
<sb:volume-nr>16</sb:volume-nr>
</sb:series>
<sb:date>1990</sb:date>
</sb:issue>
<sb:pages>
<sb:first-page>347</sb:first-page>
<sb:last-page>352</sb:last-page>
</sb:pages>
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<abstract lang="en">Purpose: To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO).Setting: Department of Ophthalmology, University Hospital Antwerp, Belgium.Methods: A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) implantation in eyes at risk for PCO (uveitic, young adult), retinal detachment after neodymium:YAG (Nd:YAG) laser capsulotomy (highly myopic) or for cystoid macular edema (uveitic, diabetic) and in eyes in which the posterior capsule was opaque intraoperatively. The 51 eyes of 40 patients had a follow-up ranging from 6 months to 2 years.Results: Four eyes (8%) developed partial closure of the posterior CCC without vision impairment; 6 eyes (12%) had total closure, of which 2 (4%) had a loss of two or more Snellen lines necessitating an Nd:YAG laser capsulotomy.Conclusion: Young adult eyes and eyes with underlying diabetic retinopathy or uveitis are at risk for total closure of the posterior CCC. Only young adult eyes required Nd:YAG laser capsulotomy after the posterior CCC.</abstract>
<note>Presented at the 13th Congress of the European Society of Cataract and Refractive Surgeons, Amsterdam, The Netherlands, October 1995.</note>
<note>No author has a proprietary or financial interest in any lens described.</note>
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<dateIssued encoding="w3cdtf">199611</dateIssued>
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<identifier type="ISSN">0886-3350</identifier>
<identifier type="PII">S0886-3350(96)X8052-0</identifier>
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<number>22</number>
<caption>vol.</caption>
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<number>9</number>
<caption>no.</caption>
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<identifier type="PII">S0886-3350(96)80068-X</identifier>
<identifier type="ArticleID">80068</identifier>
<accessCondition type="use and reproduction" contentType="">© 1996American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</accessCondition>
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