Late dislocation of scleral-sutured posterior chamber intraocular lenses
Identifieur interne : 006576 ( Main/Curation ); précédent : 006575; suivant : 006577Late dislocation of scleral-sutured posterior chamber intraocular lenses
Auteurs : Marianne O. Price [États-Unis] ; Francis W. Jr Price [États-Unis] ; Liliana Werner [États-Unis] ; Cecil Berlie [États-Unis] ; Nick Mamalis [États-Unis]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Adult, Aged, Female, Foreign-Body Migration (etiology), Foreign-Body Migration (prevention & control), Humans, Intraocular lens, Late, Lens Implantation, Intraocular (methods), Lenses, Intraocular, Luxation, Male, Middle Aged, Ophthalmology, Posterior chamber, Postoperative Complications, Reoperation, Retrospective Studies, Sclera, Sclera (surgery), Surgery, Suture Techniques, Sutures, Treatment.
- MESH :
- etiology : Foreign-Body Migration.
- methods : Lens Implantation, Intraocular.
- prevention & control : Foreign-Body Migration.
- surgery : Sclera.
- Adult, Aged, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Postoperative Complications, Reoperation, Retrospective Studies, Suture Techniques, Sutures.
Abstract
Purpose: To examine a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.
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Pascal:05-0399242Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (prevention & control)</term>
<term>Humans</term>
<term>Intraocular lens</term>
<term>Late</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Luxation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ophthalmology</term>
<term>Posterior chamber</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Sclera</term>
<term>Sclera (surgery)</term>
<term>Surgery</term>
<term>Suture Techniques</term>
<term>Sutures</term>
<term>Treatment</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Suture Techniques</term>
<term>Sutures</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Luxation</term>
<term>Tardif</term>
<term>Sclérotique</term>
<term>Chambre postérieure</term>
<term>Lentille intraoculaire</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">Purpose: To examine a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.</div>
</front>
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<author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name>
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<term>Tardif</term>
<term>Sclérotique</term>
<term>Chambre postérieure</term>
<term>Lentille intraoculaire</term>
<term>Chirurgie</term>
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<front><div type="abstract" xml:lang="en">Purpose: To examine a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.</div>
</front>
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<author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
</author>
<author><name sortKey="Berlie, Cecil" sort="Berlie, Cecil" uniqKey="Berlie C" first="Cecil" last="Berlie">Cecil Berlie</name>
</author>
<author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2005">2005</date>
<idno type="doi">10.1016/j.jcrs.2004.12.060</idno>
<idno type="RBID">pubmed:16105601</idno>
<idno type="pmid">16105601</idno>
<idno type="wicri:Area/PubMed/Corpus">001910</idno>
<idno type="wicri:Area/PubMed/Curation">001910</idno>
<idno type="wicri:Area/PubMed/Checkpoint">001702</idno>
<idno type="wicri:Area/Ncbi/Merge">000786</idno>
<idno type="wicri:Area/Ncbi/Curation">000786</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000786</idno>
<idno type="wicri:doubleKey">0886-3350:2005:Price M:late:dislocation:of</idno>
<idno type="wicri:Area/Main/Merge">006524</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Late dislocation of scleral-sutured posterior chamber intraocular lenses.</title>
<author><name sortKey="Price, Marianne O" sort="Price, Marianne O" uniqKey="Price M" first="Marianne O" last="Price">Marianne O. Price</name>
<affiliation wicri:level="2"><nlm:affiliation>Cornea Research Foundation of America , Indianapolis, Indiana, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cornea Research Foundation of America , Indianapolis, Indiana</wicri:regionArea>
<placeName><region type="state">Indiana</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Price, Francis W" sort="Price, Francis W" uniqKey="Price F" first="Francis W" last="Price">Francis W. Price</name>
</author>
<author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
</author>
<author><name sortKey="Berlie, Cecil" sort="Berlie, Cecil" uniqKey="Berlie C" first="Cecil" last="Berlie">Cecil Berlie</name>
</author>
<author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name>
</author>
</analytic>
<series><title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
<imprint><date when="2005" type="published">2005</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (prevention & control)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques</term>
<term>Sutures</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Suture Techniques</term>
<term>Sutures</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">To examine a recent series of late scleral-sutured posterior chamber intraocular lens (PCIOL) dislocations to identify possible causes and preventive measures.</div>
</front>
</TEI>
</PubMed>
</double>
</record>
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