Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia
Identifieur interne : 000012 ( Main/Exploration ); précédent : 000011; suivant : 000013Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia
Auteurs : Dariusz Haszcz [Pologne] ; Katarzyna Nowomiejska [Pologne] ; Agnieszka Oleszczuk [Pologne] ; Cesare Forlini [Italie] ; Matteo Forlini [Italie] ; Joanna Moneta-Wielgos [Pologne] ; Ryszard Maciejewski [Pologne] ; Katarzyna Michalska-Malecka [Pologne] ; Anselm G. Jünemann [Allemagne] ; Robert Rejdak [Pologne]Source :
- BMC Ophthalmology [ 1471-2415 ] ; 2016.
Abstract
Several techniques for fixation of the posterior chamber intraocular lens (IOL) have been developed. We evaluate long-term functional outcomes and safety of posterior chamber IOL implantation using Hoffman scleral haptic fixation and sutureless Sharioth technique in patients with posttraumatic and postoperative aphakia.
This retrospective case-series included 42 eyes operated by one surgeon. The data including demographic data, ocular history, preoperative, early postoperative and final best corrected visual acuity (BCVA), rate of complications as well as postoperative IOL position were collected. The mean follow-up was 14.5 months. Hoffman haptic scleral fixation was performed in 31 eyes, Sharioth technique—in 11 eyes. Aphakia was due to eye trauma (19) or complicated cataract surgery (23).
Overall, the final BCVA improved in 26 eyes, did not change in 5 eyes, and worsened in 11 eyes. No significant differences in BCVA were found between groups operated with Hoffman scleral fixation and Sharioth technique. Postoperatively, we noticed two dislocations of IOL fixated using Sharioth technique and none after Hoffman technique. No severe complications were observed.
Both transscleral fixation techniques are feasible methods of secondary IOL implantation in posttraumatic and postoperative aphakia. with low incidence of complications, however visual outcomes are diverse.
Url:
DOI: 10.1186/s12886-016-0228-y
PubMed: 27145831
PubMed Central: 4857430
Affiliations:
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Lublin</wicri:regionArea><wicri:noRegion>Lublin</wicri:noRegion></affiliation></author><author><name sortKey="Nowomiejska, Katarzyna" sort="Nowomiejska, Katarzyna" uniqKey="Nowomiejska K" first="Katarzyna" last="Nowomiejska">Katarzyna Nowomiejska</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of General Ophthalmology, Medical University, Lublin, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General Ophthalmology, Medical University, Lublin</wicri:regionArea><wicri:noRegion>Lublin</wicri:noRegion></affiliation></author><author><name sortKey="Oleszczuk, Agnieszka" sort="Oleszczuk, Agnieszka" uniqKey="Oleszczuk A" first="Agnieszka" last="Oleszczuk">Agnieszka Oleszczuk</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of General Ophthalmology, Medical University, Lublin, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General Ophthalmology, Medical University, Lublin</wicri:regionArea><wicri:noRegion>Lublin</wicri:noRegion></affiliation></author><author><name sortKey="Forlini, Cesare" sort="Forlini, Cesare" uniqKey="Forlini C" first="Cesare" last="Forlini">Cesare Forlini</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Domus Nova Hospital, Ravenna, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Domus Nova Hospital, Ravenna</wicri:regionArea><wicri:noRegion>Ravenna</wicri:noRegion></affiliation></author><author><name sortKey="Forlini, Matteo" sort="Forlini, Matteo" uniqKey="Forlini M" first="Matteo" last="Forlini">Matteo Forlini</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Institute of Ophthalmology, University of Parma, Parma, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Ophthalmology, University of Parma, Parma</wicri:regionArea><wicri:noRegion>Parma</wicri:noRegion></affiliation></author><author><name sortKey="Moneta Wielgos, Joanna" sort="Moneta Wielgos, Joanna" uniqKey="Moneta Wielgos J" first="Joanna" last="Moneta-Wielgos">Joanna Moneta-Wielgos</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of General Ophthalmology, Medical University, Lublin, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General Ophthalmology, Medical University, Lublin</wicri:regionArea><wicri:noRegion>Lublin</wicri:noRegion></affiliation></author><author><name sortKey="Maciejewski, Ryszard" sort="Maciejewski, Ryszard" uniqKey="Maciejewski R" first="Ryszard" last="Maciejewski">Ryszard Maciejewski</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Human Anatomy Department, Medical University in Lublin, Lublin, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Human Anatomy Department, Medical University in Lublin, Lublin</wicri:regionArea><wicri:noRegion>Lublin</wicri:noRegion></affiliation></author><author><name sortKey="Michalska Malecka, Katarzyna" sort="Michalska Malecka, Katarzyna" uniqKey="Michalska Malecka K" first="Katarzyna" last="Michalska-Malecka">Katarzyna Michalska-Malecka</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Gibinski University Clinical Centre, Medical University of Silesia, Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Gibinski University Clinical Centre, Medical University of Silesia, Katowice</wicri:regionArea><wicri:noRegion>Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Junemann, Anselm G" sort="Junemann, Anselm G" uniqKey="Junemann A" first="Anselm G." last="Jünemann">Anselm G. Jünemann</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Ophthalmology, University of Rostock, Rostock, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University of Rostock, Rostock</wicri:regionArea><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion><wicri:noRegion>Rostock</wicri:noRegion></affiliation></author><author><name sortKey="Rejdak, Robert" sort="Rejdak, Robert" uniqKey="Rejdak R" first="Robert" last="Rejdak">Robert Rejdak</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of General Ophthalmology, Medical University, Lublin, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General Ophthalmology, Medical University, Lublin</wicri:regionArea><wicri:noRegion>Lublin</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Experimental Pharmacology, Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Experimental Pharmacology, Medical Research Centre, Polish Academy of Sciences, Warsaw</wicri:regionArea><wicri:noRegion>Warsaw</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Ophthalmology</title><idno type="eISSN">1471-2415</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Several techniques for fixation of the posterior chamber intraocular lens (IOL) have been developed. We evaluate long-term functional outcomes and safety of posterior chamber IOL implantation using Hoffman scleral haptic fixation and sutureless Sharioth technique in patients with posttraumatic and postoperative aphakia.</p></sec><sec><title>Methods</title><p>This retrospective case-series included 42 eyes operated by one surgeon. The data including demographic data, ocular history, preoperative, early postoperative and final best corrected visual acuity (BCVA), rate of complications as well as postoperative IOL position were collected. The mean follow-up was 14.5 months. Hoffman haptic scleral fixation was performed in 31 eyes, Sharioth technique—in 11 eyes. Aphakia was due to eye trauma (19) or complicated cataract surgery (23).</p></sec><sec><title>Results</title><p>Overall, the final BCVA improved in 26 eyes, did not change in 5 eyes, and worsened in 11 eyes. No significant differences in BCVA were found between groups operated with Hoffman scleral fixation and Sharioth technique. Postoperatively, we noticed two dislocations of IOL fixated using Sharioth technique and none after Hoffman technique. No severe complications were observed.</p></sec><sec><title>Conclusion</title><p>Both transscleral fixation techniques are feasible methods of secondary IOL implantation in posttraumatic and postoperative aphakia. with low incidence of complications, however visual outcomes are diverse.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gimbel, Hv" uniqKey="Gimbel H">HV Gimbel</name></author><author><name sortKey="Sun, R" uniqKey="Sun R">R Sun</name></author><author><name sortKey="Ferensowicz, M" uniqKey="Ferensowicz M">M Ferensowicz</name></author><author><name sortKey="Anderson Penno, E" uniqKey="Anderson Penno E">E Anderson Penno</name></author><author><name sortKey="Kamal, A" uniqKey="Kamal A">A Kamal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Por, Ym" uniqKey="Por Y">YM Por</name></author><author><name sortKey="Lavin, Mj" uniqKey="Lavin M">MJ 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Misra</name></author><author><name sortKey="Srivastava, Rm" uniqKey="Srivastava R">RM Srivastava</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Italie</li><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Haszcz, Dariusz" sort="Haszcz, Dariusz" uniqKey="Haszcz D" first="Dariusz" last="Haszcz">Dariusz Haszcz</name></noRegion><name sortKey="Maciejewski, Ryszard" sort="Maciejewski, Ryszard" uniqKey="Maciejewski R" first="Ryszard" last="Maciejewski">Ryszard Maciejewski</name><name sortKey="Michalska Malecka, Katarzyna" sort="Michalska Malecka, Katarzyna" uniqKey="Michalska Malecka K" first="Katarzyna" last="Michalska-Malecka">Katarzyna Michalska-Malecka</name><name sortKey="Moneta Wielgos, Joanna" sort="Moneta Wielgos, Joanna" uniqKey="Moneta Wielgos J" first="Joanna" last="Moneta-Wielgos">Joanna Moneta-Wielgos</name><name sortKey="Nowomiejska, Katarzyna" sort="Nowomiejska, Katarzyna" uniqKey="Nowomiejska K" first="Katarzyna" last="Nowomiejska">Katarzyna Nowomiejska</name><name sortKey="Oleszczuk, Agnieszka" sort="Oleszczuk, Agnieszka" uniqKey="Oleszczuk A" first="Agnieszka" last="Oleszczuk">Agnieszka Oleszczuk</name><name sortKey="Rejdak, Robert" sort="Rejdak, Robert" uniqKey="Rejdak R" first="Robert" last="Rejdak">Robert Rejdak</name><name sortKey="Rejdak, Robert" sort="Rejdak, Robert" uniqKey="Rejdak R" first="Robert" last="Rejdak">Robert Rejdak</name></country><country name="Italie"><noRegion><name sortKey="Forlini, Cesare" sort="Forlini, Cesare" uniqKey="Forlini C" first="Cesare" last="Forlini">Cesare Forlini</name></noRegion><name sortKey="Forlini, Matteo" sort="Forlini, Matteo" uniqKey="Forlini M" first="Matteo" last="Forlini">Matteo Forlini</name></country><country name="Allemagne"><noRegion><name sortKey="Junemann, Anselm G" sort="Junemann, Anselm G" uniqKey="Junemann A" first="Anselm G." last="Jünemann">Anselm G. Jünemann</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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