Implantation of a black diaphragm intraocular lens in ten cases of post-traumatic aniridia
Identifieur interne : 007008 ( Main/Exploration ); précédent : 007007; suivant : 007009Implantation of a black diaphragm intraocular lens in ten cases of post-traumatic aniridia
Auteurs : G. Beltrame [Italie] ; M. L. Salvetat [Italie] ; M. Chizzolini [Italie] ; G. B. Driussi [Italie] ; P. Busatto [Italie] ; G. Di Giorgio [Italie] ; F. Barosco [Italie] ; B. Scuderi [Italie]Source :
- European journal of ophtalmology [ 1120-6721 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Traumatisme, Homme.
English descriptors
- KwdEn :
Abstract
PURPOSE. To retrospectively review the safety and efficacy of black-diaphragm intraocular lenses (IOL) implanted for the treatment of post-traumatic aniridia. METHODS. Ten patients (mean age 48 years, range 21-75) were implanted with a black-diaphragm posterior chamber IOL (Morcher GmbH, model 67F) for correction of post-traumatic aniridia associated with cataract or aphakia. This IOL, in poly(methylmethacrylate), consists of an opaque diaphragm surrounding the transparent optic, and was inserted through a 10-mm scleral tunnel (seven eyes) or through the corneal trephination in cases of simultaneous penetrating keratoplasty (three eyes), and in-the-sulcus implanted, transsclerally sutured (six eyes) or on capsular support (four eyes). Mean follow-up was 33.4 months (range 12-52). RESULTS. Best-corrected visual acuity (BCVA) improved in eight eyes and remained unchanged in two. Glare and photophobia decreased in all patients. Intraoperatively, ciliary sulcus bleeding occurred in two cases and haptic rupture during lens insertion in one. Postoperatively, persistent intraocular inflammation was seen in four eyes, secondary glaucoma in four eyes, transient hyphema and/or hemovitreous in four, IOL decentration in two, and post-traumatic haptic detachment in one eye. CONCLUSIONS. Although in our experience the haptics still seem weak and the diaphragm diameter too large, implantation of the black-diaphragm IOL type 67 F appeared sufficiently safe and provided satisfactory functional results for correction of post-traumatic aniridia combined with cataract or aphakia, improving BCVA and reducing glare and photophobia in most patients, though clearly more cases and longer follow-up are needed to assess its clinical performance properly.
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Scuderi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">03-0375178</idno><date when="2003">2003</date><idno type="stanalyst">PASCAL 03-0375178 INIST</idno><idno type="RBID">Pascal:03-0375178</idno><idno type="wicri:Area/PascalFrancis/Corpus">001153</idno><idno type="wicri:Area/PascalFrancis/Curation">000358</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000E55</idno><idno type="wicri:doubleKey">1120-6721:2003:Beltrame G:implantation:of:a</idno><idno type="wicri:Area/Main/Merge">007487</idno><idno type="wicri:Area/Main/Curation">007008</idno><idno type="wicri:Area/Main/Exploration">007008</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Implantation of a black diaphragm intraocular lens in ten cases of post-traumatic aniridia</title><author><name sortKey="Beltrame, G" sort="Beltrame, G" uniqKey="Beltrame G" first="G." last="Beltrame">G. Beltrame</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Salvetat, M L" sort="Salvetat, M L" uniqKey="Salvetat M" first="M. L." last="Salvetat">M. L. Salvetat</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Chizzolini, M" sort="Chizzolini, M" uniqKey="Chizzolini M" first="M." last="Chizzolini">M. Chizzolini</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Driussi, G B" sort="Driussi, G B" uniqKey="Driussi G" first="G. B." last="Driussi">G. B. Driussi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Busatto, P" sort="Busatto, P" uniqKey="Busatto P" first="P." last="Busatto">P. Busatto</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Di Giorgio, G" sort="Di Giorgio, G" uniqKey="Di Giorgio G" first="G." last="Di Giorgio">G. Di Giorgio</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Barosco, F" sort="Barosco, F" uniqKey="Barosco F" first="F." last="Barosco">F. Barosco</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author><author><name sortKey="Scuderi, B" sort="Scuderi, B" uniqKey="Scuderi B" first="B." last="Scuderi">B. Scuderi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Hospital of San Donà di Piave</s1><s2>Venezia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Venezia</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">European journal of ophtalmology</title><title level="j" type="abbreviated">Eur. j. ophthalmol.</title><idno type="ISSN">1120-6721</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">European journal of ophtalmology</title><title level="j" type="abbreviated">Eur. j. ophthalmol.</title><idno type="ISSN">1120-6721</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aniridia</term><term>Black</term><term>Diaphragm</term><term>Human</term><term>Intraocular lens</term><term>Posterior chamber</term><term>Surgical implantation</term><term>Trauma</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Aniridie</term><term>Traumatisme</term><term>Implantation chirurgicale</term><term>Diaphragme</term><term>Chambre postérieure</term><term>Noir</term><term>Traitement</term><term>Homme</term><term>Lentille intraoculaire</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Traumatisme</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">PURPOSE. To retrospectively review the safety and efficacy of black-diaphragm intraocular lenses (IOL) implanted for the treatment of post-traumatic aniridia. METHODS. Ten patients (mean age 48 years, range 21-75) were implanted with a black-diaphragm posterior chamber IOL (Morcher GmbH, model 67F) for correction of post-traumatic aniridia associated with cataract or aphakia. This IOL, in poly(methylmethacrylate), consists of an opaque diaphragm surrounding the transparent optic, and was inserted through a 10-mm scleral tunnel (seven eyes) or through the corneal trephination in cases of simultaneous penetrating keratoplasty (three eyes), and in-the-sulcus implanted, transsclerally sutured (six eyes) or on capsular support (four eyes). Mean follow-up was 33.4 months (range 12-52). RESULTS. Best-corrected visual acuity (BCVA) improved in eight eyes and remained unchanged in two. Glare and photophobia decreased in all patients. Intraoperatively, ciliary sulcus bleeding occurred in two cases and haptic rupture during lens insertion in one. Postoperatively, persistent intraocular inflammation was seen in four eyes, secondary glaucoma in four eyes, transient hyphema and/or hemovitreous in four, IOL decentration in two, and post-traumatic haptic detachment in one eye. CONCLUSIONS. Although in our experience the haptics still seem weak and the diaphragm diameter too large, implantation of the black-diaphragm IOL type 67 F appeared sufficiently safe and provided satisfactory functional results for correction of post-traumatic aniridia combined with cataract or aphakia, improving BCVA and reducing glare and photophobia in most patients, though clearly more cases and longer follow-up are needed to assess its clinical performance properly.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Beltrame, G" sort="Beltrame, G" uniqKey="Beltrame G" first="G." last="Beltrame">G. Beltrame</name></noRegion><name sortKey="Barosco, F" sort="Barosco, F" uniqKey="Barosco F" first="F." last="Barosco">F. Barosco</name><name sortKey="Busatto, P" sort="Busatto, P" uniqKey="Busatto P" first="P." last="Busatto">P. Busatto</name><name sortKey="Chizzolini, M" sort="Chizzolini, M" uniqKey="Chizzolini M" first="M." last="Chizzolini">M. Chizzolini</name><name sortKey="Di Giorgio, G" sort="Di Giorgio, G" uniqKey="Di Giorgio G" first="G." last="Di Giorgio">G. Di Giorgio</name><name sortKey="Driussi, G B" sort="Driussi, G B" uniqKey="Driussi G" first="G. B." last="Driussi">G. B. Driussi</name><name sortKey="Salvetat, M L" sort="Salvetat, M L" uniqKey="Salvetat M" first="M. L." last="Salvetat">M. L. Salvetat</name><name sortKey="Scuderi, B" sort="Scuderi, B" uniqKey="Scuderi B" first="B." last="Scuderi">B. Scuderi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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