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Traumatic pupillary capture of the haptic of an angle-supported phakic intraocular lens

Identifieur interne : 006018 ( Main/Exploration ); précédent : 006017; suivant : 006019

Traumatic pupillary capture of the haptic of an angle-supported phakic intraocular lens

Auteurs : Antonio Leccisotti [Italie]

Source :

RBID : Pascal:07-0045963

Descripteurs français

English descriptors

Abstract

A 27-year-old woman had implantation of an angle-supported phakic intraocular lens (plOL) for myopia in the left eye in 2003. Moderate iris atrophy and pupil ovalization were noted in 2005. In 2006, the eye was hit by a plastic bullet shot from a toy gun. The pupil became distorted as the inferior haptic engaged the pupil edge. Visual acuity was not affected. Surgical repositioning was uneventful, yielding a round pupil with no damage to the iris sphincter or the lens. The endothelium was not affected by the trauma or surgery. Previous iris atrophy may have facilitated pupillary capture because of reduced iris elasticity and pupil ovalization by the haptic. Blunt trauma can dislocate angle-supported plOLs. Implantation of these lOLs should be discouraged in patients who perform activities that put them at risk for eye trauma.


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Le document en format XML

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<title level="j" type="main">Journal of cataract and refractive surgery</title>
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<term>Adult</term>
<term>Angle</term>
<term>Anterior Eye Segment (surgery)</term>
<term>Case study</term>
<term>Complication</term>
<term>Eye Injuries (complications)</term>
<term>Eye Injuries (surgery)</term>
<term>Female</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Human</term>
<term>Humans</term>
<term>Implanted</term>
<term>Intraocular lens</term>
<term>Iris (injuries)</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Myopia (surgery)</term>
<term>Ophthalmology</term>
<term>Reoperation</term>
<term>Support</term>
<term>Surgery</term>
<term>Trauma</term>
<term>Treatment</term>
<term>Wounds, Nonpenetrating (etiology)</term>
<term>Wounds, Nonpenetrating (surgery)</term>
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<term>Eye Injuries</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Foreign-Body Migration</term>
<term>Wounds, Nonpenetrating</term>
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<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Iris</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Anterior Eye Segment</term>
<term>Eye Injuries</term>
<term>Foreign-Body Migration</term>
<term>Myopia</term>
<term>Wounds, Nonpenetrating</term>
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<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Reoperation</term>
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<term>Traumatisme</term>
<term>Angle</term>
<term>Support</term>
<term>Lentille intraoculaire</term>
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<term>Ophtalmologie</term>
<term>Homme</term>
<term>Complication</term>
<term>Implanté</term>
<term>Etude cas</term>
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<div type="abstract" xml:lang="en">A 27-year-old woman had implantation of an angle-supported phakic intraocular lens (plOL) for myopia in the left eye in 2003. Moderate iris atrophy and pupil ovalization were noted in 2005. In 2006, the eye was hit by a plastic bullet shot from a toy gun. The pupil became distorted as the inferior haptic engaged the pupil edge. Visual acuity was not affected. Surgical repositioning was uneventful, yielding a round pupil with no damage to the iris sphincter or the lens. The endothelium was not affected by the trauma or surgery. Previous iris atrophy may have facilitated pupillary capture because of reduced iris elasticity and pupil ovalization by the haptic. Blunt trauma can dislocate angle-supported plOLs. Implantation of these lOLs should be discouraged in patients who perform activities that put them at risk for eye trauma.</div>
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