A new technique for treating posttraumatic aniridia with aphakia: first results of haptic fixation of a foldable intraocular lens on a foldable and custom-tailored iris prosthesis.
Identifieur interne : 002600 ( Main/Exploration ); précédent : 002599; suivant : 002601A new technique for treating posttraumatic aniridia with aphakia: first results of haptic fixation of a foldable intraocular lens on a foldable and custom-tailored iris prosthesis.
Auteurs : Martin S. Spitzer [Allemagne] ; Efdal Yoeruek ; Martin A. Leitritz ; Peter Szurman ; Karl U. Bartz-SchmidtSource :
- Archives of ophthalmology (Chicago, Ill. : 1960) [ 1538-3601 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Aged, Aphakia, Postcataract (etiology), Aphakia, Postcataract (surgery), Eye Injuries, Penetrating (etiology), Eye Injuries, Penetrating (surgery), Humans, Iris (injuries), Lens Implantation, Intraocular (methods), Lenses, Intraocular, Male, Middle Aged, Prostheses and Implants, Refraction, Ocular (physiology), Rupture, Silicone Elastomers, Suture Techniques, Vision Disorders (rehabilitation), Visual Acuity (physiology).
- MESH :
- chemical : Silicone Elastomers.
- etiology : Aphakia, Postcataract, Eye Injuries, Penetrating.
- injuries : Iris.
- methods : Lens Implantation, Intraocular.
- physiology : Refraction, Ocular, Visual Acuity.
- rehabilitation : Vision Disorders.
- surgery : Aphakia, Postcataract, Eye Injuries, Penetrating.
- Adult, Aged, Humans, Lenses, Intraocular, Male, Middle Aged, Prostheses and Implants, Rupture, Suture Techniques.
Abstract
We describe a new surgical technique for treating traumatic aniridia with aphakia and its results in a small consecutive case series. We attached a 3-piece acrylic intraocular lens through the haptics to a customized silicone iris prosthesis. The combined implant was inserted through a 5-mm incision and fixated with a transscleral suture in the ciliary sulcus using a knotless technique (Z suture). In all patients, the combined implant stayed firmly fixed within the sulcus and showed a stable and centered position without any tilt or torque during follow-up. Thus, managing posttraumatic aniridia with aphakia by means of haptic fixation of a foldable intraocular lens on a custom-tailored iris prosthesis is a promising approach for visual rehabilitation and cosmetic improvement.
DOI: 10.1001/archophthalmol.2011.1778
PubMed: 22801839
Affiliations:
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Spitzer</name><affiliation wicri:level="3"><nlm:affiliation>Department of Ophthalmology, University Eye Hospital Tübingen, Centre of Ophthalmology, Eberhard-Karls University Tübingen,Tübingen, Germany. martin.spitzer@med.unituebingen.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Eye Hospital Tübingen, Centre of Ophthalmology, Eberhard-Karls University Tübingen,Tübingen</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Yoeruek, Efdal" sort="Yoeruek, Efdal" uniqKey="Yoeruek E" first="Efdal" last="Yoeruek">Efdal Yoeruek</name></author><author><name sortKey="Leitritz, Martin A" sort="Leitritz, Martin A" uniqKey="Leitritz M" first="Martin A" last="Leitritz">Martin A. Leitritz</name></author><author><name sortKey="Szurman, Peter" sort="Szurman, Peter" uniqKey="Szurman P" first="Peter" last="Szurman">Peter Szurman</name></author><author><name sortKey="Bartz Schmidt, Karl U" sort="Bartz Schmidt, Karl U" uniqKey="Bartz Schmidt K" first="Karl U" last="Bartz-Schmidt">Karl U. Bartz-Schmidt</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1001/archophthalmol.2011.1778</idno><idno type="RBID">pubmed:22801839</idno><idno type="pmid">22801839</idno><idno type="wicri:Area/PubMed/Corpus">000B62</idno><idno type="wicri:Area/PubMed/Curation">000B62</idno><idno type="wicri:Area/PubMed/Checkpoint">000C05</idno><idno type="wicri:Area/Ncbi/Merge">002143</idno><idno type="wicri:Area/Ncbi/Curation">002143</idno><idno type="wicri:Area/Ncbi/Checkpoint">002143</idno><idno type="wicri:Area/Main/Merge">002628</idno><idno type="wicri:Area/Main/Curation">002600</idno><idno type="wicri:Area/Main/Exploration">002600</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A new technique for treating posttraumatic aniridia with aphakia: first results of haptic fixation of a foldable intraocular lens on a foldable and custom-tailored iris prosthesis.</title><author><name sortKey="Spitzer, Martin S" sort="Spitzer, Martin S" uniqKey="Spitzer M" first="Martin S" last="Spitzer">Martin S. Spitzer</name><affiliation wicri:level="3"><nlm:affiliation>Department of Ophthalmology, University Eye Hospital Tübingen, Centre of Ophthalmology, Eberhard-Karls University Tübingen,Tübingen, Germany. martin.spitzer@med.unituebingen.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, University Eye Hospital Tübingen, Centre of Ophthalmology, Eberhard-Karls University Tübingen,Tübingen</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Yoeruek, Efdal" sort="Yoeruek, Efdal" uniqKey="Yoeruek E" first="Efdal" last="Yoeruek">Efdal Yoeruek</name></author><author><name sortKey="Leitritz, Martin A" sort="Leitritz, Martin A" uniqKey="Leitritz M" first="Martin A" last="Leitritz">Martin A. Leitritz</name></author><author><name sortKey="Szurman, Peter" sort="Szurman, Peter" uniqKey="Szurman P" first="Peter" last="Szurman">Peter Szurman</name></author><author><name sortKey="Bartz Schmidt, Karl U" sort="Bartz Schmidt, Karl U" uniqKey="Bartz Schmidt K" first="Karl U" last="Bartz-Schmidt">Karl U. Bartz-Schmidt</name></author></analytic><series><title level="j">Archives of ophthalmology (Chicago, Ill. : 1960)</title><idno type="eISSN">1538-3601</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aphakia, Postcataract (etiology)</term><term>Aphakia, Postcataract (surgery)</term><term>Eye Injuries, Penetrating (etiology)</term><term>Eye Injuries, Penetrating (surgery)</term><term>Humans</term><term>Iris (injuries)</term><term>Lens Implantation, Intraocular (methods)</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Prostheses and Implants</term><term>Refraction, Ocular (physiology)</term><term>Rupture</term><term>Silicone Elastomers</term><term>Suture Techniques</term><term>Vision Disorders (rehabilitation)</term><term>Visual Acuity (physiology)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Silicone Elastomers</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Aphakia, Postcataract</term><term>Eye Injuries, Penetrating</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Iris</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Refraction, Ocular</term><term>Visual Acuity</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Vision Disorders</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Aphakia, Postcataract</term><term>Eye Injuries, Penetrating</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Prostheses and Implants</term><term>Rupture</term><term>Suture Techniques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe a new surgical technique for treating traumatic aniridia with aphakia and its results in a small consecutive case series. We attached a 3-piece acrylic intraocular lens through the haptics to a customized silicone iris prosthesis. The combined implant was inserted through a 5-mm incision and fixated with a transscleral suture in the ciliary sulcus using a knotless technique (Z suture). In all patients, the combined implant stayed firmly fixed within the sulcus and showed a stable and centered position without any tilt or torque during follow-up. Thus, managing posttraumatic aniridia with aphakia by means of haptic fixation of a foldable intraocular lens on a custom-tailored iris prosthesis is a promising approach for visual rehabilitation and cosmetic improvement.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Tübingen</li></region><settlement><li>Tübingen</li></settlement></list><tree><noCountry><name sortKey="Bartz Schmidt, Karl U" sort="Bartz Schmidt, Karl U" uniqKey="Bartz Schmidt K" first="Karl U" last="Bartz-Schmidt">Karl U. Bartz-Schmidt</name><name sortKey="Leitritz, Martin A" sort="Leitritz, Martin A" uniqKey="Leitritz M" first="Martin A" last="Leitritz">Martin A. Leitritz</name><name sortKey="Szurman, Peter" sort="Szurman, Peter" uniqKey="Szurman P" first="Peter" last="Szurman">Peter Szurman</name><name sortKey="Yoeruek, Efdal" sort="Yoeruek, Efdal" uniqKey="Yoeruek E" first="Efdal" last="Yoeruek">Efdal Yoeruek</name></noCountry><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Spitzer, Martin S" sort="Spitzer, Martin S" uniqKey="Spitzer M" first="Martin S" last="Spitzer">Martin S. Spitzer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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