HapticV1, Main, Exploration, bibRecordById, pubmed:9152068

Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses

Identifieur interne : 008B80 ( Main/Exploration ); précédent : 008B79; suivant : 008B81

Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses

Auteurs : T. E. Schneiderman [États-Unis] ; M. W. Johnson [États-Unis] ; W. E. Smiddy [États-Unis] ; H. W. Jr Flynn [États-Unis] ; S. R. Bennett [États-Unis] ; H. L. Cantrill [États-Unis]

Source :

American journal of ophthalmology [ 0002-9394 ] ; 1997.

RBID : Pascal:97-0313663

Descripteurs français

Pascal (Inist)
- Lentille intraoculaire, Implanté, Chambre postérieure, Luxation, Postérieur, Tardif, Capsulotomie, Laser YAG, Néodyme, Siloxane polymère, Evolution, Traitement, Complication, Chirurgie, Homme, Postopératoire, Haptique.
Wicri :
- topic : Chirurgie, Homme.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Capsulotomy, Complication, Evolution, Female, Follow-Up Studies, Foreign-Body Migration (etiology), Foreign-Body Migration (surgery), Haptic, Human, Humans, Implanted, Intraocular lens, Laser Therapy (adverse effects), Late, Lens Capsule, Crystalline (surgery), Lenses, Intraocular, Luxation, Male, Neodymium, Phacoemulsification, Posterior, Posterior chamber, Postoperative, Postoperative Complications (surgery), Reoperation, Retrospective Studies, Silicone Elastomers, Siloxane polymer, Surgery, Treatment, Visual Acuity, Vitrectomy, YAG laser.
MESH :
- chemical : Silicone Elastomers.
- adverse effects : Laser Therapy.
- etiology : Foreign-Body Migration.
- surgery : Foreign-Body Migration, Lens Capsule, Crystalline, Postoperative Complications.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Lenses, Intraocular, Male, Phacoemulsification, Reoperation, Retrospective Studies, Visual Acuity, Vitrectomy.

Abstract

. PURPOSE: To report a large series of delayed posterior dislocation of silicone plate haptic intraocular lenses after Nd:YAG laser capsulotomy and dis cuss the surgical management of this complication. . METHODS: We reviewed the records of 11 consecutive patients (11 eyes) with delayed onset of posterior dislocation of a plate haptic silicone intraocular lens. The cause of the posterior capsular defect, time to dislocation, surgical management techniques, complications, and visual outcome were recorded. RESULTS: In eight of the 11 eyes, the silicone plate haptic intraocular lens dislocated an average of 1.8 months (range, 0 to 6.5 months) after Nd:YAG posterior capsulotomy. The other three eyes had surgical complications at the time of cataract extraction that compromised posterior capsular or zonular integrity and led to silicone plate haptic intraocular lens dislocation from 9 weeks to 6 months (mean, 3.6 months) postoperatively. Surgical management consisted of pars plana vitrectomy with intraocular lens reposition ing (six eyes) or exchange (five eyes). The average follow-up period after intraocular lens repositioning or exchange was 6.5 months (range, 1 to 14 months). Best-corrected visual acuity at the last followup examination measured 20/40 or better in all but one eye that had preexisting macular disease. CONCLUSIONS: Cataract surgeons and patients should be aware of the potential for plate haptic silicone intraocular lenses to undergo delayed posterior dislocation through capsular defects. This complication can be managed effectively with vitrectomy and either repositioning or exchange of the implant. Postoperative visual acuity is generally excellent, and complications are minimal.

Affiliations:

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Capsulotomy</term>
<term>Complication</term>
<term>Evolution</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Haptic</term>
<term>Human</term>
<term>Humans</term>
<term>Implanted</term>
<term>Intraocular lens</term>
<term>Laser Therapy (adverse effects)</term>
<term>Late</term>
<term>Lens Capsule, Crystalline (surgery)</term>
<term>Lenses, Intraocular</term>
<term>Luxation</term>
<term>Male</term>
<term>Neodymium</term>
<term>Phacoemulsification</term>
<term>Posterior</term>
<term>Posterior chamber</term>
<term>Postoperative</term>
<term>Postoperative Complications (surgery)</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Silicone Elastomers</term>
<term>Siloxane polymer</term>
<term>Surgery</term>
<term>Treatment</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
<term>YAG laser</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Foreign-Body Migration</term>
<term>Lens Capsule, Crystalline</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Phacoemulsification</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term>
<term>Implanté</term>
<term>Chambre postérieure</term>
<term>Luxation</term>
<term>Postérieur</term>
<term>Tardif</term>
<term>Capsulotomie</term>
<term>Laser YAG</term>
<term>Néodyme</term>
<term>Siloxane polymère</term>
<term>Evolution</term>
<term>Traitement</term>
<term>Complication</term>
<term>Chirurgie</term>
<term>Homme</term>
<term>Postopératoire</term>
<term>Haptique</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">. PURPOSE: To report a large series of delayed posterior dislocation of silicone plate haptic intraocular lenses after Nd:YAG laser capsulotomy and dis cuss the surgical management of this complication. . METHODS: We reviewed the records of 11 consecutive patients (11 eyes) with delayed onset of posterior dislocation of a plate haptic silicone intraocular lens. The cause of the posterior capsular defect, time to dislocation, surgical management techniques, complications, and visual outcome were recorded. RESULTS: In eight of the 11 eyes, the silicone plate haptic intraocular lens dislocated an average of 1.8 months (range, 0 to 6.5 months) after Nd:YAG posterior capsulotomy. The other three eyes had surgical complications at the time of cataract extraction that compromised posterior capsular or zonular integrity and led to silicone plate haptic intraocular lens dislocation from 9 weeks to 6 months (mean, 3.6 months) postoperatively. Surgical management consisted of pars plana vitrectomy with intraocular lens reposition ing (six eyes) or exchange (five eyes). The average follow-up period after intraocular lens repositioning or exchange was 6.5 months (range, 1 to 14 months). Best-corrected visual acuity at the last followup examination measured 20/40 or better in all but one eye that had preexisting macular disease. CONCLUSIONS: Cataract surgeons and patients should be aware of the potential for plate haptic silicone intraocular lenses to undergo delayed posterior dislocation through capsular defects. This complication can be managed effectively with vitrectomy and either repositioning or exchange of the implant. Postoperative visual acuity is generally excellent, and complications are minimal.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Floride</li>
<li>Michigan</li>
<li>Minnesota</li>
</region>
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<tree><country name="États-Unis"><region name="Michigan"><name sortKey="Schneiderman, T E" sort="Schneiderman, T E" uniqKey="Schneiderman T" first="T. E." last="Schneiderman">T. E. Schneiderman</name>
</region>
<name sortKey="Bennett, S R" sort="Bennett, S R" uniqKey="Bennett S" first="S. R." last="Bennett">S. R. Bennett</name>
<name sortKey="Cantrill, H L" sort="Cantrill, H L" uniqKey="Cantrill H" first="H. L." last="Cantrill">H. L. Cantrill</name>
<name sortKey="Flynn, H W Jr" sort="Flynn, H W Jr" uniqKey="Flynn H" first="H. W. Jr" last="Flynn">H. W. Jr Flynn</name>
<name sortKey="Johnson, M W" sort="Johnson, M W" uniqKey="Johnson M" first="M. W." last="Johnson">M. W. Johnson</name>
<name sortKey="Smiddy, W E" sort="Smiddy, W E" uniqKey="Smiddy W" first="W. E." last="Smiddy">W. E. Smiddy</name>
</country>
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</record>

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Serveur d'exploration sur les dispositifs haptiques

Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses

Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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