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Long-Term Observation of Triplex Surgery for Cataract after Phakic 6H Implantation for Super High Myopia

Identifieur interne : 000156 ( Main/Merge ); précédent : 000155; suivant : 000157

Long-Term Observation of Triplex Surgery for Cataract after Phakic 6H Implantation for Super High Myopia

Auteurs : Xin Liu [République populaire de Chine] ; Fan Fan [République populaire de Chine] ; Xiaoying Wang [République populaire de Chine] ; Yi Lu [République populaire de Chine] ; Tianyu Zheng [République populaire de Chine] ; Peng Zhou [République populaire de Chine] ; Xingtao Zhou [République populaire de Chine] ; Yi Luo [République populaire de Chine]

Source :

RBID : PMC:4848451

Abstract

Purpose. To analyze the safety, effectiveness, and stability of triplex surgery for phakic 6H anterior chamber phakic intraocular lens explantation and phacoemulsification with in-the-bag IOL implantation for super high myopia in long-term observations. Methods. This retrospective case series evaluated 16 eyes of 10 patients who underwent triplex surgery. Best corrected visual acuity (BCVA), endothelial cell density (ECD), and associated adverse events were evaluated. Results. The mean follow-up time after the triplex surgery was 46 ± 14 months. The mean logMAR BCVA was significantly improved after triplex surgery (P = 0.047). One eye developed endophthalmitis five days postoperatively and underwent pars plana vitrectomy (PPV). Five eyes with preoperative severe endothelial cell loss developed corneal decompensation and underwent keratoplasty at a mean time of 9.4 ± 2.6 months after the triplex surgery. One eye had graft failure and underwent a second keratoplasty. The eye developed rhegmatogenous retinal detachment and underwent PPV with silicone oil 18 months later. ECD before the triplex surgery was not significantly different compared with that at last follow-up (P = 0.495) apart from these five eyes. Three eyes (18.8%) developed posterior capsule opacification. Conclusions. Triplex surgery was safe and effective for phakic 6H related complicated cataracts. Early extraction before severe ECD loss is recommended.


Url:
DOI: 10.1155/2016/9569868
PubMed: 27190642
PubMed Central: 4848451

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PMC:4848451

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<title xml:lang="en" level="a" type="main">Long-Term Observation of Triplex Surgery for Cataract after Phakic 6H Implantation for Super High Myopia</title>
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<name sortKey="Liu, Xin" sort="Liu, Xin" uniqKey="Liu X" first="Xin" last="Liu">Xin Liu</name>
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<nlm:aff id="I1">Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200032, China</nlm:aff>
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<wicri:regionArea>Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200032</wicri:regionArea>
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<name sortKey="Zheng, Tianyu" sort="Zheng, Tianyu" uniqKey="Zheng T" first="Tianyu" last="Zheng">Tianyu Zheng</name>
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<nlm:aff id="I2">Department of Ophthalmology, ParkwayHealth Hong Qiao Medical Center, Shanghai, China</nlm:aff>
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<name sortKey="Luo, Yi" sort="Luo, Yi" uniqKey="Luo Y" first="Yi" last="Luo">Yi Luo</name>
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<nlm:aff id="I1">Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200032, China</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200032</wicri:regionArea>
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<p>
<italic>Purpose</italic>
. To analyze the safety, effectiveness, and stability of triplex surgery for phakic 6H anterior chamber phakic intraocular lens explantation and phacoemulsification with in-the-bag IOL implantation for super high myopia in long-term observations.
<italic> Methods</italic>
. This retrospective case series evaluated 16 eyes of 10 patients who underwent triplex surgery. Best corrected visual acuity (BCVA), endothelial cell density (ECD), and associated adverse events were evaluated.
<italic> Results</italic>
. The mean follow-up time after the triplex surgery was 46 ± 14 months. The mean logMAR BCVA was significantly improved after triplex surgery (
<italic>P</italic>
= 0.047). One eye developed endophthalmitis five days postoperatively and underwent pars plana vitrectomy (PPV). Five eyes with preoperative severe endothelial cell loss developed corneal decompensation and underwent keratoplasty at a mean time of 9.4 ± 2.6 months after the triplex surgery. One eye had graft failure and underwent a second keratoplasty. The eye developed rhegmatogenous retinal detachment and underwent PPV with silicone oil 18 months later. ECD before the triplex surgery was not significantly different compared with that at last follow-up (
<italic>P</italic>
= 0.495) apart from these five eyes. Three eyes (18.8%) developed posterior capsule opacification.
<italic> Conclusions</italic>
. Triplex surgery was safe and effective for phakic 6H related complicated cataracts. Early extraction before severe ECD loss is recommended.</p>
</div>
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