A classification system of intraocular lens dislocation sites under operating microscopy, and the surgical techniques and outcomes of exchange surgery
Identifieur interne : 000316 ( Main/Merge ); précédent : 000315; suivant : 000317A classification system of intraocular lens dislocation sites under operating microscopy, and the surgical techniques and outcomes of exchange surgery
Auteurs : Ken Hayashi [Japon] ; Soichiro Ogawa [Japon] ; Shin-Ichi Manabe [Japon] ; Akira Hirata [Japon] ; Koichi Yoshimura [Japon]Source :
- Graefe's Archive for Clinical and Experimental Ophthalmology [ 0721-832X ] ; 2016.
Abstract
The aim of this study was to examine the recent status of intraocular lens (IOL) dislocation according to a classification system based on vertical dislocation position, as well as the surgical techniques and outcomes of IOL exchange surgery.
The medical records of 230 eyes from 214 consecutive patients who experienced IOL dislocation and underwent exchange surgery between 2006 and 2014 were reviewed. Vertical dislocation sites observed preoperatively under operating microscopy were examined, along with the surgical techniques and outcomes of IOL exchange.
Dislocation sites included (1) the anterior chamber (12.2 %), (2) pseudophakodonesis (19.1 %), (3) the anterior vitreous cavity (47.4 %), (4) trap door-like dislocation (dangling in the peripheral vitreous cavity; 16.1 %), and (5) the retinal surface (5.2 %). The IOL retained in the anterior segment was moved onto the iris by pulling it up through the limbal side ports with an anterior vitrectomy (67.8 %), or by pushing it up from the pars plana with an anterior vitrectomy (26.5 %), while the IOL dropped on the retina was lifting it up from the retina after pars plana vitrectomy (5.7 %). Mean uncorrected and distance-corrected visual acuity significantly improved postoperatively (
Based on the classification system, approximately 95 % of dislocated IOLs were retained in the anterior segment, and these IOLs were exchanged using an anterior approach through limbal incisions with an anterior vitrectomy. Visual acuity improved significantly, and serious complications were uncommon, probably because the IOL exchange techniques were standardized and simplified without pars plana vitrectomy.
Url:
DOI: 10.1007/s00417-016-3273-6
PubMed: 26816295
PubMed Central: 4769725
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000813
- to stream Pmc, to step Curation: 000813
- to stream Pmc, to step Checkpoint: 000179
- to stream Ncbi, to step Merge: 003F43
- to stream Ncbi, to step Curation: 003F43
- to stream Ncbi, to step Checkpoint: 003F43
Links to Exploration step
PMC:4769725Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A classification system of intraocular lens dislocation sites under operating microscopy, and the surgical techniques and outcomes of exchange surgery</title><author><name sortKey="Hayashi, Ken" sort="Hayashi, Ken" uniqKey="Hayashi K" first="Ken" last="Hayashi">Ken Hayashi</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Ogawa, Soichiro" sort="Ogawa, Soichiro" uniqKey="Ogawa S" first="Soichiro" last="Ogawa">Soichiro Ogawa</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Manabe, Shin Ichi" sort="Manabe, Shin Ichi" uniqKey="Manabe S" first="Shin-Ichi" last="Manabe">Shin-Ichi Manabe</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Hirata, Akira" sort="Hirata, Akira" uniqKey="Hirata A" first="Akira" last="Hirata">Akira Hirata</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Yoshimura, Koichi" sort="Yoshimura, Koichi" uniqKey="Yoshimura K" first="Koichi" last="Yoshimura">Koichi Yoshimura</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26816295</idno><idno type="pmc">4769725</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4769725</idno><idno type="RBID">PMC:4769725</idno><idno type="doi">10.1007/s00417-016-3273-6</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000813</idno><idno type="wicri:Area/Pmc/Curation">000813</idno><idno type="wicri:Area/Pmc/Checkpoint">000179</idno><idno type="wicri:Area/Ncbi/Merge">003F43</idno><idno type="wicri:Area/Ncbi/Curation">003F43</idno><idno type="wicri:Area/Ncbi/Checkpoint">003F43</idno><idno type="wicri:doubleKey">0721-832X:2016:Hayashi K:a:classification:system</idno><idno type="wicri:Area/Main/Merge">000316</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A classification system of intraocular lens dislocation sites under operating microscopy, and the surgical techniques and outcomes of exchange surgery</title><author><name sortKey="Hayashi, Ken" sort="Hayashi, Ken" uniqKey="Hayashi K" first="Ken" last="Hayashi">Ken Hayashi</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Ogawa, Soichiro" sort="Ogawa, Soichiro" uniqKey="Ogawa S" first="Soichiro" last="Ogawa">Soichiro Ogawa</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Manabe, Shin Ichi" sort="Manabe, Shin Ichi" uniqKey="Manabe S" first="Shin-Ichi" last="Manabe">Shin-Ichi Manabe</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Hirata, Akira" sort="Hirata, Akira" uniqKey="Hirata A" first="Akira" last="Hirata">Akira Hirata</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Yoshimura, Koichi" sort="Yoshimura, Koichi" uniqKey="Yoshimura K" first="Koichi" last="Yoshimura">Koichi Yoshimura</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Graefe's Archive for Clinical and Experimental Ophthalmology</title><idno type="ISSN">0721-832X</idno><idno type="eISSN">1435-702X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The aim of this study was to examine the recent status of intraocular lens (IOL) dislocation according to a classification system based on vertical dislocation position, as well as the surgical techniques and outcomes of IOL exchange surgery.</p></sec><sec><title>Methods</title><p>The medical records of 230 eyes from 214 consecutive patients who experienced IOL dislocation and underwent exchange surgery between 2006 and 2014 were reviewed. Vertical dislocation sites observed preoperatively under operating microscopy were examined, along with the surgical techniques and outcomes of IOL exchange.</p></sec><sec><title>Results</title><p>Dislocation sites included (1) the anterior chamber (12.2 %), (2) pseudophakodonesis (19.1 %), (3) the anterior vitreous cavity (47.4 %), (4) trap door-like dislocation (dangling in the peripheral vitreous cavity; 16.1 %), and (5) the retinal surface (5.2 %). The IOL retained in the anterior segment was moved onto the iris by pulling it up through the limbal side ports with an anterior vitrectomy (67.8 %), or by pushing it up from the pars plana with an anterior vitrectomy (26.5 %), while the IOL dropped on the retina was lifting it up from the retina after pars plana vitrectomy (5.7 %). Mean uncorrected and distance-corrected visual acuity significantly improved postoperatively (<italic>p</italic> < 0.0001). Major complications included a marked elevation in intraocular pressure (7.8 %), pupillary capture (6.5 %), and vitreous hemorrhage (2.6 %).</p></sec><sec><title>Conclusions</title><p>Based on the classification system, approximately 95 % of dislocated IOLs were retained in the anterior segment, and these IOLs were exchanged using an anterior approach through limbal incisions with an anterior vitrectomy. Visual acuity improved significantly, and serious complications were uncommon, probably because the IOL exchange techniques were standardized and simplified without pars plana vitrectomy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Davis, D" uniqKey="Davis D">D Davis</name></author><author><name sortKey="Brubaker, J" uniqKey="Brubaker J">J Brubaker</name></author><author><name sortKey="Espandar, L" uniqKey="Espandar L">L Espandar</name></author><author><name sortKey="Stringham, J" uniqKey="Stringham J">J Stringham</name></author><author><name sortKey="Crandall, A" uniqKey="Crandall A">A Crandall</name></author><author><name sortKey="Werner, L" uniqKey="Werner L">L Werner</name></author><author><name sortKey="Mamalis, N" uniqKey="Mamalis N">N Mamalis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pueringer, Sl" uniqKey="Pueringer S">SL Pueringer</name></author><author><name sortKey="Hodge, Do" uniqKey="Hodge D">DO Hodge</name></author><author><name sortKey="Erie, Jc" uniqKey="Erie J">JC Erie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kr Pst, L" uniqKey="Kr Pst L">L Krėpštė</name></author><author><name sortKey="Kuzien, L" uniqKey="Kuzien L">L Kuzienė</name></author><author><name sortKey="Millauskas, A" uniqKey="Millauskas A">A Millauskas</name></author><author><name sortKey="Janulevi Ien, I" uniqKey="Janulevi Ien I">I Janulevičienė</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayashi, K" uniqKey="Hayashi K">K Hayashi</name></author><author><name sortKey="Hirata, A" uniqKey="Hirata A">A Hirata</name></author><author><name sortKey="Hayashi, H" uniqKey="Hayashi H">H Hayashi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smiddy, We" uniqKey="Smiddy W">WE Smiddy</name></author><author><name sortKey="Ibanez, Gv" uniqKey="Ibanez G">GV Ibanez</name></author><author><name sortKey="Alfonso, E" uniqKey="Alfonso E">E Alfonso</name></author><author><name sortKey="Flynn, Hw" uniqKey="Flynn H">HW Flynn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kokame, Gt" uniqKey="Kokame G">GT Kokame</name></author><author><name sortKey="Yamamoto, I" uniqKey="Yamamoto I">I Yamamoto</name></author><author><name sortKey="Mandel, H" uniqKey="Mandel H">H Mandel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nakashizuka, H" uniqKey="Nakashizuka H">H Nakashizuka</name></author><author><name sortKey="Shimada, H" uniqKey="Shimada H">H Shimada</name></author><author><name sortKey="Iwasaki, Y" uniqKey="Iwasaki Y">Y Iwasaki</name></author><author><name sortKey="Matsumoto, Y" uniqKey="Matsumoto Y">Y Matsumoto</name></author><author><name sortKey="Sato, Y" uniqKey="Sato Y">Y Sato</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nikeghbali, A" uniqKey="Nikeghbali A">A Nikeghbali</name></author><author><name sortKey="Falavarjani, Kg" uniqKey="Falavarjani K">KG Falavarjani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mello, Mo" uniqKey="Mello M">MO Mello</name></author><author><name sortKey="Scott, Iu" uniqKey="Scott I">IU Scott</name></author><author><name sortKey="Smiddy, We" uniqKey="Smiddy W">WE Smiddy</name></author><author><name sortKey="Flynn, Hw" uniqKey="Flynn H">HW Flynn</name></author><author><name sortKey="Feuer, W" uniqKey="Feuer W">W Feuer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gross, Jg" uniqKey="Gross J">JG Gross</name></author><author><name sortKey="Kokame, Gt" uniqKey="Kokame G">GT Kokame</name></author><author><name sortKey="Weinberg, Dv" uniqKey="Weinberg D">DV Weinberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Ss" uniqKey="Kim S">SS Kim</name></author><author><name sortKey="Smiddy, We" uniqKey="Smiddy W">WE Smiddy</name></author><author><name sortKey="Feuer, W" uniqKey="Feuer W">W Feuer</name></author><author><name sortKey="Shi, W" uniqKey="Shi W">W Shi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lorente, R" uniqKey="Lorente R">R Lorente</name></author><author><name sortKey="De Rojas, V" uniqKey="De Rojas V">V de Rojas</name></author><author><name sortKey="De Parga, Pv" uniqKey="De Parga P">PV de Parga</name></author><author><name sortKey="Moreno, C" uniqKey="Moreno C">C Moreno</name></author><author><name sortKey="Landaluce, L" uniqKey="Landaluce L">L Landaluce</name></author><author><name sortKey="Dominguez, R" uniqKey="Dominguez R">R Domínguez</name></author><author><name sortKey="Lorente, B" uniqKey="Lorente B">B Lorente</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Halafi, Am" uniqKey="Al Halafi A">AM Al-Halafi</name></author><author><name sortKey="Al Harthi, E" uniqKey="Al Harthi E">E Al-Harthi</name></author><author><name sortKey="Al Amro, S" uniqKey="Al Amro S">S Al-Amro</name></author><author><name sortKey="El Asrar, Aa" uniqKey="El Asrar A">AA El-Asrar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shingleton, Bj" uniqKey="Shingleton B">BJ Shingleton</name></author><author><name sortKey="Yang, Y" uniqKey="Yang Y">Y Yang</name></author><author><name sortKey="O Onoghue, Mw" uniqKey="O Onoghue M">MW O’Donoghue</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fernandez Buenaga, R" uniqKey="Fernandez Buenaga R">R Fernández-Buenaga</name></author><author><name sortKey="Alio, Jl" uniqKey="Alio J">JL Alio</name></author><author><name sortKey="Perez Ardoy, Al" uniqKey="Perez Ardoy A">AL Pérez-Ardoy</name></author><author><name sortKey="Larrosa Quesada, A" uniqKey="Larrosa Quesada A">A Larrosa-Quesada</name></author><author><name sortKey="Pinilla Cortes, L" uniqKey="Pinilla Cortes L">L Pinilla-Cortés</name></author><author><name sortKey="Barraquer, R" uniqKey="Barraquer R">R Barraquer</name></author><author><name sortKey="Alio, Jl" uniqKey="Alio J">JL Alio</name></author><author><name sortKey="Mu Oz Negrete, Fj" uniqKey="Mu Oz Negrete F">FJ Muñoz-Negrete</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yotsukura Tsutsui, E" uniqKey="Yotsukura Tsutsui E">E Yotsukura-Tsutsui</name></author><author><name sortKey="Koto, T" uniqKey="Koto T">T Koto</name></author><author><name sortKey="Tsubota, K" uniqKey="Tsubota K">K Tsubota</name></author><author><name sortKey="Ozawa, Y" uniqKey="Ozawa Y">Y Ozawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sarrafizadeh, R" uniqKey="Sarrafizadeh R">R Sarrafizadeh</name></author><author><name sortKey="Ruby, Aj" uniqKey="Ruby A">AJ Ruby</name></author><author><name sortKey="Hassan, Ts" uniqKey="Hassan T">TS Hassan</name></author><author><name sortKey="Williams, Ga" uniqKey="Williams G">GA Williams</name></author><author><name sortKey="Garretson, Br" uniqKey="Garretson B">BR Garretson</name></author><author><name sortKey="Trese, Mt" uniqKey="Trese M">MT Trese</name></author><author><name sortKey="Margheruo, Rr" uniqKey="Margheruo R">RR Margheruo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jakobsson, G" uniqKey="Jakobsson G">G Jakobsson</name></author><author><name sortKey="Zetterberg, M" uniqKey="Zetterberg M">M Zetterberg</name></author><author><name sortKey="Sundelin, K" uniqKey="Sundelin K">K Sundelin</name></author><author><name sortKey="Stenevi, U" uniqKey="Stenevi U">U Stenevi</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000316 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 000316 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= HapticV1
|flux= Main
|étape= Merge
|type= RBID
|clé= PMC:4769725
|texte= A classification system of intraocular lens dislocation sites under operating microscopy, and the surgical techniques and outcomes of exchange surgery
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:26816295" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |