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Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Identifieur interne : 008649 ( Main/Merge ); précédent : 008648; suivant : 008650

Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Auteurs : Shin-Ichi Manabe [Japon] ; Hideyasu Oh [Japon] ; Kentaro Amino [Japon] ; Naruhiko Hata [Japon] ; Ryoji Yamakawa [Japon]

Source :

Ophthalmology : (Rochester, MN) [ 0161-6420 ] ; 2000.

RBID : Pascal:01-0114529

Descripteurs français

Pascal (Inist)
- Lentille intraoculaire, Chambre postérieure, Suture chirurgicale, Sclérotique, Technique, Biomicroscopie, Ultrason, Exploration, Postopératoire, Evaluation, Complication, Iatrogène, Oculaire, Homme.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Biomicroscopy, Complication, Evaluation, Exploration, Human, Iatrogenic, Intraocular lens, Ocular, Posterior chamber, Postoperative, Sclera, Suturation, Technique, Ultrasound.

Abstract

Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.

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Le document en format XML

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<author><name sortKey="Manabe, Shin Ichi" sort="Manabe, Shin Ichi" uniqKey="Manabe S" first="Shin-Ichi" last="Manabe">Shin-Ichi Manabe</name>
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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Ophthalmology & Visual Sciences, Kyoto University Graduate School of Medicine</s1>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biomicroscopy</term>
<term>Complication</term>
<term>Evaluation</term>
<term>Exploration</term>
<term>Human</term>
<term>Iatrogenic</term>
<term>Intraocular lens</term>
<term>Ocular</term>
<term>Posterior chamber</term>
<term>Postoperative</term>
<term>Sclera</term>
<term>Suturation</term>
<term>Technique</term>
<term>Ultrasound</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term>
<term>Chambre postérieure</term>
<term>Suture chirurgicale</term>
<term>Sclérotique</term>
<term>Technique</term>
<term>Biomicroscopie</term>
<term>Ultrason</term>
<term>Exploration</term>
<term>Postopératoire</term>
<term>Evaluation</term>
<term>Complication</term>
<term>Iatrogène</term>
<term>Oculaire</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.</div>
</front>
</TEI>
<affiliations><list><country><li>Japon</li>
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<tree><country name="Japon"><noRegion><name sortKey="Manabe, Shin Ichi" sort="Manabe, Shin Ichi" uniqKey="Manabe S" first="Shin-Ichi" last="Manabe">Shin-Ichi Manabe</name>
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<name sortKey="Amino, Kentaro" sort="Amino, Kentaro" uniqKey="Amino K" first="Kentaro" last="Amino">Kentaro Amino</name>
<name sortKey="Hata, Naruhiko" sort="Hata, Naruhiko" uniqKey="Hata N" first="Naruhiko" last="Hata">Naruhiko Hata</name>
<name sortKey="Manabe, Shin Ichi" sort="Manabe, Shin Ichi" uniqKey="Manabe S" first="Shin-Ichi" last="Manabe">Shin-Ichi Manabe</name>
<name sortKey="Oh, Hideyasu" sort="Oh, Hideyasu" uniqKey="Oh H" first="Hideyasu" last="Oh">Hideyasu Oh</name>
<name sortKey="Yamakawa, Ryoji" sort="Yamakawa, Ryoji" uniqKey="Yamakawa R" first="Ryoji" last="Yamakawa">Ryoji Yamakawa</name>
<name sortKey="Yamakawa, Ryoji" sort="Yamakawa, Ryoji" uniqKey="Yamakawa R" first="Ryoji" last="Yamakawa">Ryoji Yamakawa</name>
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Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Source :

Descripteurs français

English descriptors

Abstract

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

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri