Long-term pathological follow-up of obsolete design: Pannu universal intraocular lens
Identifieur interne : 001465 ( Ncbi/Checkpoint ); précédent : 001464; suivant : 001466Long-term pathological follow-up of obsolete design: Pannu universal intraocular lens
Auteurs : Don Davis ; Liliana Werner ; Susan Strenk ; Lawrence Strenk ; Oliver Yeh ; Nick MamalisSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2010.
English descriptors
- KwdEn :
- Aged, 80 and over, Anterior Chamber (surgery), Endophthalmitis (etiology), Endophthalmitis (pathology), Eye Enucleation, Follow-Up Studies, Glaucoma (etiology), Glaucoma (pathology), Humans, Lens Implantation, Intraocular (adverse effects), Lenses, Intraocular, Male, Prosthesis Design, Tissue Donors.
- MESH :
- adverse effects : Lens Implantation, Intraocular.
- etiology : Endophthalmitis, Glaucoma.
- pathology : Endophthalmitis, Glaucoma.
- surgery : Anterior Chamber.
- Aged, 80 and over, Eye Enucleation, Follow-Up Studies, Humans, Lenses, Intraocular, Male, Prosthesis Design, Tissue Donors.
Abstract
We studied an enucleated postmortem eye from an 82-year-old white donor who had been implanted with a Pannu “universal” intraocular lens (IOL) in the anterior chamber approximately 20 years earlier. This IOL has design features characteristic of a 1-piece, C-loop posterior chamber IOL. Magnetic resonance imaging showed a relatively well-centered IOL in the anterior chamber with haptics impinging on the iris. Gross and light microscopic analyses of the eye and the IOL showed peripheral anterior synechiae enclaving one haptic, areas of angle widening, significant attenuation of the corneal endothelium, multiple areas of iris trauma secondary to optic and haptic iris abrasion, large areas of pigment dispersion in the angle, diffuse pigment accumulation within the anterior chamber, and attenuation of the ganglion cell layer. The histopathological findings were consistent with glaucoma and chronic inflammation.
Url:
DOI: 10.1016/j.jcrs.2009.08.040
PubMed: 20202555
PubMed Central: 3429603
Affiliations:
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PMC:3429603Le document en format XML
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<author><name sortKey="Davis, Don" sort="Davis, Don" uniqKey="Davis D" first="Don" last="Davis">Don Davis</name>
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<author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
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<author><name sortKey="Strenk, Susan" sort="Strenk, Susan" uniqKey="Strenk S" first="Susan" last="Strenk">Susan Strenk</name>
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<author><name sortKey="Strenk, Lawrence" sort="Strenk, Lawrence" uniqKey="Strenk L" first="Lawrence" last="Strenk">Lawrence Strenk</name>
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<author><name sortKey="Yeh, Oliver" sort="Yeh, Oliver" uniqKey="Yeh O" first="Oliver" last="Yeh">Oliver Yeh</name>
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<author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name>
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<author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
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<author><name sortKey="Strenk, Susan" sort="Strenk, Susan" uniqKey="Strenk S" first="Susan" last="Strenk">Susan Strenk</name>
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<author><name sortKey="Strenk, Lawrence" sort="Strenk, Lawrence" uniqKey="Strenk L" first="Lawrence" last="Strenk">Lawrence Strenk</name>
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<author><name sortKey="Yeh, Oliver" sort="Yeh, Oliver" uniqKey="Yeh O" first="Oliver" last="Yeh">Oliver Yeh</name>
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<author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name>
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<series><title level="j">Journal of cataract and refractive surgery</title>
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<term>Anterior Chamber (surgery)</term>
<term>Endophthalmitis (etiology)</term>
<term>Endophthalmitis (pathology)</term>
<term>Eye Enucleation</term>
<term>Follow-Up Studies</term>
<term>Glaucoma (etiology)</term>
<term>Glaucoma (pathology)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Prosthesis Design</term>
<term>Tissue Donors</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Endophthalmitis</term>
<term>Glaucoma</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Endophthalmitis</term>
<term>Glaucoma</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Chamber</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged, 80 and over</term>
<term>Eye Enucleation</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
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<term>Prosthesis Design</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">We studied an enucleated postmortem eye from an 82-year-old white donor who had been implanted with a Pannu “universal” intraocular lens (IOL) in the anterior chamber approximately 20 years earlier. This IOL has design features characteristic of a 1-piece, C-loop posterior chamber IOL. Magnetic resonance imaging showed a relatively well-centered IOL in the anterior chamber with haptics impinging on the iris. Gross and light microscopic analyses of the eye and the IOL showed peripheral anterior synechiae enclaving one haptic, areas of angle widening, significant attenuation of the corneal endothelium, multiple areas of iris trauma secondary to optic and haptic iris abrasion, large areas of pigment dispersion in the angle, diffuse pigment accumulation within the anterior chamber, and attenuation of the ganglion cell layer. The histopathological findings were consistent with glaucoma and chronic inflammation.</p>
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<tree><noCountry><name sortKey="Davis, Don" sort="Davis, Don" uniqKey="Davis D" first="Don" last="Davis">Don Davis</name>
<name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name>
<name sortKey="Strenk, Lawrence" sort="Strenk, Lawrence" uniqKey="Strenk L" first="Lawrence" last="Strenk">Lawrence Strenk</name>
<name sortKey="Strenk, Susan" sort="Strenk, Susan" uniqKey="Strenk S" first="Susan" last="Strenk">Susan Strenk</name>
<name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
<name sortKey="Yeh, Oliver" sort="Yeh, Oliver" uniqKey="Yeh O" first="Oliver" last="Yeh">Oliver Yeh</name>
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