Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics
Identifieur interne : 002943 ( Ncbi/Checkpoint ); précédent : 002942; suivant : 002944Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics
Auteurs : M. Zinkernagel [Royaume-Uni] ; A. Papazoglou [Royaume-Uni] ; C K Patel [Royaume-Uni]Source :
- Eye [ 0950-222X ] ; 2013.
English descriptors
- KwdEn :
- Aged, Anterior Capsule of the Lens (pathology), Anterior Capsule of the Lens (surgery), Capsule Opacification (etiology), Capsule Opacification (physiopathology), Capsule Opacification (surgery), Contracture (etiology), Contracture (physiopathology), Contracture (surgery), Fibrosis, Humans, Lens Implantation, Intraocular, Lenses, Intraocular (adverse effects), Middle Aged, Minimally Invasive Surgical Procedures, Phacoemulsification (adverse effects), Postoperative Complications, Refraction, Ocular (physiology), Reoperation, Retrospective Studies, Syndrome, Visual Acuity (physiology).
- MESH :
- adverse effects : Lenses, Intraocular, Phacoemulsification.
- etiology : Capsule Opacification, Contracture.
- pathology : Anterior Capsule of the Lens.
- physiology : Refraction, Ocular, Visual Acuity.
- physiopathology : Capsule Opacification, Contracture.
- surgery : Anterior Capsule of the Lens, Capsule Opacification, Contracture.
- Aged, Fibrosis, Humans, Lens Implantation, Intraocular, Middle Aged, Minimally Invasive Surgical Procedures, Postoperative Complications, Reoperation, Retrospective Studies, Syndrome.
Abstract
To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.
A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.
We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.
This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.
Url:
DOI: 10.1038/eye.2013.206
PubMed: 24037236
PubMed Central: 3869517
Affiliations:
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PMC:3869517Le document en format XML
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<author><name sortKey="Zinkernagel, M" sort="Zinkernagel, M" uniqKey="Zinkernagel M" first="M" last="Zinkernagel">M. Zinkernagel</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Oxford Eye Hospital, Oxford University Hospitals</institution>
, Oxford,<country>UK</country>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Papazoglou, A" sort="Papazoglou, A" uniqKey="Papazoglou A" first="A" last="Papazoglou">A. Papazoglou</name>
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<author><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics</title>
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<author><name sortKey="Papazoglou, A" sort="Papazoglou, A" uniqKey="Papazoglou A" first="A" last="Papazoglou">A. Papazoglou</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<author><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
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<series><title level="j">Eye</title>
<idno type="ISSN">0950-222X</idno>
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<term>Anterior Capsule of the Lens (pathology)</term>
<term>Anterior Capsule of the Lens (surgery)</term>
<term>Capsule Opacification (etiology)</term>
<term>Capsule Opacification (physiopathology)</term>
<term>Capsule Opacification (surgery)</term>
<term>Contracture (etiology)</term>
<term>Contracture (physiopathology)</term>
<term>Contracture (surgery)</term>
<term>Fibrosis</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular (adverse effects)</term>
<term>Middle Aged</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Phacoemulsification (adverse effects)</term>
<term>Postoperative Complications</term>
<term>Refraction, Ocular (physiology)</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Syndrome</term>
<term>Visual Acuity (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lenses, Intraocular</term>
<term>Phacoemulsification</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Capsule Opacification</term>
<term>Contracture</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anterior Capsule of the Lens</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Refraction, Ocular</term>
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Capsule Opacification</term>
<term>Contracture</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Capsule of the Lens</term>
<term>Capsule Opacification</term>
<term>Contracture</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Fibrosis</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Middle Aged</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Syndrome</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Royaume-Uni</li>
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</noRegion>
<name sortKey="Papazoglou, A" sort="Papazoglou, A" uniqKey="Papazoglou A" first="A" last="Papazoglou">A. Papazoglou</name>
<name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
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