Complications arising from iris-fixated posterior chamber intraocular lenses.
Identifieur interne : 000881 ( Ncbi/Curation ); précédent : 000880; suivant : 000882Complications arising from iris-fixated posterior chamber intraocular lenses.
Auteurs : Terry L. Kaiura [États-Unis] ; John A. Seedor ; Richard S. Koplin ; Michelle K. Rhee ; David C. RitterbandSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lens Implantation, Intraocular.
- etiology : Foreign-Body Migration.
- surgery : Foreign-Body Migration, Iris.
- Adult, Aged, Device Removal, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Postoperative Complications, Reoperation, Suture Techniques.
Abstract
Iris fixation of posterior chamber intraocular lenses (IOLs) is a technique that has been recommended for patients in whom a posterior chamber IOL is indicated but there is insufficient capsular support. We present 4 cases of iris-fixated posterior chamber IOLs with complications related to the procedure. Three patients developed postoperative slippage of the IOL, and 1 patient presented with iris erosion of the haptic leading to recurrent hemorrhage. Three cases were repaired by resuturing the same IOL using iris fixation, and in the last case IOL exchange with transscleral fixation of a posterior chamber IOL was performed. Final follow-up revealed stable IOLs in all cases.
DOI: 10.1016/j.jcrs.2005.06.048
PubMed: 16473240
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pubmed:16473240Le document en format XML
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<author><name sortKey="Kaiura, Terry L" sort="Kaiura, Terry L" uniqKey="Kaiura T" first="Terry L" last="Kaiura">Terry L. Kaiura</name>
<affiliation wicri:level="2"><nlm:affiliation>New York Eye and Ear Infirmary, New York, New York, USA.</nlm:affiliation>
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<author><name sortKey="Seedor, John A" sort="Seedor, John A" uniqKey="Seedor J" first="John A" last="Seedor">John A. Seedor</name>
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<author><name sortKey="Koplin, Richard S" sort="Koplin, Richard S" uniqKey="Koplin R" first="Richard S" last="Koplin">Richard S. Koplin</name>
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<author><name sortKey="Rhee, Michelle K" sort="Rhee, Michelle K" uniqKey="Rhee M" first="Michelle K" last="Rhee">Michelle K. Rhee</name>
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<author><name sortKey="Ritterband, David C" sort="Ritterband, David C" uniqKey="Ritterband D" first="David C" last="Ritterband">David C. Ritterband</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Complications arising from iris-fixated posterior chamber intraocular lenses.</title>
<author><name sortKey="Kaiura, Terry L" sort="Kaiura, Terry L" uniqKey="Kaiura T" first="Terry L" last="Kaiura">Terry L. Kaiura</name>
<affiliation wicri:level="2"><nlm:affiliation>New York Eye and Ear Infirmary, New York, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Koplin, Richard S" sort="Koplin, Richard S" uniqKey="Koplin R" first="Richard S" last="Koplin">Richard S. Koplin</name>
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<author><name sortKey="Rhee, Michelle K" sort="Rhee, Michelle K" uniqKey="Rhee M" first="Michelle K" last="Rhee">Michelle K. Rhee</name>
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<author><name sortKey="Ritterband, David C" sort="Ritterband, David C" uniqKey="Ritterband D" first="David C" last="Ritterband">David C. Ritterband</name>
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<series><title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
<imprint><date when="2005" type="published">2005</date>
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<term>Aged</term>
<term>Device Removal</term>
<term>Female</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Iris (surgery)</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Suture Techniques</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lens Implantation, Intraocular</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Foreign-Body Migration</term>
<term>Iris</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Device Removal</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Suture Techniques</term>
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<front><div type="abstract" xml:lang="en">Iris fixation of posterior chamber intraocular lenses (IOLs) is a technique that has been recommended for patients in whom a posterior chamber IOL is indicated but there is insufficient capsular support. We present 4 cases of iris-fixated posterior chamber IOLs with complications related to the procedure. Three patients developed postoperative slippage of the IOL, and 1 patient presented with iris erosion of the haptic leading to recurrent hemorrhage. Three cases were repaired by resuturing the same IOL using iris fixation, and in the last case IOL exchange with transscleral fixation of a posterior chamber IOL was performed. Final follow-up revealed stable IOLs in all cases.</div>
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