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Modified haptic externalizing technique for repositioning dislocated 1-piece acrylic posterior chamber implants.

Identifieur interne : 000C02 ( Ncbi/Merge ); précédent : 000C01; suivant : 000C03

Modified haptic externalizing technique for repositioning dislocated 1-piece acrylic posterior chamber implants.

Auteurs : Clement K. Chan [États-Unis] ; Harold Hawkins ; Steven G. Lin

Source :

RBID : pubmed:17641700

English descriptors

Abstract

To describe a novel vitreoretinal technique and the results of repositioning dislocated 1-piece acrylic posterior chamber intraocular lenses (PCIOL).

DOI: 10.3129/can j ophthalmol.i07-081
PubMed: 17641700

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pubmed:17641700

Le document en format XML

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<title xml:lang="en">Modified haptic externalizing technique for repositioning dislocated 1-piece acrylic posterior chamber implants.</title>
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<name sortKey="Chan, Clement K" sort="Chan, Clement K" uniqKey="Chan C" first="Clement K" last="Chan">Clement K. Chan</name>
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<nlm:affiliation>Southern California Desert Retinal Consultants, Medical Corporation, Palm springs, CA, USA. pschan@aol.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Southern California Desert Retinal Consultants, Medical Corporation, Palm springs, CA</wicri:regionArea>
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<region type="state">Californie</region>
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<name sortKey="Hawkins, Harold" sort="Hawkins, Harold" uniqKey="Hawkins H" first="Harold" last="Hawkins">Harold Hawkins</name>
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<name sortKey="Lin, Steven G" sort="Lin, Steven G" uniqKey="Lin S" first="Steven G" last="Lin">Steven G. Lin</name>
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<title xml:lang="en">Modified haptic externalizing technique for repositioning dislocated 1-piece acrylic posterior chamber implants.</title>
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<name sortKey="Chan, Clement K" sort="Chan, Clement K" uniqKey="Chan C" first="Clement K" last="Chan">Clement K. Chan</name>
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<country xml:lang="fr">États-Unis</country>
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<title level="j">Canadian journal of ophthalmology. Journal canadien d'ophtalmologie</title>
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<term>Acrylates</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Pilot Projects</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Suture Techniques</term>
<term>Visual Acuity</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Acrylates</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Pilot Projects</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Suture Techniques</term>
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<div type="abstract" xml:lang="en">To describe a novel vitreoretinal technique and the results of repositioning dislocated 1-piece acrylic posterior chamber intraocular lenses (PCIOL).</div>
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<Month>07</Month>
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<Year>2007</Year>
<Month>11</Month>
<Day>13</Day>
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<Volume>42</Volume>
<Issue>4</Issue>
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<Year>2007</Year>
<Month>Aug</Month>
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<Title>Canadian journal of ophthalmology. Journal canadien d'ophtalmologie</Title>
<ISOAbbreviation>Can. J. Ophthalmol.</ISOAbbreviation>
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<ArticleTitle>Modified haptic externalizing technique for repositioning dislocated 1-piece acrylic posterior chamber implants.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">To describe a novel vitreoretinal technique and the results of repositioning dislocated 1-piece acrylic posterior chamber intraocular lenses (PCIOL).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This retrospective study included 7 eyes of 7 patients (ages 41 to 82) who underwent repositioning surgery with vitreoretinal methodology for dislocated 1-piece acrylic PCIOL between 2003 and 2005. Repositioning surgery involved temporary haptic externalization via anterior sclerotomies and passing curved needles of 9-0 or 10-0 polypropylene sutures through soft distal knobs of haptics before reinternalization for sulcus fixation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All 7 repositioned PCIOL remained centered and stable after 12 to 28 months of follow-up (mean = 17.6 months). Mild anterior-posterior intraocular lens (IOL)-tilting developed in 1 eye, but the IOL remained centered and secured in the sulcus with good vision. One PCIOL was exchanged with an anterior chamber intraocular lens (ACIOL) 1 year after repositioning because of recurrent intraocular hemorrhage and cystoid macular edema. Preoperative best corrected Snellen visual acuity (BCVA) ranged from 20/40 to 5/200 (median = 20/70). Postoperative BCVA ranged from 20/20 to 20/200 (median = 20/40). Capsular defect was the cause of IOL dislocation for all cases. Four of 7 eyes (57.1%) had axial myopia.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">This repositioning technique for dislocated all-acrylic PCIOL prevents suture slippage and allows secured sulcus fixation. Repositioned haptics should be sutured more than 1 mm from the limbus to avoid iris chafing.</AbstractText>
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