Multiple methods of surgical treatment combined with primary IOL implantation on traumatic lens subluxation/dislocation in patients with secondary glaucoma
Identifieur interne : 002F45 ( Ncbi/Merge ); précédent : 002F44; suivant : 002F46Multiple methods of surgical treatment combined with primary IOL implantation on traumatic lens subluxation/dislocation in patients with secondary glaucoma
Auteurs : Rui Wang ; Chun-Chao Bi ; Chun-Ling Lei ; Wen-Tao Sun ; Shan-Shan Wang ; Xiao-Juan DongSource :
- International Journal of Ophthalmology [ 2222-3959 ] ; 2014.
Abstract
To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma, and discuss the multiple treating methods of operation combined with primary intraocular lens (IOL) implantation.
Non-comparative retrospective observational case series. Participants: 30 cases (30 eyes) of lens subluxation/dislocation in patients with secondary glaucoma were investigated which accepted the surgical treatment by author in the Ophthalmology of Xi'an No.4 Hospital from 2007 to 2011. According to the different situations of lens subluxation/dislocation, various surgical procedures were performed such as crystalline lens phacoemulsification, crystalline lens phacoemulsification combined anterior vitrectomy, intracapsular cataract extraction combined anterior vitrectomy, lensectomy combined anterior vitrectomy though peripheral transparent cornea incision, pars plana lensectomy combined pars plana vitrectomy, and intravitreal cavity crystalline lens phacofragmentation combined pars plana vitrectomy. And whether to implement trabeculectomy depended on the different situations of secondary glaucoma. The posterior chamber intraocular lenses (PC-IOLs) were implanted in the capsular-bag or trassclerally sutured in the sulus decided by whether the capsular were present. Main outcome measures: visual acuity, intraocular pressure, the situation of intraocular lens and complications after the operations.
The follow-up time was 11-36mo (21.4±7.13). Postoperative visual acuity of all eyes were improved; 28 cases maintained IOP below 21 mm Hg; 2 cases had slightly IOL subluxation, 4 cases had slightly tilted lens optical area; 1 case had postoperative choroidal detachment; 4 cases had postoperative corneal edema more than 1wk, but eventually recovered transparent; 2 cases had mild postoperative vitreous hemorrhage, and absorbed 4wk later. There was no postoperative retinal detachment, IOL dislocation, and endophthalmitis.
To take early treatment of traumatic lens subluxation/dislocation in patients with secondary glaucoma by individual surgical plan based on the different eye conditions would be safe and effective, which can effectively control the intraocular pressure and restore some vision.
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DOI: 10.3980/j.issn.2222-3959.2014.02.13
PubMed: 24790868
PubMed Central: 4003080
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Participants: 30 cases (30 eyes) of lens subluxation/dislocation in patients with secondary glaucoma were investigated which accepted the surgical treatment by author in the Ophthalmology of Xi'an No.4 Hospital from 2007 to 2011. According to the different situations of lens subluxation/dislocation, various surgical procedures were performed such as crystalline lens phacoemulsification, crystalline lens phacoemulsification combined anterior vitrectomy, intracapsular cataract extraction combined anterior vitrectomy, lensectomy combined anterior vitrectomy though peripheral transparent cornea incision, pars plana lensectomy combined pars plana vitrectomy, and intravitreal cavity crystalline lens phacofragmentation combined pars plana vitrectomy. And whether to implement trabeculectomy depended on the different situations of secondary glaucoma. The posterior chamber intraocular lenses (PC-IOLs) were implanted in the capsular-bag or trassclerally sutured in the sulus decided by whether the capsular were present. Main outcome measures: visual acuity, intraocular pressure, the situation of intraocular lens and complications after the operations.</p></sec><sec><title>RESULTS</title><p>The follow-up time was 11-36mo (21.4±7.13). Postoperative visual acuity of all eyes were improved; 28 cases maintained IOP below 21 mm Hg; 2 cases had slightly IOL subluxation, 4 cases had slightly tilted lens optical area; 1 case had postoperative choroidal detachment; 4 cases had postoperative corneal edema more than 1wk, but eventually recovered transparent; 2 cases had mild postoperative vitreous hemorrhage, and absorbed 4wk later. There was no postoperative retinal detachment, IOL dislocation, and endophthalmitis.</p></sec><sec><title>CONCLUSION</title><p>To take early treatment of traumatic lens subluxation/dislocation in patients with secondary glaucoma by individual surgical plan based on the different eye conditions would be safe and effective, which can effectively control the intraocular pressure and restore some vision.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">IJO</journal-id><journal-title-group><journal-title>International Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">2222-3959</issn><issn pub-type="epub">2227-4898</issn><publisher><publisher-name>International Journal of Ophthalmology Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24790868</article-id><article-id pub-id-type="pmc">4003080</article-id><article-id pub-id-type="publisher-id">ijo-07-02-264</article-id><article-id pub-id-type="doi">10.3980/j.issn.2222-3959.2014.02.13</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Research</subject></subj-group></article-categories><title-group><article-title>Multiple methods of surgical treatment combined with primary IOL implantation on traumatic lens subluxation/dislocation in patients with secondary glaucoma</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Rui</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bi</surname><given-names>Chun-Chao</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lei</surname><given-names>Chun-Ling</given-names></name></contrib><contrib contrib-type="author"><name><surname>Sun</surname><given-names>Wen-Tao</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Shan-Shan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Dong</surname><given-names>Xiao-Juan</given-names></name></contrib></contrib-group><aff id="aff1"><addr-line>Department of Ophthalmology, Xi'an No.4 Hospital, Xi'an 710004, Shaanxi Province, China</addr-line></aff><author-notes><corresp><bold>Correspondence to:</bold> Rui Wang. Department of Ophthalmology, Xi'an No.4 Hospital, Xi'an 710004, Shaanxi Province, China. <email>oculistwang@163.com</email></corresp></author-notes><pub-date pub-type="epub"><day>18</day><month>4</month><year>2014</year></pub-date><pub-date pub-type="collection"><year>2014</year></pub-date><volume>7</volume><issue>2</issue><fpage>264</fpage><lpage>272</lpage><history><date date-type="received"><day>7</day><month>5</month><year>2013</year></date><date date-type="accepted"><day>6</day><month>3</month><year>2014</year></date></history><permissions><copyright-statement>International Journal of Ophthalmology Press</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><sec><title>AIM</title><p>To describe clinical findings and complications from cases of traumatic lens subluxation/dislocation in patients with secondary glaucoma, and discuss the multiple treating methods of operation combined with primary intraocular lens (IOL) implantation.</p></sec><sec><title>METHODS</title><p>Non-comparative retrospective observational case series. Participants: 30 cases (30 eyes) of lens subluxation/dislocation in patients with secondary glaucoma were investigated which accepted the surgical treatment by author in the Ophthalmology of Xi'an No.4 Hospital from 2007 to 2011. According to the different situations of lens subluxation/dislocation, various surgical procedures were performed such as crystalline lens phacoemulsification, crystalline lens phacoemulsification combined anterior vitrectomy, intracapsular cataract extraction combined anterior vitrectomy, lensectomy combined anterior vitrectomy though peripheral transparent cornea incision, pars plana lensectomy combined pars plana vitrectomy, and intravitreal cavity crystalline lens phacofragmentation combined pars plana vitrectomy. And whether to implement trabeculectomy depended on the different situations of secondary glaucoma. The posterior chamber intraocular lenses (PC-IOLs) were implanted in the capsular-bag or trassclerally sutured in the sulus decided by whether the capsular were present. Main outcome measures: visual acuity, intraocular pressure, the situation of intraocular lens and complications after the operations.</p></sec><sec><title>RESULTS</title><p>The follow-up time was 11-36mo (21.4±7.13). Postoperative visual acuity of all eyes were improved; 28 cases maintained IOP below 21 mm Hg; 2 cases had slightly IOL subluxation, 4 cases had slightly tilted lens optical area; 1 case had postoperative choroidal detachment; 4 cases had postoperative corneal edema more than 1wk, but eventually recovered transparent; 2 cases had mild postoperative vitreous hemorrhage, and absorbed 4wk later. There was no postoperative retinal detachment, IOL dislocation, and endophthalmitis.</p></sec><sec><title>CONCLUSION</title><p>To take early treatment of traumatic lens subluxation/dislocation in patients with secondary glaucoma by individual surgical plan based on the different eye conditions would be safe and effective, which can effectively control the intraocular pressure and restore some vision.</p></sec></abstract><kwd-group><kwd>crystalline lens</kwd><kwd>subluxation</kwd><kwd>dislocation</kwd><kwd>secondary glaucoma</kwd><kwd>surgical treatment</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Bi, Chun Chao" sort="Bi, Chun Chao" uniqKey="Bi C" first="Chun-Chao" last="Bi">Chun-Chao Bi</name><name sortKey="Dong, Xiao Juan" sort="Dong, Xiao Juan" uniqKey="Dong X" first="Xiao-Juan" last="Dong">Xiao-Juan Dong</name><name sortKey="Lei, Chun Ling" sort="Lei, Chun Ling" uniqKey="Lei C" first="Chun-Ling" last="Lei">Chun-Ling Lei</name><name sortKey="Sun, Wen Tao" sort="Sun, Wen Tao" uniqKey="Sun W" first="Wen-Tao" last="Sun">Wen-Tao Sun</name><name sortKey="Wang, Rui" sort="Wang, Rui" uniqKey="Wang R" first="Rui" last="Wang">Rui Wang</name><name sortKey="Wang, Shan Shan" sort="Wang, Shan Shan" uniqKey="Wang S" first="Shan-Shan" last="Wang">Shan-Shan Wang</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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