Anterior haptic flexing and in-the-bag subluxation of an accommodating intraocular lens due to excessive capsular bag contraction.
Identifieur interne : 003C95 ( Ncbi/Merge ); précédent : 003C94; suivant : 003C96Anterior haptic flexing and in-the-bag subluxation of an accommodating intraocular lens due to excessive capsular bag contraction.
Auteurs : Gregory D. Kramer [Allemagne] ; Liliana Werner [Allemagne] ; Tobias Neuhann [Allemagne] ; Manfred Tetz [Allemagne] ; Nick Mamalis [Allemagne]Source :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2015.
Abstract
We describe the case of a patient who had cataract surgery with implantation of the hydrophilic acrylic Tetraflex accommodating intraocular lens (IOL), with subsequent development of capsulorhexis phimosis and in-the-bag IOL subluxation. Contraction of the capsular bag secondary to fibrosis resulted in significant anterior flexing of the lens haptic component. Explantation of the IOL-capsular bag complex was required 7 years after implantation. Histopathologic analysis demonstrated multiple areas of thick anterior subcapsular fibrosis. Pseudoexfoliative material was present throughout the surface of the lens capsule. Intraocular lenses manufactured from hydrophilic acrylic material are highly flexible and may be more susceptible to capsule contraction, even in the absence of predisposing ocular and systemic conditions. This case highlights the importance of developing guidelines regarding patient screening and selection for the appropriate use of accommodating and other highly flexible IOLs.
DOI: 10.1016/j.jcrs.2015.08.009
PubMed: 26471049
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Kramer</name><affiliation wicri:level="3"><nlm:affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name><affiliation wicri:level="3"><nlm:affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany. Electronic address: liliana.werner@hsc.utah.edu.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Neuhann, Tobias" sort="Neuhann, Tobias" uniqKey="Neuhann T" first="Tobias" last="Neuhann">Tobias Neuhann</name><affiliation wicri:level="3"><nlm:affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Tetz, Manfred" sort="Tetz, Manfred" uniqKey="Tetz M" first="Manfred" last="Tetz">Manfred Tetz</name><affiliation wicri:level="3"><nlm:affiliation>From the John A. 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Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="eISSN">1873-4502</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe the case of a patient who had cataract surgery with implantation of the hydrophilic acrylic Tetraflex accommodating intraocular lens (IOL), with subsequent development of capsulorhexis phimosis and in-the-bag IOL subluxation. Contraction of the capsular bag secondary to fibrosis resulted in significant anterior flexing of the lens haptic component. Explantation of the IOL-capsular bag complex was required 7 years after implantation. Histopathologic analysis demonstrated multiple areas of thick anterior subcapsular fibrosis. Pseudoexfoliative material was present throughout the surface of the lens capsule. Intraocular lenses manufactured from hydrophilic acrylic material are highly flexible and may be more susceptible to capsule contraction, even in the absence of predisposing ocular and systemic conditions. This case highlights the importance of developing guidelines regarding patient screening and selection for the appropriate use of accommodating and other highly flexible IOLs.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">26471049</PMID><DateCreated><Year>2015</Year><Month>11</Month><Day>25</Day></DateCreated><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4502</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>9</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Anterior haptic flexing and in-the-bag subluxation of an accommodating intraocular lens due to excessive capsular bag contraction.</ArticleTitle><Pagination><MedlinePgn>2010-3</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrs.2015.08.009</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0886-3350(15)00998-0</ELocationID><Abstract><AbstractText Label="UNLABELLED">We describe the case of a patient who had cataract surgery with implantation of the hydrophilic acrylic Tetraflex accommodating intraocular lens (IOL), with subsequent development of capsulorhexis phimosis and in-the-bag IOL subluxation. Contraction of the capsular bag secondary to fibrosis resulted in significant anterior flexing of the lens haptic component. Explantation of the IOL-capsular bag complex was required 7 years after implantation. Histopathologic analysis demonstrated multiple areas of thick anterior subcapsular fibrosis. Pseudoexfoliative material was present throughout the surface of the lens capsule. Intraocular lenses manufactured from hydrophilic acrylic material are highly flexible and may be more susceptible to capsule contraction, even in the absence of predisposing ocular and systemic conditions. This case highlights the importance of developing guidelines regarding patient screening and selection for the appropriate use of accommodating and other highly flexible IOLs.</AbstractText><AbstractText Label="FINANCIAL DISCLOSURE" NlmCategory="BACKGROUND">No author has a financial or proprietary interest in any material or method mentioned.</AbstractText><CopyrightInformation>Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kramer</LastName><ForeName>Gregory D</ForeName><Initials>GD</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Werner</LastName><ForeName>Liliana</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany. Electronic address: liliana.werner@hsc.utah.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neuhann</LastName><ForeName>Tobias</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tetz</LastName><ForeName>Manfred</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mamalis</LastName><ForeName>Nick</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Kramer, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; Augenklinik am Marienplatz (Neuhann), Munich, and Berlin Eye Research Institute (Tetz), Berlin, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>10</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cataract Refract Surg</MedlineTA><NlmUniqueID>8604171</NlmUniqueID><ISSNLinking>0886-3350</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>7</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>8</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>8</Month><Day>7</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>10</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>10</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>10</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>10</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0886-3350(15)00998-0</ArticleId><ArticleId IdType="doi">10.1016/j.jcrs.2015.08.009</ArticleId><ArticleId IdType="pubmed">26471049</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><country name="Allemagne"><region name="Berlin"><name sortKey="Kramer, Gregory D" sort="Kramer, Gregory D" uniqKey="Kramer G" first="Gregory D" last="Kramer">Gregory D. Kramer</name></region><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name><name sortKey="Neuhann, Tobias" sort="Neuhann, Tobias" uniqKey="Neuhann T" first="Tobias" last="Neuhann">Tobias Neuhann</name><name sortKey="Tetz, Manfred" sort="Tetz, Manfred" uniqKey="Tetz M" first="Manfred" last="Tetz">Manfred Tetz</name><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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