Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens
Identifieur interne : 000B03 ( PascalFrancis/Checkpoint ); précédent : 000B02; suivant : 000B04Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens
Auteurs : Christina Koeppl [Autriche] ; Oliver Findl [Autriche] ; Rupert Menapace [Autriche] ; Katharina Kriechbaum [Autriche] ; Matthias Wirtitsch [Autriche] ; Wolf Buehl [Autriche] ; Stefan Sacu [Autriche] ; Wolfgang Drexler [Autriche]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
Abstract
Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods.
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Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Medical Physics, University of Vienna</s1><s2>Viena</s2><s3>AUT</s3><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><wicri:noRegion>Viena</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">05-0399236</idno><date when="2005">2005</date><idno type="stanalyst">PASCAL 05-0399236 INIST</idno><idno type="RBID">Pascal:05-0399236</idno><idno 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uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Kriechbaum, Katharina" sort="Kriechbaum, Katharina" uniqKey="Kriechbaum K" first="Katharina" last="Kriechbaum">Katharina Kriechbaum</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Wirtitsch, Matthias" sort="Wirtitsch, Matthias" uniqKey="Wirtitsch M" first="Matthias" last="Wirtitsch">Matthias Wirtitsch</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Buehl, Wolf" sort="Buehl, Wolf" uniqKey="Buehl W" first="Wolf" last="Buehl">Wolf Buehl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Sacu, Stefan" sort="Sacu, Stefan" uniqKey="Sacu S" first="Stefan" last="Sacu">Stefan Sacu</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Medical Physics, University of Vienna</s1><s2>Viena</s2><s3>AUT</s3><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><wicri:noRegion>Viena</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antiglaucomatous agent</term><term>Intraocular lens</term><term>Ophthalmology</term><term>Pilocarpine</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pilocarpine</term><term>Lentille intraoculaire</term><term>Chirurgie</term><term>Ophtalmologie</term><term>Antiglaucomateux</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0886-3350</s0></fA01><fA02 i1="01"><s0>JCSUEV</s0></fA02><fA03 i2="1"><s0>J. cataract refractive surg.</s0></fA03><fA05><s2>31</s2></fA05><fA06><s2>7</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens</s1></fA08><fA11 i1="01" i2="1"><s1>KOEPPL (Christina)</s1></fA11><fA11 i1="02" i2="1"><s1>FINDL (Oliver)</s1></fA11><fA11 i1="03" i2="1"><s1>MENAPACE (Rupert)</s1></fA11><fA11 i1="04" i2="1"><s1>KRIECHBAUM (Katharina)</s1></fA11><fA11 i1="05" i2="1"><s1>WIRTITSCH (Matthias)</s1></fA11><fA11 i1="06" i2="1"><s1>BUEHL (Wolf)</s1></fA11><fA11 i1="07" i2="1"><s1>SACU (Stefan)</s1></fA11><fA11 i1="08" i2="1"><s1>DREXLER (Wolfgang)</s1></fA11><fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Medical Physics, University of Vienna</s1><s2>Viena</s2><s3>AUT</s3><sZ>8 aut.</sZ></fA14><fA20><s1>1290-1297</s1></fA20><fA21><s1>2005</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20937</s2><s5>354000131572020040</s5></fA43><fA44><s0>0000</s0><s1>© 2005 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>38 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>05-0399236</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of cataract and refractive surgery</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods.</s0></fC01><fC02 i1="01" i2="X"><s0>002B25B</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Pilocarpine</s0><s2>NK</s2><s2>FR</s2><s5>02</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Pilocarpine</s0><s2>NK</s2><s2>FR</s2><s5>02</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Pilocarpina</s0><s2>NK</s2><s2>FR</s2><s5>02</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Lentille intraoculaire</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Intraocular lens</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Lente intraocular</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Chirurgie</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Surgery</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Cirugía</s0><s5>05</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Ophtalmologie</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Ophthalmology</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Oftalmología</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Antiglaucomateux</s0><s5>25</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Antiglaucomatous agent</s0><s5>25</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Antiglaucomatoso</s0><s5>25</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Traitement</s0><s5>26</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Treatment</s0><s5>26</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Tratamiento</s0><s5>26</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Agoniste</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Agonist</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Agonista</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Furane dérivé</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Furan derivatives</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Furano derivado</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Parasympathomimétique</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Parasympathomimetic</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Parasimpatomimético</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Récepteur muscarinique</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Muscarinic receptor</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Receptor muscarínico</s0><s5>40</s5></fC07><fN21><s1>276</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Autriche</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Koeppl, Christina" sort="Koeppl, Christina" uniqKey="Koeppl C" first="Christina" last="Koeppl">Christina Koeppl</name></region><name sortKey="Buehl, Wolf" sort="Buehl, Wolf" uniqKey="Buehl W" first="Wolf" last="Buehl">Wolf Buehl</name><name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name><name sortKey="Kriechbaum, Katharina" sort="Kriechbaum, Katharina" uniqKey="Kriechbaum K" first="Katharina" last="Kriechbaum">Katharina Kriechbaum</name><name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name><name sortKey="Sacu, Stefan" sort="Sacu, Stefan" uniqKey="Sacu S" first="Stefan" last="Sacu">Stefan Sacu</name><name sortKey="Wirtitsch, Matthias" sort="Wirtitsch, Matthias" uniqKey="Wirtitsch M" first="Matthias" last="Wirtitsch">Matthias Wirtitsch</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens
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