HapticV1, PascalFrancis, Checkpoint, bibRecord, 000D69

Cataract surgery in patients with nanophthalmos: Results and complications

Identifieur interne : 000D69 ( PascalFrancis/Checkpoint ); précédent : 000D68; suivant : 000D70

Cataract surgery in patients with nanophthalmos: Results and complications

Auteurs : Wayne Wu [États-Unis] ; Daniel G. Dawson [États-Unis] ; Alan Sugar [États-Unis] ; Susan G. Elner [États-Unis] ; Kathy A. Meyer [États-Unis] ; Jesse B. Mckey [États-Unis] ; Sayoko E. Moroi [États-Unis]

Source :

Journal of cataract and refractive surgery [ 0886-3350 ] ; 2004.

RBID : Pascal:04-0227899

Descripteurs français

Pascal (Inist)
- Cataracte, Chirurgie, Homme, Malade, Complication, Ophtalmologie, Traitement.
Wicri :
- topic : Chirurgie, Homme.

English descriptors

KwdEn :
- Cataract, Complication, Human, Ophthalmology, Patient, Surgery, Treatment.

Abstract

Purpose: To evaluate the results and complications of cataract surgery in patients with nanophthalmos. Setting: University hospital practice. Methods: The records of consecutive patients with nanophthalmos who had cataract surgery from 1978 through 2002 were reviewed for ocular diagnoses, corneal diameter, keratometry, axial length, retinal-choroidal-scleral thickness determined by echography, ocular surgeries, visual acuity, and complications. Results: Eight patients (6 women, 2 men) with a mean age of 59 years were reviewed. Four patients were not previously diagnosed with nanophthalmos; increased retinal-choroidal-scleral thickness (mean 2.41 mm) confirmed the diagnosis. Twelve eyes had cataract extraction with posterior chamber intraocular lens (IOL) implantation, 11 by phacoemulsification and 1 by extracapsular cataract extraction, and 4 eyes had lamellar scleral resections. Additional surgeries included glaucoma laser treatment (8 eyes), cyclocryotherapy (2 eyes), trabeculectomy with scleral resection (1 eye), trabeculectomy combined with phacoemulsification (1 eye), and neodymium:YAG laser capsulotomy (4 eyes). No eye lost vision; however, complications included severe iritis, broken IOL haptic with vitreous loss, posterior capsule opacity, choroidal hemorrhage, phthisis, and aqueous misdirection. Conclusions: Results indicate that echography should be used to assess retinal-choroidal-scleral thickness in eyes that are hyperopic and at risk for narrow-angle glaucoma. Thickening may confirm the diagnosis of nanophthalmos and allow careful preoperative assessment and appropriate operative procedures in these high-risk eyes. With advances in cataract, glaucoma, and uveal effusion treatments, surgical results in patients with nanophthalmos are improving.

Affiliations:

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Purpose: To evaluate the results and complications of cataract surgery in patients with nanophthalmos. Setting: University hospital practice. Methods: The records of consecutive patients with nanophthalmos who had cataract surgery from 1978 through 2002 were reviewed for ocular diagnoses, corneal diameter, keratometry, axial length, retinal-choroidal-scleral thickness determined by echography, ocular surgeries, visual acuity, and complications. Results: Eight patients (6 women, 2 men) with a mean age of 59 years were reviewed. Four patients were not previously diagnosed with nanophthalmos; increased retinal-choroidal-scleral thickness (mean 2.41 mm) confirmed the diagnosis. Twelve eyes had cataract extraction with posterior chamber intraocular lens (IOL) implantation, 11 by phacoemulsification and 1 by extracapsular cataract extraction, and 4 eyes had lamellar scleral resections. Additional surgeries included glaucoma laser treatment (8 eyes), cyclocryotherapy (2 eyes), trabeculectomy with scleral resection (1 eye), trabeculectomy combined with phacoemulsification (1 eye), and neodymium:YAG laser capsulotomy (4 eyes). No eye lost vision; however, complications included severe iritis, broken IOL haptic with vitreous loss, posterior capsule opacity, choroidal hemorrhage, phthisis, and aqueous misdirection. Conclusions: Results indicate that echography should be used to assess retinal-choroidal-scleral thickness in eyes that are hyperopic and at risk for narrow-angle glaucoma. Thickening may confirm the diagnosis of nanophthalmos and allow careful preoperative assessment and appropriate operative procedures in these high-risk eyes. With advances in cataract, glaucoma, and uveal effusion treatments, surgical results in patients with nanophthalmos are improving.</div>
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<fC07 i1="01" i2="X" l="ENG"><s0>Lens disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Cristalino patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Oeil pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Eye disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Ojo patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Segment antérieur pathologie</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Anterior segment disease</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Segmento anterior patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fN21><s1>145</s1>
</fN21>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Michigan</li>
<li>Pennsylvanie</li>
<li>Wisconsin</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Michigan"><name sortKey="Wu, Wayne" sort="Wu, Wayne" uniqKey="Wu W" first="Wayne" last="Wu">Wayne Wu</name>
</region>
<name sortKey="Dawson, Daniel G" sort="Dawson, Daniel G" uniqKey="Dawson D" first="Daniel G." last="Dawson">Daniel G. Dawson</name>
<name sortKey="Elner, Susan G" sort="Elner, Susan G" uniqKey="Elner S" first="Susan G." last="Elner">Susan G. Elner</name>
<name sortKey="Mckey, Jesse B" sort="Mckey, Jesse B" uniqKey="Mckey J" first="Jesse B." last="Mckey">Jesse B. Mckey</name>
<name sortKey="Meyer, Kathy A" sort="Meyer, Kathy A" uniqKey="Meyer K" first="Kathy A." last="Meyer">Kathy A. Meyer</name>
<name sortKey="Moroi, Sayoko E" sort="Moroi, Sayoko E" uniqKey="Moroi S" first="Sayoko E." last="Moroi">Sayoko E. Moroi</name>
<name sortKey="Sugar, Alan" sort="Sugar, Alan" uniqKey="Sugar A" first="Alan" last="Sugar">Alan Sugar</name>
<name sortKey="Wu, Wayne" sort="Wu, Wayne" uniqKey="Wu W" first="Wayne" last="Wu">Wayne Wu</name>
</country>
</tree>
</affiliations>
</record>

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Cataract surgery in patients with nanophthalmos: Results and complications

Cataract surgery in patients with nanophthalmos: Results and complications

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