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Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation

Identifieur interne : 000E39 ( PascalFrancis/Corpus ); précédent : 000E38; suivant : 000E40

Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation

Auteurs : Manabu Sasahara ; Junichi Kiryu ; Nagahisa Yoshimura

Source :

RBID : Pascal:06-0001087

Descripteurs français

English descriptors

Abstract

PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0886-3350
A02 01      @0 JCSUEV
A03   1    @0 J. cataract refractive surg.
A05       @2 31
A06       @2 9
A08 01  1  ENG  @1 Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation
A11 01  1    @1 SASAHARA (Manabu)
A11 02  1    @1 KIRYU (Junichi)
A11 03  1    @1 YOSHIMURA (Nagahisa)
A14 01      @1 Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine @2 Kyoto @3 JPN @Z 1 aut. @Z 2 aut. @Z 3 aut.
A20       @1 1777-1780
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000135137430160
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 18 ref.
A47 01  1    @0 06-0001087
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Luxation @5 01
C03 01  X  ENG  @0 Luxation @5 01
C03 01  X  SPA  @0 Luxación @5 01
C03 02  X  FRE  @0 Endoscope @5 02
C03 02  X  ENG  @0 Endoscope @5 02
C03 02  X  SPA  @0 Endoscopio @5 02
C03 03  X  FRE  @0 Sclérotique @5 03
C03 03  X  ENG  @0 Sclera @5 03
C03 03  X  SPA  @0 Esclerótica @5 03
C03 04  X  FRE  @0 Suture chirurgicale @5 05
C03 04  X  ENG  @0 Suturation @5 05
C03 04  X  SPA  @0 Sutura quirúrgica @5 05
C03 05  X  FRE  @0 Fixation @5 06
C03 05  X  ENG  @0 Fixation @5 06
C03 05  X  SPA  @0 Fijación @5 06
C03 06  X  FRE  @0 Incidence @5 08
C03 06  X  ENG  @0 Incidence @5 08
C03 06  X  SPA  @0 Incidencia @5 08
C03 07  X  FRE  @0 Lentille intraoculaire @5 09
C03 07  X  ENG  @0 Intraocular lens @5 09
C03 07  X  SPA  @0 Lente intraocular @5 09
C03 08  X  FRE  @0 Chirurgie @5 11
C03 08  X  ENG  @0 Surgery @5 11
C03 08  X  SPA  @0 Cirugía @5 11
C03 09  X  FRE  @0 Ophtalmologie @5 12
C03 09  X  ENG  @0 Ophthalmology @5 12
C03 09  X  SPA  @0 Oftalmología @5 12
C03 10  X  FRE  @0 Traitement @5 25
C03 10  X  ENG  @0 Treatment @5 25
C03 10  X  SPA  @0 Tratamiento @5 25
N21       @1 002
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 06-0001087 INIST
ET : Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation
AU : SASAHARA (Manabu); KIRYU (Junichi); YOSHIMURA (Nagahisa)
AF : Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine/Kyoto/Japon (1 aut., 2 aut., 3 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 9; Pp. 1777-1780; Bibl. 18 ref.
LA : Anglais
EA : PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.
CC : 002B25B
FD : Luxation; Endoscope; Sclérotique; Suture chirurgicale; Fixation; Incidence; Lentille intraoculaire; Chirurgie; Ophtalmologie; Traitement
ED : Luxation; Endoscope; Sclera; Suturation; Fixation; Incidence; Intraocular lens; Surgery; Ophthalmology; Treatment
SD : Luxación; Endoscopio; Esclerótica; Sutura quirúrgica; Fijación; Incidencia; Lente intraocular; Cirugía; Oftalmología; Tratamiento
LO : INIST-20937.354000135137430160
ID : 06-0001087

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Pascal:06-0001087

Le document en format XML

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<div type="abstract" xml:lang="en">PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.</div>
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<SO>Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 9; Pp. 1777-1780; Bibl. 18 ref.</SO>
<LA>Anglais</LA>
<EA>PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.</EA>
<CC>002B25B</CC>
<FD>Luxation; Endoscope; Sclérotique; Suture chirurgicale; Fixation; Incidence; Lentille intraoculaire; Chirurgie; Ophtalmologie; Traitement</FD>
<ED>Luxation; Endoscope; Sclera; Suturation; Fixation; Incidence; Intraocular lens; Surgery; Ophthalmology; Treatment</ED>
<SD>Luxación; Endoscopio; Esclerótica; Sutura quirúrgica; Fijación; Incidencia; Lente intraocular; Cirugía; Oftalmología; Tratamiento</SD>
<LO>INIST-20937.354000135137430160</LO>
<ID>06-0001087</ID>
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