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Late dislocation of scleral-sutured posterior chamber intraocular lenses

Identifieur interne : 000E59 ( PascalFrancis/Corpus ); précédent : 000E58; suivant : 000E60

Late dislocation of scleral-sutured posterior chamber intraocular lenses

Auteurs : Marianne O. Price ; Francis W. Jr Price ; Liliana Werner ; Cecil Berlie ; Nick Mamalis

Source :

RBID : Pascal:05-0399242

Descripteurs français

English descriptors

Abstract

Purpose: To examine a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.

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 7
A08 01  1  ENG  @1 Late dislocation of scleral-sutured posterior chamber intraocular lenses
A11 01  1    @1 PRICE (Marianne O.)
A11 02  1    @1 PRICE (Francis W. JR)
A11 03  1    @1 WERNER (Liliana)
A11 04  1    @1 BERLIE (Cecil)
A11 05  1    @1 MAMALIS (Nick)
A14 01      @1 Cornea Research Foundation of America @3 USA @Z 1 aut.
A14 02      @1 Price Vision Group @2 Indianapolis, Indiana @3 USA @Z 2 aut.
A14 03      @1 John A. Moran Eye Center, University of utah @2 Salt Lake City, Utah @3 USA @Z 3 aut. @Z 5 aut.
A14 04      @1 Lather Midefort's Eye Care Center @2 Eau Claire, Wisconsin @3 USA @Z 4 aut.
A20       @1 1320-1326
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000131572020080
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 32 ref.
A47 01  1    @0 05-0399242
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 a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.
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 Tardif @5 02
C03 02  X  ENG  @0 Late @5 02
C03 02  X  SPA  @0 Tardío @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 Chambre postérieure @5 05
C03 04  X  ENG  @0 Posterior chamber @5 05
C03 04  X  SPA  @0 Cámara posterior @5 05
C03 05  X  FRE  @0 Lentille intraoculaire @5 06
C03 05  X  ENG  @0 Intraocular lens @5 06
C03 05  X  SPA  @0 Lente intraocular @5 06
C03 06  X  FRE  @0 Chirurgie @5 08
C03 06  X  ENG  @0 Surgery @5 08
C03 06  X  SPA  @0 Cirugía @5 08
C03 07  X  FRE  @0 Ophtalmologie @5 09
C03 07  X  ENG  @0 Ophthalmology @5 09
C03 07  X  SPA  @0 Oftalmología @5 09
C03 08  X  FRE  @0 Traitement @5 25
C03 08  X  ENG  @0 Treatment @5 25
C03 08  X  SPA  @0 Tratamiento @5 25
N21       @1 276
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 05-0399242 INIST
ET : Late dislocation of scleral-sutured posterior chamber intraocular lenses
AU : PRICE (Marianne O.); PRICE (Francis W. JR); WERNER (Liliana); BERLIE (Cecil); MAMALIS (Nick)
AF : Cornea Research Foundation of America/Etats-Unis (1 aut.); Price Vision Group/Indianapolis, Indiana/Etats-Unis (2 aut.); John A. Moran Eye Center, University of utah/Salt Lake City, Utah/Etats-Unis (3 aut., 5 aut.); Lather Midefort's Eye Care Center/Eau Claire, Wisconsin/Etats-Unis (4 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. 7; Pp. 1320-1326; Bibl. 32 ref.
LA : Anglais
EA : Purpose: To examine a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.
CC : 002B25B
FD : Luxation; Tardif; Sclérotique; Chambre postérieure; Lentille intraoculaire; Chirurgie; Ophtalmologie; Traitement
ED : Luxation; Late; Sclera; Posterior chamber; Intraocular lens; Surgery; Ophthalmology; Treatment
SD : Luxación; Tardío; Esclerótica; Cámara posterior; Lente intraocular; Cirugía; Oftalmología; Tratamiento
LO : INIST-20937.354000131572020080
ID : 05-0399242

Links to Exploration step

Pascal:05-0399242

Le document en format XML

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<ET>Late dislocation of scleral-sutured posterior chamber intraocular lenses</ET>
<AU>PRICE (Marianne O.); PRICE (Francis W. JR); WERNER (Liliana); BERLIE (Cecil); MAMALIS (Nick)</AU>
<AF>Cornea Research Foundation of America/Etats-Unis (1 aut.); Price Vision Group/Indianapolis, Indiana/Etats-Unis (2 aut.); John A. Moran Eye Center, University of utah/Salt Lake City, Utah/Etats-Unis (3 aut., 5 aut.); Lather Midefort's Eye Care Center/Eau Claire, Wisconsin/Etats-Unis (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 7; Pp. 1320-1326; Bibl. 32 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To examine a recent series of late scleral-sutured posterior chamber intraocular lens (POOL) dislocations to identify possible causes and preventive measures. Setting: Price Vision Group, Indianapolis, Indiana, USA. Methods: In this retrospective non-comparative interventional case series, 5 consecutive patients received treatment for dislocated scleral-sutured PCIOLs between July 2002 and March 2004. Dislocated lenses were resutured or replaced with another scleral-sutured PCIOL. Results: Dislocation of scleral-sutured PCIOLs occurred 7 to 14 years after implantation. Four dislocations were spontaneous, and 1 was precipitated by trauma. In each case, the suture affixing 1 or both haptics failed. There was no evidence that the suture had eroded through the tissue or that the knot had untied. Microscopic analysis of an explanted IOL with remnants of the suture attached showed localized degradation and cracking of the polypropylene suture material where it had been embedded in the scleral tissue. Conclusion: Suture-fixated PCIOLs can dislocate due to degradation of the suture material over time. The use of larger diameter (9-0 instead of 10-0) polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long-term stability of scleral-fixated PCIOLs.</EA>
<CC>002B25B</CC>
<FD>Luxation; Tardif; Sclérotique; Chambre postérieure; Lentille intraoculaire; Chirurgie; Ophtalmologie; Traitement</FD>
<ED>Luxation; Late; Sclera; Posterior chamber; Intraocular lens; Surgery; Ophthalmology; Treatment</ED>
<SD>Luxación; Tardío; Esclerótica; Cámara posterior; Lente intraocular; Cirugía; Oftalmología; Tratamiento</SD>
<LO>INIST-20937.354000131572020080</LO>
<ID>05-0399242</ID>
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