HapticV1, PascalFrancis, Corpus, bibRecord, 001427

Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Identifieur interne : 001427 ( PascalFrancis/Corpus ); précédent : 001426; suivant : 001428

Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Auteurs : Shin-Ichi Manabe ; Hideyasu Oh ; Kentaro Amino ; Naruhiko Hata ; Ryoji Yamakawa

Source :

Ophthalmology : (Rochester, MN) [ 0161-6420 ] ; 2000.

RBID : Pascal:01-0114529

Descripteurs français

Pascal (Inist)
- Lentille intraoculaire, Chambre postérieure, Suture chirurgicale, Sclérotique, Technique, Biomicroscopie, Ultrason, Exploration, Postopératoire, Evaluation, Complication, Iatrogène, Oculaire, Homme.

English descriptors

KwdEn :
- Biomicroscopy, Complication, Evaluation, Exploration, Human, Iatrogenic, Intraocular lens, Ocular, Posterior chamber, Postoperative, Sclera, Suturation, Technique, Ultrasound.

Abstract

Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`01`	`1`		`@1 MANABE (Shin-Ichi)`
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A11	`03`	`1`		`@1 AMINO (Kentaro)`
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A11	`05`	`1`		`@1 YAMAKAWA (Ryoji)`
A14	`01`			`@1 Department of Ophthalmology, Tenri Yorozu Hospital @2 Nara @3 JPN @Z 1 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.`
A14	`02`			`@1 Department of Ophthalmology & Visual Sciences, Kyoto University Graduate School of Medicine @2 Kyoto @3 JPN @Z 1 aut. @Z 2 aut.`
A14	`03`			`@1 Department of Ophthalmology, School of Medicine, Kurume University @2 Fukuoka @3 JPN @Z 5 aut.`
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C01	`01`		`ENG`	@0 Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.
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Format Inist (serveur)

NO :	PASCAL 01-0114529 INIST
ET :	Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture
AU :	MANABE (Shin-Ichi); OH (Hideyasu); AMINO (Kentaro); HATA (Naruhiko); YAMAKAWA (Ryoji)
AF :	Department of Ophthalmology, Tenri Yorozu Hospital/Nara/Japon (1 aut., 3 aut., 4 aut., 5 aut.); Department of Ophthalmology & Visual Sciences, Kyoto University Graduate School of Medicine/Kyoto/Japon (1 aut., 2 aut.); Department of Ophthalmology, School of Medicine, Kurume University/Fukuoka/Japon (5 aut.)
DT :	Publication en série; Niveau analytique
SO :	Ophthalmology : (Rochester, MN); ISSN 0161-6420; Coden OPHTDG; Etats-Unis; Da. 2000; Vol. 107; No. 12; Pp. 2172-2178; Bibl. 29 ref.
LA :	Anglais
EA :	Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.
CC :	002B25B
FD :	Lentille intraoculaire; Chambre postérieure; Suture chirurgicale; Sclérotique; Technique; Biomicroscopie; Ultrason; Exploration; Postopératoire; Evaluation; Complication; Iatrogène; Oculaire; Homme
FG :	Chirurgie; Exploration ultrason; Oeil pathologie
ED :	Intraocular lens; Posterior chamber; Suturation; Sclera; Technique; Biomicroscopy; Ultrasound; Exploration; Postoperative; Evaluation; Complication; Iatrogenic; Ocular; Human
EG :	Surgery; Sonography; Eye disease
SD :	Lente intraocular; Cámara posterior; Sutura quirúrgica; Esclerótica; Técnica; Biomicroscopía; Ultrasonido; Exploración; Postoperatorio; Evaluación; Complicación; Iatrógeno; Ocular; Hombre
LO :	INIST-18914.354000093486660160
ID :	01-0114529

Links to Exploration step

Pascal:01-0114529

Le document en format XML

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<term>Iatrogenic</term>
<term>Intraocular lens</term>
<term>Ocular</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term>
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<term>Ultrason</term>
<term>Exploration</term>
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<front><div type="abstract" xml:lang="en">Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.</div>
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<fA11 i1="04" i2="1"><s1>HATA (Naruhiko)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>YAMAKAWA (Ryoji)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Ophthalmology, Tenri Yorozu Hospital</s1>
<s2>Nara</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Department of Ophthalmology & Visual Sciences, Kyoto University Graduate School of Medicine</s1>
<s2>Kyoto</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Ophthalmology, School of Medicine, Kurume University</s1>
<s2>Fukuoka</s2>
<s3>JPN</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA20><s1>2172-2178</s1>
</fA20>
<fA21><s1>2000</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
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<fA64 i1="01" i2="1"><s0>Ophthalmology : (Rochester, MN)</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.</s0>
</fC01>
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<s5>01</s5>
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<s5>02</s5>
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<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Suture chirurgicale</s0>
<s5>04</s5>
</fC03>
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<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Sutura quirúrgica</s0>
<s5>04</s5>
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<s5>05</s5>
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<s5>05</s5>
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<s5>05</s5>
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</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Technique</s0>
<s5>06</s5>
</fC03>
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<s5>07</s5>
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<s5>07</s5>
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<s5>08</s5>
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<fC03 i1="07" i2="X" l="ENG"><s0>Ultrasound</s0>
<s5>08</s5>
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<s5>08</s5>
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<s5>09</s5>
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<s5>09</s5>
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<fC03 i1="08" i2="X" l="SPA"><s0>Exploración</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Postopératoire</s0>
<s5>10</s5>
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<s5>10</s5>
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<fC03 i1="09" i2="X" l="SPA"><s0>Postoperatorio</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Evaluation</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Evaluation</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Evaluación</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Complication</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Complication</s0>
<s5>12</s5>
</fC03>
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<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Iatrogène</s0>
<s5>13</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Iatrogenic</s0>
<s5>13</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Iatrógeno</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Oculaire</s0>
<s5>14</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Ocular</s0>
<s5>14</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Ocular</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG"><s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA"><s0>Hombre</s0>
<s5>20</s5>
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<fC07 i1="01" i2="X" l="FRE"><s0>Chirurgie</s0>
<s5>37</s5>
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<s5>37</s5>
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<s5>53</s5>
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<fC07 i1="02" i2="X" l="SPA"><s0>Exploración ultrasonido</s0>
<s5>53</s5>
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<s5>69</s5>
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<s5>69</s5>
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<server><NO>PASCAL 01-0114529 INIST</NO>
<ET>Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture</ET>
<AU>MANABE (Shin-Ichi); OH (Hideyasu); AMINO (Kentaro); HATA (Naruhiko); YAMAKAWA (Ryoji)</AU>
<AF>Department of Ophthalmology, Tenri Yorozu Hospital/Nara/Japon (1 aut., 3 aut., 4 aut., 5 aut.); Department of Ophthalmology & Visual Sciences, Kyoto University Graduate School of Medicine/Kyoto/Japon (1 aut., 2 aut.); Department of Ophthalmology, School of Medicine, Kurume University/Fukuoka/Japon (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Ophthalmology : (Rochester, MN); ISSN 0161-6420; Coden OPHTDG; Etats-Unis; Da. 2000; Vol. 107; No. 12; Pp. 2172-2178; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To investigate the postoperative problems of intraocular lenses (lOLs) with transscleral sulcus suture. Design: Retrospective observational case series. Participants: Forty-one subjects (43 eyes) were included. Intervention: All eyes had undergone transscleral sulcus suture of lOLs. Surgeries were all performed by surgeons in our clinic using the same technique. Main Outcome Measures: Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations. Results: Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which lOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration. Conclusions: This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.</EA>
<CC>002B25B</CC>
<FD>Lentille intraoculaire; Chambre postérieure; Suture chirurgicale; Sclérotique; Technique; Biomicroscopie; Ultrason; Exploration; Postopératoire; Evaluation; Complication; Iatrogène; Oculaire; Homme</FD>
<FG>Chirurgie; Exploration ultrason; Oeil pathologie</FG>
<ED>Intraocular lens; Posterior chamber; Suturation; Sclera; Technique; Biomicroscopy; Ultrasound; Exploration; Postoperative; Evaluation; Complication; Iatrogenic; Ocular; Human</ED>
<EG>Surgery; Sonography; Eye disease</EG>
<SD>Lente intraocular; Cámara posterior; Sutura quirúrgica; Esclerótica; Técnica; Biomicroscopía; Ultrasonido; Exploración; Postoperatorio; Evaluación; Complicación; Iatrógeno; Ocular; Hombre</SD>
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Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

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