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Cataract surgical problem

Identifieur interne : 000330 ( PascalFrancis/Curation ); précédent : 000329; suivant : 000331

Cataract surgical problem

Auteurs : Samuel Masket

Source :

RBID : Pascal:03-0216676

Descripteurs français

English descriptors

Abstract

A very active 81-year-old man was referred for "horrific glare" 6 weeks after cataract surgery in the left eye. His history reveals that 4 months earlier, he had uneventful, temporally oriented phacoemulsification with placement of a plate-haptic silicone intraocular lens (IOL) in the right eye. However, the left eye, operated on in a similar fashion more recently, sustained unintended but significant damage to the inferotemporal iris (Figures 1 and 2). The patient reports great difficulty with night driving, a task necessary for his work. He refused a custom contact lens. The examination reveals a best corrected visual acuity of 20/25+ in both eyes with a modest myopic error. In both eyes, there is a healed temporal clear corneal incision and a well-centered plate-haptic silicone IOL with an intact posterior capsule. The involved left eye demonstrates a small anterior capsulorhexis, and there is modest peripheral capsule fibrosis. Posterior segment examination is unremarkable in both eyes. How would you approach this problem?
pA  
A01 01  1    @0 0886-3350
A02 01      @0 JCSUEV
A03   1    @0 J. cataract refractive surg.
A05       @2 29
A06       @2 2
A08 01  1  ENG  @1 Cataract surgical problem
A11 01  1    @1 MASKET (Samuel)
A20       @1 238-241
A21       @1 2003
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000104227080010
A44       @0 0000 @1 © 2003 INIST-CNRS. All rights reserved.
A45       @0 4 ref.
A47 01  1    @0 03-0216676
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 A very active 81-year-old man was referred for "horrific glare" 6 weeks after cataract surgery in the left eye. His history reveals that 4 months earlier, he had uneventful, temporally oriented phacoemulsification with placement of a plate-haptic silicone intraocular lens (IOL) in the right eye. However, the left eye, operated on in a similar fashion more recently, sustained unintended but significant damage to the inferotemporal iris (Figures 1 and 2). The patient reports great difficulty with night driving, a task necessary for his work. He refused a custom contact lens. The examination reveals a best corrected visual acuity of 20/25+ in both eyes with a modest myopic error. In both eyes, there is a healed temporal clear corneal incision and a well-centered plate-haptic silicone IOL with an intact posterior capsule. The involved left eye demonstrates a small anterior capsulorhexis, and there is modest peripheral capsule fibrosis. Posterior segment examination is unremarkable in both eyes. How would you approach this problem?
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Cataracte @5 01
C03 01  X  ENG  @0 Cataract @5 01
C03 01  X  SPA  @0 Catarata @5 01
C03 02  X  FRE  @0 Chirurgie @5 02
C03 02  X  ENG  @0 Surgery @5 02
C03 02  X  SPA  @0 Cirugía @5 02
C03 03  X  FRE  @0 Traitement @5 03
C03 03  X  ENG  @0 Treatment @5 03
C03 03  X  SPA  @0 Tratamiento @5 03
C03 04  X  FRE  @0 Homme @5 04
C03 04  X  ENG  @0 Human @5 04
C03 04  X  SPA  @0 Hombre @5 04
C03 05  X  FRE  @0 Etude cas @5 05
C03 05  X  ENG  @0 Case study @5 05
C03 05  X  SPA  @0 Estudio caso @5 05
C03 06  X  FRE  @0 Complication @5 06
C03 06  X  ENG  @0 Complication @5 06
C03 06  X  SPA  @0 Complicación @5 06
C03 07  X  FRE  @0 Postopératoire @5 07
C03 07  X  ENG  @0 Postoperative @5 07
C03 07  X  SPA  @0 Postoperatorio @5 07
C03 08  X  FRE  @0 Iatrogène @5 08
C03 08  X  ENG  @0 Iatrogenic @5 08
C03 08  X  SPA  @0 Iatrógeno @5 08
C03 09  X  FRE  @0 Perte substance @5 09
C03 09  X  ENG  @0 Substance loss @5 09
C03 09  X  SPA  @0 Pérdida sustancia @5 09
C03 10  X  FRE  @0 Iris(oeil) @5 10
C03 10  X  ENG  @0 Iris(eye) @5 10
C03 10  X  SPA  @0 Iris(ojo) @5 10
C07 01  X  FRE  @0 Oeil pathologie @5 37
C07 01  X  ENG  @0 Eye disease @5 37
C07 01  X  SPA  @0 Ojo patología @5 37
C07 02  X  FRE  @0 Cristallin pathologie @5 38
C07 02  X  ENG  @0 Lens disease @5 38
C07 02  X  SPA  @0 Cristalino patología @5 38
C07 03  X  FRE  @0 Segment antérieur pathologie @2 NM @5 39
C07 03  X  ENG  @0 Anterior segment disease @2 NM @5 39
C07 03  X  SPA  @0 Segmento anterior patología @2 NM @5 39
C07 04  X  FRE  @0 Uvée pathologie @5 61
C07 04  X  ENG  @0 Uvea disease @5 61
C07 04  X  SPA  @0 Uvea patología @5 61
N21       @1 132
N82       @1 PSI

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Pascal:03-0216676

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Samuel Masket
<affiliation>
<wicri:noCountry>no AF</wicri:noCountry>
</affiliation>

Le document en format XML

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<div type="abstract" xml:lang="en">A very active 81-year-old man was referred for "horrific glare" 6 weeks after cataract surgery in the left eye. His history reveals that 4 months earlier, he had uneventful, temporally oriented phacoemulsification with placement of a plate-haptic silicone intraocular lens (IOL) in the right eye. However, the left eye, operated on in a similar fashion more recently, sustained unintended but significant damage to the inferotemporal iris (Figures 1 and 2). The patient reports great difficulty with night driving, a task necessary for his work. He refused a custom contact lens. The examination reveals a best corrected visual acuity of 20/25
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<sup>+</sup>
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