The course of surface deposits on a hydrophilic acrylic intraocular lens after implantation through a hexagonal cartridge
Identifieur interne : 002510 ( Pmc/Checkpoint ); précédent : 002509; suivant : 002511The course of surface deposits on a hydrophilic acrylic intraocular lens after implantation through a hexagonal cartridge
Auteurs : A L Marcovich ; G. Kleinmann ; D. Epstein ; A. PollackSource :
- The British Journal of Ophthalmology [ 0007-1161 ] ; 2006.
Abstract
To evaluate the outcome of surface deposits that occurred during implantation of hydrophylic acrylic intraocular lenses (IOLs) through a hexagonal cartridge.
Surface deposits were observed on the posterior surface of the ACR6D SE IOLs that were injected through a hexagonal cartridge filled with sodium hyaluronate 1%. All the patients were examined 1 day, 1 week, 1 month, 6 months and 1 year postoperatively. The location of the deposits was recorded and photographed. The patients were questioned about blurred vision, glare or halos.
Linear or curly deposits were detected on the posterior surface of the IOL in six patients. In four patients, the deposits were peripheral and were observed 1 week postoperatively. In two patients, the deposits were noticed immediately after implantation. In one eye, they were misinterpreted as a crack in the IOL's optic and were left in the eye. In the second patient the deposits were removed immediately after implantation with forceps. The deposits that were left after implantation (five eyes) did not resolve during 1 year of follow‐up. None of the eyes developed abnormal inflammatory reaction. In three eyes the best‐corrected visual acuity (BCVA) was 6/6. In the other three eyes the BCVA was 6/12. None of the patients experienced any visual disturbance.
Implantation of the ACR6D SE IOL through a hexagonal cartridge can lead to the formation of deposits on the posterior surface of the lens. The deposits do not resolve and may resemble a crack in the IOL. The deposits left on the IOL had no clinical relevance in our patients.
Url:
DOI: 10.1136/bjo.2006.097857
PubMed: 16854825
PubMed Central: 1857429
Affiliations:
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PMC:1857429Le document en format XML
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<author><name sortKey="Marcovich, A L" sort="Marcovich, A L" uniqKey="Marcovich A" first="A L" last="Marcovich">A L Marcovich</name>
</author>
<author><name sortKey="Kleinmann, G" sort="Kleinmann, G" uniqKey="Kleinmann G" first="G" last="Kleinmann">G. Kleinmann</name>
</author>
<author><name sortKey="Epstein, D" sort="Epstein, D" uniqKey="Epstein D" first="D" last="Epstein">D. Epstein</name>
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<author><name sortKey="Pollack, A" sort="Pollack, A" uniqKey="Pollack A" first="A" last="Pollack">A. Pollack</name>
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<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">16854825</idno>
<idno type="pmc">1857429</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857429</idno>
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<idno type="doi">10.1136/bjo.2006.097857</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The course of surface deposits on a hydrophilic acrylic intraocular lens after implantation through a hexagonal cartridge</title>
<author><name sortKey="Marcovich, A L" sort="Marcovich, A L" uniqKey="Marcovich A" first="A L" last="Marcovich">A L Marcovich</name>
</author>
<author><name sortKey="Kleinmann, G" sort="Kleinmann, G" uniqKey="Kleinmann G" first="G" last="Kleinmann">G. Kleinmann</name>
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<author><name sortKey="Epstein, D" sort="Epstein, D" uniqKey="Epstein D" first="D" last="Epstein">D. Epstein</name>
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<author><name sortKey="Pollack, A" sort="Pollack, A" uniqKey="Pollack A" first="A" last="Pollack">A. Pollack</name>
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<series><title level="j">The British Journal of Ophthalmology</title>
<idno type="ISSN">0007-1161</idno>
<idno type="eISSN">1468-2079</idno>
<imprint><date when="2006">2006</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Aim</title>
<p>To evaluate the outcome of surface deposits that occurred during implantation of hydrophylic acrylic intraocular lenses (IOLs) through a hexagonal cartridge.</p>
</sec>
<sec><title>Methods</title>
<p>Surface deposits were observed on the posterior surface of the ACR6D SE IOLs that were injected through a hexagonal cartridge filled with sodium hyaluronate 1%. All the patients were examined 1 day, 1 week, 1 month, 6 months and 1 year postoperatively. The location of the deposits was recorded and photographed. The patients were questioned about blurred vision, glare or halos.</p>
</sec>
<sec><title>Results</title>
<p>Linear or curly deposits were detected on the posterior surface of the IOL in six patients. In four patients, the deposits were peripheral and were observed 1 week postoperatively. In two patients, the deposits were noticed immediately after implantation. In one eye, they were misinterpreted as a crack in the IOL's optic and were left in the eye. In the second patient the deposits were removed immediately after implantation with forceps. The deposits that were left after implantation (five eyes) did not resolve during 1 year of follow‐up. None of the eyes developed abnormal inflammatory reaction. In three eyes the best‐corrected visual acuity (BCVA) was 6/6. In the other three eyes the BCVA was 6/12. None of the patients experienced any visual disturbance.</p>
</sec>
<sec><title>Conclusions</title>
<p>Implantation of the ACR6D SE IOL through a hexagonal cartridge can lead to the formation of deposits on the posterior surface of the lens. The deposits do not resolve and may resemble a crack in the IOL. The deposits left on the IOL had no clinical relevance in our patients.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Br J Ophthalmol</journal-id>
<journal-title>The British Journal of Ophthalmology</journal-title>
<issn pub-type="ppub">0007-1161</issn>
<issn pub-type="epub">1468-2079</issn>
<publisher><publisher-name>BMJ Group</publisher-name>
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<article-meta><article-id pub-id-type="pmid">16854825</article-id>
<article-id pub-id-type="pmc">1857429</article-id>
<article-id pub-id-type="publisher-id">bj97857</article-id>
<article-id pub-id-type="doi">10.1136/bjo.2006.097857</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Science - Scientific Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>The course of surface deposits on a hydrophilic acrylic intraocular lens after implantation through a hexagonal cartridge</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Marcovich</surname>
<given-names>A L</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Kleinmann</surname>
<given-names>G</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Epstein</surname>
<given-names>D</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Pollack</surname>
<given-names>A</given-names>
</name>
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</contrib-group>
<aff><bold>A L Marcovich</bold>
,<bold>D Epstein</bold>
,<bold>A Pollack</bold>
, Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel</aff>
<aff><bold>G Kleinmann</bold>
, Department of Ophthalmology and Visual Sciences, Laboratories for Ophthalmic Devices Research, John A Moran Eye Center, University of Utah, Salt Lake City, Utah, USA</aff>
<author-notes><corresp>Correspondence to: A L Marcovich<break></break>
Department of Ophthalmology, Kaplan Medical Center, Rehovot 76100, Israel; danaarie@barak.net.il</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="epub"><day>19</day>
<month>7</month>
<year>2006</year>
</pub-date>
<volume>90</volume>
<issue>10</issue>
<fpage>1249</fpage>
<lpage>1251</lpage>
<history><date date-type="accepted"><day>6</day>
<month>7</month>
<year>2006</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2006 BMJ Publishing Group</copyright-statement>
</permissions>
<abstract><sec><title>Aim</title>
<p>To evaluate the outcome of surface deposits that occurred during implantation of hydrophylic acrylic intraocular lenses (IOLs) through a hexagonal cartridge.</p>
</sec>
<sec><title>Methods</title>
<p>Surface deposits were observed on the posterior surface of the ACR6D SE IOLs that were injected through a hexagonal cartridge filled with sodium hyaluronate 1%. All the patients were examined 1 day, 1 week, 1 month, 6 months and 1 year postoperatively. The location of the deposits was recorded and photographed. The patients were questioned about blurred vision, glare or halos.</p>
</sec>
<sec><title>Results</title>
<p>Linear or curly deposits were detected on the posterior surface of the IOL in six patients. In four patients, the deposits were peripheral and were observed 1 week postoperatively. In two patients, the deposits were noticed immediately after implantation. In one eye, they were misinterpreted as a crack in the IOL's optic and were left in the eye. In the second patient the deposits were removed immediately after implantation with forceps. The deposits that were left after implantation (five eyes) did not resolve during 1 year of follow‐up. None of the eyes developed abnormal inflammatory reaction. In three eyes the best‐corrected visual acuity (BCVA) was 6/6. In the other three eyes the BCVA was 6/12. None of the patients experienced any visual disturbance.</p>
</sec>
<sec><title>Conclusions</title>
<p>Implantation of the ACR6D SE IOL through a hexagonal cartridge can lead to the formation of deposits on the posterior surface of the lens. The deposits do not resolve and may resemble a crack in the IOL. The deposits left on the IOL had no clinical relevance in our patients.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Epstein, D" sort="Epstein, D" uniqKey="Epstein D" first="D" last="Epstein">D. Epstein</name>
<name sortKey="Kleinmann, G" sort="Kleinmann, G" uniqKey="Kleinmann G" first="G" last="Kleinmann">G. Kleinmann</name>
<name sortKey="Marcovich, A L" sort="Marcovich, A L" uniqKey="Marcovich A" first="A L" last="Marcovich">A L Marcovich</name>
<name sortKey="Pollack, A" sort="Pollack, A" uniqKey="Pollack A" first="A" last="Pollack">A. Pollack</name>
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