Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics
Identifieur interne : 000006 ( Pmc/Curation ); précédent : 000005; suivant : 000007Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics
Auteurs : M. Zinkernagel [Royaume-Uni] ; A. Papazoglou [Royaume-Uni] ; C K Patel [Royaume-Uni]Source :
- Eye [ 0950-222X ] ; 2013.
Abstract
To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.
A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.
We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.
This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.
Url:
DOI: 10.1038/eye.2013.206
PubMed: 24037236
PubMed Central: 3869517
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PMC:3869517Le document en format XML
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<author><name sortKey="Zinkernagel, M" sort="Zinkernagel, M" uniqKey="Zinkernagel M" first="M" last="Zinkernagel">M. Zinkernagel</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Oxford Eye Hospital, Oxford University Hospitals</institution>
, Oxford,<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Papazoglou, A" sort="Papazoglou, A" uniqKey="Papazoglou A" first="A" last="Papazoglou">A. Papazoglou</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Oxford Eye Hospital, Oxford University Hospitals</institution>
, Oxford,<country>UK</country>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics</title>
<author><name sortKey="Zinkernagel, M" sort="Zinkernagel, M" uniqKey="Zinkernagel M" first="M" last="Zinkernagel">M. Zinkernagel</name>
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, Oxford,<country>UK</country>
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<author><name sortKey="Papazoglou, A" sort="Papazoglou, A" uniqKey="Papazoglou A" first="A" last="Papazoglou">A. Papazoglou</name>
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, Oxford,<country>UK</country>
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<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
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, Oxford,<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<series><title level="j">Eye</title>
<idno type="ISSN">0950-222X</idno>
<idno type="eISSN">1476-5454</idno>
<imprint><date when="2013">2013</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="other"><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">Eye (Lond)</journal-id>
<journal-id journal-id-type="iso-abbrev">Eye (Lond)</journal-id>
<journal-title-group><journal-title>Eye</journal-title>
</journal-title-group>
<issn pub-type="ppub">0950-222X</issn>
<issn pub-type="epub">1476-5454</issn>
<publisher><publisher-name>Nature Publishing Group</publisher-name>
</publisher>
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<article-meta><article-id pub-id-type="pmid">24037236</article-id>
<article-id pub-id-type="pmc">3869517</article-id>
<article-id pub-id-type="pii">eye2013206</article-id>
<article-id pub-id-type="doi">10.1038/eye.2013.206</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group><article-title>Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics</article-title>
<alt-title alt-title-type="running">Anterior segment surgery for ACCS</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Zinkernagel</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="author-notes" rid="note1"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="caf1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Papazoglou</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Patel</surname>
<given-names>C K</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<aff id="aff1"><label>1</label>
<institution>Oxford Eye Hospital, Oxford University Hospitals</institution>
, Oxford,<country>UK</country>
</aff>
</contrib-group>
<author-notes><corresp id="caf1"><label>*</label>
<institution>Department of Ophthalmology, University Hospital Bern</institution>
, 3010 Bern, <country>Switzerland</country>
Tel: +41316322501; Fax: +41316320114. E-mail: <email>m.zinkernagel@gmail.com</email>
</corresp>
<fn fn-type="present-address" id="note1"><label>2</label>
<p>Current address: Department of Ophthalmology, University Hospital Bern, Bern, Switzerland</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>13</day>
<month>09</month>
<year>2013</year>
</pub-date>
<volume>27</volume>
<issue>12</issue>
<fpage>1388</fpage>
<lpage>1390</lpage>
<history><date date-type="received"><day>07</day>
<month>11</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>19</day>
<month>08</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Royal College of Ophthalmologists</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder>Royal College of Ophthalmologists</copyright-holder>
</permissions>
<abstract><sec><title>Purpose</title>
<p>To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.</p>
</sec>
</abstract>
<kwd-group><kwd>anterior capsule of the lens</kwd>
<kwd>phacoemulsification</kwd>
<kwd>capsulotomy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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