Considerations in the management of aphakia
Identifieur interne : 000078 ( Pmc/Curation ); précédent : 000077; suivant : 000079Considerations in the management of aphakia
Auteurs : Somdutt Prasad [Inde] ; Andrzej Grzybowski [Pologne]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2015.
Url:
DOI: 10.4103/0301-4738.158098
PubMed: 26044483
PubMed Central: 4463568
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000078
Links to Exploration step
PMC:4463568Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Considerations in the management of aphakia</title><author><name sortKey="Prasad, Somdutt" sort="Prasad, Somdutt" uniqKey="Prasad S" first="Somdutt" last="Prasad">Somdutt Prasad</name><affiliation wicri:level="1"><nlm:aff id="aff1">B. B. Eye Foundation, AMRI Medical Centre, Kolkata, West Bengal, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>B. B. Eye Foundation, AMRI Medical Centre, Kolkata, West Bengal</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Eye Department, AMRI Medical Centre, Kolkata, West Bengal, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Eye Department, AMRI Medical Centre, Kolkata, West Bengal</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Westbank Hospital, Howrah, West Bengal, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Westbank Hospital, Howrah, West Bengal</wicri:regionArea></affiliation></author><author><name sortKey="Grzybowski, Andrzej" sort="Grzybowski, Andrzej" uniqKey="Grzybowski A" first="Andrzej" last="Grzybowski">Andrzej Grzybowski</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Ophthalmology, Poznan City Hospital, ul. Szwajcarska 3, 61–285, Poznań, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Ophthalmology, Poznan City Hospital, ul. Szwajcarska 3, 61–285, Poznań</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Ophthalmology, University of Warmia and Mazury, ul. Żołnierska 14C, Olsztyn, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Ophthalmology, University of Warmia and Mazury, ul. Żołnierska 14C, Olsztyn</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26044483</idno><idno type="pmc">4463568</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4463568</idno><idno type="RBID">PMC:4463568</idno><idno type="doi">10.4103/0301-4738.158098</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000078</idno><idno type="wicri:Area/Pmc/Curation">000078</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Considerations in the management of aphakia</title><author><name sortKey="Prasad, Somdutt" sort="Prasad, Somdutt" uniqKey="Prasad S" first="Somdutt" last="Prasad">Somdutt Prasad</name><affiliation wicri:level="1"><nlm:aff id="aff1">B. B. Eye Foundation, AMRI Medical Centre, Kolkata, West Bengal, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>B. B. Eye Foundation, AMRI Medical Centre, Kolkata, West Bengal</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Eye Department, AMRI Medical Centre, Kolkata, West Bengal, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Eye Department, AMRI Medical Centre, Kolkata, West Bengal</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Westbank Hospital, Howrah, West Bengal, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Westbank Hospital, Howrah, West Bengal</wicri:regionArea></affiliation></author><author><name sortKey="Grzybowski, Andrzej" sort="Grzybowski, Andrzej" uniqKey="Grzybowski A" first="Andrzej" last="Grzybowski">Andrzej Grzybowski</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Ophthalmology, Poznan City Hospital, ul. Szwajcarska 3, 61–285, Poznań, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Ophthalmology, Poznan City Hospital, ul. Szwajcarska 3, 61–285, Poznań</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Ophthalmology, University of Warmia and Mazury, ul. Żołnierska 14C, Olsztyn, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Ophthalmology, University of Warmia and Mazury, ul. Żołnierska 14C, Olsztyn</wicri:regionArea></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Can, E" uniqKey="Can E">E Can</name></author><author><name sortKey="Basaran, R" uniqKey="Basaran R">R Basaran</name></author><author><name sortKey="Gul, A" uniqKey="Gul A">A Gul</name></author><author><name sortKey="Birinci, H" uniqKey="Birinci H">H Birinci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scharioth, Gb" uniqKey="Scharioth G">GB Scharioth</name></author><author><name sortKey="Prasad, S" uniqKey="Prasad S">S Prasad</name></author><author><name sortKey="Georgalas, I" uniqKey="Georgalas I">I Georgalas</name></author><author><name sortKey="Tataru, C" uniqKey="Tataru C">C Tataru</name></author><author><name sortKey="Pavlidis, M" uniqKey="Pavlidis M">M Pavlidis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guell, Jl" uniqKey="Guell J">JL Güell</name></author><author><name sortKey="Verdaguer, P" uniqKey="Verdaguer P">P Verdaguer</name></author><author><name sortKey="Elies, D" uniqKey="Elies D">D Elies</name></author><author><name sortKey="Gris, O" uniqKey="Gris O">O Gris</name></author><author><name sortKey="Manero, F" uniqKey="Manero F">F Manero</name></author><author><name sortKey="Mateu Figueras, G" uniqKey="Mateu Figueras G">G Mateu-Figueras</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcallister, As" uniqKey="Mcallister A">AS McAllister</name></author><author><name sortKey="Hirst, Lw" uniqKey="Hirst L">LW Hirst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Df" uniqKey="Chang D">DF Chang</name></author><author><name sortKey="Masket, S" uniqKey="Masket S">S Masket</name></author><author><name sortKey="Miller, Km" uniqKey="Miller K">KM Miller</name></author><author><name sortKey="Braga Mele, R" uniqKey="Braga Mele R">R Braga-Mele</name></author><author><name sortKey="Little, Bc" uniqKey="Little B">BC Little</name></author><author><name sortKey="Mamalis, N" uniqKey="Mamalis N">N Mamalis</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">IJO</journal-id><journal-title-group><journal-title>Indian Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">0301-4738</issn><issn pub-type="epub">1998-3689</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26044483</article-id><article-id pub-id-type="pmc">4463568</article-id><article-id pub-id-type="publisher-id">IJO-63-358a</article-id><article-id pub-id-type="doi">10.4103/0301-4738.158098</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letters to the Editor</subject></subj-group></article-categories><title-group><article-title>Considerations in the management of aphakia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Prasad</surname><given-names>Somdutt</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Grzybowski</surname><given-names>Andrzej</given-names></name><xref ref-type="aff" rid="aff4">4</xref><xref ref-type="aff" rid="aff5">5</xref></contrib></contrib-group><aff id="aff1"><label>1</label>B. B. Eye Foundation, AMRI Medical Centre, Kolkata, West Bengal, India</aff><aff id="aff2"><label>2</label>Eye Department, AMRI Medical Centre, Kolkata, West Bengal, India</aff><aff id="aff3"><label>3</label>Westbank Hospital, Howrah, West Bengal, India</aff><aff id="aff4"><label>4</label>Department of Ophthalmology, Poznan City Hospital, ul. Szwajcarska 3, 61–285, Poznań, Poland</aff><aff id="aff5"><label>5</label>Department of Ophthalmology, University of Warmia and Mazury, ul. Żołnierska 14C, Olsztyn, Poland</aff><author-notes><corresp id="cor1"><bold>Correspondence to:</bold> Dr. Somdutt Prasad, B. B. Eye Foundation, 2/5 Sukhsagar, Sarat Bose Road, Kolkata - 700 020, West Bengal, India. E-mail: <email xlink:href="sprasad@rcsed.ac.uk">sprasad@rcsed.ac.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2015</year></pub-date><volume>63</volume><issue>4</issue><fpage seq="a">358</fpage><lpage>358</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Ophthalmology</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions></article-meta></front><body><p>Dear Editor,</p><p>Can <italic>et al</italic>. describe their modification of an ab interno technique of transscleral suturing of one-piece posterior chamber intraocular lenses (IOLs) by injecting the IOL implantation in the through a clear corneal incision.[<xref rid="ref1" ref-type="bibr">1</xref>] We believe that discussion of their proposal highlights relevant issues.</p><p>The article does not mention the increasingly popular techniques of secondary IOL implantation in aphakia management, namely intrascleral sutureless haptic fixation (SSF) and iris-claw lenses.[<xref rid="ref2" ref-type="bibr">2</xref><xref rid="ref3" ref-type="bibr">3</xref>]</p><p>Sutureless scleral fixation uses a three-piece lens, often implanted by injector and avoids the risk of suture breakage. Also, when the eye moves, it acquires kinetic energy from the muscles and attachments, and the energy is distributed to the internal fluids as it stops. Thus, pseudophakodonesis is the result of oscillations of the fluids in the anterior and posterior segment of the eye. In a scleral-fixated IOL suspended with the suture, there is more pseudophakodonesis, and this may lead to posterior segment complications in the long-term. This is seen by the incidence of retinal detachment (4.9%) and chronic macular edema (CME) (7.3%).[<xref rid="ref4" ref-type="bibr">4</xref>] However, no significant retinal problems are seen in the follow-up of SSF techniques potentially because a large part of the haptic is buried in scleral tunnels in these techniques and so the IOL is inherently more stable and less prone to pseudophakodonesis.</p><p>The choice of IOL is of concern for two reasons. Firstly, a one-piece IOL with square cross-section of haptics is not suitable for placement in the sulcus as it can lead to future problems. Their bulky haptics is large and thick enough to contact the posteriori iris and were shown, when implanted into the sulcus to lead to pigment dispersion syndrome, secondary IOP elevation, recurrent iridocyclitis, and CME.[<xref rid="ref5" ref-type="bibr">5</xref>] Also, a hydrophobic material is probably preferable in these eyes. In addition, the use of 10–0 prolene, because of the risk of breakage over years, has largely been replaced by 9–0 prolene to reduce the rate of late suture breakage. Polytetrafluoroethylene CV-8 (Gore-tex) is also being used off-label in place of 10–0 prolene and has very good longevity. Authors of the article[<xref rid="ref1" ref-type="bibr">1</xref>] do not mention the rates of late suture breakage, which has been significant with all sutured scleral fixated techniques reported to-date with intermediate/long follow-up. The proposed fixation is two-point, and there is probably no argument why the risk of IOL tilt is less than that from any other two-point fixation of three-piece lenses. In addition, authors propose to leave the sutures subconjunctivally which is also a cause for concern. It is well accepted that in any scleral suture-fixation technique, a scleral flap, scleral pocket or patch graft to cover the external suture is required to protect the suture and prevent the external suture erosion.</p></body><back><ref-list><title>References</title><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Can</surname><given-names>E</given-names></name><name><surname>Basaran</surname><given-names>R</given-names></name><name><surname>Gul</surname><given-names>A</given-names></name><name><surname>Birinci</surname><given-names>H</given-names></name></person-group><article-title>Scleral fixation of one piece intraocular lens by injector implantation</article-title><source>Indian J Ophthalmol</source><year>2014</year><volume>62</volume><fpage>857</fpage><lpage>60</lpage><pub-id pub-id-type="pmid">25230961</pub-id></element-citation></ref><ref id="ref2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Scharioth</surname><given-names>GB</given-names></name><name><surname>Prasad</surname><given-names>S</given-names></name><name><surname>Georgalas</surname><given-names>I</given-names></name><name><surname>Tataru</surname><given-names>C</given-names></name><name><surname>Pavlidis</surname><given-names>M</given-names></name></person-group><article-title>Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation</article-title><source>J Cataract Refract Surg</source><year>2010</year><volume>36</volume><fpage>254</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">20152606</pub-id></element-citation></ref><ref id="ref3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Güell</surname><given-names>JL</given-names></name><name><surname>Verdaguer</surname><given-names>P</given-names></name><name><surname>Elies</surname><given-names>D</given-names></name><name><surname>Gris</surname><given-names>O</given-names></name><name><surname>Manero</surname><given-names>F</given-names></name><name><surname>Mateu-Figueras</surname><given-names>G</given-names></name><etal></etal></person-group><article-title>Secondary iris-claw anterior chamber lens implantation in patients with aphakia without capsular support</article-title><source>Br J Ophthalmol</source><year>2014</year><volume>98</volume><fpage>658</fpage><lpage>63</lpage><pub-id pub-id-type="pmid">24489374</pub-id></element-citation></ref><ref id="ref4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McAllister</surname><given-names>AS</given-names></name><name><surname>Hirst</surname><given-names>LW</given-names></name></person-group><article-title>Visual outcomes and complications of scleral-fixated posterior chamber intraocular lenses</article-title><source>J Cataract Refract Surg</source><year>2011</year><volume>37</volume><fpage>1263</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">21700103</pub-id></element-citation></ref><ref id="ref5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chang</surname><given-names>DF</given-names></name><name><surname>Masket</surname><given-names>S</given-names></name><name><surname>Miller</surname><given-names>KM</given-names></name><name><surname>Braga-Mele</surname><given-names>R</given-names></name><name><surname>Little</surname><given-names>BC</given-names></name><name><surname>Mamalis</surname><given-names>N</given-names></name><etal></etal></person-group><article-title>Complications of sulcus placement of single-piece acrylic intraocular lenses: Recommendations for backup IOL implantation following posterior capsule rupture</article-title><source>J Cataract Refract Surg</source><year>2009</year><volume>35</volume><fpage>1445</fpage><lpage>58</lpage><pub-id pub-id-type="pmid">19631134</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000078 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000078 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= HapticV1
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:4463568
|texte= Considerations in the management of aphakia
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:26044483" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |