Long-term pathological follow-up of obsolete design: Pannu universal intraocular lens
Identifieur interne : 001A03 ( Pmc/Curation ); précédent : 001A02; suivant : 001A04Long-term pathological follow-up of obsolete design: Pannu universal intraocular lens
Auteurs : Don Davis ; Liliana Werner ; Susan Strenk ; Lawrence Strenk ; Oliver Yeh ; Nick MamalisSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2010.
Abstract
We studied an enucleated postmortem eye from an 82-year-old white donor who had been implanted with a Pannu “universal” intraocular lens (IOL) in the anterior chamber approximately 20 years earlier. This IOL has design features characteristic of a 1-piece, C-loop posterior chamber IOL. Magnetic resonance imaging showed a relatively well-centered IOL in the anterior chamber with haptics impinging on the iris. Gross and light microscopic analyses of the eye and the IOL showed peripheral anterior synechiae enclaving one haptic, areas of angle widening, significant attenuation of the corneal endothelium, multiple areas of iris trauma secondary to optic and haptic iris abrasion, large areas of pigment dispersion in the angle, diffuse pigment accumulation within the anterior chamber, and attenuation of the ganglion cell layer. The histopathological findings were consistent with glaucoma and chronic inflammation.
Url:
DOI: 10.1016/j.jcrs.2009.08.040
PubMed: 20202555
PubMed Central: 3429603
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<author><name sortKey="Davis, Don" sort="Davis, Don" uniqKey="Davis D" first="Don" last="Davis">Don Davis</name>
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<author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
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<author><name sortKey="Strenk, Susan" sort="Strenk, Susan" uniqKey="Strenk S" first="Susan" last="Strenk">Susan Strenk</name>
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<author><name sortKey="Strenk, Lawrence" sort="Strenk, Lawrence" uniqKey="Strenk L" first="Lawrence" last="Strenk">Lawrence Strenk</name>
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<author><name sortKey="Yeh, Oliver" sort="Yeh, Oliver" uniqKey="Yeh O" first="Oliver" last="Yeh">Oliver Yeh</name>
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<author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">We studied an enucleated postmortem eye from an 82-year-old white donor who had been implanted with a Pannu “universal” intraocular lens (IOL) in the anterior chamber approximately 20 years earlier. This IOL has design features characteristic of a 1-piece, C-loop posterior chamber IOL. Magnetic resonance imaging showed a relatively well-centered IOL in the anterior chamber with haptics impinging on the iris. Gross and light microscopic analyses of the eye and the IOL showed peripheral anterior synechiae enclaving one haptic, areas of angle widening, significant attenuation of the corneal endothelium, multiple areas of iris trauma secondary to optic and haptic iris abrasion, large areas of pigment dispersion in the angle, diffuse pigment accumulation within the anterior chamber, and attenuation of the ganglion cell layer. The histopathological findings were consistent with glaucoma and chronic inflammation.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8604171</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5175</journal-id>
<journal-id journal-id-type="nlm-ta">J Cataract Refract Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Cataract Refract Surg</journal-id>
<journal-title-group><journal-title>Journal of cataract and refractive surgery</journal-title>
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<issn pub-type="ppub">0886-3350</issn>
<issn pub-type="epub">1873-4502</issn>
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<article-meta><article-id pub-id-type="pmid">20202555</article-id>
<article-id pub-id-type="pmc">3429603</article-id>
<article-id pub-id-type="doi">10.1016/j.jcrs.2009.08.040</article-id>
<article-id pub-id-type="manuscript">NIHMS400355</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Long-term pathological follow-up of obsolete design: Pannu universal intraocular lens</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Davis</surname>
<given-names>Don</given-names>
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<degrees>MD</degrees>
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<contrib contrib-type="author"><name><surname>Werner</surname>
<given-names>Liliana</given-names>
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<degrees>MD, PhD</degrees>
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<contrib contrib-type="author"><name><surname>Strenk</surname>
<given-names>Susan</given-names>
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<degrees>PhD</degrees>
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<contrib contrib-type="author"><name><surname>Strenk</surname>
<given-names>Lawrence</given-names>
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<degrees>PhD</degrees>
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<contrib contrib-type="author"><name><surname>Yeh</surname>
<given-names>Oliver</given-names>
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<contrib contrib-type="author"><name><surname>Mamalis</surname>
<given-names>Nick</given-names>
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<degrees>MD</degrees>
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<aff id="A1">John A. Moran Eye Center (Davis, Werner, Yeh, Mamalis), University of Utah, Salt Lake City, Utah; MRI Research, Inc. (S. Strenk, L. Strenk), Cleveland, Ohio, USA</aff>
</contrib-group>
<author-notes><corresp id="cor1">Corresponding author: Liliana Werner, MD, PhD, John A. Moran Eye Center, University of Utah, 65 Mario Capecchi Drive, Salt Lake City, Utah, 84132, USA. <email>liliana.werner@hsc.utah.edu</email>
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<pub-date pub-type="nihms-submitted"><day>13</day>
<month>8</month>
<year>2012</year>
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<pub-date pub-type="ppub"><month>3</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>28</day>
<month>8</month>
<year>2012</year>
</pub-date>
<volume>36</volume>
<issue>3</issue>
<fpage>512</fpage>
<lpage>516</lpage>
<permissions><copyright-statement>© 2010 ASCRS and ESCRS</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<abstract><p id="P1">We studied an enucleated postmortem eye from an 82-year-old white donor who had been implanted with a Pannu “universal” intraocular lens (IOL) in the anterior chamber approximately 20 years earlier. This IOL has design features characteristic of a 1-piece, C-loop posterior chamber IOL. Magnetic resonance imaging showed a relatively well-centered IOL in the anterior chamber with haptics impinging on the iris. Gross and light microscopic analyses of the eye and the IOL showed peripheral anterior synechiae enclaving one haptic, areas of angle widening, significant attenuation of the corneal endothelium, multiple areas of iris trauma secondary to optic and haptic iris abrasion, large areas of pigment dispersion in the angle, diffuse pigment accumulation within the anterior chamber, and attenuation of the ganglion cell layer. The histopathological findings were consistent with glaucoma and chronic inflammation.</p>
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