Preoperative ultrasound biomicroscopy to assess ease of haptic removal before penetrating keratoplasty combined with lens exchange.
Identifieur interne : 001D44 ( PubMed/Checkpoint ); précédent : 001D43; suivant : 001D45Preoperative ultrasound biomicroscopy to assess ease of haptic removal before penetrating keratoplasty combined with lens exchange.
Auteurs : S S Rutnin [Canada] ; C J Pavlin ; A R Slomovic ; J. Kwartz ; D S RootmanSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 1997.
English descriptors
- KwdEn :
- MESH :
- surgery : Anterior Chamber, Corneal Diseases.
- ultrasonography : Anterior Chamber, Corneal Diseases, Fibrosis.
- Humans, Lasers, Excimer, Lenses, Intraocular, Photorefractive Keratectomy, Preoperative Care, Reoperation, Retrospective Studies.
Abstract
To evaluate a method of assessing anterior chamber intraocular lens (IOL) haptics before combined penetrating keratoplasty and IOL exchange in eyes with poor corneal clarity resulting from pseudophakic bullous keratopathy (PBK).
PubMed: 9113575
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preoperative ultrasound biomicroscopy to assess ease of haptic removal before penetrating keratoplasty combined with lens exchange.</title>
<author><name sortKey="Rutnin, S S" sort="Rutnin, S S" uniqKey="Rutnin S" first="S S" last="Rutnin">S S Rutnin</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, Toronto Hospital, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Ophthalmology, Toronto Hospital, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pavlin, C J" sort="Pavlin, C J" uniqKey="Pavlin C" first="C J" last="Pavlin">C J Pavlin</name>
</author>
<author><name sortKey="Slomovic, A R" sort="Slomovic, A R" uniqKey="Slomovic A" first="A R" last="Slomovic">A R Slomovic</name>
</author>
<author><name sortKey="Kwartz, J" sort="Kwartz, J" uniqKey="Kwartz J" first="J" last="Kwartz">J. Kwartz</name>
</author>
<author><name sortKey="Rootman, D S" sort="Rootman, D S" uniqKey="Rootman D" first="D S" last="Rootman">D S Rootman</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Preoperative ultrasound biomicroscopy to assess ease of haptic removal before penetrating keratoplasty combined with lens exchange.</title>
<author><name sortKey="Rutnin, S S" sort="Rutnin, S S" uniqKey="Rutnin S" first="S S" last="Rutnin">S S Rutnin</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, Toronto Hospital, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Ophthalmology, Toronto Hospital, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
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<author><name sortKey="Pavlin, C J" sort="Pavlin, C J" uniqKey="Pavlin C" first="C J" last="Pavlin">C J Pavlin</name>
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<author><name sortKey="Slomovic, A R" sort="Slomovic, A R" uniqKey="Slomovic A" first="A R" last="Slomovic">A R Slomovic</name>
</author>
<author><name sortKey="Kwartz, J" sort="Kwartz, J" uniqKey="Kwartz J" first="J" last="Kwartz">J. Kwartz</name>
</author>
<author><name sortKey="Rootman, D S" sort="Rootman, D S" uniqKey="Rootman D" first="D S" last="Rootman">D S Rootman</name>
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<series><title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
<imprint><date when="1997" type="published">1997</date>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anterior Chamber (surgery)</term>
<term>Anterior Chamber (ultrasonography)</term>
<term>Corneal Diseases (surgery)</term>
<term>Corneal Diseases (ultrasonography)</term>
<term>Fibrosis (ultrasonography)</term>
<term>Humans</term>
<term>Lasers, Excimer</term>
<term>Lenses, Intraocular</term>
<term>Photorefractive Keratectomy</term>
<term>Preoperative Care</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Chamber</term>
<term>Corneal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Anterior Chamber</term>
<term>Corneal Diseases</term>
<term>Fibrosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lasers, Excimer</term>
<term>Lenses, Intraocular</term>
<term>Photorefractive Keratectomy</term>
<term>Preoperative Care</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
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</teiHeader>
<front><div type="abstract" xml:lang="en">To evaluate a method of assessing anterior chamber intraocular lens (IOL) haptics before combined penetrating keratoplasty and IOL exchange in eyes with poor corneal clarity resulting from pseudophakic bullous keratopathy (PBK).</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9113575</PMID>
<DateCreated><Year>1997</Year>
<Month>06</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted><Year>1997</Year>
<Month>06</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised><Year>2008</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0886-3350</ISSN>
<JournalIssue CitedMedium="Print"><Volume>23</Volume>
<Issue>2</Issue>
<PubDate><Year>1997</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cataract and refractive surgery</Title>
<ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Preoperative ultrasound biomicroscopy to assess ease of haptic removal before penetrating keratoplasty combined with lens exchange.</ArticleTitle>
<Pagination><MedlinePgn>239-43</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate a method of assessing anterior chamber intraocular lens (IOL) haptics before combined penetrating keratoplasty and IOL exchange in eyes with poor corneal clarity resulting from pseudophakic bullous keratopathy (PBK).</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Department of Ophthalmology, Toronto Hospital, Ontario, Canada.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twelve eyes (25 haptics) with PBK were studied using ultrasound biomicroscopy (UBM). The degree of haptic encasement was graded. The result was compared with the degree of difficulty and the complications encountered in removing the IOL at the time of surgery. The surgeons were masked as to the UBM results.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All haptics were easily visualized with UBM, with 23 in the angle and 2 passing through a peripheral iridectomy. On UBM, 9 haptics were noted to lie free in the angle, and 16 were encased by fibrotic tissue. Eight were covered by less than 100 microns and 8 by more than 100 microns of tissue. Calculations using Kappa statistics found a strong predictive value for the UBM in identifying the presence or absence of fibrotic encasement and degree of difficulty in removing the anterior chamber IOL haptics. Ultrasound biomicroscopy also allowed assessment of the adjacent angle for synechias.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Ultrasound biomicroscopy provides an alternative method for evaluating anterior chamber IOL haptics when gonioscopy is not possible because of corneal opacity. This method allows the surgeon to predict preoperatively the degree of difficulty that will be encountered in explanting the IOL.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rutnin</LastName>
<ForeName>S S</ForeName>
<Initials>SS</Initials>
<AffiliationInfo><Affiliation>Department of Ophthalmology, Toronto Hospital, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pavlin</LastName>
<ForeName>C J</ForeName>
<Initials>CJ</Initials>
</Author>
<Author ValidYN="Y"><LastName>Slomovic</LastName>
<ForeName>A R</ForeName>
<Initials>AR</Initials>
</Author>
<Author ValidYN="Y"><LastName>Kwartz</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Rootman</LastName>
<ForeName>D S</ForeName>
<Initials>DS</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>UNITED STATES</Country>
<MedlineTA>J Cataract Refract Surg</MedlineTA>
<NlmUniqueID>8604171</NlmUniqueID>
<ISSNLinking>0886-3350</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000867">Anterior Chamber</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000736">ultrasonography</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003316">Corneal Diseases</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000736">ultrasonography</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005355">Fibrosis</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D054018">Lasers, Excimer</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D018903">Photorefractive Keratectomy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011300">Preoperative Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year>
<Month>3</Month>
<Day>1</Day>
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<affiliations><list><country><li>Canada</li>
</country>
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<name sortKey="Pavlin, C J" sort="Pavlin, C J" uniqKey="Pavlin C" first="C J" last="Pavlin">C J Pavlin</name>
<name sortKey="Rootman, D S" sort="Rootman, D S" uniqKey="Rootman D" first="D S" last="Rootman">D S Rootman</name>
<name sortKey="Slomovic, A R" sort="Slomovic, A R" uniqKey="Slomovic A" first="A R" last="Slomovic">A R Slomovic</name>
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<country name="Canada"><noRegion><name sortKey="Rutnin, S S" sort="Rutnin, S S" uniqKey="Rutnin S" first="S S" last="Rutnin">S S Rutnin</name>
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