Closure of a persistent cyclodialysis cleft using the haptics of a normal-sized intraocular lens.
Identifieur interne : 000F81 ( PubMed/Corpus ); précédent : 000F80; suivant : 000F82Closure of a persistent cyclodialysis cleft using the haptics of a normal-sized intraocular lens.
Auteurs : Xingchao Shentu ; Yanan Zhu ; Yelei TangSource :
- BMJ case reports [ 1757-790X ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- chemical : Polymethyl Methacrylate.
- complications : Eye Injuries.
- etiology : Ocular Hypotension.
- injuries : Ciliary Body.
- surgery : Ciliary Body, Eye Injuries, Ocular Hypotension.
- Humans, Lenses, Intraocular, Male, Middle Aged.
Abstract
A 50-year-old man suffering from hypotony in the right eye caused by a traumatic cyclodialysis and complicated by a choroidal detachment and cataract was treated in our clinic. After an unsuccessful direct cyclopexy, phacoemulsification was performed and a normal-sized single-piece polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) was inserted into the ciliary sulcus, with the haptic rotated toward the cyclodialysis cleft. Postoperatively, the corrected visual acuity improved to 20/20, and the intraocular pressure returned to normal. Ultrasound biomicroscopy showed the closure of the cleft. Phacoemulsification with a normal-sized PMMA PCIOL inserted into the ciliary sulcus is a safe, effective and technically simple surgical treatment for small cyclodialysis induced hypotony complicated by cataract. Internal compression of the cleft by the haptic of a normal sized IOL along with postoperative inflammation led to scarring and closure of the cleft.
DOI: 10.1136/bcr.07.2011.4555
PubMed: 22673716
Links to Exploration step
pubmed:22673716Le document en format XML
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<author><name sortKey="Shentu, Xingchao" sort="Shentu, Xingchao" uniqKey="Shentu X" first="Xingchao" last="Shentu">Xingchao Shentu</name>
<affiliation><nlm:affiliation>Eye Center, 2nd affiliated hospital of Medical College, Zhejiang University, Hangzhou, Zhejiang, China.</nlm:affiliation>
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<author><name sortKey="Zhu, Yanan" sort="Zhu, Yanan" uniqKey="Zhu Y" first="Yanan" last="Zhu">Yanan Zhu</name>
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<author><name sortKey="Tang, Yelei" sort="Tang, Yelei" uniqKey="Tang Y" first="Yelei" last="Tang">Yelei Tang</name>
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<term>Eye Injuries (surgery)</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ocular Hypotension (etiology)</term>
<term>Ocular Hypotension (surgery)</term>
<term>Polymethyl Methacrylate</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Polymethyl Methacrylate</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Eye Injuries</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ocular Hypotension</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Ciliary Body</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Ciliary Body</term>
<term>Eye Injuries</term>
<term>Ocular Hypotension</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
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<front><div type="abstract" xml:lang="en">A 50-year-old man suffering from hypotony in the right eye caused by a traumatic cyclodialysis and complicated by a choroidal detachment and cataract was treated in our clinic. After an unsuccessful direct cyclopexy, phacoemulsification was performed and a normal-sized single-piece polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) was inserted into the ciliary sulcus, with the haptic rotated toward the cyclodialysis cleft. Postoperatively, the corrected visual acuity improved to 20/20, and the intraocular pressure returned to normal. Ultrasound biomicroscopy showed the closure of the cleft. Phacoemulsification with a normal-sized PMMA PCIOL inserted into the ciliary sulcus is a safe, effective and technically simple surgical treatment for small cyclodialysis induced hypotony complicated by cataract. Internal compression of the cleft by the haptic of a normal sized IOL along with postoperative inflammation led to scarring and closure of the cleft.</div>
</front>
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<Abstract><AbstractText>A 50-year-old man suffering from hypotony in the right eye caused by a traumatic cyclodialysis and complicated by a choroidal detachment and cataract was treated in our clinic. After an unsuccessful direct cyclopexy, phacoemulsification was performed and a normal-sized single-piece polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) was inserted into the ciliary sulcus, with the haptic rotated toward the cyclodialysis cleft. Postoperatively, the corrected visual acuity improved to 20/20, and the intraocular pressure returned to normal. Ultrasound biomicroscopy showed the closure of the cleft. Phacoemulsification with a normal-sized PMMA PCIOL inserted into the ciliary sulcus is a safe, effective and technically simple surgical treatment for small cyclodialysis induced hypotony complicated by cataract. Internal compression of the cleft by the haptic of a normal sized IOL along with postoperative inflammation led to scarring and closure of the cleft.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shentu</LastName>
<ForeName>Xingchao</ForeName>
<Initials>X</Initials>
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<ForeName>Yanan</ForeName>
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<Author ValidYN="Y"><LastName>Tang</LastName>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Arch Ophthalmol. 2004 Mar;122(3):399-404</RefSource>
<PMID Version="1">15006862</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>Ophthalmology. 1995 Feb;102(2):322-33</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>J Cataract Refract Surg. 1999 Sep;25(9):1299-301</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>J Cataract Refract Surg. 2006 Jan;32(1):13-7</RefSource>
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<PMID Version="1">20051856</PMID>
</CommentsCorrections>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002924">Ciliary Body</DescriptorName>
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