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Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults.

Identifieur interne : 000F85 ( PubMed/Corpus ); précédent : 000F84; suivant : 000F86

Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults.

Auteurs : Timothy W. Olsen ; Jonathan T. Pribila

Source :

RBID : pubmed:21168823

English descriptors

Abstract

To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery.

DOI: 10.1016/j.ajo.2010.08.026
PubMed: 21168823

Links to Exploration step

pubmed:21168823

Le document en format XML

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<title xml:lang="en">Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults.</title>
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<name sortKey="Olsen, Timothy W" sort="Olsen, Timothy W" uniqKey="Olsen T" first="Timothy W" last="Olsen">Timothy W. Olsen</name>
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<nlm:affiliation>Emory Eye Center, Emory University Department of Ophthalmology, Atlanta, Georgia 30322, USA.</nlm:affiliation>
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<author>
<name sortKey="Pribila, Jonathan T" sort="Pribila, Jonathan T" uniqKey="Pribila J" first="Jonathan T" last="Pribila">Jonathan T. Pribila</name>
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<title xml:lang="en">Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults.</title>
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<name sortKey="Olsen, Timothy W" sort="Olsen, Timothy W" uniqKey="Olsen T" first="Timothy W" last="Olsen">Timothy W. Olsen</name>
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<nlm:affiliation>Emory Eye Center, Emory University Department of Ophthalmology, Atlanta, Georgia 30322, USA.</nlm:affiliation>
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<name sortKey="Pribila, Jonathan T" sort="Pribila, Jonathan T" uniqKey="Pribila J" first="Jonathan T" last="Pribila">Jonathan T. Pribila</name>
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<title level="j">American journal of ophthalmology</title>
<idno type="eISSN">1879-1891</idno>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aphakia, Postcataract (surgery)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Endoscopy</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Posterior Eye Segment (surgery)</term>
<term>Retrospective Studies</term>
<term>Sclerostomy</term>
<term>Suture Techniques</term>
<term>Vision Disorders (rehabilitation)</term>
<term>Visual Acuity (physiology)</term>
<term>Vitrectomy</term>
<term>Young Adult</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Vision Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Aphakia, Postcataract</term>
<term>Posterior Eye Segment</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Endoscopy</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Sclerostomy</term>
<term>Suture Techniques</term>
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<div type="abstract" xml:lang="en">To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery.</div>
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<Year>2011</Year>
<Month>01</Month>
<Day>21</Day>
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<DateCompleted>
<Year>2011</Year>
<Month>02</Month>
<Day>17</Day>
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<ISSN IssnType="Electronic">1879-1891</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>151</Volume>
<Issue>2</Issue>
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<Year>2011</Year>
<Month>Feb</Month>
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<Title>American journal of ophthalmology</Title>
<ISOAbbreviation>Am. J. Ophthalmol.</ISOAbbreviation>
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<ArticleTitle>Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults.</ArticleTitle>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (<18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.</AbstractText>
<CopyrightInformation>Copyright © 2011 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Olsen</LastName>
<ForeName>Timothy W</ForeName>
<Initials>TW</Initials>
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<Affiliation>Emory Eye Center, Emory University Department of Ophthalmology, Atlanta, Georgia 30322, USA.</Affiliation>
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<LastName>Pribila</LastName>
<ForeName>Jonathan T</ForeName>
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<Language>eng</Language>
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<DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D012599">Sclerostomy</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName>
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