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Intraocular lens exchange with removal of the optic only.

Identifieur interne : 001323 ( PubMed/Corpus ); précédent : 001322; suivant : 001324

Intraocular lens exchange with removal of the optic only.

Auteurs : Sung Jin Lee ; Hae Jung Sun ; Kyung Seek Choi ; Song Hee Park

Source :

RBID : pubmed:19251146

English descriptors

Abstract

To evaluate the clinical outcomes of intraocular lens (IOL) exchange in patients with an opacified ACRL-C160 intraocular lens (IOL) using an optic-only removal technique.

DOI: 10.1016/j.jcrs.2008.11.045
PubMed: 19251146

Links to Exploration step

pubmed:19251146

Le document en format XML

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<title xml:lang="en">Intraocular lens exchange with removal of the optic only.</title>
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<name sortKey="Lee, Sung Jin" sort="Lee, Sung Jin" uniqKey="Lee S" first="Sung Jin" last="Lee">Sung Jin Lee</name>
<affiliation>
<nlm:affiliation>Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea. wismile@unital.co.kr</nlm:affiliation>
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<name sortKey="Sun, Hae Jung" sort="Sun, Hae Jung" uniqKey="Sun H" first="Hae Jung" last="Sun">Hae Jung Sun</name>
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<name sortKey="Choi, Kyung Seek" sort="Choi, Kyung Seek" uniqKey="Choi K" first="Kyung Seek" last="Choi">Kyung Seek Choi</name>
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<name sortKey="Park, Song Hee" sort="Park, Song Hee" uniqKey="Park S" first="Song Hee" last="Park">Song Hee Park</name>
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<nlm:affiliation>Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea. wismile@unital.co.kr</nlm:affiliation>
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<name sortKey="Sun, Hae Jung" sort="Sun, Hae Jung" uniqKey="Sun H" first="Hae Jung" last="Sun">Hae Jung Sun</name>
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<name sortKey="Park, Song Hee" sort="Park, Song Hee" uniqKey="Park S" first="Song Hee" last="Park">Song Hee Park</name>
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<title level="j">Journal of cataract and refractive surgery</title>
<idno type="eISSN">1873-4502</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Device Removal (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Prosthesis Failure</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Visual Acuity (physiology)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Device Removal</term>
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<term>Visual Acuity</term>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate the clinical outcomes of intraocular lens (IOL) exchange in patients with an opacified ACRL-C160 intraocular lens (IOL) using an optic-only removal technique.</div>
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<Year>2009</Year>
<Month>05</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1873-4502</ISSN>
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<Volume>35</Volume>
<Issue>3</Issue>
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<Year>2009</Year>
<Month>Mar</Month>
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<Title>Journal of cataract and refractive surgery</Title>
<ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation>
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<ArticleTitle>Intraocular lens exchange with removal of the optic only.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the clinical outcomes of intraocular lens (IOL) exchange in patients with an opacified ACRL-C160 intraocular lens (IOL) using an optic-only removal technique.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Department of Ophthalmology, Soonchunhyang University Hospital, Seoul, Korea.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The study comprised eyes with previous phacoemulsification and implantation of a single-piece hydrophilic acrylic IOL in the capsular bag and subsequent development of severe late opacification of the IOL. In all eyes, the IOL optic was explanted; any haptic with firm adhesions was left in the capsular bag. This was followed by placement of a new IOL. The perioperative complications were evaluated, and the best corrected visual acuity (BCVA) before surgery and after surgery was compared.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-three eyes of 20 patients were evaluated. Uneventful IOL exchange and placement of a new IOL in the bag was achieved in 9 eyes (39.1%) and in the sulcus in 13 eyes (56.5%), with posterior capsule rupture in 2 eyes (8.7%). One eye (4.3%) developed zonular dehiscence, and scleral IOL fixation was performed. The mean BCVA was 0.64 +/- 0.35 logMAR before IOL exchange and 0.24 +/- 0.20 logMAR after IOL exchange. During 41 months of follow-up, 1 eye (4.3%) each was affected by recurrent anterior uveitis and delayed zonular dehiscence. The final mean BCVA was 0.38 +/- 0.40 logMAR. There was no corneal decompensation or infectious keratitis.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The optic-only removal technique was a safe and helpful procedure that allowed recovery of visual acuity because it decreased the intraoperative complication of zonular dehiscence.</AbstractText>
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<Year>2008</Year>
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