Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses.
Identifieur interne : 001908 ( PubMed/Corpus ); précédent : 001907; suivant : 001909Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses.
Auteurs : Russell M. Leboyer ; Liliana Werner ; Micheal E. Snyder ; Nick Mamalis ; Christopher D. Riemann ; James J. AugsbergerSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
English descriptors
- KwdEn :
- Acrylic Resins, Acute Disease, Adult, Aged, Atrophy, Ciliary Body (pathology), Ciliary Body (ultrasonography), Device Removal, Female, Humans, Hyphema (etiology), Iris (pathology), Iris (ultrasonography), Lens Implantation, Intraocular (methods), Lenses, Intraocular (adverse effects), Male, Microscopy, Acoustic, Middle Aged, Reoperation, Uveal Diseases (etiology), Vitreous Hemorrhage (etiology).
- MESH :
- chemical : Acrylic Resins.
- adverse effects : Lenses, Intraocular.
- etiology : Hyphema, Uveal Diseases, Vitreous Hemorrhage.
- methods : Lens Implantation, Intraocular.
- pathology : Ciliary Body, Iris.
- ultrasonography : Ciliary Body, Iris.
- Acute Disease, Adult, Aged, Atrophy, Device Removal, Female, Humans, Male, Microscopy, Acoustic, Middle Aged, Reoperation.
Abstract
We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (IOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the IOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.
DOI: 10.1016/j.jcrs.2004.12.056
PubMed: 16105617
Links to Exploration step
pubmed:16105617Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses.</title><author><name sortKey="Leboyer, Russell M" sort="Leboyer, Russell M" uniqKey="Leboyer R" first="Russell M" last="Leboyer">Russell M. Leboyer</name><affiliation><nlm:affiliation>John A. Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name></author><author><name sortKey="Snyder, Micheal E" sort="Snyder, Micheal E" uniqKey="Snyder M" first="Micheal E" last="Snyder">Micheal E. Snyder</name></author><author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name></author><author><name sortKey="Riemann, Christopher D" sort="Riemann, Christopher D" uniqKey="Riemann C" first="Christopher D" last="Riemann">Christopher D. Riemann</name></author><author><name sortKey="Augsberger, James J" sort="Augsberger, James J" uniqKey="Augsberger J" first="James J" last="Augsberger">James J. Augsberger</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="doi">10.1016/j.jcrs.2004.12.056</idno><idno type="RBID">pubmed:16105617</idno><idno type="pmid">16105617</idno><idno type="wicri:Area/PubMed/Corpus">001908</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses.</title><author><name sortKey="Leboyer, Russell M" sort="Leboyer, Russell M" uniqKey="Leboyer R" first="Russell M" last="Leboyer">Russell M. Leboyer</name><affiliation><nlm:affiliation>John A. Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name></author><author><name sortKey="Snyder, Micheal E" sort="Snyder, Micheal E" uniqKey="Snyder M" first="Micheal E" last="Snyder">Micheal E. Snyder</name></author><author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name></author><author><name sortKey="Riemann, Christopher D" sort="Riemann, Christopher D" uniqKey="Riemann C" first="Christopher D" last="Riemann">Christopher D. Riemann</name></author><author><name sortKey="Augsberger, James J" sort="Augsberger, James J" uniqKey="Augsberger J" first="James J" last="Augsberger">James J. Augsberger</name></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="ISSN">0886-3350</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acrylic Resins</term><term>Acute Disease</term><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Ciliary Body (pathology)</term><term>Ciliary Body (ultrasonography)</term><term>Device Removal</term><term>Female</term><term>Humans</term><term>Hyphema (etiology)</term><term>Iris (pathology)</term><term>Iris (ultrasonography)</term><term>Lens Implantation, Intraocular (methods)</term><term>Lenses, Intraocular (adverse effects)</term><term>Male</term><term>Microscopy, Acoustic</term><term>Middle Aged</term><term>Reoperation</term><term>Uveal Diseases (etiology)</term><term>Vitreous Hemorrhage (etiology)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Acrylic Resins</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lenses, Intraocular</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hyphema</term><term>Uveal Diseases</term><term>Vitreous Hemorrhage</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Ciliary Body</term><term>Iris</term></keywords><keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Ciliary Body</term><term>Iris</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Device Removal</term><term>Female</term><term>Humans</term><term>Male</term><term>Microscopy, Acoustic</term><term>Middle Aged</term><term>Reoperation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (IOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the IOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16105617</PMID><DateCreated><Year>2005</Year><Month>08</Month><Day>17</Day></DateCreated><DateCompleted><Year>2005</Year><Month>09</Month><Day>26</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0886-3350</ISSN><JournalIssue CitedMedium="Print"><Volume>31</Volume><Issue>7</Issue><PubDate><Year>2005</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses.</ArticleTitle><Pagination><MedlinePgn>1421-7</MedlinePgn></Pagination><Abstract><AbstractText>We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (IOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the IOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>LeBoyer</LastName><ForeName>Russell M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>John A. Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Werner</LastName><ForeName>Liliana</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Snyder</LastName><ForeName>Micheal E</ForeName><Initials>ME</Initials></Author><Author ValidYN="Y"><LastName>Mamalis</LastName><ForeName>Nick</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Riemann</LastName><ForeName>Christopher D</ForeName><Initials>CD</Initials></Author><Author ValidYN="Y"><LastName>Augsberger</LastName><ForeName>James J</ForeName><Initials>JJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</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><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000180">Acrylic Resins</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D000180">Acrylic Resins</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000208">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001284">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002924">Ciliary Body</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020878">Device Removal</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006988">Hyphema</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007498">Iris</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007910">Lenses, Intraocular</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D033401">Microscopy, Acoustic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014603">Uveal Diseases</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014823">Vitreous Hemorrhage</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2004</Year><Month>12</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>8</Month><Day>18</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>9</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>8</Month><Day>18</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0886-3350(05)00076-3</ArticleId><ArticleId IdType="doi">10.1016/j.jcrs.2004.12.056</ArticleId><ArticleId IdType="pubmed">16105617</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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