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Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic.

Identifieur interne : 001D09 ( PubMed/Corpus ); précédent : 001D08; suivant : 001D10

Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic.

Auteurs : H. Eleftheriadis ; D N Sahu ; B. Willekens ; G F Vrensen ; C S Liu

Source :

RBID : pubmed:11738925

English descriptors

Abstract

A 66-year-old man developed an unexplained corneal decompensation 7 years after extracapsular cataract extraction and implantation of a single-piece poly(methyl methacrylate) (PMMA) posterior chamber intraocular lens (IOL). He had penetrating keratoplasty (PKP). Two years later, he developed corneal graft failure secondary to an IOL haptic fragment in the anterior chamber angle. The patient had a repeat corneal graft and IOL exchange. The broken haptic was examined with scanning electron microscopy. The findings were consistent with late fracture of the haptic within the capsular bag, which was presumably weakened by an improper implantation technique. Fracture of a PMMA haptic should be suspected as a cause of corneal decompensation and corneal graft failure after cataract surgery. This case emphasizes the importance of safe implantation techniques.

PubMed: 11738925

Links to Exploration step

pubmed:11738925

Le document en format XML

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<name sortKey="Eleftheriadis, H" sort="Eleftheriadis, H" uniqKey="Eleftheriadis H" first="H" last="Eleftheriadis">H. Eleftheriadis</name>
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<nlm:affiliation>Sussex Eye Hospital, Brighton, United Kingdom.</nlm:affiliation>
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<name sortKey="Sahu, D N" sort="Sahu, D N" uniqKey="Sahu D" first="D N" last="Sahu">D N Sahu</name>
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<name sortKey="Willekens, B" sort="Willekens, B" uniqKey="Willekens B" first="B" last="Willekens">B. Willekens</name>
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<name sortKey="Vrensen, G F" sort="Vrensen, G F" uniqKey="Vrensen G" first="G F" last="Vrensen">G F Vrensen</name>
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<name sortKey="Liu, C S" sort="Liu, C S" uniqKey="Liu C" first="C S" last="Liu">C S Liu</name>
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<name sortKey="Sahu, D N" sort="Sahu, D N" uniqKey="Sahu D" first="D N" last="Sahu">D N Sahu</name>
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<term>Aged</term>
<term>Cataract Extraction</term>
<term>Corneal Edema (etiology)</term>
<term>Corneal Edema (surgery)</term>
<term>Graft Rejection (etiology)</term>
<term>Graft Rejection (surgery)</term>
<term>Humans</term>
<term>Keratoplasty, Penetrating</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular (adverse effects)</term>
<term>Male</term>
<term>Polymethyl Methacrylate (adverse effects)</term>
<term>Prosthesis Failure</term>
<term>Reoperation</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Polymethyl Methacrylate</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lenses, Intraocular</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Corneal Edema</term>
<term>Graft Rejection</term>
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<term>Graft Rejection</term>
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<term>Aged</term>
<term>Cataract Extraction</term>
<term>Humans</term>
<term>Keratoplasty, Penetrating</term>
<term>Lens Implantation, Intraocular</term>
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<front>
<div type="abstract" xml:lang="en">A 66-year-old man developed an unexplained corneal decompensation 7 years after extracapsular cataract extraction and implantation of a single-piece poly(methyl methacrylate) (PMMA) posterior chamber intraocular lens (IOL). He had penetrating keratoplasty (PKP). Two years later, he developed corneal graft failure secondary to an IOL haptic fragment in the anterior chamber angle. The patient had a repeat corneal graft and IOL exchange. The broken haptic was examined with scanning electron microscopy. The findings were consistent with late fracture of the haptic within the capsular bag, which was presumably weakened by an improper implantation technique. Fracture of a PMMA haptic should be suspected as a cause of corneal decompensation and corneal graft failure after cataract surgery. This case emphasizes the importance of safe implantation techniques.</div>
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<Day>04</Day>
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<DateRevised>
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<Month>11</Month>
<Day>17</Day>
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<Month>Dec</Month>
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<Title>Journal of cataract and refractive surgery</Title>
<ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation>
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<ArticleTitle>Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic.</ArticleTitle>
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<Abstract>
<AbstractText>A 66-year-old man developed an unexplained corneal decompensation 7 years after extracapsular cataract extraction and implantation of a single-piece poly(methyl methacrylate) (PMMA) posterior chamber intraocular lens (IOL). He had penetrating keratoplasty (PKP). Two years later, he developed corneal graft failure secondary to an IOL haptic fragment in the anterior chamber angle. The patient had a repeat corneal graft and IOL exchange. The broken haptic was examined with scanning electron microscopy. The findings were consistent with late fracture of the haptic within the capsular bag, which was presumably weakened by an improper implantation technique. Fracture of a PMMA haptic should be suspected as a cause of corneal decompensation and corneal graft failure after cataract surgery. This case emphasizes the importance of safe implantation techniques.</AbstractText>
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