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Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses.

Identifieur interne : 002019 ( PubMed/Corpus ); précédent : 002018; suivant : 002020

Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses.

Auteurs : T E Schneiderman ; M W Johnson ; W E Smiddy ; H W Flynn ; S R Bennett ; H L Cantrill

Source :

RBID : pubmed:9152068

English descriptors

Abstract

To report a large series of delayed posterior dislocation of silicone plate haptic intraocular lenses after Nd:YAG laser capsulotomy and discuss the surgical management of this complication.

PubMed: 9152068

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pubmed:9152068

Le document en format XML

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<title xml:lang="en">Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses.</title>
<author>
<name sortKey="Schneiderman, T E" sort="Schneiderman, T E" uniqKey="Schneiderman T" first="T E" last="Schneiderman">T E Schneiderman</name>
<affiliation>
<nlm:affiliation>Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan School of Medicine, Ann Arbor, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Johnson, M W" sort="Johnson, M W" uniqKey="Johnson M" first="M W" last="Johnson">M W Johnson</name>
</author>
<author>
<name sortKey="Smiddy, W E" sort="Smiddy, W E" uniqKey="Smiddy W" first="W E" last="Smiddy">W E Smiddy</name>
</author>
<author>
<name sortKey="Flynn, H W" sort="Flynn, H W" uniqKey="Flynn H" first="H W" last="Flynn">H W Flynn</name>
</author>
<author>
<name sortKey="Bennett, S R" sort="Bennett, S R" uniqKey="Bennett S" first="S R" last="Bennett">S R Bennett</name>
</author>
<author>
<name sortKey="Cantrill, H L" sort="Cantrill, H L" uniqKey="Cantrill H" first="H L" last="Cantrill">H L Cantrill</name>
</author>
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<idno type="wicri:source">PubMed</idno>
<date when="1997">1997</date>
<idno type="RBID">pubmed:9152068</idno>
<idno type="pmid">9152068</idno>
<idno type="wicri:Area/PubMed/Corpus">002019</idno>
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<title xml:lang="en">Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses.</title>
<author>
<name sortKey="Schneiderman, T E" sort="Schneiderman, T E" uniqKey="Schneiderman T" first="T E" last="Schneiderman">T E Schneiderman</name>
<affiliation>
<nlm:affiliation>Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan School of Medicine, Ann Arbor, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Johnson, M W" sort="Johnson, M W" uniqKey="Johnson M" first="M W" last="Johnson">M W Johnson</name>
</author>
<author>
<name sortKey="Smiddy, W E" sort="Smiddy, W E" uniqKey="Smiddy W" first="W E" last="Smiddy">W E Smiddy</name>
</author>
<author>
<name sortKey="Flynn, H W" sort="Flynn, H W" uniqKey="Flynn H" first="H W" last="Flynn">H W Flynn</name>
</author>
<author>
<name sortKey="Bennett, S R" sort="Bennett, S R" uniqKey="Bennett S" first="S R" last="Bennett">S R Bennett</name>
</author>
<author>
<name sortKey="Cantrill, H L" sort="Cantrill, H L" uniqKey="Cantrill H" first="H L" last="Cantrill">H L Cantrill</name>
</author>
</analytic>
<series>
<title level="j">American journal of ophthalmology</title>
<idno type="ISSN">0002-9394</idno>
<imprint>
<date when="1997" type="published">1997</date>
</imprint>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
<term>Lens Capsule, Crystalline (surgery)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Phacoemulsification</term>
<term>Postoperative Complications (surgery)</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Silicone Elastomers</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Foreign-Body Migration</term>
<term>Lens Capsule, Crystalline</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Phacoemulsification</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">To report a large series of delayed posterior dislocation of silicone plate haptic intraocular lenses after Nd:YAG laser capsulotomy and discuss the surgical management of this complication.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">9152068</PMID>
<DateCreated>
<Year>1997</Year>
<Month>05</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>1997</Year>
<Month>05</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0002-9394</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>123</Volume>
<Issue>5</Issue>
<PubDate>
<Year>1997</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>American journal of ophthalmology</Title>
<ISOAbbreviation>Am. J. Ophthalmol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses.</ArticleTitle>
<Pagination>
<MedlinePgn>629-35</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report a large series of delayed posterior dislocation of silicone plate haptic intraocular lenses after Nd:YAG laser capsulotomy and discuss the surgical management of this complication.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We reviewed the records of 11 consecutive patients (11 eyes) with delayed onset of posterior dislocation of a plate haptic silicone intraocular lens. The cause of the posterior capsular defect, time to dislocation, surgical management techniques, complications, and visual outcome were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In eight of the 11 eyes, the silicone plate haptic intraocular lens dislocated an average of 1.8 months (range, 0 to 6.5 months) after Nd:YAG posterior capsulotomy. The other three eyes had surgical complications at the time of cataract extraction that compromised posterior capsular or zonular integrity and led to silicone plate haptic intraocular lens dislocation from 9 weeks to 6 months (mean, 3.6 months) postoperatively. Surgical management consisted of pars plana vitrectomy with intraocular lens repositioning (six eyes) or exchange (five eyes). The average follow-up period after intraocular lens repositioning or exchange was 6.5 months (range, 1 to 14 months). Best-corrected visual acuity at the last follow-up examination measured 20/40 or better in all but one eye that had preexisting macular disease.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Cataract surgeons and patients should be aware of the potential for plate haptic silicone intraocular lenses to undergo delayed posterior dislocation through capsular defects. This complication can be managed effectively with vitrectomy and either repositioning or exchange of the implant. Postoperative visual acuity is generally excellent, and complications are minimal.</AbstractText>
</Abstract>
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<LastName>Schneiderman</LastName>
<ForeName>T E</ForeName>
<Initials>TE</Initials>
<AffiliationInfo>
<Affiliation>Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan School of Medicine, Ann Arbor, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Johnson</LastName>
<ForeName>M W</ForeName>
<Initials>MW</Initials>
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<Author ValidYN="Y">
<LastName>Smiddy</LastName>
<ForeName>W E</ForeName>
<Initials>WE</Initials>
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<LastName>Flynn</LastName>
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<LastName>Bennett</LastName>
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<LastName>Cantrill</LastName>
<ForeName>H L</ForeName>
<Initials>HL</Initials>
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<Language>eng</Language>
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<PublicationType UI="D002363">Case Reports</PublicationType>
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<Country>UNITED STATES</Country>
<MedlineTA>Am J Ophthalmol</MedlineTA>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D012826">Silicone Elastomers</NameOfSubstance>
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<MeshHeading>
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<DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D007903">Lens Capsule, Crystalline</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D018918">Phacoemulsification</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D012826">Silicone Elastomers</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014821">Vitrectomy</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="pubmed">
<Year>1997</Year>
<Month>5</Month>
<Day>1</Day>
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