Capsulorhexis phimosis with anterior flexing of an accommodating IOL: case report and histopathological analyses.
Identifieur interne : 000786 ( PubMed/Curation ); précédent : 000785; suivant : 000787Capsulorhexis phimosis with anterior flexing of an accommodating IOL: case report and histopathological analyses.
Auteurs : Rachel H. Epstein [Allemagne] ; Erica T. Liu [Allemagne] ; Liliana Werner [Allemagne] ; Thomas Kohnen [Allemagne] ; Oliver K. Kaproth [Allemagne] ; Nick Mamalis [Allemagne]Source :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2014.
English descriptors
- KwdEn :
- Aged, Anterior Capsule of the Lens (pathology), Artificial Lens Implant Migration (etiology), Artificial Lens Implant Migration (surgery), Capsulorhexis, Device Removal, Epithelial Cells (pathology), Female, Fibrosis, Humans, Lens Implantation, Intraocular, Lenses, Intraocular, Metaplasia, Phacoemulsification, Prosthesis Design, Prosthesis Failure.
- MESH :
- etiology : Artificial Lens Implant Migration.
- pathology : Anterior Capsule of the Lens, Epithelial Cells.
- surgery : Artificial Lens Implant Migration.
- Aged, Capsulorhexis, Device Removal, Female, Fibrosis, Humans, Lens Implantation, Intraocular, Lenses, Intraocular, Metaplasia, Phacoemulsification, Prosthesis Design, Prosthesis Failure.
Abstract
We describe the case of a patient who had cataract surgery with implantation of an accommodating hydrophilic acrylic intraocular lens (IOL) that exhibited capsulorhexis phimosis and in-the-bag IOL luxation leading to explantation of the IOL-capsular bag complex 10 years after implantation. Constriction of the capsular bag secondary to fibrosis caused significant anterior flexing of the haptic elements of the IOL. Histopathological analysis revealed dense anterior subcapsular fibrosis and fibrous metaplasia of the anterior lens epithelial cells. No signs suggestive of pseudoexfoliation were found. This case raises concerns related to the continuously evolving indications for implantation of accommodating and other highly flexible IOLs (eg, microincision IOLs), particularly in patients with no clear predisposition to zonular weakness and, accordingly, excessive capsular bag contraction.
DOI: 10.1016/j.jcrs.2013.10.027
PubMed: 24355727
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Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Erica T" sort="Liu, Erica T" uniqKey="Liu E" first="Erica T" last="Liu">Erica T. Liu</name><affiliation wicri:level="1"><nlm:affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt</wicri:regionArea></affiliation></author><author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name><affiliation wicri:level="1"><nlm:affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany. Electronic address: liliana.werner@hsc.utah.edu.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt</wicri:regionArea></affiliation></author><author><name sortKey="Kohnen, Thomas" sort="Kohnen, Thomas" uniqKey="Kohnen T" first="Thomas" last="Kohnen">Thomas Kohnen</name><affiliation wicri:level="1"><nlm:affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt</wicri:regionArea></affiliation></author><author><name sortKey="Kaproth, Oliver K" sort="Kaproth, Oliver K" uniqKey="Kaproth O" first="Oliver K" last="Kaproth">Oliver K. Kaproth</name><affiliation wicri:level="1"><nlm:affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt</wicri:regionArea></affiliation></author><author><name sortKey="Mamalis, Nick" sort="Mamalis, Nick" uniqKey="Mamalis N" first="Nick" last="Mamalis">Nick Mamalis</name><affiliation wicri:level="1"><nlm:affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="eISSN">1873-4502</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Anterior Capsule of the Lens (pathology)</term><term>Artificial Lens Implant Migration (etiology)</term><term>Artificial Lens Implant Migration (surgery)</term><term>Capsulorhexis</term><term>Device Removal</term><term>Epithelial Cells (pathology)</term><term>Female</term><term>Fibrosis</term><term>Humans</term><term>Lens Implantation, Intraocular</term><term>Lenses, Intraocular</term><term>Metaplasia</term><term>Phacoemulsification</term><term>Prosthesis Design</term><term>Prosthesis Failure</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Artificial Lens Implant Migration</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anterior Capsule of the Lens</term><term>Epithelial Cells</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Artificial Lens Implant Migration</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Capsulorhexis</term><term>Device Removal</term><term>Female</term><term>Fibrosis</term><term>Humans</term><term>Lens Implantation, Intraocular</term><term>Lenses, Intraocular</term><term>Metaplasia</term><term>Phacoemulsification</term><term>Prosthesis Design</term><term>Prosthesis Failure</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe the case of a patient who had cataract surgery with implantation of an accommodating hydrophilic acrylic intraocular lens (IOL) that exhibited capsulorhexis phimosis and in-the-bag IOL luxation leading to explantation of the IOL-capsular bag complex 10 years after implantation. Constriction of the capsular bag secondary to fibrosis caused significant anterior flexing of the haptic elements of the IOL. Histopathological analysis revealed dense anterior subcapsular fibrosis and fibrous metaplasia of the anterior lens epithelial cells. No signs suggestive of pseudoexfoliation were found. This case raises concerns related to the continuously evolving indications for implantation of accommodating and other highly flexible IOLs (eg, microincision IOLs), particularly in patients with no clear predisposition to zonular weakness and, accordingly, excessive capsular bag contraction.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24355727</PMID><DateCreated><Year>2013</Year><Month>12</Month><Day>20</Day></DateCreated><DateCompleted><Year>2014</Year><Month>06</Month><Day>27</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1873-4502</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>1</Issue><PubDate><Year>2014</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Capsulorhexis phimosis with anterior flexing of an accommodating IOL: case report and histopathological analyses.</ArticleTitle><Pagination><MedlinePgn>148-52</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrs.2013.10.027</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0886-3350(13)01385-0</ELocationID><Abstract><AbstractText>We describe the case of a patient who had cataract surgery with implantation of an accommodating hydrophilic acrylic intraocular lens (IOL) that exhibited capsulorhexis phimosis and in-the-bag IOL luxation leading to explantation of the IOL-capsular bag complex 10 years after implantation. Constriction of the capsular bag secondary to fibrosis caused significant anterior flexing of the haptic elements of the IOL. Histopathological analysis revealed dense anterior subcapsular fibrosis and fibrous metaplasia of the anterior lens epithelial cells. No signs suggestive of pseudoexfoliation were found. This case raises concerns related to the continuously evolving indications for implantation of accommodating and other highly flexible IOLs (eg, microincision IOLs), particularly in patients with no clear predisposition to zonular weakness and, accordingly, excessive capsular bag contraction.</AbstractText><CopyrightInformation>Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Epstein</LastName><ForeName>Rachel H</ForeName><Initials>RH</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Erica T</ForeName><Initials>ET</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Werner</LastName><ForeName>Liliana</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany. Electronic address: liliana.werner@hsc.utah.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kohnen</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaproth</LastName><ForeName>Oliver K</ForeName><Initials>OK</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mamalis</LastName><ForeName>Nick</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>From the John A. Moran Eye Center (Epstein, Liu, Werner, Mamalis), University of Utah, Salt Lake City, Utah, USA; the Department of Ophthalmology (Kohnen, Kaproth), Goethe-University, Frankfurt, Germany.</Affiliation></AffiliationInfo></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><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D057866">Anterior Capsule of the Lens</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000473">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D060437">Artificial Lens Implant Migration</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019923">Capsulorhexis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020878">Device Removal</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004847">Epithelial Cells</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000473">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005355">Fibrosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008679">Metaplasia</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D018918">Phacoemulsification</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011474">Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011475">Prosthesis Failure</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>6</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>7</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>7</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>12</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0886-3350(13)01385-0</ArticleId><ArticleId IdType="doi">10.1016/j.jcrs.2013.10.027</ArticleId><ArticleId IdType="pubmed">24355727</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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