Traumatic pupillary capture of the haptic of an angle-supported phakic intraocular lens.
Identifieur interne : 001723 ( PubMed/Curation ); précédent : 001722; suivant : 001724Traumatic pupillary capture of the haptic of an angle-supported phakic intraocular lens.
Auteurs : Antonio Leccisotti [Italie]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2006.
English descriptors
- KwdEn :
- Adult, Anterior Eye Segment (surgery), Eye Injuries (complications), Eye Injuries (surgery), Female, Foreign-Body Migration (etiology), Foreign-Body Migration (surgery), Humans, Iris (injuries), Lens Implantation, Intraocular, Lenses, Intraocular, Myopia (surgery), Reoperation, Wounds, Nonpenetrating (etiology), Wounds, Nonpenetrating (surgery).
- MESH :
- complications : Eye Injuries.
- etiology : Foreign-Body Migration, Wounds, Nonpenetrating.
- injuries : Iris.
- surgery : Anterior Eye Segment, Eye Injuries, Foreign-Body Migration, Myopia, Wounds, Nonpenetrating.
- Adult, Female, Humans, Lens Implantation, Intraocular, Lenses, Intraocular, Reoperation.
Abstract
A 27-year-old woman had implantation of an angle-supported phakic intraocular lens (pIOL) for myopia in the left eye in 2003. Moderate iris atrophy and pupil ovalization were noted in 2005. In 2006, the eye was hit by a plastic bullet shot from a toy gun. The pupil became distorted as the inferior haptic engaged the pupil edge. Visual acuity was not affected. Surgical repositioning was uneventful, yielding a round pupil with no damage to the iris sphincter or the lens. The endothelium was not affected by the trauma or surgery. Previous iris atrophy may have facilitated pupillary capture because of reduced iris elasticity and pupil ovalization by the haptic. Blunt trauma can dislocate angle-supported pIOLs. Implantation of these IOLs should be discouraged in patients who perform activities that put them at risk for eye trauma.
DOI: 10.1016/j.jcrs.2006.05.037
PubMed: 17137996
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pubmed:17137996Le document en format XML
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<author><name sortKey="Leccisotti, Antonio" sort="Leccisotti, Antonio" uniqKey="Leccisotti A" first="Antonio" last="Leccisotti">Antonio Leccisotti</name>
<affiliation wicri:level="1"><nlm:affiliation>Ophthalmic Surgery Unit, Siena, Italy. leccisotti@libero.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<series><title level="j">Journal of cataract and refractive surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Anterior Eye Segment (surgery)</term>
<term>Eye Injuries (complications)</term>
<term>Eye Injuries (surgery)</term>
<term>Female</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Iris (injuries)</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Myopia (surgery)</term>
<term>Reoperation</term>
<term>Wounds, Nonpenetrating (etiology)</term>
<term>Wounds, Nonpenetrating (surgery)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Eye Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
<term>Wounds, Nonpenetrating</term>
</keywords>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Eye Segment</term>
<term>Eye Injuries</term>
<term>Foreign-Body Migration</term>
<term>Myopia</term>
<term>Wounds, Nonpenetrating</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Reoperation</term>
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<front><div type="abstract" xml:lang="en">A 27-year-old woman had implantation of an angle-supported phakic intraocular lens (pIOL) for myopia in the left eye in 2003. Moderate iris atrophy and pupil ovalization were noted in 2005. In 2006, the eye was hit by a plastic bullet shot from a toy gun. The pupil became distorted as the inferior haptic engaged the pupil edge. Visual acuity was not affected. Surgical repositioning was uneventful, yielding a round pupil with no damage to the iris sphincter or the lens. The endothelium was not affected by the trauma or surgery. Previous iris atrophy may have facilitated pupillary capture because of reduced iris elasticity and pupil ovalization by the haptic. Blunt trauma can dislocate angle-supported pIOLs. Implantation of these IOLs should be discouraged in patients who perform activities that put them at risk for eye trauma.</div>
</front>
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<Title>Journal of cataract and refractive surgery</Title>
<ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation>
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<ArticleTitle>Traumatic pupillary capture of the haptic of an angle-supported phakic intraocular lens.</ArticleTitle>
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<Abstract><AbstractText>A 27-year-old woman had implantation of an angle-supported phakic intraocular lens (pIOL) for myopia in the left eye in 2003. Moderate iris atrophy and pupil ovalization were noted in 2005. In 2006, the eye was hit by a plastic bullet shot from a toy gun. The pupil became distorted as the inferior haptic engaged the pupil edge. Visual acuity was not affected. Surgical repositioning was uneventful, yielding a round pupil with no damage to the iris sphincter or the lens. The endothelium was not affected by the trauma or surgery. Previous iris atrophy may have facilitated pupillary capture because of reduced iris elasticity and pupil ovalization by the haptic. Blunt trauma can dislocate angle-supported pIOLs. Implantation of these IOLs should be discouraged in patients who perform activities that put them at risk for eye trauma.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Leccisotti</LastName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014949">Wounds, Nonpenetrating</DescriptorName>
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