Silicone versus poly(methyl methacrylate) lenses in combined phacoemulsification and trabeculectomy.
Identifieur interne : 002040 ( PubMed/Curation ); précédent : 002039; suivant : 002041Silicone versus poly(methyl methacrylate) lenses in combined phacoemulsification and trabeculectomy.
Auteurs : A S Kosmin [Royaume-Uni] ; P K Wishart ; P J RidgesSource :
- Journal of cataract and refractive surgery [ 0886-3350 ]
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cataract (complications), Female, Follow-Up Studies, Glaucoma (complications), Glaucoma (surgery), Humans, Intraocular Pressure, Lenses, Intraocular, Male, Methylmethacrylates, Middle Aged, Phacoemulsification (methods), Postoperative Complications, Retrospective Studies, Silicone Elastomers, Trabeculectomy (methods), Treatment Outcome, Visual Acuity.
- MESH :
- chemical : Methylmethacrylates, Silicone Elastomers.
- complications : Cataract, Glaucoma.
- methods : Phacoemulsification, Trabeculectomy.
- surgery : Glaucoma.
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Intraocular Pressure, Lenses, Intraocular, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Treatment Outcome, Visual Acuity.
Abstract
To compare the outcome of phacotrabeculectomy with silicone or poly(methyl methacrylate) (PMMA) intraocular lens (IOL) implantation over the first year.
PubMed: 9100115
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Silicone versus poly(methyl methacrylate) lenses in combined phacoemulsification and trabeculectomy.</title><author><name sortKey="Kosmin, A S" sort="Kosmin, A S" uniqKey="Kosmin A" first="A S" last="Kosmin">A S Kosmin</name><affiliation wicri:level="1"><nlm:affiliation>St. Paul's Eye Unit (8Z LINK), Royal Liverpool University Hospital, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>St. Paul's Eye Unit (8Z LINK), Royal Liverpool University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Wishart, P K" sort="Wishart, P K" uniqKey="Wishart P" first="P K" last="Wishart">P K Wishart</name></author><author><name sortKey="Ridges, P J" sort="Ridges, P J" uniqKey="Ridges P" first="P J" last="Ridges">P J Ridges</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>1997 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:9100115</idno><idno type="pmid">9100115</idno><idno type="wicri:Area/PubMed/Corpus">002040</idno><idno type="wicri:Area/PubMed/Curation">002040</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Silicone versus poly(methyl methacrylate) lenses in combined phacoemulsification and trabeculectomy.</title><author><name sortKey="Kosmin, A S" sort="Kosmin, A S" uniqKey="Kosmin A" first="A S" last="Kosmin">A S Kosmin</name><affiliation wicri:level="1"><nlm:affiliation>St. Paul's Eye Unit (8Z LINK), Royal Liverpool University Hospital, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>St. Paul's Eye Unit (8Z LINK), Royal Liverpool University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Wishart, P K" sort="Wishart, P K" uniqKey="Wishart P" first="P K" last="Wishart">P K Wishart</name></author><author><name sortKey="Ridges, P J" sort="Ridges, P J" uniqKey="Ridges P" first="P J" last="Ridges">P J Ridges</name></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="ISSN">0886-3350</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cataract (complications)</term><term>Female</term><term>Follow-Up Studies</term><term>Glaucoma (complications)</term><term>Glaucoma (surgery)</term><term>Humans</term><term>Intraocular Pressure</term><term>Lenses, Intraocular</term><term>Male</term><term>Methylmethacrylates</term><term>Middle Aged</term><term>Phacoemulsification (methods)</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Silicone Elastomers</term><term>Trabeculectomy (methods)</term><term>Treatment Outcome</term><term>Visual Acuity</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Methylmethacrylates</term><term>Silicone Elastomers</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cataract</term><term>Glaucoma</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Phacoemulsification</term><term>Trabeculectomy</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Glaucoma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Intraocular Pressure</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Visual Acuity</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To compare the outcome of phacotrabeculectomy with silicone or poly(methyl methacrylate) (PMMA) intraocular lens (IOL) implantation over the first year.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9100115</PMID><DateCreated><Year>1997</Year><Month>06</Month><Day>17</Day></DateCreated><DateCompleted><Year>1997</Year><Month>06</Month><Day>17</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>23</Volume><Issue>1</Issue><PubDate><MedlineDate>1997 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Silicone versus poly(methyl methacrylate) lenses in combined phacoemulsification and trabeculectomy.</ArticleTitle><Pagination><MedlinePgn>97-105</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare the outcome of phacotrabeculectomy with silicone or poly(methyl methacrylate) (PMMA) intraocular lens (IOL) implantation over the first year.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Glaucoma Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Two consecutive groups of 30 eyes each had phacotrabeculectomy with implantation of a foldable, plate-haptic silicone IOL (3.2 mm wide incision) or a PMMA IOL (5.2 mm wide incision) with a loosely or tightly sewn scleral flap, respectively. Early postoperative results and outcomes up to a mean of 1 year postoperatively in both groups were compared.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the early postoperative period, eyes in the silicone IOL group had a lower incidence of postoperative intraocular pressure (IOP) spikes (more than 30 mm Hg) than those in the PMMA IOL group (two and six cases, respectively) but also showed an increase (eight and three cases, respectively) in incidence of ocular hypotony (less than 8 mm Hg). There was also an increased incidence, although not statistically significant, of early postoperative complications in the silicone group; for example, fibrinous reaction in the anterior chamber (26.6 versus 10.0%; P = .18), shallow anterior chamber (16.6 versus 3.3%, P = .20), and choroidal detachment (16.6 versus 3.3%, P = .20). These complications, often associated with ocular hypotony, resolved quickly without serious sequelae. One year after surgery, IOP control (less than 22 mm Hg) was attained without medication in 80.0% in the silicone group and 76.7% in the PMMA group (P = 1.00), and corrected visual acuity of 20/40 or better was attained in 70.0% in the silicone group and 73.3% in the PMMA group (P = 1.00).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The loosely sutured flap in the silicone group resulted in fewer early pressure spikes but at a cost of an increase in early postoperative hypotony with its associated complications. One year after surgery, there was no significant difference between the two groups in IOP control or visual acuity, showing that both procedures were effective in the surgical management of patients with cataract and glaucoma.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kosmin</LastName><ForeName>A S</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>St. Paul's Eye Unit (8Z LINK), Royal Liverpool University Hospital, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wishart</LastName><ForeName>P K</ForeName><Initials>PK</Initials></Author><Author ValidYN="Y"><LastName>Ridges</LastName><ForeName>P J</ForeName><Initials>PJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</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="D008768">Methylmethacrylates</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D012826">Silicone Elastomers</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002386">Cataract</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005901">Glaucoma</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007429">Intraocular Pressure</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D008768">Methylmethacrylates</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D018918">Phacoemulsification</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</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="D014130">Trabeculectomy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1997</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1997</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9100115</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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