Serveur d'exploration sur les dispositifs haptiques

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Acute haptic-induced pigmentary glaucoma with an AcrySof intraocular lens

Identifieur interne : 007426 ( Main/Curation ); précédent : 007425; suivant : 007427

Acute haptic-induced pigmentary glaucoma with an AcrySof intraocular lens

Auteurs : Tasha Micheli [Australie] ; Leanne M. Cheung [Australie] ; Shanel Sharma [Australie] ; Nagi N. Assaad [Australie] ; Magdalena Guzowski [Australie] ; Ian C. Francis [Australie] ; Jenny Norman [Australie] ; Minas T. Coroneo [Australie]

Source :

RBID : Pascal:02-0566908

Descripteurs français

English descriptors

Abstract

A 49-year-old man had uneventful endocapsular phacoemulsification with in-thebag implantation of an AcrySof SA60AT single-piece intraocular lens (IOL) (Alcon) in the right eye. Twenty-seven days postoperatively, he presented with ocular pain, intraocular pressure of 48 mm Hg, 360 degrees of hyperpigmentation of the trabecular meshwork, and iris pigment epithelial atrophy in the region of the upper temporal haptic, which had dislocated into the sulcus. The patient made an excellent recovery following IOL removal and exchange. Scanning electron microscopy of the explanted IOL demonstrated that the haptic had a rough lateral surface and anterolateral edge. We do not think this IOL should be implanted in the sulcus.

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Pascal:02-0566908

Le document en format XML

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<term>Case study</term>
<term>Complication</term>
<term>Device Removal</term>
<term>Glaucoma, Open-Angle (diagnosis)</term>
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<term>Human</term>
<term>Humans</term>
<term>Hyperpigmentation (diagnosis)</term>
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<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lenses, Intraocular</term>
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<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Pigment Epithelium of Eye (pathology)</term>
<term>Pigmentary glaucoma</term>
<term>Postoperative</term>
<term>Reoperation</term>
<term>Trabecular Meshwork (pathology)</term>
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<div type="abstract" xml:lang="en">A 49-year-old man had uneventful endocapsular phacoemulsification with in-thebag implantation of an AcrySof SA60AT single-piece intraocular lens (IOL) (Alcon) in the right eye. Twenty-seven days postoperatively, he presented with ocular pain, intraocular pressure of 48 mm Hg, 360 degrees of hyperpigmentation of the trabecular meshwork, and iris pigment epithelial atrophy in the region of the upper temporal haptic, which had dislocated into the sulcus. The patient made an excellent recovery following IOL removal and exchange. Scanning electron microscopy of the explanted IOL demonstrated that the haptic had a rough lateral surface and anterolateral edge. We do not think this IOL should be implanted in the sulcus.</div>
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<name sortKey="Cheung, Leanne M" sort="Cheung, Leanne M" uniqKey="Cheung L" first="Leanne M." last="Cheung">Leanne M. Cheung</name>
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<name sortKey="Assaad, Nagi N" sort="Assaad, Nagi N" uniqKey="Assaad N" first="Nagi N." last="Assaad">Nagi N. Assaad</name>
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<name sortKey="Guzowski, Magdalena" sort="Guzowski, Magdalena" uniqKey="Guzowski M" first="Magdalena" last="Guzowski">Magdalena Guzowski</name>
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<name sortKey="Francis, Ian C" sort="Francis, Ian C" uniqKey="Francis I" first="Ian C." last="Francis">Ian C. Francis</name>
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<wicri:noRegion>Ophthalmic Surgery Centre</wicri:noRegion>
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</author>
<author>
<name sortKey="Norman, Jenny" sort="Norman, Jenny" uniqKey="Norman J" first="Jenny" last="Norman">Jenny Norman</name>
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<s1>School of Medical Sciences, University of New South Wales</s1>
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<country>Australie</country>
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<name sortKey="Coroneo, Minas T" sort="Coroneo, Minas T" uniqKey="Coroneo M" first="Minas T." last="Coroneo">Minas T. Coroneo</name>
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<title level="j" type="main">Journal of cataract and refractive surgery</title>
<title level="j" type="abbreviated">J. cataract refractive surg.</title>
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<title level="j" type="main">Journal of cataract and refractive surgery</title>
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<term>Acute</term>
<term>Case study</term>
<term>Complication</term>
<term>Human</term>
<term>Implantation</term>
<term>Intraocular lens</term>
<term>Phacoemulsification</term>
<term>Pigmentary glaucoma</term>
<term>Postoperative</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Phacoémulsification</term>
<term>Implantation</term>
<term>Lentille intraoculaire</term>
<term>Glaucome pigmentaire</term>
<term>Complication</term>
<term>Postopératoire</term>
<term>Traitement</term>
<term>Aigu</term>
<term>Etude cas</term>
<term>Homme</term>
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<div type="abstract" xml:lang="en">A 49-year-old man had uneventful endocapsular phacoemulsification with in-thebag implantation of an AcrySof SA60AT single-piece intraocular lens (IOL) (Alcon) in the right eye. Twenty-seven days postoperatively, he presented with ocular pain, intraocular pressure of 48 mm Hg, 360 degrees of hyperpigmentation of the trabecular meshwork, and iris pigment epithelial atrophy in the region of the upper temporal haptic, which had dislocated into the sulcus. The patient made an excellent recovery following IOL removal and exchange. Scanning electron microscopy of the explanted IOL demonstrated that the haptic had a rough lateral surface and anterolateral edge. We do not think this IOL should be implanted in the sulcus.</div>
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</author>
<author>
<name sortKey="Cheung, Leanne M" sort="Cheung, Leanne M" uniqKey="Cheung L" first="Leanne M" last="Cheung">Leanne M. Cheung</name>
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<name sortKey="Sharma, Shanel" sort="Sharma, Shanel" uniqKey="Sharma S" first="Shanel" last="Sharma">Shanel Sharma</name>
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<name sortKey="Assaad, Nagi N" sort="Assaad, Nagi N" uniqKey="Assaad N" first="Nagi N" last="Assaad">Nagi N. Assaad</name>
</author>
<author>
<name sortKey="Guzowski, Magdalena" sort="Guzowski, Magdalena" uniqKey="Guzowski M" first="Magdalena" last="Guzowski">Magdalena Guzowski</name>
</author>
<author>
<name sortKey="Francis, Ian C" sort="Francis, Ian C" uniqKey="Francis I" first="Ian C" last="Francis">Ian C. Francis</name>
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<author>
<name sortKey="Norman, Jenny" sort="Norman, Jenny" uniqKey="Norman J" first="Jenny" last="Norman">Jenny Norman</name>
</author>
<author>
<name sortKey="Coroneo, Minas T" sort="Coroneo, Minas T" uniqKey="Coroneo M" first="Minas T" last="Coroneo">Minas T. Coroneo</name>
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<title xml:lang="en">Acute haptic-induced pigmentary glaucoma with an AcrySof intraocular lens.</title>
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<author>
<name sortKey="Cheung, Leanne M" sort="Cheung, Leanne M" uniqKey="Cheung L" first="Leanne M" last="Cheung">Leanne M. Cheung</name>
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<name sortKey="Sharma, Shanel" sort="Sharma, Shanel" uniqKey="Sharma S" first="Shanel" last="Sharma">Shanel Sharma</name>
</author>
<author>
<name sortKey="Assaad, Nagi N" sort="Assaad, Nagi N" uniqKey="Assaad N" first="Nagi N" last="Assaad">Nagi N. Assaad</name>
</author>
<author>
<name sortKey="Guzowski, Magdalena" sort="Guzowski, Magdalena" uniqKey="Guzowski M" first="Magdalena" last="Guzowski">Magdalena Guzowski</name>
</author>
<author>
<name sortKey="Francis, Ian C" sort="Francis, Ian C" uniqKey="Francis I" first="Ian C" last="Francis">Ian C. Francis</name>
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<author>
<name sortKey="Norman, Jenny" sort="Norman, Jenny" uniqKey="Norman J" first="Jenny" last="Norman">Jenny Norman</name>
</author>
<author>
<name sortKey="Coroneo, Minas T" sort="Coroneo, Minas T" uniqKey="Coroneo M" first="Minas T" last="Coroneo">Minas T. Coroneo</name>
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<title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
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</imprint>
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<term>Acrylic Resins (adverse effects)</term>
<term>Atrophy</term>
<term>Device Removal</term>
<term>Glaucoma, Open-Angle (diagnosis)</term>
<term>Glaucoma, Open-Angle (etiology)</term>
<term>Humans</term>
<term>Hyperpigmentation (diagnosis)</term>
<term>Hyperpigmentation (etiology)</term>
<term>Intraocular Pressure</term>
<term>Iris (pathology)</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Pigment Epithelium of Eye (pathology)</term>
<term>Reoperation</term>
<term>Trabecular Meshwork (pathology)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Acrylic Resins</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Glaucoma, Open-Angle</term>
<term>Hyperpigmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Glaucoma, Open-Angle</term>
<term>Hyperpigmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Iris</term>
<term>Pigment Epithelium of Eye</term>
<term>Trabecular Meshwork</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Atrophy</term>
<term>Device Removal</term>
<term>Humans</term>
<term>Intraocular Pressure</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Reoperation</term>
</keywords>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">A 49-year-old man had uneventful endocapsular phacoemulsification with in-the-bag implantation of an AcrySof SA60AT single-piece intraocular lens (IOL) (Alcon) in the right eye. Twenty-seven days postoperatively, he presented with ocular pain, intraocular pressure of 48 mm Hg, 360 degrees of hyperpigmentation of the trabecular meshwork, and iris pigment epithelial atrophy in the region of the upper temporal haptic, which had dislocated into the sulcus. The patient made an excellent recovery following IOL removal and exchange. Scanning electron microscopy of the explanted IOL demonstrated that the haptic had a rough lateral surface and anterolateral edge. We do not think this IOL should be implanted in the sulcus placement of the heptics. In this article, we report the case of a patient with an AcrySof SA60ATIOL (Alcon) who developed acute pigmentary glaucoma when the inferior haptic slipped out of the bag and came into contact with the pigmented iris and ciliary body.</div>
</front>
</TEI>
</PubMed>
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