HapticV1, Main, Exploration, bibRecord, 006072

Iridocyclitis associated with angle-supported phakic intraocular lenses

Identifieur interne : 006072 ( Main/Exploration ); précédent : 006071; suivant : 006073

Iridocyclitis associated with angle-supported phakic intraocular lenses

Auteurs : Antonio Leccisotti [Italie]

Source :

Journal of cataract and refractive surgery [ 0886-3350 ] ; 2006.

RBID : Pascal:06-0360057

Descripteurs français

Pascal (Inist)
- Iridocyclite, Association, Angle, Support, Lentille intraoculaire, Chirurgie, Ophtalmologie, Traitement.
Wicri :
- topic : Association, Chirurgie.

English descriptors

KwdEn :
- Adult, Angle, Anterior Chamber (surgery), Anti-Bacterial Agents (therapeutic use), Association, Drug Therapy, Combination, Female, Glucocorticoids (therapeutic use), Humans, Hyperopia (surgery), Incidence, Intraocular lens, Iridocyclitis, Iridocyclitis (diagnosis), Iridocyclitis (drug therapy), Iridocyclitis (etiology), Lens Implantation, Intraocular (methods), Lens, Crystalline (physiology), Lenses, Intraocular (adverse effects), Male, Middle Aged, Myopia (surgery), Odds Ratio, Ophthalmology, Prognosis, Retrospective Studies, Risk Factors, Support, Surgery, Treatment, Visual Acuity.
MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Glucocorticoids.
- adverse effects : Lenses, Intraocular.
- diagnosis : Iridocyclitis.
- drug therapy : Iridocyclitis.
- etiology : Iridocyclitis.
- methods : Lens Implantation, Intraocular.
- physiology : Lens, Crystalline.
- surgery : Anterior Chamber, Hyperopia, Myopia.
- Adult, Drug Therapy, Combination, Female, Humans, Incidence, Male, Middle Aged, Odds Ratio, Prognosis, Retrospective Studies, Risk Factors, Visual Acuity.

Abstract

PURPOSE: To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING: Private practice, Siena, Italy. METHODS: This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes of 125 patients) or the ZSAL-4 Plus IOL (106 eyes of 63 patients) was used. In hyperopic eyes (45 eyes of 24 patients), the Type 54 IOL was implanted. Haptic posterior angulation was 19 degrees (ZSAL-4), 23 degrees (ZSAL-4 Plus), and 14 degrees (Type 54). RESULTS: Clinically significant iridocyclitis occurred in 11 eyes (3.1%) of 11 patients. Mean patient age was 37.3 years ± 9.4 (SD). Sixty-four percent were male (odds ratio [OR], 3.0; 95% confidence interval [Cl], 0.8 to 7.4, not statistically significant). Iridocyclitis was observed in 4.4% of hyperopic eyes (OR, 1.6; 95% Cl, 0.3 to 7.4; not statistically significant) and in 2.9% of myopic eyes. In myopic eyes, it followed the implantation of ZSAL-4 IOL in 3.9% of eyes (OR, 4.1; 95% Cl, 0.5 to 33.6; not statistically significant), and of ZSAL-4 Plus IOL in 1%. Mean time from surgery was 8.5 + 10.6 months). Presentation included aqueous flare (100%), posterior synechiae (82%), blurred vision (82%), redness (36%), pain (27%), IOL precipitates (18%), and angular synechiae (9%). Only 1 patient had recurrences, leading to IOL explantation and cataract surgery. After topical therapy, best spectacle-corrected visual acuity was fully recovered in 9 of 11 eyes. CONCLUSION: Iridocyclitis can occur months or years after the implantation of angle-supported phakic lOLs. No statistically significant risk factors were identified. Functional prognosis is generally good.

Affiliations:

Italie

Le document en format XML

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<term>Association</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Glucocorticoids (therapeutic use)</term>
<term>Humans</term>
<term>Hyperopia (surgery)</term>
<term>Incidence</term>
<term>Intraocular lens</term>
<term>Iridocyclitis</term>
<term>Iridocyclitis (diagnosis)</term>
<term>Iridocyclitis (drug therapy)</term>
<term>Iridocyclitis (etiology)</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lens, Crystalline (physiology)</term>
<term>Lenses, Intraocular (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Myopia (surgery)</term>
<term>Odds Ratio</term>
<term>Ophthalmology</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Support</term>
<term>Surgery</term>
<term>Treatment</term>
<term>Visual Acuity</term>
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<term>Glucocorticoids</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lenses, Intraocular</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Iridocyclitis</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Lens, Crystalline</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Chamber</term>
<term>Hyperopia</term>
<term>Myopia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Visual Acuity</term>
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<term>Association</term>
<term>Angle</term>
<term>Support</term>
<term>Lentille intraoculaire</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">PURPOSE: To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING: Private practice, Siena, Italy. METHODS: This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes of 125 patients) or the ZSAL-4 Plus IOL (106 eyes of 63 patients) was used. In hyperopic eyes (45 eyes of 24 patients), the Type 54 IOL was implanted. Haptic posterior angulation was 19 degrees (ZSAL-4), 23 degrees (ZSAL-4 Plus), and 14 degrees (Type 54). RESULTS: Clinically significant iridocyclitis occurred in 11 eyes (3.1%) of 11 patients. Mean patient age was 37.3 years ± 9.4 (SD). Sixty-four percent were male (odds ratio [OR], 3.0; 95% confidence interval [Cl], 0.8 to 7.4, not statistically significant). Iridocyclitis was observed in 4.4% of hyperopic eyes (OR, 1.6; 95% Cl, 0.3 to 7.4; not statistically significant) and in 2.9% of myopic eyes. In myopic eyes, it followed the implantation of ZSAL-4 IOL in 3.9% of eyes (OR, 4.1; 95% Cl, 0.5 to 33.6; not statistically significant), and of ZSAL-4 Plus IOL in 1%. Mean time from surgery was 8.5 + 10.6 months). Presentation included aqueous flare (100%), posterior synechiae (82%), blurred vision (82%), redness (36%), pain (27%), IOL precipitates (18%), and angular synechiae (9%). Only 1 patient had recurrences, leading to IOL explantation and cataract surgery. After topical therapy, best spectacle-corrected visual acuity was fully recovered in 9 of 11 eyes. CONCLUSION: Iridocyclitis can occur months or years after the implantation of angle-supported phakic lOLs. No statistically significant risk factors were identified. Functional prognosis is generally good.</div>
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Iridocyclitis associated with angle-supported phakic intraocular lenses

Iridocyclitis associated with angle-supported phakic intraocular lenses

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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