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Massive anterior capsule shrinkage after plate-haptic silicone lens implantation in uveitis

Identifieur interne : 007767 ( Main/Exploration ); précédent : 007766; suivant : 007768

Massive anterior capsule shrinkage after plate-haptic silicone lens implantation in uveitis

Auteurs : Christoph Lüke [Allemagne] ; Thomas S. Dietlein [Allemagne] ; Phillip C. Jacobi [Allemagne] ; Walter Konen [Allemagne] ; Günter K. Krieglstein [Allemagne]

Source :

RBID : ISTEX:E4406C89C168ED88263A34F391BC1E221B1F227F

Descripteurs français

English descriptors

Abstract

Two patients, both with bilateral uveitis, had synechiolysis, continuous curvilinear capsulorhexis (CCC), phacoemulsification, and in-the-bag implantation of a foldable single-piece plate-haptic silicone intraocular lens (IOL) in 1 eye. Several weeks postoperatively, massive anterior capsule shrinkage with obstruction of the visual axis occurred in both patients. Surgical revision was performed in both eyes. Both patients had CCC and phacoemulsification and confirmed in-the-bag acrylic IOL implantation in the second eye months after surgery in the first eye. Follow-up examinations showed no significant shrinkage of the anterior capsule opening in any eye. In patients with uveitis, intraoperative lens epithelial cell removal, creation of a large CCC, and careful selection of IOL style and material may prevent occlusion of the anterior capsule opening.

Url:
DOI: 10.1016/S0886-3350(00)00690-8


Affiliations:


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<term>Capsulorhexis</term>
<term>Case study</term>
<term>Cataract</term>
<term>Complication</term>
<term>Concomitant disease</term>
<term>Human</term>
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<term>Iatrogenic</term>
<term>Intraocular lens</term>
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<term>Lens Diseases (diagnosis)</term>
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<term>Lenses, Intraocular</term>
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<term>Postoperative</term>
<term>Reoperation</term>
<term>Shrinkage</term>
<term>Silicone Elastomers</term>
<term>Silicone elastomer</term>
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<div type="abstract" xml:lang="en">Two patients, both with bilateral uveitis, had synechiolysis, continuous curvilinear capsulorhexis (CCC), phacoemulsification, and in-the-bag implantation of a foldable single-piece plate-haptic silicone intraocular lens (IOL) in 1 eye. Several weeks postoperatively, massive anterior capsule shrinkage with obstruction of the visual axis occurred in both patients. Surgical revision was performed in both eyes. Both patients had CCC and phacoemulsification and confirmed in-the-bag acrylic IOL implantation in the second eye months after surgery in the first eye. Follow-up examinations showed no significant shrinkage of the anterior capsule opening in any eye. In patients with uveitis, intraoperative lens epithelial cell removal, creation of a large CCC, and careful selection of IOL style and material may prevent occlusion of the anterior capsule opening.</div>
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