Long-term results of out-of-the-bag intraocular lens implantation
Identifieur interne : 007D82 ( Main/Exploration ); précédent : 007D81; suivant : 007D83Long-term results of out-of-the-bag intraocular lens implantation
Auteurs : Kentaro Amino ; Ryoji Yamakawa [Japon]Source :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1999.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Anterior Chamber (pathology), Anterior Chamber (ultrasonography), Cataract, Cell Count, Extracapsular, Eye, Female, Follow-Up Studies, Foreign-Body Reaction (etiology), Foreign-Body Reaction (ultrasonography), Human, Humans, Implantation, Intraocular lens, Lens Capsule, Crystalline (injuries), Lens Implantation, Intraocular (methods), Lenses, Intraocular (adverse effects), Long term, Male, Middle Aged, Phacoemulsification, Prognosis, Rupture, Treatment, Treatment Outcome, Uveitis, Anterior (etiology), Uveitis, Anterior (ultrasonography), Visual Acuity.
- MESH :
- adverse effects : Lenses, Intraocular.
- etiology : Foreign-Body Reaction, Uveitis, Anterior.
- injuries : Lens Capsule, Crystalline.
- methods : Lens Implantation, Intraocular.
- pathology : Anterior Chamber.
- ultrasonography : Anterior Chamber, Foreign-Body Reaction, Uveitis, Anterior.
- Adult, Aged, Aged, 80 and over, Cell Count, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phacoemulsification, Rupture, Treatment Outcome, Visual Acuity.
Abstract
Purpose To evaluate long-term results of out-of-the-bag intraocular lens (IOL) implantation.Setting Department of Ophthalmology, Tenri Yorozu Hospital, Nara, Japan.Methods This study comprised 22 patients, 13 women and 9 men, who had cataract surgery by phacoemulsification and out-of-the-bag IOL implantation because of a posterior lens capsule rupture. Sixteen patients had in-the-bag IOL implantation in the fellow eye, and these eyes were used as a control group. The IOL’s position was determined by ultrasound biomicroscopy (UBM). Anterior chamber flare counts were measured by a laser flare meter. The corneal endothelium was observed by specular microscopy.Results Mean follow-up after cataract surgery was 35 months ± 22 (SD). The UBM revealed that in the 19 eyes with sulcus-to-sulcus IOL fixation, the optics touched the iris. In 3 eyes, 1 haptic was fixated at the sulcus and the other at the ciliary body. In 2 of these eyes, the optics did not touch the iris. Anterior chamber flare counts in eyes with sulcus-to-sulcus IOL fixation were significantly higher than in eyes with in-the-bag or sulcus-to-ciliary-body fixation (P < .05). There were no statistical differences in corneal endothelial cell counts based on haptic placement.Conclusion Rubbing between the IOL optic and iris seems to contribute to the high flare counts in eyes with a sulcus-to-sulcus IOL fixation. A larger haptic angle may be needed to prevent contact between the iris and IOL optic in such cases.
Url:
DOI: 10.1016/S0886-3350(99)00345-4
Affiliations:
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level="j" type="abbrev">JCRS</title><idno type="ISSN">0886-3350</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="266">266</biblScope><biblScope unit="page" to="270">270</biblScope></imprint><idno type="ISSN">0886-3350</idno></series><idno type="istex">3531EB9F2DA64B2996593F8030008EE48AED0D2D</idno><idno type="DOI">10.1016/S0886-3350(99)00345-4</idno><idno type="PII">S0886-3350(99)00345-4</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anterior Chamber (pathology)</term><term>Anterior Chamber (ultrasonography)</term><term>Cataract</term><term>Cell Count</term><term>Extracapsular</term><term>Eye</term><term>Female</term><term>Follow-Up Studies</term><term>Foreign-Body Reaction (etiology)</term><term>Foreign-Body Reaction (ultrasonography)</term><term>Human</term><term>Humans</term><term>Implantation</term><term>Intraocular lens</term><term>Lens Capsule, Crystalline (injuries)</term><term>Lens Implantation, Intraocular (methods)</term><term>Lenses, Intraocular (adverse effects)</term><term>Long term</term><term>Male</term><term>Middle Aged</term><term>Phacoemulsification</term><term>Prognosis</term><term>Rupture</term><term>Treatment</term><term>Treatment Outcome</term><term>Uveitis, Anterior (etiology)</term><term>Uveitis, Anterior (ultrasonography)</term><term>Visual Acuity</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lenses, Intraocular</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Reaction</term><term>Uveitis, Anterior</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Lens Capsule, Crystalline</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anterior Chamber</term></keywords><keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Anterior Chamber</term><term>Foreign-Body Reaction</term><term>Uveitis, Anterior</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cell Count</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Phacoemulsification</term><term>Rupture</term><term>Treatment Outcome</term><term>Visual Acuity</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cataracte</term><term>Extracapsulaire</term><term>Homme</term><term>Implantation</term><term>Lentille intraoculaire</term><term>Long terme</term><term>Oeil</term><term>Phacoémulsification</term><term>Pronostic</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose To evaluate long-term results of out-of-the-bag intraocular lens (IOL) implantation.Setting Department of Ophthalmology, Tenri Yorozu Hospital, Nara, Japan.Methods This study comprised 22 patients, 13 women and 9 men, who had cataract surgery by phacoemulsification and out-of-the-bag IOL implantation because of a posterior lens capsule rupture. Sixteen patients had in-the-bag IOL implantation in the fellow eye, and these eyes were used as a control group. The IOL’s position was determined by ultrasound biomicroscopy (UBM). Anterior chamber flare counts were measured by a laser flare meter. The corneal endothelium was observed by specular microscopy.Results Mean follow-up after cataract surgery was 35 months ± 22 (SD). The UBM revealed that in the 19 eyes with sulcus-to-sulcus IOL fixation, the optics touched the iris. In 3 eyes, 1 haptic was fixated at the sulcus and the other at the ciliary body. In 2 of these eyes, the optics did not touch the iris. Anterior chamber flare counts in eyes with sulcus-to-sulcus IOL fixation were significantly higher than in eyes with in-the-bag or sulcus-to-ciliary-body fixation (P < .05). There were no statistical differences in corneal endothelial cell counts based on haptic placement.Conclusion Rubbing between the IOL optic and iris seems to contribute to the high flare counts in eyes with a sulcus-to-sulcus IOL fixation. A larger haptic angle may be needed to prevent contact between the iris and IOL optic in such cases.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Amino, Kentaro" sort="Amino, Kentaro" uniqKey="Amino K" first="Kentaro" last="Amino">Kentaro Amino</name></noCountry><country name="Japon"><noRegion><name sortKey="Yamakawa, Ryoji" sort="Yamakawa, Ryoji" uniqKey="Yamakawa R" first="Ryoji" last="Yamakawa">Ryoji Yamakawa</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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