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Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic

Identifieur interne : 007890 ( Main/Exploration ); précédent : 007889; suivant : 007891

Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic

Auteurs : Haralabos Eleftheriadis ; Debendra N. Sahu ; Ben Willekens ; Gijs F. J. M. Vrensen ; Christopher S. C. Liu

Source :

Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 2001.

RBID : ISTEX:D267196BA9A32BD918A9A5F34A3CC0A7A190A06D

Descripteurs français

Pascal (Inist)
- Cataracte, Chambre postérieure, Complication, Cornée, Décompensation, Etude cas, Fracture, Homme, Homogreffe, Iatrogène, Insuffisance greffon, Kératoplastie, Lentille intraoculaire, Méthacrylate de méthyle polymère, Postopératoire, Spontané, Traitement.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Aged, Case study, Cataract, Cataract Extraction, Complication, Cornea, Corneal Edema (etiology), Corneal Edema (surgery), Decompensation, Fracture, Graft Rejection (etiology), Graft Rejection (surgery), Graft failure, Homograft, Human, Humans, Iatrogenic, Intraocular lens, Keratoplasty, Keratoplasty, Penetrating, Lens Implantation, Intraocular, Lenses, Intraocular (adverse effects), Male, Methyl methacrylate polymer, Polymethyl Methacrylate (adverse effects), Posterior chamber, Postoperative, Prosthesis Failure, Reoperation, Spontaneous, Treatment.
MESH :
- chemical , adverse effects : Polymethyl Methacrylate.
- adverse effects : Lenses, Intraocular.
- etiology : Corneal Edema, Graft Rejection.
- surgery : Corneal Edema, Graft Rejection.
- Aged, Cataract Extraction, Humans, Keratoplasty, Penetrating, Lens Implantation, Intraocular, Male, Prosthesis Failure, Reoperation.

Abstract

A 66-year-old man developed an unexplained corneal decompensation 7 years after extracapsular cataract extraction and implantation of a single-piece poly(methyl methacrylate) (PMMA) posterior chamber intraocular lens (IOL). He had penetrating keratoplasty (PKP). Two years later, he developed corneal graft failure secondary to an IOL haptic fragment in the anterior chamber angle. The patient had a repeat corneal graft and IOL exchange. The broken haptic was examined with scanning electron microscopy. The findings were consistent with late fracture of the haptic within the capsular bag, which was presumably weakened by an improper implantation technique. Fracture of a PMMA haptic should be suspected as a cause of corneal decompensation and corneal graft failure after cataract surgery. This case emphasizes the importance of safe implantation techniques.

Url:

https://api.istex.fr/document/D267196BA9A32BD918A9A5F34A3CC0A7A190A06D/fulltext/pdf

DOI: 10.1016/S0886-3350(01)00986-5

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">A 66-year-old man developed an unexplained corneal decompensation 7 years after extracapsular cataract extraction and implantation of a single-piece poly(methyl methacrylate) (PMMA) posterior chamber intraocular lens (IOL). He had penetrating keratoplasty (PKP). Two years later, he developed corneal graft failure secondary to an IOL haptic fragment in the anterior chamber angle. The patient had a repeat corneal graft and IOL exchange. The broken haptic was examined with scanning electron microscopy. The findings were consistent with late fracture of the haptic within the capsular bag, which was presumably weakened by an improper implantation technique. Fracture of a PMMA haptic should be suspected as a cause of corneal decompensation and corneal graft failure after cataract surgery. This case emphasizes the importance of safe implantation techniques.</div>
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<name sortKey="Sahu, Debendra N" sort="Sahu, Debendra N" uniqKey="Sahu D" first="Debendra N." last="Sahu">Debendra N. Sahu</name>
<name sortKey="Vrensen, Gijs F J M" sort="Vrensen, Gijs F J M" uniqKey="Vrensen G" first="Gijs F. J. M." last="Vrensen">Gijs F. J. M. Vrensen</name>
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Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic

Corneal decompensation and graft failure secondary to a broken posterior chamber poly(methyl methacrylate) intraocular lens haptic

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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