HapticV1, Main, Exploration, bibRecordById, Pascal:02-0421275

Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases

Identifieur interne : 007342 ( Main/Exploration ); précédent : 007341; suivant : 007343

Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases

Auteurs : Josef M. Schmidbauer [États-Unis] ; QUN PENG [États-Unis] ; David J. Apple [États-Unis] ; Suresh K. Pandey [États-Unis] ; Marcela Escobar-Gomez [États-Unis] ; Gerd U. Auffarth [Allemagne] ; Liliana Werner [États-Unis] ; Luis G. Vargas [États-Unis]

Source :

Journal of cataract and refractive surgery [ 0886-3350 ] ; 2002.

RBID : Pascal:02-0421275

Descripteurs français

Pascal (Inist)
- Lentille intraoculaire, Implanté, Complication, Extraction, Peropératoire, Risque élevé, Biomatériau, Siloxane polymère, Etiologie, Structure en voile plissé, Lentille dure, Etude comparative, Homme.
Wicri :
- topic : Biomatériau, Homme.

English descriptors

KwdEn :
- Biomaterial, Comparative study, Complication, Device Removal (statistics & numerical data), Etiology, Extraction, Folded structure, Hard lens, High risk, Human, Humans, Implanted, Incidence, Intraocular lens, Intraoperative, Intraoperative Complications, Lenses, Intraocular, Polymethyl Methacrylate, Prosthesis Design, Prosthesis Failure, Risk Factors, Silicone Elastomers, Siloxane polymer.
MESH :
- chemical : Polymethyl Methacrylate, Silicone Elastomers.
- statistics & numerical data : Device Removal.
- Humans, Incidence, Intraoperative Complications, Lenses, Intraocular, Prosthesis Design, Prosthesis Failure, Risk Factors.

Abstract

Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.

Affiliations:

Le document en format XML

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<term>Device Removal (statistics & numerical data)</term>
<term>Etiology</term>
<term>Extraction</term>
<term>Folded structure</term>
<term>Hard lens</term>
<term>High risk</term>
<term>Human</term>
<term>Humans</term>
<term>Implanted</term>
<term>Incidence</term>
<term>Intraocular lens</term>
<term>Intraoperative</term>
<term>Intraoperative Complications</term>
<term>Lenses, Intraocular</term>
<term>Polymethyl Methacrylate</term>
<term>Prosthesis Design</term>
<term>Prosthesis Failure</term>
<term>Risk Factors</term>
<term>Silicone Elastomers</term>
<term>Siloxane polymer</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Polymethyl Methacrylate</term>
<term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Device Removal</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Incidence</term>
<term>Intraoperative Complications</term>
<term>Lenses, Intraocular</term>
<term>Prosthesis Design</term>
<term>Prosthesis Failure</term>
<term>Risk Factors</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term>
<term>Implanté</term>
<term>Complication</term>
<term>Extraction</term>
<term>Peropératoire</term>
<term>Risque élevé</term>
<term>Biomatériau</term>
<term>Siloxane polymère</term>
<term>Etiologie</term>
<term>Structure en voile plissé</term>
<term>Lentille dure</term>
<term>Etude comparative</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.</div>
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<li>États-Unis</li>
</country>
<region><li>Bade-Wurtemberg</li>
<li>Caroline du Sud</li>
<li>District de Karlsruhe</li>
</region>
<settlement><li>Heidelberg</li>
</settlement>
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<tree><country name="États-Unis"><region name="Caroline du Sud"><name sortKey="Schmidbauer, Josef M" sort="Schmidbauer, Josef M" uniqKey="Schmidbauer J" first="Josef M." last="Schmidbauer">Josef M. Schmidbauer</name>
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<name sortKey="Apple, David J" sort="Apple, David J" uniqKey="Apple D" first="David J." last="Apple">David J. Apple</name>
<name sortKey="Escobar Gomez, Marcela" sort="Escobar Gomez, Marcela" uniqKey="Escobar Gomez M" first="Marcela" last="Escobar-Gomez">Marcela Escobar-Gomez</name>
<name sortKey="Pandey, Suresh K" sort="Pandey, Suresh K" uniqKey="Pandey S" first="Suresh K." last="Pandey">Suresh K. Pandey</name>
<name sortKey="Qun Peng" sort="Qun Peng" uniqKey="Qun Peng" last="Qun Peng">QUN PENG</name>
<name sortKey="Vargas, Luis G" sort="Vargas, Luis G" uniqKey="Vargas L" first="Luis G." last="Vargas">Luis G. Vargas</name>
<name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name>
</country>
<country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Auffarth, Gerd U" sort="Auffarth, Gerd U" uniqKey="Auffarth G" first="Gerd U." last="Auffarth">Gerd U. Auffarth</name>
</region>
</country>
</tree>
</affiliations>
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Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases

Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases

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	Serveur d'exploration sur les dispositifs haptiques
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