Ultrasound biomicroscopy of the Artisan phakic intraocular lens in hyperopic eyes
Identifieur interne : 007313 ( Main/Exploration ); précédent : 007312; suivant : 007314Ultrasound biomicroscopy of the Artisan phakic intraocular lens in hyperopic eyes
Auteurs : Mihai Pop [Canada] ; Yves Payette [Canada] ; Magdi Mansour [Canada]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2002.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Anterior Chamber (ultrasonography), Anterior chamber, Biomicroscopy, Fixation, Human, Humans, Hypermetropia, Hyperopia (surgery), Hyperopia (ultrasonography), Intraocular, Intraocular Pressure, Intraocular lens, Lens Implantation, Intraocular, Lens, Crystalline, Lenses, Intraocular, Position, Prosthesis Design, Treatment, Ultrasound.
- MESH :
- surgery : Hyperopia.
- ultrasonography : Anterior Chamber, Hyperopia.
- Humans, Intraocular Pressure, Lens Implantation, Intraocular, Lens, Crystalline, Lenses, Intraocular, Prosthesis Design.
Abstract
Purpose: To study in situ the intraocular position of the Artisan iris-claw intraocular lens (IOL) (model 203) (Ophtec) in phakic hyperopic eyes using ultrasound biomicroscopy (UBM). Methods: Echograms of the anterior chamber were taken preoperatively and 24 to 317 days postoperatively in 4 eyes implanted with the Artisan IOL (power +4.0 to +6.0 diopters). The preoperative anterior chamber depth (ACD) and the postoperative distance between the IOL and the corneal endothelium (endothelium-optic distance) and between the IOL and the lens were measured. The echograms were assessed for the effect of the IOL on iris tissue. Results: The preoperative ACD ranged from 3.10 to 3.56 mm and the postoperative endothelium-optic distance, from 2.03 to 2.54 mm. The distance between the lens and the posterior surface of the IOL ranged from 0.35 to 0.79 mm. Several UBM echograms showed indentation of iris tissue by the IOL haptics and optic edge, although no pigmentary dispersion was noted. Conclusions: Adequate space was maintained between the Artisan hyperopic IOL and the corneal endothelium, angle, and crystalline lens. Haptic indentation of the iris, which could lead to pigment erosion, was observed. Preoperative gonioscopy and maintenance of normal intraocular pressure postoperatively suggest the indentation was secondary to inadequate lens vaulting relative to the high natural arch of the iris in hyperopic eyes. Shortening the haptics or increasing the lens vault might resolve this problem.
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Ultrasound biomicroscopy of the Artisan phakic intraocular lens in hyperopic eyes</title>
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<sZ>1 aut.</sZ>
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<series><title level="j" type="main">Journal of cataract and refractive surgery</title>
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<term>Fixation</term>
<term>Human</term>
<term>Humans</term>
<term>Hypermetropia</term>
<term>Hyperopia (surgery)</term>
<term>Hyperopia (ultrasonography)</term>
<term>Intraocular</term>
<term>Intraocular Pressure</term>
<term>Intraocular lens</term>
<term>Lens Implantation, Intraocular</term>
<term>Lens, Crystalline</term>
<term>Lenses, Intraocular</term>
<term>Position</term>
<term>Prosthesis Design</term>
<term>Treatment</term>
<term>Ultrasound</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hyperopia</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Anterior Chamber</term>
<term>Hyperopia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Intraocular Pressure</term>
<term>Lens Implantation, Intraocular</term>
<term>Lens, Crystalline</term>
<term>Lenses, Intraocular</term>
<term>Prosthesis Design</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Position</term>
<term>Intraoculaire</term>
<term>Hypermétropie</term>
<term>Chambre antérieure</term>
<term>Traitement</term>
<term>Ultrason</term>
<term>Biomicroscopie</term>
<term>Lentille intraoculaire</term>
<term>Fixation</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">Purpose: To study in situ the intraocular position of the Artisan iris-claw intraocular lens (IOL) (model 203) (Ophtec) in phakic hyperopic eyes using ultrasound biomicroscopy (UBM). Methods: Echograms of the anterior chamber were taken preoperatively and 24 to 317 days postoperatively in 4 eyes implanted with the Artisan IOL (power +4.0 to +6.0 diopters). The preoperative anterior chamber depth (ACD) and the postoperative distance between the IOL and the corneal endothelium (endothelium-optic distance) and between the IOL and the lens were measured. The echograms were assessed for the effect of the IOL on iris tissue. Results: The preoperative ACD ranged from 3.10 to 3.56 mm and the postoperative endothelium-optic distance, from 2.03 to 2.54 mm. The distance between the lens and the posterior surface of the IOL ranged from 0.35 to 0.79 mm. Several UBM echograms showed indentation of iris tissue by the IOL haptics and optic edge, although no pigmentary dispersion was noted. Conclusions: Adequate space was maintained between the Artisan hyperopic IOL and the corneal endothelium, angle, and crystalline lens. Haptic indentation of the iris, which could lead to pigment erosion, was observed. Preoperative gonioscopy and maintenance of normal intraocular pressure postoperatively suggest the indentation was secondary to inadequate lens vaulting relative to the high natural arch of the iris in hyperopic eyes. Shortening the haptics or increasing the lens vault might resolve this problem.</div>
</front>
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<region><li>Québec</li>
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<settlement><li>Montréal</li>
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<tree><country name="Canada"><region name="Québec"><name sortKey="Pop, Mihai" sort="Pop, Mihai" uniqKey="Pop M" first="Mihai" last="Pop">Mihai Pop</name>
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<name sortKey="Mansour, Magdi" sort="Mansour, Magdi" uniqKey="Mansour M" first="Magdi" last="Mansour">Magdi Mansour</name>
<name sortKey="Payette, Yves" sort="Payette, Yves" uniqKey="Payette Y" first="Yves" last="Payette">Yves Payette</name>
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