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Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation

Identifieur interne : 006F69 ( Main/Exploration ); précédent : 006F68; suivant : 006F70

Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation

Auteurs : Pinar C. Özdal [Canada] ; Magdi Mansour [Canada] ; Jean Deschenes [Canada]

Source :

Journal of cataract and refractive surgery [ 0886-3350 ] ; 2003.

RBID : Pascal:03-0398123

Descripteurs français

Pascal (Inist)
- Homme, Ultrason, Biomicroscopie, Lentille intraoculaire, Ophtalmologie, Oeil, Chronique, Postopératoire, Inflammation.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Anterior Eye Segment (ultrasonography), Biomicroscopy, Blood-Aqueous Barrier, Chronic, Chronic Disease, Ciliary Body (ultrasonography), Eye, Female, Foreign-Body Migration (etiology), Foreign-Body Migration (ultrasonography), Human, Humans, Inflammation, Intraocular lens, Iris (ultrasonography), Lenses, Intraocular (adverse effects), Male, Middle Aged, Ophthalmology, Postoperative, Postoperative Complications, Prospective Studies, Pseudophakia (ultrasonography), Ultrasound, Uveitis (etiology), Uveitis (ultrasonography).
MESH :
- adverse effects : Lenses, Intraocular.
- etiology : Foreign-Body Migration, Uveitis.
- ultrasonography : Anterior Eye Segment, Ciliary Body, Foreign-Body Migration, Iris, Pseudophakia, Uveitis.
- Adult, Aged, Aged, 80 and over, Blood-Aqueous Barrier, Chronic Disease, Female, Humans, Male, Middle Aged, Postoperative Complications, Prospective Studies.

Abstract

Purpose: To evaluate the ultrasound biomicroscopy (UBM) findings in pseudophakic eyes with chronic noninfectious postoperative inflammation and discuss the use of the technique in these cases. Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information.

Affiliations:

Canada

Le document en format XML

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<term>Anterior Eye Segment (ultrasonography)</term>
<term>Biomicroscopy</term>
<term>Blood-Aqueous Barrier</term>
<term>Chronic</term>
<term>Chronic Disease</term>
<term>Ciliary Body (ultrasonography)</term>
<term>Eye</term>
<term>Female</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (ultrasonography)</term>
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<term>Humans</term>
<term>Inflammation</term>
<term>Intraocular lens</term>
<term>Iris (ultrasonography)</term>
<term>Lenses, Intraocular (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ophthalmology</term>
<term>Postoperative</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Pseudophakia (ultrasonography)</term>
<term>Ultrasound</term>
<term>Uveitis (etiology)</term>
<term>Uveitis (ultrasonography)</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
<term>Uveitis</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Anterior Eye Segment</term>
<term>Ciliary Body</term>
<term>Foreign-Body Migration</term>
<term>Iris</term>
<term>Pseudophakia</term>
<term>Uveitis</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood-Aqueous Barrier</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
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<term>Ultrason</term>
<term>Biomicroscopie</term>
<term>Lentille intraoculaire</term>
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<term>Oeil</term>
<term>Chronique</term>
<term>Postopératoire</term>
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<front><div type="abstract" xml:lang="en">Purpose: To evaluate the ultrasound biomicroscopy (UBM) findings in pseudophakic eyes with chronic noninfectious postoperative inflammation and discuss the use of the technique in these cases. Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information.</div>
</front>
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<name sortKey="Deschenes, Jean" sort="Deschenes, Jean" uniqKey="Deschenes J" first="Jean" last="Deschenes">Jean Deschenes</name>
<name sortKey="Mansour, Magdi" sort="Mansour, Magdi" uniqKey="Mansour M" first="Magdi" last="Mansour">Magdi Mansour</name>
</country>
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Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation

Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation

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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