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Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults

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Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults

Auteurs : Timothy W. Olsen [États-Unis] ; Jonathan T. Pribila [États-Unis]

Source :

American journal of ophthalmology [ 0002-9394 ] ; 2011.

RBID : Pascal:11-0121016

Descripteurs français

Pascal (Inist)
- Pars plana, Vitrectomie, Chirurgie, Endoscope, Guidage, Lentille intraoculaire, Intraoculaire, Implantation, Enfant, Adulte, Ophtalmologie, Traitement.
Wicri :
- topic : Chirurgie, Enfant, Adulte.

English descriptors

KwdEn :
- Adult, Child, Endoscope, Guidance, Implantation, Intraocular, Intraocular lens, Ophthalmology, Pars plana, Surgery, Treatment, Vitrectomy.

Abstract

• PURPOSE: To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. • DESIGN: A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. • METHODS: Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (< 18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. • RESULTS: The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. • CONCLUSIONS: Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.

Affiliations:

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Le document en format XML

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<term>Implantation</term>
<term>Intraocular</term>
<term>Intraocular lens</term>
<term>Ophthalmology</term>
<term>Pars plana</term>
<term>Surgery</term>
<term>Treatment</term>
<term>Vitrectomy</term>
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<term>Vitrectomie</term>
<term>Chirurgie</term>
<term>Endoscope</term>
<term>Guidage</term>
<term>Lentille intraoculaire</term>
<term>Intraoculaire</term>
<term>Implantation</term>
<term>Enfant</term>
<term>Adulte</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">• PURPOSE: To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. • DESIGN: A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. • METHODS: Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (< 18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. • RESULTS: The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. • CONCLUSIONS: Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.</div>
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Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults

Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults

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