Scleral- fixated intraocular lens implantation in microspherophakia
Identifieur interne : 000E58 ( Main/Merge ); précédent : 000E57; suivant : 000E59Scleral- fixated intraocular lens implantation in microspherophakia
Auteurs : Sujata Subbiah [Inde] ; Philip A. Thomas [Inde] ; Ca Nelson Jesudasan [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2014.
Abstract
In microspherophakia, abnormal laxity of the lenticular zonules leads to development of a spherical lens and possible subluxation. We evaluated long-term results of lens removal with scleral-fixated intraocular lens (SFIOL) implantation in microspherophakia.
Case series. SF IOLs were implanted in four consecutive patients with bilateral microspherophakia (eight eyes [three with pupillary block and secondary glaucoma who underwent immediate surgery and five with only subluxation who underwent elective surgery]). Post-operative best-corrected visual acuity (BCVA), intraocular pressure (IOP) and lens position were evaluated periodically from day 1 to 18 months.
All patients were females (mean age 28 ± 7.03 years). In group 1 eyes (three eyes that presented with pupillary block), the mean BCVA improved from 0.008 decimals (preoperative) to 0.50 decimals (final post-operative visit); in group 2 eyes (the other five eyes), the mean BCVA improved from 0.12 ± 0.21 decimals to 0.73 ± 0.14 decimals. The preoperative mean IOP (54.53 ± 7.33 mmHg) in group 1 eyes was significantly (
SFIOLs may be an option for surgical management of microspherophakia.
Url:
DOI: 10.4103/0301-4738.129787
PubMed: 24881608
PubMed Central: 4065512
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Scleral- fixated intraocular lens implantation in microspherophakia</title><author><name sortKey="Subbiah, Sujata" sort="Subbiah, Sujata" uniqKey="Subbiah S" first="Sujata" last="Subbiah">Sujata Subbiah</name><affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Philip A" sort="Thomas, Philip A" uniqKey="Thomas P" first="Philip A" last="Thomas">Philip A. Thomas</name><affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Jesudasan, Ca Nelson" sort="Jesudasan, Ca Nelson" uniqKey="Jesudasan C" first="Ca Nelson" last="Jesudasan">Ca Nelson Jesudasan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24881608</idno><idno type="pmc">4065512</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065512</idno><idno type="RBID">PMC:4065512</idno><idno type="doi">10.4103/0301-4738.129787</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001F75</idno><idno type="wicri:Area/Pmc/Curation">001F75</idno><idno type="wicri:Area/Pmc/Checkpoint">000964</idno><idno type="wicri:Area/Ncbi/Merge">003035</idno><idno type="wicri:Area/Ncbi/Curation">003035</idno><idno type="wicri:Area/Ncbi/Checkpoint">003035</idno><idno type="wicri:doubleKey">0301-4738:2014:Subbiah S:scleral:fixated:intraocular</idno><idno type="wicri:Area/Main/Merge">000E58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Scleral- fixated intraocular lens implantation in microspherophakia</title><author><name sortKey="Subbiah, Sujata" sort="Subbiah, Sujata" uniqKey="Subbiah S" first="Sujata" last="Subbiah">Sujata Subbiah</name><affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Philip A" sort="Thomas, Philip A" uniqKey="Thomas P" first="Philip A" last="Thomas">Philip A. Thomas</name><affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Jesudasan, Ca Nelson" sort="Jesudasan, Ca Nelson" uniqKey="Jesudasan C" first="Ca Nelson" last="Jesudasan">Ca Nelson Jesudasan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Ophthalmology Joseph eye Hospital, Tiruchirappalli, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>In microspherophakia, abnormal laxity of the lenticular zonules leads to development of a spherical lens and possible subluxation. We evaluated long-term results of lens removal with scleral-fixated intraocular lens (SFIOL) implantation in microspherophakia.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Case series. SF IOLs were implanted in four consecutive patients with bilateral microspherophakia (eight eyes [three with pupillary block and secondary glaucoma who underwent immediate surgery and five with only subluxation who underwent elective surgery]). Post-operative best-corrected visual acuity (BCVA), intraocular pressure (IOP) and lens position were evaluated periodically from day 1 to 18 months.</p></sec><sec id="st3"><title>Results:</title><p>All patients were females (mean age 28 ± 7.03 years). In group 1 eyes (three eyes that presented with pupillary block), the mean BCVA improved from 0.008 decimals (preoperative) to 0.50 decimals (final post-operative visit); in group 2 eyes (the other five eyes), the mean BCVA improved from 0.12 ± 0.21 decimals to 0.73 ± 0.14 decimals. The preoperative mean IOP (54.53 ± 7.33 mmHg) in group 1 eyes was significantly (<italic>P</italic> = 0.03) higher than that (16 ± 4.30 mm Hg) in group 2 eyes. At final post-operative visit, the mean IOP (11.67 ± 2.88 mmHg) in group 1 eyes was not significantly different from that in group 2 eyes (13.0 ± 3.08 mmHg). All SFIOLs were well- centred at the final visit. None of the patients encountered any peroperative or postoperative complications.</p></sec><sec id="st4"><title>Conclusions:</title><p>SFIOLs may be an option for surgical management of microspherophakia.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kaushik, S" uniqKey="Kaushik S">S Kaushik</name></author><author><name sortKey="Sachdev, N" uniqKey="Sachdev N">N Sachdev</name></author><author><name sortKey="Pandav, Ss" uniqKey="Pandav S">SS Pandav</name></author><author><name sortKey="Gupta, A" uniqKey="Gupta A">A Gupta</name></author><author><name sortKey="Ram, J" uniqKey="Ram J">J Ram</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haddad, Ca" uniqKey="Haddad C">CA Haddad</name></author><author><name sortKey="Khatib, L" uniqKey="Khatib L">L Khatib</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bhattarcharjee, H" uniqKey="Bhattarcharjee H">H 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