Posterior synechias following implantation of a foldable silicone iris-fixated phakic intraocular lens for the correction of myopia.
Identifieur interne : 005522 ( Main/Merge ); précédent : 005521; suivant : 005523Posterior synechias following implantation of a foldable silicone iris-fixated phakic intraocular lens for the correction of myopia.
Auteurs : Michael J. Koss [Allemagne] ; Magdalena Cichocki ; Thomas KohnenSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- chemical : Silicone Elastomers.
- adverse effects : Lens Implantation, Intraocular.
- etiology : Exfoliation Syndrome.
- pathology : Lens, Crystalline.
- physiology : Lens, Crystalline.
- surgery : Iris, Myopia.
- Female, Humans, Middle Aged, Postoperative Complications, Reoperation.
Abstract
A 45-year-old white woman with unilateral high myopia had uneventful implantation of a -9.0 diopter, foldable, iris-fixated Artiflex I anterior chamber phakic intraocular lens (pIOL) (Ophtec B.V.) in the right eye. Despite application of topical antibiotic and steroid agents for 4 weeks after surgery, iris pigment dispersion developed on the anterior surface of the crystalline lens. Two weeks later, the iris dispersion increased and posterior synechias developed from the iris to the crystalline lens next to the pIOL haptic at the 3 o'clock position. Consequently, pIOL re-enclavation was performed without surgically removing the posterior synechias. Initial and interim mydriatic and steroid eyedrops were administered 4 times a day. Regular follow-up examinations after re-enclavation (at 2, 3, 6, 12, and 24 months) confirmed a stable pIOL position by Scheimpflug photography. Two years after implantation, posterior synechias persisted at the 3 o'clock position, with iris dispersion on the crystalline lens and the posterior side of the pIOL, but with no signs of anterior chamber inflammation and no visual acuity loss.
DOI: 10.1016/j.jcrs.2006.11.032
PubMed: 17466869
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pubmed:17466869Le document en format XML
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Koss</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main</wicri:regionArea><wicri:noRegion>Frankfurt am Main</wicri:noRegion><wicri:noRegion>Frankfurt am Main</wicri:noRegion><wicri:noRegion>Frankfurt am Main</wicri:noRegion></affiliation></author><author><name sortKey="Cichocki, Magdalena" sort="Cichocki, Magdalena" uniqKey="Cichocki M" first="Magdalena" last="Cichocki">Magdalena Cichocki</name></author><author><name sortKey="Kohnen, Thomas" sort="Kohnen, Thomas" uniqKey="Kohnen T" first="Thomas" last="Kohnen">Thomas Kohnen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1016/j.jcrs.2006.11.032</idno><idno type="RBID">pubmed:17466869</idno><idno type="pmid">17466869</idno><idno type="wicri:Area/PubMed/Corpus">001638</idno><idno type="wicri:Area/PubMed/Curation">001638</idno><idno type="wicri:Area/PubMed/Checkpoint">001388</idno><idno type="wicri:Area/Ncbi/Merge">000B49</idno><idno type="wicri:Area/Ncbi/Curation">000B49</idno><idno type="wicri:Area/Ncbi/Checkpoint">000B49</idno><idno type="wicri:doubleKey">0886-3350:2007:Koss M:posterior:synechias:following</idno><idno type="wicri:Area/Main/Merge">005522</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Posterior synechias following implantation of a foldable silicone iris-fixated phakic intraocular lens for the correction of myopia.</title><author><name sortKey="Koss, Michael J" sort="Koss, Michael J" uniqKey="Koss M" first="Michael J" last="Koss">Michael J. Koss</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main</wicri:regionArea><wicri:noRegion>Frankfurt am Main</wicri:noRegion><wicri:noRegion>Frankfurt am Main</wicri:noRegion><wicri:noRegion>Frankfurt am Main</wicri:noRegion></affiliation></author><author><name sortKey="Cichocki, Magdalena" sort="Cichocki, Magdalena" uniqKey="Cichocki M" first="Magdalena" last="Cichocki">Magdalena Cichocki</name></author><author><name sortKey="Kohnen, Thomas" sort="Kohnen, Thomas" uniqKey="Kohnen T" first="Thomas" last="Kohnen">Thomas Kohnen</name></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="ISSN">0886-3350</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Exfoliation Syndrome (etiology)</term><term>Female</term><term>Humans</term><term>Iris (surgery)</term><term>Lens Implantation, Intraocular (adverse effects)</term><term>Lens, Crystalline (pathology)</term><term>Lens, Crystalline (physiology)</term><term>Middle Aged</term><term>Myopia (surgery)</term><term>Postoperative Complications</term><term>Reoperation</term><term>Silicone Elastomers</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Silicone Elastomers</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Exfoliation Syndrome</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lens, Crystalline</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Lens, Crystalline</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Iris</term><term>Myopia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Reoperation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 45-year-old white woman with unilateral high myopia had uneventful implantation of a -9.0 diopter, foldable, iris-fixated Artiflex I anterior chamber phakic intraocular lens (pIOL) (Ophtec B.V.) in the right eye. Despite application of topical antibiotic and steroid agents for 4 weeks after surgery, iris pigment dispersion developed on the anterior surface of the crystalline lens. Two weeks later, the iris dispersion increased and posterior synechias developed from the iris to the crystalline lens next to the pIOL haptic at the 3 o'clock position. Consequently, pIOL re-enclavation was performed without surgically removing the posterior synechias. Initial and interim mydriatic and steroid eyedrops were administered 4 times a day. Regular follow-up examinations after re-enclavation (at 2, 3, 6, 12, and 24 months) confirmed a stable pIOL position by Scheimpflug photography. Two years after implantation, posterior synechias persisted at the 3 o'clock position, with iris dispersion on the crystalline lens and the posterior side of the pIOL, but with no signs of anterior chamber inflammation and no visual acuity loss.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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