Interlenticular opacification: clinicopathological correlation of a complication of posterior chamber piggyback intraocular lenses
Identifieur interne : 008483 ( Main/Merge ); précédent : 008482; suivant : 008484Interlenticular opacification: clinicopathological correlation of a complication of posterior chamber piggyback intraocular lenses
Auteurs : Johnny L. Gayton [États-Unis] ; David J. Apple ; Qun Peng ; Nithi Visessook ; Val Sanders ; Liliana Werner ; Suresh K. Pandey ; Marcela Escobar-Gomez ; Daphne S. M Hoddinott ; Michelle Van Der KarrSource :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1999.
Abstract
Purpose To present a clinicopathological correlation of 2 pairs of piggyback posterior chamber intraocular lenses (PC IOLs) explanted because of opacification between the lens optics.Setting Gayton Health Center, Eyesight Associates of Middle Georgia, Warner Robins, Georgia, and Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.Methods Two pairs of piggyback AcrySof® lenses were explanted from 2 patients with significant visual loss related to opacification between the optics. They were submitted for pathological analysis. Gross and histopathological examinations were performed, and photomicroscopy was used to document the results.Results Gross examination showed accumulation of a membrane-like white material between the lenses. Histopathological examination revealed that the tissue consisted of retained/proliferative lens epithelial cells (bladder cells or pearls) mixed with lens cortical material.Conclusion Piggyback PC IOLs were explanted in 2 cases because of a newly described complication, interlenticular opacification. Three surgical means may help prevent this complication: meticulous cortical cleanup, especially in the equatorial region; creation of a relatively large continuous curvilinear capsulorhexis to sequester retained cells peripheral to the IOL optic within the equatorial fornix; insertion of the posterior IOL in the capsular bag and the anterior IOL in the ciliary sulcus to isolate retained cells from the interlenticular space.
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DOI: 10.1016/S0886-3350(99)00433-2
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Apple</name></author><author><name sortKey="Peng, Qun" sort="Peng, Qun" uniqKey="Peng Q" first="Qun" last="Peng">Qun Peng</name></author><author><name sortKey="Visessook, Nithi" sort="Visessook, Nithi" uniqKey="Visessook N" first="Nithi" last="Visessook">Nithi Visessook</name></author><author><name sortKey="Sanders, Val" sort="Sanders, Val" uniqKey="Sanders V" first="Val" last="Sanders">Val Sanders</name></author><author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name></author><author><name sortKey="Pandey, Suresh K" sort="Pandey, Suresh K" uniqKey="Pandey S" first="Suresh K" last="Pandey">Suresh K. Pandey</name></author><author><name sortKey="Escobar Gomez, Marcela" sort="Escobar Gomez, Marcela" uniqKey="Escobar Gomez M" first="Marcela" last="Escobar-Gomez">Marcela Escobar-Gomez</name></author><author><name sortKey="Hoddinott, Daphne S M" sort="Hoddinott, Daphne S M" uniqKey="Hoddinott D" first="Daphne S. M" last="Hoddinott">Daphne S. M Hoddinott</name></author><author><name sortKey="Van Der Karr, Michelle" sort="Van Der Karr, Michelle" uniqKey="Van Der Karr M" first="Michelle" last="Van Der Karr">Michelle Van Der Karr</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:9664AEDB261A55154CF3708E73DA821DABA9DF85</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1016/S0886-3350(99)00433-2</idno><idno type="url">https://api.istex.fr/document/9664AEDB261A55154CF3708E73DA821DABA9DF85/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000139</idno><idno type="wicri:Area/Istex/Curation">000139</idno><idno type="wicri:Area/Istex/Checkpoint">003136</idno><idno type="wicri:doubleKey">0886-3350:2000:Gayton J:interlenticular:opacification:clinicopathological</idno><idno type="wicri:Area/Main/Merge">008483</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Interlenticular opacification: clinicopathological correlation of a complication of posterior chamber piggyback intraocular lenses</title><author><name sortKey="Gayton, Johnny L" sort="Gayton, Johnny L" uniqKey="Gayton J" first="Johnny L" last="Gayton">Johnny L. Gayton</name><affiliation><wicri:noCountry code="subField">Sanders)</wicri:noCountry></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Reprints requests to Johnny L. Gayton, MD, 216 Corder Road, PO Box 6479, Warner Robins, GA 31088–3604</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Apple, David J" sort="Apple, David J" uniqKey="Apple D" first="David J" last="Apple">David J. Apple</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Peng, Qun" sort="Peng, Qun" uniqKey="Peng Q" first="Qun" last="Peng">Qun Peng</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Visessook, Nithi" sort="Visessook, Nithi" uniqKey="Visessook N" first="Nithi" last="Visessook">Nithi Visessook</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Sanders, Val" sort="Sanders, Val" uniqKey="Sanders V" first="Val" last="Sanders">Val Sanders</name><affiliation><wicri:noCountry code="subField">Sanders)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Werner, Liliana" sort="Werner, Liliana" uniqKey="Werner L" first="Liliana" last="Werner">Liliana Werner</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Pandey, Suresh K" sort="Pandey, Suresh K" uniqKey="Pandey S" first="Suresh K" last="Pandey">Suresh K. Pandey</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Escobar Gomez, Marcela" sort="Escobar Gomez, Marcela" uniqKey="Escobar Gomez M" first="Marcela" last="Escobar-Gomez">Marcela Escobar-Gomez</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Hoddinott, Daphne S M" sort="Hoddinott, Daphne S M" uniqKey="Hoddinott D" first="Daphne S. M" last="Hoddinott">Daphne S. M Hoddinott</name><affiliation><wicri:noCountry code="subField">Hoddinott)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author><author><name sortKey="Van Der Karr, Michelle" sort="Van Der Karr, Michelle" uniqKey="Van Der Karr M" first="Michelle" last="Van Der Karr">Michelle Van Der Karr</name><affiliation><wicri:noCountry code="subField">USA (Van Der Karr)</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="no comma">1 None of the authors has a financial or proprietary interest in any product mentioned.</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Cataract & Refractive Surgery</title><title level="j" type="abbrev">JCRS</title><idno type="ISSN">0886-3350</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="330">330</biblScope><biblScope unit="page" to="336">336</biblScope></imprint><idno type="ISSN">0886-3350</idno></series><idno type="istex">9664AEDB261A55154CF3708E73DA821DABA9DF85</idno><idno type="DOI">10.1016/S0886-3350(99)00433-2</idno><idno type="PII">S0886-3350(99)00433-2</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose To present a clinicopathological correlation of 2 pairs of piggyback posterior chamber intraocular lenses (PC IOLs) explanted because of opacification between the lens optics.Setting Gayton Health Center, Eyesight Associates of Middle Georgia, Warner Robins, Georgia, and Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.Methods Two pairs of piggyback AcrySof® lenses were explanted from 2 patients with significant visual loss related to opacification between the optics. They were submitted for pathological analysis. Gross and histopathological examinations were performed, and photomicroscopy was used to document the results.Results Gross examination showed accumulation of a membrane-like white material between the lenses. Histopathological examination revealed that the tissue consisted of retained/proliferative lens epithelial cells (bladder cells or pearls) mixed with lens cortical material.Conclusion Piggyback PC IOLs were explanted in 2 cases because of a newly described complication, interlenticular opacification. Three surgical means may help prevent this complication: meticulous cortical cleanup, especially in the equatorial region; creation of a relatively large continuous curvilinear capsulorhexis to sequester retained cells peripheral to the IOL optic within the equatorial fornix; insertion of the posterior IOL in the capsular bag and the anterior IOL in the ciliary sulcus to isolate retained cells from the interlenticular space.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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