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Massive anterior capsule shrinkage after plate-haptic silicone lens implantation in uveitis.

Identifieur interne : 000177 ( Ncbi/Checkpoint ); précédent : 000176; suivant : 000178

Massive anterior capsule shrinkage after plate-haptic silicone lens implantation in uveitis.

Auteurs : C. Lüke [Allemagne] ; T S Dietlein ; P C Jacobi ; W. Konen ; G K Krieglstein

Source :

RBID : pubmed:11226804

English descriptors

Abstract

Two patients, both with bilateral uveitis, had synechiolysis, continuous curvilinear capsulorhexis (CCC), phacoemulsification, and in-the-bag implantation of a foldable single-piece plate-haptic silicone intraocular lens (IOL) in 1 eye. Several weeks postoperatively, massive anterior capsule shrinkage with obstruction of the visual axis occurred in both patients. Surgical revision was performed in both eyes. Both patients had CCC and phacoemulsification and confirmed in-the-bag acrylic IOL implantation in the second eye months after surgery in the first eye. Follow-up examinations showed no significant shrinkage of the anterior capsule opening in any eye. In patients with uveitis, intraoperative lens epithelial cell removal, creation of a large CCC, and careful selection of IOL style and material may prevent occlusion of the anterior capsule opening.

PubMed: 11226804


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pubmed:11226804

Le document en format XML

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<name sortKey="Luke, C" sort="Luke, C" uniqKey="Luke C" first="C" last="Lüke">C. Lüke</name>
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<nlm:affiliation>Department of Ophthalmology, University of Cologne, Germany. aia18@uni-koeln.de</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<name sortKey="Dietlein, T S" sort="Dietlein, T S" uniqKey="Dietlein T" first="T S" last="Dietlein">T S Dietlein</name>
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<name sortKey="Konen, W" sort="Konen, W" uniqKey="Konen W" first="W" last="Konen">W. Konen</name>
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<name sortKey="Krieglstein, G K" sort="Krieglstein, G K" uniqKey="Krieglstein G" first="G K" last="Krieglstein">G K Krieglstein</name>
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<term>Aged</term>
<term>Capsulorhexis</term>
<term>Humans</term>
<term>Lens Capsule, Crystalline (pathology)</term>
<term>Lens Diseases (diagnosis)</term>
<term>Lens Diseases (etiology)</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Reoperation</term>
<term>Silicone Elastomers</term>
<term>Uveitis (complications)</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Silicone Elastomers</term>
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<term>Lens Implantation, Intraocular</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Uveitis</term>
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<term>Lens Diseases</term>
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<div type="abstract" xml:lang="en">Two patients, both with bilateral uveitis, had synechiolysis, continuous curvilinear capsulorhexis (CCC), phacoemulsification, and in-the-bag implantation of a foldable single-piece plate-haptic silicone intraocular lens (IOL) in 1 eye. Several weeks postoperatively, massive anterior capsule shrinkage with obstruction of the visual axis occurred in both patients. Surgical revision was performed in both eyes. Both patients had CCC and phacoemulsification and confirmed in-the-bag acrylic IOL implantation in the second eye months after surgery in the first eye. Follow-up examinations showed no significant shrinkage of the anterior capsule opening in any eye. In patients with uveitis, intraoperative lens epithelial cell removal, creation of a large CCC, and careful selection of IOL style and material may prevent occlusion of the anterior capsule opening.</div>
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