Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants.
Identifieur interne : 000082 ( Ncbi/Merge ); précédent : 000081; suivant : 000083Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants.
Auteurs : C K Patel [Royaume-Uni] ; S. Ormonde ; P H Rosen ; A J BronSource :
- Ophthalmology [ 0161-6420 ] ; 1999.
English descriptors
- KwdEn :
- MESH :
Abstract
To compare the postoperative rotation of plate and loop haptic implants of spherical power to ascertain the optimal design appropriate for toric intraocular lenses (IOLs).
DOI: 10.1016/S0161-6420(99)90504-3
PubMed: 10571358
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pubmed:10571358Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants.</title>
<author><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
<affiliation wicri:level="2"><nlm:affiliation>Oxford Eye Hospital, Radcliffe Infirmary, England. ckpatel@ukgateway.net</nlm:affiliation>
<country>Royaume-Uni</country>
<placeName><region type="country">Angleterre</region>
</placeName>
<wicri:cityArea>Oxford Eye Hospital, Radcliffe Infirmary</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Ormonde, S" sort="Ormonde, S" uniqKey="Ormonde S" first="S" last="Ormonde">S. Ormonde</name>
</author>
<author><name sortKey="Rosen, P H" sort="Rosen, P H" uniqKey="Rosen P" first="P H" last="Rosen">P H Rosen</name>
</author>
<author><name sortKey="Bron, A J" sort="Bron, A J" uniqKey="Bron A" first="A J" last="Bron">A J Bron</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants.</title>
<author><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
<affiliation wicri:level="2"><nlm:affiliation>Oxford Eye Hospital, Radcliffe Infirmary, England. ckpatel@ukgateway.net</nlm:affiliation>
<country>Royaume-Uni</country>
<placeName><region type="country">Angleterre</region>
</placeName>
<wicri:cityArea>Oxford Eye Hospital, Radcliffe Infirmary</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Ormonde, S" sort="Ormonde, S" uniqKey="Ormonde S" first="S" last="Ormonde">S. Ormonde</name>
</author>
<author><name sortKey="Rosen, P H" sort="Rosen, P H" uniqKey="Rosen P" first="P H" last="Rosen">P H Rosen</name>
</author>
<author><name sortKey="Bron, A J" sort="Bron, A J" uniqKey="Bron A" first="A J" last="Bron">A J Bron</name>
</author>
</analytic>
<series><title level="j">Ophthalmology</title>
<idno type="ISSN">0161-6420</idno>
<imprint><date when="1999" type="published">1999</date>
</imprint>
</series>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Capsulorhexis</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Phacoemulsification</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Rotation</term>
<term>Silicone Elastomers</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Capsulorhexis</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Phacoemulsification</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Rotation</term>
<term>Time Factors</term>
</keywords>
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<front><div type="abstract" xml:lang="en">To compare the postoperative rotation of plate and loop haptic implants of spherical power to ascertain the optimal design appropriate for toric intraocular lenses (IOLs).</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">10571358</PMID>
<DateCreated><Year>1999</Year>
<Month>11</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>1999</Year>
<Month>11</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0161-6420</ISSN>
<JournalIssue CitedMedium="Print"><Volume>106</Volume>
<Issue>11</Issue>
<PubDate><Year>1999</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Ophthalmology</Title>
<ISOAbbreviation>Ophthalmology</ISOAbbreviation>
</Journal>
<ArticleTitle>Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants.</ArticleTitle>
<Pagination><MedlinePgn>2190-5; discussion 2196</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the postoperative rotation of plate and loop haptic implants of spherical power to ascertain the optimal design appropriate for toric intraocular lenses (IOLs).</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Randomized, controlled trial.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Forty-eight patients attending for routine cataract surgery by phacoemulsification.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Patients with cataract as the only ocular disease were randomly implanted with plate or loop haptic implants after uncomplicated phacoemulsification. The baseline position of the IOL was determined from a video frame acquired at the conclusion of surgery. Postoperative IOL position was documented using digital retroillumination images at 2 weeks and 6 months after surgery. Capsular fusion patterns were recorded using slit-lamp biomicroscopy. Correlation of IOL rotation with axial length, capsular contraction, and fusion was attempted.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Early IOL rotation, occurring between surgery and 2 weeks after surgery, was graded as mild (<10 degrees), moderate (10 degrees < to <30 degrees), or severe (>30 degrees) by a semiobjective online comparison of the images. Late IOL rotation, occurring between 2 weeks and 6 months, was measured more precisely using software developed specifically for the study.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-three patients were allocated the loop haptic and 25 the plate haptic IOL. The groups were comparable for demographic variables and numbers of patients excluded from analysis (P > 0.05). Five (24%) of 21 of plate haptic IOLs underwent severe early rotation compared to 2 (9%) of 22 loop haptics (P = 0.36). The median late rotation was 6.8 degrees for loop haptics compared to 0.6 degrees for plate haptics (P = 0.0073). Between 2 weeks and 6 months, anticlockwise rotation had occurred in 16 (89%) of 18 loop haptic IOLs compared to 11 (52%) of 21 plate haptic IOLs (P = 0.0081).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Plate haptic IOLs show greater rotational stability than do loop haptics made from polypropylene once capsular fusion has taken place. Loop haptics invariably rotate anticlockwise after 2 weeks.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Patel</LastName>
<ForeName>C K</ForeName>
<Initials>CK</Initials>
<AffiliationInfo><Affiliation>Oxford Eye Hospital, Radcliffe Infirmary, England. ckpatel@ukgateway.net</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ormonde</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Rosen</LastName>
<ForeName>P H</ForeName>
<Initials>PH</Initials>
</Author>
<Author ValidYN="Y"><LastName>Bron</LastName>
<ForeName>A J</ForeName>
<Initials>AJ</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
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</Article>
<MedlineJournalInfo><Country>UNITED STATES</Country>
<MedlineTA>Ophthalmology</MedlineTA>
<NlmUniqueID>7802443</NlmUniqueID>
<ISSNLinking>0161-6420</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D012826">Silicone Elastomers</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019923">Capsulorhexis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019654">Lens Implantation, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D018918">Phacoemulsification</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011183">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011474">Prosthesis Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012399">Rotation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012826">Silicone Elastomers</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Day>26</Day>
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<affiliations><list><country><li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
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<name sortKey="Ormonde, S" sort="Ormonde, S" uniqKey="Ormonde S" first="S" last="Ormonde">S. Ormonde</name>
<name sortKey="Rosen, P H" sort="Rosen, P H" uniqKey="Rosen P" first="P H" last="Rosen">P H Rosen</name>
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<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Patel, C K" sort="Patel, C K" uniqKey="Patel C" first="C K" last="Patel">C K Patel</name>
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