HapticV1, PascalFrancis, Checkpoint, bibRecord, 000496

Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation

Identifieur interne : 000496 ( PascalFrancis/Checkpoint ); précédent : 000495; suivant : 000497

Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation

Auteurs : Yousuf M. Khalifa [États-Unis] ; Majid Moshirfar [États-Unis] ; Mark D. Mifflin [États-Unis] ; Kandon Kamae [États-Unis] ; Nick Mamalis [États-Unis] ; Liliana Werner [États-Unis]

Source :

Journal of cataract and refractive surgery [ 0886-3350 ] ; 2010.

RBID : Pascal:10-0489614

Descripteurs français

Pascal (Inist)
- Cataracte, Développement, Association, Collagène, Chambre postérieure, Lentille intraoculaire, Corrélation, Ophtalmologie, Chirurgie, Traitement.
Wicri :
- topic : Association, Chirurgie.

English descriptors

KwdEn :
- Association, Cataract, Collagen, Correlation, Development, Intraocular lens, Ophthalmology, Posterior chamber, Surgery, Treatment.

Abstract

PURPOSE: To assess the histopathology of anterior subcapsular cataract associated with a collagen copolymer posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens) using light microscopy after pIOL explantation and cataract surgery. SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN: Laboratory investigation. METHODS: Pathology specimens related to explanted pIOLs were reviewed and preoperative and postoperative patient data collected. The anterior lens capsules and explanted pIOLs were examined. RESULTS: Four eyes (3 patients) had pIOL explantation for low vault and anterior subcapsular cataract. The explanted pIOLs were the shorter length models (3,12.1 mm; 1,12.6 mm). Anterior segment optical coherence tomography (AS-OCT) confirmed the low pIOL vault before explantation in 2 eyes. Histopathology of the anterior subcapsular cataract showed fibrous metaplasia with a variable number of lens epithelial cell (LEC) layers attached to the inner surface of the anterior capsulorhexis specimens. Light microscopy of the explanted pIOLs showed no pigment on 1 lens, mild pigment deposition on 1 haptic, and pigment deposition throughout the anterior surface of 2 pIOLs. CONCLUSIONS: Anterior subcapsular cataract associated with the pIOLs was caused by low vaulting (confirmed on AS-OCT) and consequent fibrous metaplasia of the anterior LECs. Surgeons should consider the possibility of anterior subcapsular cataract associated with shorter platforms when selecting a pIOL length for appropriate vault. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.

Affiliations:

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Le document en format XML

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<term>Intraocular lens</term>
<term>Ophthalmology</term>
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<term>Association</term>
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<term>Lentille intraoculaire</term>
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<term>Chirurgie</term>
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<front><div type="abstract" xml:lang="en">PURPOSE: To assess the histopathology of anterior subcapsular cataract associated with a collagen copolymer posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens) using light microscopy after pIOL explantation and cataract surgery. SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN: Laboratory investigation. METHODS: Pathology specimens related to explanted pIOLs were reviewed and preoperative and postoperative patient data collected. The anterior lens capsules and explanted pIOLs were examined. RESULTS: Four eyes (3 patients) had pIOL explantation for low vault and anterior subcapsular cataract. The explanted pIOLs were the shorter length models (3,12.1 mm; 1,12.6 mm). Anterior segment optical coherence tomography (AS-OCT) confirmed the low pIOL vault before explantation in 2 eyes. Histopathology of the anterior subcapsular cataract showed fibrous metaplasia with a variable number of lens epithelial cell (LEC) layers attached to the inner surface of the anterior capsulorhexis specimens. Light microscopy of the explanted pIOLs showed no pigment on 1 lens, mild pigment deposition on 1 haptic, and pigment deposition throughout the anterior surface of 2 pIOLs. CONCLUSIONS: Anterior subcapsular cataract associated with the pIOLs was caused by low vaulting (confirmed on AS-OCT) and consequent fibrous metaplasia of the anterior LECs. Surgeons should consider the possibility of anterior subcapsular cataract associated with shorter platforms when selecting a pIOL length for appropriate vault. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.</div>
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   |texte=   Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation
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Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation

Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation

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