Serveur d'exploration sur les dispositifs haptiques

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision

Identifieur interne : 000C23 ( PascalFrancis/Checkpoint ); précédent : 000C22; suivant : 000C24

Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision

Auteurs : Gregg T. Kokame [États-Unis] ; Izumi Yamamoto [États-Unis] ; Huck Mandel [États-Unis]

Source :

RBID : Pascal:04-0296978

Descripteurs français

English descriptors

Abstract

Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.


Affiliations:


Links toward previous steps (curation, corpus...)


Links to Exploration step

Pascal:04-0296978

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en" level="a">Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision</title>
<author>
<name sortKey="Kokame, Gregg T" sort="Kokame, Gregg T" uniqKey="Kokame G" first="Gregg T." last="Kokame">Gregg T. Kokame</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine</s1>
<s2>Honolulu</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Honolulu</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Aiea</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Yamamoto, Izumi" sort="Yamamoto, Izumi" uniqKey="Yamamoto I" first="Izumi" last="Yamamoto">Izumi Yamamoto</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine</s1>
<s2>Honolulu</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Honolulu</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Aiea</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mandel, Huck" sort="Mandel, Huck" uniqKey="Mandel H" first="Huck" last="Mandel">Huck Mandel</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Aiea</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">INIST</idno>
<idno type="inist">04-0296978</idno>
<date when="2004">2004</date>
<idno type="stanalyst">PASCAL 04-0296978 INIST</idno>
<idno type="RBID">Pascal:04-0296978</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000F93</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000516</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000C23</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a">Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision</title>
<author>
<name sortKey="Kokame, Gregg T" sort="Kokame, Gregg T" uniqKey="Kokame G" first="Gregg T." last="Kokame">Gregg T. Kokame</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine</s1>
<s2>Honolulu</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Honolulu</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Aiea</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Yamamoto, Izumi" sort="Yamamoto, Izumi" uniqKey="Yamamoto I" first="Izumi" last="Yamamoto">Izumi Yamamoto</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine</s1>
<s2>Honolulu</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Honolulu</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Aiea</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mandel, Huck" sort="Mandel, Huck" uniqKey="Mandel H" first="Huck" last="Mandel">Huck Mandel</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Aiea</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Journal of cataract and refractive surgery</title>
<title level="j" type="abbreviated">J. cataract refractive surg.</title>
<idno type="ISSN">0886-3350</idno>
<imprint>
<date when="2004">2004</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Journal of cataract and refractive surgery</title>
<title level="j" type="abbreviated">J. cataract refractive surg.</title>
<idno type="ISSN">0886-3350</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cornea</term>
<term>Fixation</term>
<term>Incision</term>
<term>Intraocular lens</term>
<term>Ophthalmology</term>
<term>Posterior chamber</term>
<term>Sclera</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Sclérotique</term>
<term>Fixation</term>
<term>Chambre postérieure</term>
<term>Lentille intraoculaire</term>
<term>Cornée</term>
<term>Incision</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Chirurgie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.</div>
</front>
</TEI>
<inist>
<standard h6="B">
<pA>
<fA01 i1="01" i2="1">
<s0>0886-3350</s0>
</fA01>
<fA02 i1="01">
<s0>JCSUEV</s0>
</fA02>
<fA03 i2="1">
<s0>J. cataract refractive surg.</s0>
</fA03>
<fA05>
<s2>30</s2>
</fA05>
<fA06>
<s2>5</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG">
<s1>Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision</s1>
</fA08>
<fA11 i1="01" i2="1">
<s1>KOKAME (Gregg T.)</s1>
</fA11>
<fA11 i1="02" i2="1">
<s1>YAMAMOTO (Izumi)</s1>
</fA11>
<fA11 i1="03" i2="1">
<s1>MANDEL (Huck)</s1>
</fA11>
<fA14 i1="01">
<s1>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine</s1>
<s2>Honolulu</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health</s1>
<s2>Aiea</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</fA14>
<fA20>
<s1>1049-1056</s1>
</fA20>
<fA21>
<s1>2004</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>20937</s2>
<s5>354000114546840160</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2004 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>29 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>04-0296978</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Journal of cataract and refractive surgery</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B25B</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Sclérotique</s0>
<s5>02</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Sclera</s0>
<s5>02</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Esclerótica</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Fixation</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Fixation</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Fijación</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Chambre postérieure</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Posterior chamber</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Cámara posterior</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Lentille intraoculaire</s0>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Intraocular lens</s0>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Lente intraocular</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Cornée</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Cornea</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Córnea</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Incision</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Incision</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Incisión</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Ophtalmologie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Ophthalmology</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Oftalmología</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>25</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>25</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>25</s5>
</fC03>
<fN21>
<s1>180</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
</list>
<tree>
<country name="États-Unis">
<noRegion>
<name sortKey="Kokame, Gregg T" sort="Kokame, Gregg T" uniqKey="Kokame G" first="Gregg T." last="Kokame">Gregg T. Kokame</name>
</noRegion>
<name sortKey="Kokame, Gregg T" sort="Kokame, Gregg T" uniqKey="Kokame G" first="Gregg T." last="Kokame">Gregg T. Kokame</name>
<name sortKey="Mandel, Huck" sort="Mandel, Huck" uniqKey="Mandel H" first="Huck" last="Mandel">Huck Mandel</name>
<name sortKey="Yamamoto, Izumi" sort="Yamamoto, Izumi" uniqKey="Yamamoto I" first="Izumi" last="Yamamoto">Izumi Yamamoto</name>
<name sortKey="Yamamoto, Izumi" sort="Yamamoto, Izumi" uniqKey="Yamamoto I" first="Izumi" last="Yamamoto">Izumi Yamamoto</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/PascalFrancis/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C23 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/PascalFrancis/Checkpoint/biblio.hfd -nk 000C23 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    HapticV1
   |flux=    PascalFrancis
   |étape=   Checkpoint
   |type=    RBID
   |clé=     Pascal:04-0296978
   |texte=   Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision
}}

Wicri

This area was generated with Dilib version V0.6.23.
Data generation: Mon Jun 13 01:09:46 2016. Site generation: Wed Mar 6 09:54:07 2024