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Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults

Identifieur interne : 000514 ( PascalFrancis/Corpus ); précédent : 000513; suivant : 000515

Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults

Auteurs : Timothy W. Olsen ; Jonathan T. Pribila

Source :

RBID : Pascal:11-0121016

Descripteurs français

English descriptors

Abstract

• PURPOSE: To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. • DESIGN: A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. • METHODS: Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (< 18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. • RESULTS: The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. • CONCLUSIONS: Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0002-9394
A02 01      @0 AJOPAA
A03   1    @0 Am. j. ophthalmol.
A05       @2 151
A06       @2 2
A08 01  1  ENG  @1 Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults
A11 01  1    @1 OLSEN (Timothy W.)
A11 02  1    @1 PRIBILA (Jonathan T.)
A14 01      @1 Emory University Department of Ophthalmology @2 Atlanta, Georgia @3 USA @Z 1 aut.
A14 02      @1 University of Minnesota, Department of Ophthalmology @2 Minneapolis, Minnesota @3 USA @Z 1 aut. @Z 2 aut.
A20       @1 287-296
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 2012 @5 354000194609150150
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
A45       @0 25 ref.
A47 01  1    @0 11-0121016
A60       @1 P
A61       @0 A
A64 01  1    @0 American journal of ophthalmology
A66 01      @0 USA
C01 01    ENG  @0 • PURPOSE: To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. • DESIGN: A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. • METHODS: Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (< 18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. • RESULTS: The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. • CONCLUSIONS: Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.
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C03 01  X  ENG  @0 Pars plana @5 09
C03 01  X  SPA  @0 Pars plana @5 09
C03 02  X  FRE  @0 Vitrectomie @5 10
C03 02  X  ENG  @0 Vitrectomy @5 10
C03 02  X  SPA  @0 Vitrectomía @5 10
C03 03  X  FRE  @0 Chirurgie @5 11
C03 03  X  ENG  @0 Surgery @5 11
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C03 04  X  FRE  @0 Endoscope @5 12
C03 04  X  ENG  @0 Endoscope @5 12
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C03 05  X  FRE  @0 Guidage @5 13
C03 05  X  ENG  @0 Guidance @5 13
C03 05  X  SPA  @0 Guiado @5 13
C03 06  X  FRE  @0 Lentille intraoculaire @5 14
C03 06  X  ENG  @0 Intraocular lens @5 14
C03 06  X  SPA  @0 Lente intraocular @5 14
C03 07  X  FRE  @0 Intraoculaire @5 15
C03 07  X  ENG  @0 Intraocular @5 15
C03 07  X  SPA  @0 Intraocular @5 15
C03 08  X  FRE  @0 Implantation @5 16
C03 08  X  ENG  @0 Implantation @5 16
C03 08  X  SPA  @0 Implantación @5 16
C03 09  X  FRE  @0 Enfant @5 17
C03 09  X  ENG  @0 Child @5 17
C03 09  X  SPA  @0 Niño @5 17
C03 10  X  FRE  @0 Adulte @5 18
C03 10  X  ENG  @0 Adult @5 18
C03 10  X  SPA  @0 Adulto @5 18
C03 11  X  FRE  @0 Ophtalmologie @5 19
C03 11  X  ENG  @0 Ophthalmology @5 19
C03 11  X  SPA  @0 Oftalmología @5 19
C03 12  X  FRE  @0 Traitement @5 78
C03 12  X  ENG  @0 Treatment @5 78
C03 12  X  SPA  @0 Tratamiento @5 78
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C07 01  X  ENG  @0 Human
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N44 01      @1 OTO
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Format Inist (serveur)

NO : PASCAL 11-0121016 INIST
ET : Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults
AU : OLSEN (Timothy W.); PRIBILA (Jonathan T.)
AF : Emory University Department of Ophthalmology/Atlanta, Georgia/Etats-Unis (1 aut.); University of Minnesota, Department of Ophthalmology/Minneapolis, Minnesota/Etats-Unis (1 aut., 2 aut.)
DT : Publication en série; Niveau analytique
SO : American journal of ophthalmology; ISSN 0002-9394; Coden AJOPAA; Etats-Unis; Da. 2011; Vol. 151; No. 2; Pp. 287-296; Bibl. 25 ref.
LA : Anglais
EA : • PURPOSE: To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. • DESIGN: A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. • METHODS: Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (< 18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. • RESULTS: The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. • CONCLUSIONS: Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.
CC : 002B09N
FD : Pars plana; Vitrectomie; Chirurgie; Endoscope; Guidage; Lentille intraoculaire; Intraoculaire; Implantation; Enfant; Adulte; Ophtalmologie; Traitement
FG : Homme
ED : Pars plana; Vitrectomy; Surgery; Endoscope; Guidance; Intraocular lens; Intraocular; Implantation; Child; Adult; Ophthalmology; Treatment
EG : Human
SD : Pars plana; Vitrectomía; Cirugía; Endoscopio; Guiado; Lente intraocular; Intraocular; Implantación; Niño; Adulto; Oftalmología; Tratamiento
LO : INIST-2012.354000194609150150
ID : 11-0121016

Links to Exploration step

Pascal:11-0121016

Le document en format XML

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<NO>PASCAL 11-0121016 INIST</NO>
<ET>Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults</ET>
<AU>OLSEN (Timothy W.); PRIBILA (Jonathan T.)</AU>
<AF>Emory University Department of Ophthalmology/Atlanta, Georgia/Etats-Unis (1 aut.); University of Minnesota, Department of Ophthalmology/Minneapolis, Minnesota/Etats-Unis (1 aut., 2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>American journal of ophthalmology; ISSN 0002-9394; Coden AJOPAA; Etats-Unis; Da. 2011; Vol. 151; No. 2; Pp. 287-296; Bibl. 25 ref.</SO>
<LA>Anglais</LA>
<EA>• PURPOSE: To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. • DESIGN: A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. • METHODS: Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (< 18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. • RESULTS: The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. • CONCLUSIONS: Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.</EA>
<CC>002B09N</CC>
<FD>Pars plana; Vitrectomie; Chirurgie; Endoscope; Guidage; Lentille intraoculaire; Intraoculaire; Implantation; Enfant; Adulte; Ophtalmologie; Traitement</FD>
<FG>Homme</FG>
<ED>Pars plana; Vitrectomy; Surgery; Endoscope; Guidance; Intraocular lens; Intraocular; Implantation; Child; Adult; Ophthalmology; Treatment</ED>
<EG>Human</EG>
<SD>Pars plana; Vitrectomía; Cirugía; Endoscopio; Guiado; Lente intraocular; Intraocular; Implantación; Niño; Adulto; Oftalmología; Tratamiento</SD>
<LO>INIST-2012.354000194609150150</LO>
<ID>11-0121016</ID>
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