Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults
Identifieur interne : 000514 ( PascalFrancis/Corpus ); précédent : 000513; suivant : 000515Pars Plana Vitrectomy With Endoscope-Guided Sutured Posterior Chamber Intraocular Lens Implantation in Children and Adults
Auteurs : Timothy W. Olsen ; Jonathan T. PribilaSource :
- American journal of ophthalmology [ 0002-9394 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 11-0121016 INIST |
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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 |
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Pascal:11-0121016Le document en format XML
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<front><div type="abstract" xml:lang="en">• 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.</div>
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<server><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>
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<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>
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