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Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses

Identifieur interne : 000E57 ( PascalFrancis/Corpus ); précédent : 000E56; suivant : 000E58

Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses

Auteurs : Russell M. Leboyer ; Liliana Werner ; Micheal E. Snyder ; Nick Mamalis ; Christopher D. Riemann ; James J. Augsberger

Source :

RBID : Pascal:05-0400466

Descripteurs français

English descriptors

Abstract

We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (lOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the lOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0886-3350
A02 01      @0 JCSUEV
A03   1    @0 J. cataract refractive surg.
A05       @2 31
A06       @2 7
A08 01  1  ENG  @1 Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses
A11 01  1    @1 LEBOYER (Russell M.)
A11 02  1    @1 WERNER (Liliana)
A11 03  1    @1 SNYDER (Micheal E.)
A11 04  1    @1 MAMALIS (Nick)
A11 05  1    @1 RIEMANN (Christopher D.)
A11 06  1    @1 AUGSBERGER (James J.)
A14 01      @1 John A. Moran Eye Center, University of Utah @2 Salt Lake City, Utah @3 USA @Z 1 aut. @Z 2 aut. @Z 4 aut.
A14 02      @1 Cincinnati Eye Institute @3 USA @Z 3 aut. @Z 5 aut.
A14 03      @1 University of Cincinnati Medical School @2 Cincinnati, Ohio @3 USA @Z 6 aut.
A20       @1 1421-1427
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000131572020240
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 22 ref.
A47 01  1    @0 05-0400466
A60       @1 P @3 EC
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (lOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the lOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.
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C03 02  X  ENG  @0 Irritation @5 03
C03 02  X  SPA  @0 Irritación @5 03
C03 03  X  FRE  @0 Association @5 05
C03 03  X  ENG  @0 Association @5 05
C03 03  X  SPA  @0 Asociación @5 05
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C03 04  X  ENG  @0 Intraocular lens @5 06
C03 04  X  SPA  @0 Lente intraocular @5 06
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C03 05  X  ENG  @0 Surgery @5 08
C03 05  X  SPA  @0 Cirugía @5 08
C03 06  X  FRE  @0 Ophtalmologie @5 09
C03 06  X  ENG  @0 Ophthalmology @5 09
C03 06  X  SPA  @0 Oftalmología @5 09
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C03 07  X  ENG  @0 Treatment @5 25
C03 07  X  SPA  @0 Tratamiento @5 25
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N44 01      @1 OTO
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Format Inist (serveur)

NO : PASCAL 05-0400466 INIST
ET : Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses
AU : LEBOYER (Russell M.); WERNER (Liliana); SNYDER (Micheal E.); MAMALIS (Nick); RIEMANN (Christopher D.); AUGSBERGER (James J.)
AF : John A. Moran Eye Center, University of Utah/Salt Lake City, Utah/Etats-Unis (1 aut., 2 aut., 4 aut.); Cincinnati Eye Institute/Etats-Unis (3 aut., 5 aut.); University of Cincinnati Medical School/Cincinnati, Ohio/Etats-Unis (6 aut.)
DT : Publication en série; Etude de cas, cas et faits cliniques; Niveau analytique
SO : Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 7; Pp. 1421-1427; Bibl. 22 ref.
LA : Anglais
EA : We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (lOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the lOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.
CC : 002B25B
FD : Aigu; Irritation; Association; Lentille intraoculaire; Chirurgie; Ophtalmologie; Traitement
ED : Acute; Irritation; Association; Intraocular lens; Surgery; Ophthalmology; Treatment
SD : Agudo; Irritación; Asociación; Lente intraocular; Cirugía; Oftalmología; Tratamiento
LO : INIST-20937.354000131572020240
ID : 05-0400466

Links to Exploration step

Pascal:05-0400466

Le document en format XML

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<ET>Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses</ET>
<AU>LEBOYER (Russell M.); WERNER (Liliana); SNYDER (Micheal E.); MAMALIS (Nick); RIEMANN (Christopher D.); AUGSBERGER (James J.)</AU>
<AF>John A. Moran Eye Center, University of Utah/Salt Lake City, Utah/Etats-Unis (1 aut., 2 aut., 4 aut.); Cincinnati Eye Institute/Etats-Unis (3 aut., 5 aut.); University of Cincinnati Medical School/Cincinnati, Ohio/Etats-Unis (6 aut.)</AF>
<DT>Publication en série; Etude de cas, cas et faits cliniques; Niveau analytique</DT>
<SO>Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 7; Pp. 1421-1427; Bibl. 22 ref.</SO>
<LA>Anglais</LA>
<EA>We report an analysis of 3 single-piece hydrophobic acrylic intraocular lenses (lOLs) that were explanted because of complications related to the presence of their haptics in the ciliary sulcus. In 2 cases, the IOL was primarily implanted in the ciliary sulcus because of inadequate posterior capsule support. In the third case, postoperative displacement of 1 haptic in the sulcus was associated with hyphema and vitreous hemorrhage. Ultrasound biomicroscopy confirmed the contact between the haptic and iris. Areas of iris atrophy were observed in all cases. Light microscopy and scanning electron microscopy of the explanted lenses revealed the presence of pigmentary dispersion on the anterior surfaces. In Case 3, the pigments were concentrated on the surface of the haptic that was displaced from the capsular bag and on the corresponding optic-haptic junction. Scanning electron microscopy also showed the lOL's squared edges and unpolished side walls. The flexibility and thickness of the single-piece hydrophobic acrylic haptics, as well as the square optic and haptic edges, may increase the risk for iris chafing when the haptics are in the sulcus. Therefore, sulcus fixation of this IOL design is not recommended.</EA>
<CC>002B25B</CC>
<FD>Aigu; Irritation; Association; Lentille intraoculaire; Chirurgie; Ophtalmologie; Traitement</FD>
<ED>Acute; Irritation; Association; Intraocular lens; Surgery; Ophthalmology; Treatment</ED>
<SD>Agudo; Irritación; Asociación; Lente intraocular; Cirugía; Oftalmología; Tratamiento</SD>
<LO>INIST-20937.354000131572020240</LO>
<ID>05-0400466</ID>
</server>
</inist>
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