Acute haptic-induced ciliary sulcus irritation associated with single-piece AcrySof intraocular lenses
Identifieur interne : 000E57 ( PascalFrancis/Corpus ); précédent : 000E56; suivant : 000E58Acute 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. AugsbergerSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 05-0400466 INIST |
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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 |
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Pascal:05-0400466Le document en format XML
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<front><div type="abstract" xml:lang="en">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.</div>
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<server><NO>PASCAL 05-0400466 INIST</NO>
<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>
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<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>
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