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Eccentric capsulorhexis and postoperative dysphotopsia following phacoemulsification

Identifieur interne : 000F76 ( PascalFrancis/Corpus ); précédent : 000F75; suivant : 000F77

Eccentric capsulorhexis and postoperative dysphotopsia following phacoemulsification

Auteurs : Wayne Birchall ; Arun K. Brahma

Source :

RBID : Pascal:04-0351507

Descripteurs français

English descriptors

Abstract

We report a case of troublesome visual symptoms or dysphotopsia in a 68-year-old patient after right phacoemulsification and implantation of a 3-piece Acrysof® MA60BM acrylic intraocular lens (IOL) (Alcon) in the capsular bag. The patient described multiple horizontal streaks in dim lighting conditions with light sources in the right temporal visual field. The anterior capsulorhexis was eccentric, leaving the nasal optic edge and site of polypropylene haptic insertion uncovered by the semi-opaque anterior capsule and the probable source of the flare images. Miotic therapy was poorly tolerated and IOL exchange declined. The case illustrates the importance of creating a central capsulorhexis smaller than the IOL optic to reduce the risk photic phenomena and edge effect with square-edged lOLs.

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 30
A06       @2 6
A08 01  1  ENG  @1 Eccentric capsulorhexis and postoperative dysphotopsia following phacoemulsification
A11 01  1    @1 BIRCHALL (Wayne)
A11 02  1    @1 BRAHMA (Arun K.)
A14 01      @1 Manchester Royal Eye Hospital, Oxford Road @2 Manchester @3 GBR @Z 1 aut. @Z 2 aut.
A20       @1 1378-1381
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000112054330360
A44       @0 0000 @1 © 2004 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 04-0351507
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 We report a case of troublesome visual symptoms or dysphotopsia in a 68-year-old patient after right phacoemulsification and implantation of a 3-piece Acrysof® MA60BM acrylic intraocular lens (IOL) (Alcon) in the capsular bag. The patient described multiple horizontal streaks in dim lighting conditions with light sources in the right temporal visual field. The anterior capsulorhexis was eccentric, leaving the nasal optic edge and site of polypropylene haptic insertion uncovered by the semi-opaque anterior capsule and the probable source of the flare images. Miotic therapy was poorly tolerated and IOL exchange declined. The case illustrates the importance of creating a central capsulorhexis smaller than the IOL optic to reduce the risk photic phenomena and edge effect with square-edged lOLs.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Excentrique @5 02
C03 01  X  ENG  @0 Eccentric @5 02
C03 01  X  SPA  @0 Excéntrico @5 02
C03 02  X  FRE  @0 Capsulorhexis @5 03
C03 02  X  ENG  @0 Capsulorhexis @5 03
C03 02  X  SPA  @0 Capsulorexis @5 03
C03 03  X  FRE  @0 Chirurgie @5 05
C03 03  X  ENG  @0 Surgery @5 05
C03 03  X  SPA  @0 Cirugía @5 05
C03 04  X  FRE  @0 Postopératoire @5 06
C03 04  X  ENG  @0 Postoperative @5 06
C03 04  X  SPA  @0 Postoperatorio @5 06
C03 05  X  FRE  @0 Phacoémulsification @5 08
C03 05  X  ENG  @0 Phacoemulsification @5 08
C03 05  X  SPA  @0 Facoemulsificación @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
C03 07  X  FRE  @0 Traitement @5 25
C03 07  X  ENG  @0 Treatment @5 25
C03 07  X  SPA  @0 Tratamiento @5 25
N21       @1 208
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 04-0351507 INIST
ET : Eccentric capsulorhexis and postoperative dysphotopsia following phacoemulsification
AU : BIRCHALL (Wayne); BRAHMA (Arun K.)
AF : Manchester Royal Eye Hospital, Oxford Road/Manchester/Royaume-Uni (1 aut., 2 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2004; Vol. 30; No. 6; Pp. 1378-1381; Bibl. 13 ref.
LA : Anglais
EA : We report a case of troublesome visual symptoms or dysphotopsia in a 68-year-old patient after right phacoemulsification and implantation of a 3-piece Acrysof® MA60BM acrylic intraocular lens (IOL) (Alcon) in the capsular bag. The patient described multiple horizontal streaks in dim lighting conditions with light sources in the right temporal visual field. The anterior capsulorhexis was eccentric, leaving the nasal optic edge and site of polypropylene haptic insertion uncovered by the semi-opaque anterior capsule and the probable source of the flare images. Miotic therapy was poorly tolerated and IOL exchange declined. The case illustrates the importance of creating a central capsulorhexis smaller than the IOL optic to reduce the risk photic phenomena and edge effect with square-edged lOLs.
CC : 002B25B
FD : Excentrique; Capsulorhexis; Chirurgie; Postopératoire; Phacoémulsification; Ophtalmologie; Traitement
ED : Eccentric; Capsulorhexis; Surgery; Postoperative; Phacoemulsification; Ophthalmology; Treatment
SD : Excéntrico; Capsulorexis; Cirugía; Postoperatorio; Facoemulsificación; Oftalmología; Tratamiento
LO : INIST-20937.354000112054330360
ID : 04-0351507

Links to Exploration step

Pascal:04-0351507

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