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Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision

Identifieur interne : 000F93 ( PascalFrancis/Corpus ); précédent : 000F92; suivant : 000F94

Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision

Auteurs : Gregg T. Kokame ; Izumi Yamamoto ; Huck Mandel

Source :

RBID : Pascal:04-0296978

Descripteurs français

English descriptors

Abstract

Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.

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 5
A08 01  1  ENG  @1 Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision
A11 01  1    @1 KOKAME (Gregg T.)
A11 02  1    @1 YAMAMOTO (Izumi)
A11 03  1    @1 MANDEL (Huck)
A14 01      @1 Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine @2 Honolulu @3 USA @Z 1 aut. @Z 2 aut.
A14 02      @1 Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health @2 Aiea @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut.
A20       @1 1049-1056
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000114546840160
A44       @0 0000 @1 © 2004 INIST-CNRS. All rights reserved.
A45       @0 29 ref.
A47 01  1    @0 04-0296978
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Sclérotique @5 02
C03 01  X  ENG  @0 Sclera @5 02
C03 01  X  SPA  @0 Esclerótica @5 02
C03 02  X  FRE  @0 Fixation @5 03
C03 02  X  ENG  @0 Fixation @5 03
C03 02  X  SPA  @0 Fijación @5 03
C03 03  X  FRE  @0 Chambre postérieure @5 05
C03 03  X  ENG  @0 Posterior chamber @5 05
C03 03  X  SPA  @0 Cámara posterior @5 05
C03 04  X  FRE  @0 Lentille intraoculaire @5 06
C03 04  X  ENG  @0 Intraocular lens @5 06
C03 04  X  SPA  @0 Lente intraocular @5 06
C03 05  X  FRE  @0 Cornée @5 08
C03 05  X  ENG  @0 Cornea @5 08
C03 05  X  SPA  @0 Córnea @5 08
C03 06  X  FRE  @0 Incision @5 09
C03 06  X  ENG  @0 Incision @5 09
C03 06  X  SPA  @0 Incisión @5 09
C03 07  X  FRE  @0 Chirurgie @5 11
C03 07  X  ENG  @0 Surgery @5 11
C03 07  X  SPA  @0 Cirugía @5 11
C03 08  X  FRE  @0 Ophtalmologie @5 12
C03 08  X  ENG  @0 Ophthalmology @5 12
C03 08  X  SPA  @0 Oftalmología @5 12
C03 09  X  FRE  @0 Traitement @5 25
C03 09  X  ENG  @0 Treatment @5 25
C03 09  X  SPA  @0 Tratamiento @5 25
N21       @1 180
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 04-0296978 INIST
ET : Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision
AU : KOKAME (Gregg T.); YAMAMOTO (Izumi); MANDEL (Huck)
AF : Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine/Honolulu/Etats-Unis (1 aut., 2 aut.); Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health/Aiea/Etats-Unis (1 aut., 2 aut., 3 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. 5; Pp. 1049-1056; Bibl. 29 ref.
LA : Anglais
EA : Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.
CC : 002B25B
FD : Sclérotique; Fixation; Chambre postérieure; Lentille intraoculaire; Cornée; Incision; Chirurgie; Ophtalmologie; Traitement
ED : Sclera; Fixation; Posterior chamber; Intraocular lens; Cornea; Incision; Surgery; Ophthalmology; Treatment
SD : Esclerótica; Fijación; Cámara posterior; Lente intraocular; Córnea; Incisión; Cirugía; Oftalmología; Tratamiento
LO : INIST-20937.354000114546840160
ID : 04-0296978

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Pascal:04-0296978

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.</div>
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<NO>PASCAL 04-0296978 INIST</NO>
<ET>Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision</ET>
<AU>KOKAME (Gregg T.); YAMAMOTO (Izumi); MANDEL (Huck)</AU>
<AF>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine/Honolulu/Etats-Unis (1 aut., 2 aut.); Retina Center at Pali Momi, an affiliation of Hawaii Pacific Health/Aiea/Etats-Unis (1 aut., 2 aut., 3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2004; Vol. 30; No. 5; Pp. 1049-1056; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To report the results of managing dislocated posterior chamber intraocular lenses (PC lOLs) by externalizing the haptics through a clear corneal incision. Setting: The Retina Center at Pali Momi, Aiea, Hawaii, USA. Methods: This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap. Results: The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC lOLs, 11 posteriorly dislocated PC lOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All lOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL. Conclusions: Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.</EA>
<CC>002B25B</CC>
<FD>Sclérotique; Fixation; Chambre postérieure; Lentille intraoculaire; Cornée; Incision; Chirurgie; Ophtalmologie; Traitement</FD>
<ED>Sclera; Fixation; Posterior chamber; Intraocular lens; Cornea; Incision; Surgery; Ophthalmology; Treatment</ED>
<SD>Esclerótica; Fijación; Cámara posterior; Lente intraocular; Córnea; Incisión; Cirugía; Oftalmología; Tratamiento</SD>
<LO>INIST-20937.354000114546840160</LO>
<ID>04-0296978</ID>
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