Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation
Identifieur interne : 001145 ( PascalFrancis/Corpus ); précédent : 001144; suivant : 001146Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation
Auteurs : Pinar C. Özdal ; Magdi Mansour ; Jean DeschenesSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2003.
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Abstract
Purpose: To evaluate the ultrasound biomicroscopy (UBM) findings in pseudophakic eyes with chronic noninfectious postoperative inflammation and discuss the use of the technique in these cases. Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information.
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| NO : | PASCAL 03-0398123 INIST |
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| ET : | Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation |
| AU : | ÖZDAL (Pinar C.); MANSOUR (Magdi); DESCHENES (Jean) |
| AF : | McGill University Health Center, Department of Ophthalmology/Montréal, Québec/Canada (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. 2003; Vol. 29; No. 6; Pp. 1185-1191; Bibl. 20 ref. |
| LA : | Anglais |
| EA : | Purpose: To evaluate the ultrasound biomicroscopy (UBM) findings in pseudophakic eyes with chronic noninfectious postoperative inflammation and discuss the use of the technique in these cases. Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information. |
| CC : | 002B24C08 |
| FD : | Homme; Ultrason; Biomicroscopie; Lentille intraoculaire; Ophtalmologie; Oeil; Chronique; Postopératoire; Inflammation |
| ED : | Human; Ultrasound; Biomicroscopy; Intraocular lens; Ophthalmology; Eye; Chronic; Postoperative; Inflammation |
| SD : | Hombre; Ultrasonido; Biomicroscopía; Lente intraocular; Oftalmología; Ojo; Crónico; Postoperatorio; Inflamación |
| LO : | INIST-20937.354000118580330210 |
| ID : | 03-0398123 |
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Pascal:03-0398123Le document en format XML
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Özdal</name><affiliation><inist:fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Mansour, Magdi" sort="Mansour, Magdi" uniqKey="Mansour M" first="Magdi" last="Mansour">Magdi Mansour</name><affiliation><inist:fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Deschenes, Jean" sort="Deschenes, Jean" uniqKey="Deschenes J" first="Jean" last="Deschenes">Jean Deschenes</name><affiliation><inist:fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">03-0398123</idno><date when="2003">2003</date><idno type="stanalyst">PASCAL 03-0398123 INIST</idno><idno type="RBID">Pascal:03-0398123</idno><idno type="wicri:Area/PascalFrancis/Corpus">001145</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation</title><author><name sortKey="Ozdal, Pinar C" sort="Ozdal, Pinar C" uniqKey="Ozdal P" first="Pinar C." last="Özdal">Pinar C. Özdal</name><affiliation><inist:fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Mansour, Magdi" sort="Mansour, Magdi" uniqKey="Mansour M" first="Magdi" last="Mansour">Magdi Mansour</name><affiliation><inist:fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Deschenes, Jean" sort="Deschenes, Jean" uniqKey="Deschenes J" first="Jean" last="Deschenes">Jean Deschenes</name><affiliation><inist:fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author></analytic><series><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biomicroscopy</term><term>Chronic</term><term>Eye</term><term>Human</term><term>Inflammation</term><term>Intraocular lens</term><term>Ophthalmology</term><term>Postoperative</term><term>Ultrasound</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Homme</term><term>Ultrason</term><term>Biomicroscopie</term><term>Lentille intraoculaire</term><term>Ophtalmologie</term><term>Oeil</term><term>Chronique</term><term>Postopératoire</term><term>Inflammation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: To evaluate the ultrasound biomicroscopy (UBM) findings in pseudophakic eyes with chronic noninfectious postoperative inflammation and discuss the use of the technique in these cases. Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0886-3350</s0></fA01><fA02 i1="01"><s0>JCSUEV</s0></fA02><fA03 i2="1"><s0>J. cataract refractive surg.</s0></fA03><fA05><s2>29</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation</s1></fA08><fA11 i1="01" i2="1"><s1>ÖZDAL (Pinar C.)</s1></fA11><fA11 i1="02" i2="1"><s1>MANSOUR (Magdi)</s1></fA11><fA11 i1="03" i2="1"><s1>DESCHENES (Jean)</s1></fA11><fA14 i1="01"><s1>McGill University Health Center, Department of Ophthalmology</s1><s2>Montréal, Québec</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA20><s1>1185-1191</s1></fA20><fA21><s1>2003</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20937</s2><s5>354000118580330210</s5></fA43><fA44><s0>0000</s0><s1>© 2003 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>20 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>03-0398123</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of cataract and refractive surgery</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Purpose: To evaluate the ultrasound biomicroscopy (UBM) findings in pseudophakic eyes with chronic noninfectious postoperative inflammation and discuss the use of the technique in these cases. Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. 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Setting: Uveitis Service, Department of Ophthalmology, McGill University, Montréal, Québec, Canada. Methods: Fifty-four eyes of 51 patients with chronic noninfectious postoperative inflammation were prospectively evaluated between January 1998 and September 2001. Patients with aphakia, a dislocated intraocular lens (IOL) in the posterior segment, and endophthalmitis were excluded. All patients had a UBM examination that comprised locating the IOL position, investigating the presence of lens remnants, and evaluating the anterior segment of the eye. Results: Ultrasound biomicroscopic examination revealed IOL misplacement in 37 eyes (68.5%). Of these, 23 (62.2%) had a sulcus-implanted posterior chamber IOL (PC IOL), 9 (24.3%) an in-the-bag PC IOL, and 5 (13.5%) an anterior chamber IOL. Haptic misplacement was significantly higher with sulcus-implanted PC lOLs than with in-the-bag PC lOLs (P<.01). Other UBM findings included edematous ciliary body processes and hypoechogenic and/or thickened ciliary bodies in 11 eyes (20.4%), peripheral anterior synechias in 8 eyes (14.8%), a significant number of lens remnants (graded as severe) in 6 eyes (11.1%), a thick cyclitic membrane in 3 eyes (5.6%), and an early cyclitic membrane in 2 eyes (3.7%). Conclusions: Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information.</EA><CC>002B24C08</CC><FD>Homme; Ultrason; Biomicroscopie; Lentille intraoculaire; Ophtalmologie; Oeil; Chronique; Postopératoire; Inflammation</FD><ED>Human; Ultrasound; Biomicroscopy; Intraocular lens; Ophthalmology; Eye; Chronic; Postoperative; Inflammation</ED><SD>Hombre; Ultrasonido; Biomicroscopía; Lente intraocular; Oftalmología; Ojo; Crónico; Postoperatorio; Inflamación</SD><LO>INIST-20937.354000118580330210</LO><ID>03-0398123</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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