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Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases

Identifieur interne : 001255 ( PascalFrancis/Corpus ); précédent : 001254; suivant : 001256

Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases

Auteurs : Josef M. Schmidbauer ; QUN PENG ; David J. Apple ; Suresh K. Pandey ; Marcela Escobar-Gomez ; Gerd U. Auffarth ; Liliana Werner ; Luis G. Vargas

Source :

RBID : Pascal:02-0421275

Descripteurs français

English descriptors

Abstract

Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other 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 28
A06       @2 7
A08 01  1  ENG  @1 Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases
A11 01  1    @1 SCHMIDBAUER (Josef M.)
A11 02  1    @1 QUN PENG
A11 03  1    @1 APPLE (David J.)
A11 04  1    @1 PANDEY (Suresh K.)
A11 05  1    @1 ESCOBAR-GOMEZ (Marcela)
A11 06  1    @1 AUFFARTH (Gerd U.)
A11 07  1    @1 WERNER (Liliana)
A11 08  1    @1 VARGAS (Luis G.)
A14 01      @1 Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina @2 Charleston, South Carolina @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 7 aut. @Z 8 aut.
A14 02      @1 Eye Hospital and Outpatient Center, University of Heidelberg @2 Heidelberg @3 DEU @Z 6 aut.
A20       @1 1223-1228
A21       @1 2002
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000108890470170
A44       @0 0000 @1 © 2002 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 02-0421275
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 analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Lentille intraoculaire @5 01
C03 01  X  ENG  @0 Intraocular lens @5 01
C03 01  X  SPA  @0 Lente intraocular @5 01
C03 02  X  FRE  @0 Implanté @5 02
C03 02  X  ENG  @0 Implanted @5 02
C03 02  X  SPA  @0 Implantado @5 02
C03 03  X  FRE  @0 Complication @5 03
C03 03  X  ENG  @0 Complication @5 03
C03 03  X  SPA  @0 Complicación @5 03
C03 04  X  FRE  @0 Extraction @5 04
C03 04  X  ENG  @0 Extraction @5 04
C03 04  X  SPA  @0 Extracción @5 04
C03 05  X  FRE  @0 Peropératoire @5 05
C03 05  X  ENG  @0 Intraoperative @5 05
C03 05  X  SPA  @0 Peroperatorio @5 05
C03 06  X  FRE  @0 Risque élevé @5 06
C03 06  X  ENG  @0 High risk @5 06
C03 06  X  SPA  @0 Riesgo alto @5 06
C03 07  X  FRE  @0 Biomatériau @5 07
C03 07  X  ENG  @0 Biomaterial @5 07
C03 07  X  SPA  @0 Biomaterial @5 07
C03 08  X  FRE  @0 Siloxane polymère @2 NK @5 08
C03 08  X  ENG  @0 Siloxane polymer @2 NK @5 08
C03 08  X  SPA  @0 Siloxano polímero @2 NK @5 08
C03 09  X  FRE  @0 Etiologie @5 09
C03 09  X  ENG  @0 Etiology @5 09
C03 09  X  SPA  @0 Etiología @5 09
C03 10  X  FRE  @0 Structure en voile plissé @5 10
C03 10  X  ENG  @0 Folded structure @5 10
C03 10  X  SPA  @0 Estructura plegada @5 10
C03 11  X  FRE  @0 Lentille dure @5 11
C03 11  X  ENG  @0 Hard lens @5 11
C03 11  X  SPA  @0 Lente duro @5 11
C03 12  X  FRE  @0 Etude comparative @5 12
C03 12  X  ENG  @0 Comparative study @5 12
C03 12  X  SPA  @0 Estudio comparativo @5 12
C03 13  X  FRE  @0 Homme @5 13
C03 13  X  ENG  @0 Human @5 13
C03 13  X  SPA  @0 Hombre @5 13
C07 01  X  FRE  @0 Chirurgie @5 37
C07 01  X  ENG  @0 Surgery @5 37
C07 01  X  SPA  @0 Cirugía @5 37
N21       @1 245
N82       @1 PSI

Format Inist (serveur)

NO : PASCAL 02-0421275 INIST
ET : Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases
AU : SCHMIDBAUER (Josef M.); QUN PENG; APPLE (David J.); PANDEY (Suresh K.); ESCOBAR-GOMEZ (Marcela); AUFFARTH (Gerd U.); WERNER (Liliana); VARGAS (Luis G.)
AF : Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina/Charleston, South Carolina/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 7 aut., 8 aut.); Eye Hospital and Outpatient Center, University of Heidelberg/Heidelberg/Allemagne (6 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2002; Vol. 28; No. 7; Pp. 1223-1228; Bibl. 13 ref.
LA : Anglais
EA : Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.
CC : 002B25B
FD : Lentille intraoculaire; Implanté; Complication; Extraction; Peropératoire; Risque élevé; Biomatériau; Siloxane polymère; Etiologie; Structure en voile plissé; Lentille dure; Etude comparative; Homme
FG : Chirurgie
ED : Intraocular lens; Implanted; Complication; Extraction; Intraoperative; High risk; Biomaterial; Siloxane polymer; Etiology; Folded structure; Hard lens; Comparative study; Human
EG : Surgery
SD : Lente intraocular; Implantado; Complicación; Extracción; Peroperatorio; Riesgo alto; Biomaterial; Siloxano polímero; Etiología; Estructura plegada; Lente duro; Estudio comparativo; Hombre
LO : INIST-20937.354000108890470170
ID : 02-0421275

Links to Exploration step

Pascal:02-0421275

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.</div>
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<s0>Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.</s0>
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<ET>Rates and causes of intraoperative removal of foldable and rigid intraocular lenses: Clinicopathological analysis of 100 cases</ET>
<AU>SCHMIDBAUER (Josef M.); QUN PENG; APPLE (David J.); PANDEY (Suresh K.); ESCOBAR-GOMEZ (Marcela); AUFFARTH (Gerd U.); WERNER (Liliana); VARGAS (Luis G.)</AU>
<AF>Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina/Charleston, South Carolina/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 7 aut., 8 aut.); Eye Hospital and Outpatient Center, University of Heidelberg/Heidelberg/Allemagne (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2002; Vol. 28; No. 7; Pp. 1223-1228; Bibl. 13 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To analyze the rates of and reasons for intraoperative explantation of foldable and rigid intraocular lenses (lOLs) to determine the complication profile of each IOL design. Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA. Methods: The study comprised data analysis of foldable (n = 85) and rigid (n = 15) IOL specimens that were explanted immediately after primary implantation. Results: Eighty-five foldable intraoperative explants were accessioned. These comprised 14.5% of the 586 foldable IOL explants received between January 1988 and September 2000. There were 15 rigid poly(methyl methacrylate) (PMMA) intraoperative explants out of 2077 rigid explant specimens (0.7%). Fifty-one (60%) of the foldable lOLs requiring intraoperative explantation were the 1-piece silicone plate-haptic large-hole design, and 29 (34.1 %) were the 3-piece silicone polyimide-haptic design. The most frequent reason for explantation of both designs was optic damage, 37.3% in the large-hole design and 55.2% in the polyimide design. Optic damage did not occur in rigid PMMA lOLs. Conclusion: Some foldable IOL designs have a higher risk of damage during surgical insertion than rigid designs. Two modern foldable lOLs, the silicone plate-haptic large-hole and the silicone polyimide-haptic, appear to be more prone to damage during folding, loading, and implantation than other lOLs.</EA>
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<ED>Intraocular lens; Implanted; Complication; Extraction; Intraoperative; High risk; Biomaterial; Siloxane polymer; Etiology; Folded structure; Hard lens; Comparative study; Human</ED>
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