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 : 001256Rates 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. VargasSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2002.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 02-0421275 INIST |
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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 |
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Pascal:02-0421275Le document en format XML
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<term>Complication</term>
<term>Etiology</term>
<term>Extraction</term>
<term>Folded structure</term>
<term>Hard lens</term>
<term>High risk</term>
<term>Human</term>
<term>Implanted</term>
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<front><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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<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Complicación</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Extraction</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Extraction</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Extracción</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Peropératoire</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Intraoperative</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Peroperatorio</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Risque élevé</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>High risk</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Riesgo alto</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Biomatériau</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Biomaterial</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Biomaterial</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Siloxane polymère</s0>
<s2>NK</s2>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Siloxane polymer</s0>
<s2>NK</s2>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Siloxano polímero</s0>
<s2>NK</s2>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Etiologie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Etiology</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Etiología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Structure en voile plissé</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Folded structure</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Estructura plegada</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Lentille dure</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Hard lens</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Lente duro</s0>
<s5>11</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Etude comparative</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Comparative study</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Estudio comparativo</s0>
<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Homme</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Human</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Hombre</s0>
<s5>13</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Chirurgie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Surgery</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Cirugía</s0>
<s5>37</s5>
</fC07>
<fN21><s1>245</s1>
</fN21>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 02-0421275 INIST</NO>
<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>
<CC>002B25B</CC>
<FD>Lentille intraoculaire; Implanté; Complication; Extraction; Peropératoire; Risque élevé; Biomatériau; Siloxane polymère; Etiologie; Structure en voile plissé; Lentille dure; Etude comparative; Homme</FD>
<FG>Chirurgie</FG>
<ED>Intraocular lens; Implanted; Complication; Extraction; Intraoperative; High risk; Biomaterial; Siloxane polymer; Etiology; Folded structure; Hard lens; Comparative study; Human</ED>
<EG>Surgery</EG>
<SD>Lente intraocular; Implantado; Complicación; Extracción; Peroperatorio; Riesgo alto; Biomaterial; Siloxano polímero; Etiología; Estructura plegada; Lente duro; Estudio comparativo; Hombre</SD>
<LO>INIST-20937.354000108890470170</LO>
<ID>02-0421275</ID>
</server>
</inist>
</record>
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