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Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation

Identifieur interne : 001536 ( PascalFrancis/Corpus ); précédent : 001535; suivant : 001537

Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation

Auteurs : B. D. Simons ; R. M. Siatkowski ; J. C. Schiffman ; J. T. Flynn ; H. Capo ; M. Munoz

Source :

RBID : Pascal:99-0336100

Descripteurs français

English descriptors

Abstract

Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All lOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0191-3913
A02 01      @0 JPOSDR
A03   1    @0 J. pediatr. ophthalmol. strabismus
A05       @2 36
A06       @2 3
A08 01  1  ENG  @1 Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation
A11 01  1    @1 SIMONS (B. D.)
A11 02  1    @1 SIATKOWSKI (R. M.)
A11 03  1    @1 SCHIFFMAN (J. C.)
A11 04  1    @1 FLYNN (J. T.)
A11 05  1    @1 CAPO (H.)
A11 06  1    @1 MUNOZ (M.)
A14 01      @1 Bascom Palmer Eye Institute, University of Miami School of Medicine @2 Miami, Florida @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.
A20       @1 118-124
A21       @1 1999
A23 01      @0 ENG
A43 01      @1 INIST @2 13275 @5 354000084774090020
A44       @0 0000 @1 © 1999 INIST-CNRS. All rights reserved.
A45       @0 28 ref.
A47 01  1    @0 99-0336100
A60       @1 P @2 C
A61       @0 A
A64 01  1    @0 Journal of pediatric ophthalmology and strabismus
A66 01      @0 USA
C01 01    ENG  @0 Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All lOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Cataracte @5 01
C03 01  X  ENG  @0 Cataract @5 01
C03 01  X  SPA  @0 Catarata @5 01
C03 02  X  FRE  @0 Congénital @5 02
C03 02  X  ENG  @0 Congenital @5 02
C03 02  X  SPA  @0 Congénito @5 02
C03 03  X  FRE  @0 Lentille intraoculaire @5 04
C03 03  X  ENG  @0 Intraocular lens @5 04
C03 03  X  SPA  @0 Lente intraocular @5 04
C03 04  X  FRE  @0 Implantation @5 05
C03 04  X  ENG  @0 Implantation @5 05
C03 04  X  SPA  @0 Implantación @5 05
C03 05  X  FRE  @0 Chambre postérieure @5 06
C03 05  X  ENG  @0 Posterior chamber @5 06
C03 05  X  SPA  @0 Cámara posterior @5 06
C03 06  X  FRE  @0 Technique @5 07
C03 06  X  ENG  @0 Technique @5 07
C03 06  X  SPA  @0 Técnica @5 07
C03 07  X  FRE  @0 Traitement @5 08
C03 07  X  ENG  @0 Treatment @5 08
C03 07  X  SPA  @0 Tratamiento @5 08
C03 08  X  FRE  @0 Pronostic @5 10
C03 08  X  ENG  @0 Prognosis @5 10
C03 08  X  SPA  @0 Pronóstico @5 10
C03 09  X  FRE  @0 Complication @5 11
C03 09  X  ENG  @0 Complication @5 11
C03 09  X  SPA  @0 Complicación @5 11
C03 10  X  FRE  @0 Enfant @5 13
C03 10  X  ENG  @0 Child @5 13
C03 10  X  SPA  @0 Niño @5 13
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
C07 02  X  FRE  @0 Oeil pathologie @5 37
C07 02  X  ENG  @0 Eye disease @5 37
C07 02  X  SPA  @0 Ojo patología @5 37
C07 03  X  FRE  @0 Cristallin pathologie @5 38
C07 03  X  ENG  @0 Lens disease @5 38
C07 03  X  SPA  @0 Cristalino patología @5 38
C07 04  X  FRE  @0 Segment antérieur pathologie @2 NM @5 39
C07 04  X  ENG  @0 Anterior segment disease @2 NM @5 39
C07 04  X  SPA  @0 Segmento anterior patología @2 NM @5 39
C07 05  X  FRE  @0 Maladie congénitale @5 40
C07 05  X  ENG  @0 Congenital disease @5 40
C07 05  X  SPA  @0 Enfermedad congénita @5 40
C07 06  X  FRE  @0 Chirurgie @5 45
C07 06  X  ENG  @0 Surgery @5 45
C07 06  X  SPA  @0 Cirugía @5 45
N21       @1 207
pR  
A30 01  1  ENG  @1 American Association for Pediatric Ophthalmology and Strabismus. Annual meeting @4 1997

Format Inist (serveur)

NO : PASCAL 99-0336100 INIST
ET : Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation
AU : SIMONS (B. D.); SIATKOWSKI (R. M.); SCHIFFMAN (J. C.); FLYNN (J. T.); CAPO (H.); MUNOZ (M.)
AF : Bascom Palmer Eye Institute, University of Miami School of Medicine/Miami, Florida/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)
DT : Publication en série; Congrès; Niveau analytique
SO : Journal of pediatric ophthalmology and strabismus; ISSN 0191-3913; Coden JPOSDR; Etats-Unis; Da. 1999; Vol. 36; No. 3; Pp. 118-124; Bibl. 28 ref.
LA : Anglais
EA : Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All lOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.
CC : 002B25B
FD : Cataracte; Congénital; Lentille intraoculaire; Implantation; Chambre postérieure; Technique; Traitement; Pronostic; Complication; Enfant
FG : Homme; Oeil pathologie; Cristallin pathologie; Segment antérieur pathologie; Maladie congénitale; Chirurgie
ED : Cataract; Congenital; Intraocular lens; Implantation; Posterior chamber; Technique; Treatment; Prognosis; Complication; Child
EG : Human; Eye disease; Lens disease; Anterior segment disease; Congenital disease; Surgery
SD : Catarata; Congénito; Lente intraocular; Implantación; Cámara posterior; Técnica; Tratamiento; Pronóstico; Complicación; Niño
LO : INIST-13275.354000084774090020
ID : 99-0336100

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Pascal:99-0336100

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<div type="abstract" xml:lang="en">Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All lOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.</div>
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<s0>Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All lOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.</s0>
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<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Cataract</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Catarata</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Congénital</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Congenital</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Congénito</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Lentille intraoculaire</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Intraocular lens</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Lente intraocular</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Implantation</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Implantation</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Implantación</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Chambre postérieure</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Posterior chamber</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Cámara posterior</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Technique</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Technique</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Técnica</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Pronostic</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Prognosis</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Pronóstico</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Complication</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Complication</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Complicación</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Enfant</s0>
<s5>13</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Child</s0>
<s5>13</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Niño</s0>
<s5>13</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Oeil pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Cristallin pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Lens disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Cristalino patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Segment antérieur pathologie</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Anterior segment disease</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Segmento anterior patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Maladie congénitale</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Congenital disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Enfermedad congénita</s0>
<s5>40</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>45</s5>
</fC07>
<fN21>
<s1>207</s1>
</fN21>
</pA>
<pR>
<fA30 i1="01" i2="1" l="ENG">
<s1>American Association for Pediatric Ophthalmology and Strabismus. Annual meeting</s1>
<s4>1997</s4>
</fA30>
</pR>
</standard>
<server>
<NO>PASCAL 99-0336100 INIST</NO>
<ET>Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation</ET>
<AU>SIMONS (B. D.); SIATKOWSKI (R. M.); SCHIFFMAN (J. C.); FLYNN (J. T.); CAPO (H.); MUNOZ (M.)</AU>
<AF>Bascom Palmer Eye Institute, University of Miami School of Medicine/Miami, Florida/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)</AF>
<DT>Publication en série; Congrès; Niveau analytique</DT>
<SO>Journal of pediatric ophthalmology and strabismus; ISSN 0191-3913; Coden JPOSDR; Etats-Unis; Da. 1999; Vol. 36; No. 3; Pp. 118-124; Bibl. 28 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To evaluate retrospectively the surgical technique, visual outcome, and complications of pediatric cataract extraction (CE) and intraocular lens (IOL) implantation. Methods: Forty-three patients ages 2 to 12 underwent CE with IOL implantation with a minimum follow up of 1 month. Results: All lOLs were implanted in the posterior chamber with 17 (40%) in the bag, 25 (58%) sulcus fixated, and one (2%) partially in the bag (one haptic in the bag, one in the sulcus). Primary posterior capsulectomy was performed in 12 (28%) cases. A final visual acuity of at least 20/40 was achieved in 26 (60%) and at least 20/80 in 32 (74%). Posterior capsule opacification developed in 18 (42%) and pupillary capture in 7 (16%). Seventeen (40%) patients had postoperative visual acuity worse than 20/40. Of these, nine (53%) had this visual outcome as a result of presumed amblyopia. Conclusions: Posterior chamber IOL implantation affords a safe and effective method of visual rehabilitation for cataractous children 2 years of age and older. Amblyopia and antecedent posterior segment trauma, rather than IOL-related or surgical complications, are the limiting factors in final visual outcome.</EA>
<CC>002B25B</CC>
<FD>Cataracte; Congénital; Lentille intraoculaire; Implantation; Chambre postérieure; Technique; Traitement; Pronostic; Complication; Enfant</FD>
<FG>Homme; Oeil pathologie; Cristallin pathologie; Segment antérieur pathologie; Maladie congénitale; Chirurgie</FG>
<ED>Cataract; Congenital; Intraocular lens; Implantation; Posterior chamber; Technique; Treatment; Prognosis; Complication; Child</ED>
<EG>Human; Eye disease; Lens disease; Anterior segment disease; Congenital disease; Surgery</EG>
<SD>Catarata; Congénito; Lente intraocular; Implantación; Cámara posterior; Técnica; Tratamiento; Pronóstico; Complicación; Niño</SD>
<LO>INIST-13275.354000084774090020</LO>
<ID>99-0336100</ID>
</server>
</inist>
</record>

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