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Iridocyclitis associated with angle-supported phakic intraocular lenses

Identifieur interne : 000824 ( PascalFrancis/Curation ); précédent : 000823; suivant : 000825

Iridocyclitis associated with angle-supported phakic intraocular lenses

Auteurs : Antonio Leccisotti [Italie]

Source :

RBID : Pascal:06-0360057

Descripteurs français

English descriptors

Abstract

PURPOSE: To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING: Private practice, Siena, Italy. METHODS: This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes of 125 patients) or the ZSAL-4 Plus IOL (106 eyes of 63 patients) was used. In hyperopic eyes (45 eyes of 24 patients), the Type 54 IOL was implanted. Haptic posterior angulation was 19 degrees (ZSAL-4), 23 degrees (ZSAL-4 Plus), and 14 degrees (Type 54). RESULTS: Clinically significant iridocyclitis occurred in 11 eyes (3.1%) of 11 patients. Mean patient age was 37.3 years ± 9.4 (SD). Sixty-four percent were male (odds ratio [OR], 3.0; 95% confidence interval [Cl], 0.8 to 7.4, not statistically significant). Iridocyclitis was observed in 4.4% of hyperopic eyes (OR, 1.6; 95% Cl, 0.3 to 7.4; not statistically significant) and in 2.9% of myopic eyes. In myopic eyes, it followed the implantation of ZSAL-4 IOL in 3.9% of eyes (OR, 4.1; 95% Cl, 0.5 to 33.6; not statistically significant), and of ZSAL-4 Plus IOL in 1%. Mean time from surgery was 8.5 + 10.6 months). Presentation included aqueous flare (100%), posterior synechiae (82%), blurred vision (82%), redness (36%), pain (27%), IOL precipitates (18%), and angular synechiae (9%). Only 1 patient had recurrences, leading to IOL explantation and cataract surgery. After topical therapy, best spectacle-corrected visual acuity was fully recovered in 9 of 11 eyes. CONCLUSION: Iridocyclitis can occur months or years after the implantation of angle-supported phakic lOLs. No statistically significant risk factors were identified. Functional prognosis is generally good.
pA  
A01 01  1    @0 0886-3350
A02 01      @0 JCSUEV
A03   1    @0 J. cataract refractive surg.
A05       @2 32
A06       @2 6
A08 01  1  ENG  @1 Iridocyclitis associated with angle-supported phakic intraocular lenses
A11 01  1    @1 LECCISOTTI (Antonio)
A14 01      @1 Ophthalmic Surgery Unit, Casa di Cura Rugani @2 Siena @3 ITA @Z 1 aut.
A20       @1 1007-1010
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000138954620150
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 21 ref.
A47 01  1    @0 06-0360057
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 evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING: Private practice, Siena, Italy. METHODS: This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes of 125 patients) or the ZSAL-4 Plus IOL (106 eyes of 63 patients) was used. In hyperopic eyes (45 eyes of 24 patients), the Type 54 IOL was implanted. Haptic posterior angulation was 19 degrees (ZSAL-4), 23 degrees (ZSAL-4 Plus), and 14 degrees (Type 54). RESULTS: Clinically significant iridocyclitis occurred in 11 eyes (3.1%) of 11 patients. Mean patient age was 37.3 years ± 9.4 (SD). Sixty-four percent were male (odds ratio [OR], 3.0; 95% confidence interval [Cl], 0.8 to 7.4, not statistically significant). Iridocyclitis was observed in 4.4% of hyperopic eyes (OR, 1.6; 95% Cl, 0.3 to 7.4; not statistically significant) and in 2.9% of myopic eyes. In myopic eyes, it followed the implantation of ZSAL-4 IOL in 3.9% of eyes (OR, 4.1; 95% Cl, 0.5 to 33.6; not statistically significant), and of ZSAL-4 Plus IOL in 1%. Mean time from surgery was 8.5 + 10.6 months). Presentation included aqueous flare (100%), posterior synechiae (82%), blurred vision (82%), redness (36%), pain (27%), IOL precipitates (18%), and angular synechiae (9%). Only 1 patient had recurrences, leading to IOL explantation and cataract surgery. After topical therapy, best spectacle-corrected visual acuity was fully recovered in 9 of 11 eyes. CONCLUSION: Iridocyclitis can occur months or years after the implantation of angle-supported phakic lOLs. No statistically significant risk factors were identified. Functional prognosis is generally good.
C02 01  X    @0 002B25B
C02 02  X    @0 002B09F
C03 01  X  FRE  @0 Iridocyclite @5 01
C03 01  X  ENG  @0 Iridocyclitis @5 01
C03 01  X  SPA  @0 Iridociclitis @5 01
C03 02  X  FRE  @0 Association @5 02
C03 02  X  ENG  @0 Association @5 02
C03 02  X  SPA  @0 Asociación @5 02
C03 03  X  FRE  @0 Angle @5 03
C03 03  X  ENG  @0 Angle @5 03
C03 03  X  SPA  @0 Angulo @5 03
C03 04  X  FRE  @0 Support @5 05
C03 04  X  ENG  @0 Support @5 05
C03 04  X  SPA  @0 Soporte @5 05
C03 05  X  FRE  @0 Lentille intraoculaire @5 06
C03 05  X  ENG  @0 Intraocular lens @5 06
C03 05  X  SPA  @0 Lente intraocular @5 06
C03 06  X  FRE  @0 Chirurgie @5 08
C03 06  X  ENG  @0 Surgery @5 08
C03 06  X  SPA  @0 Cirugía @5 08
C03 07  X  FRE  @0 Ophtalmologie @5 09
C03 07  X  ENG  @0 Ophthalmology @5 09
C03 07  X  SPA  @0 Oftalmología @5 09
C03 08  X  FRE  @0 Traitement @5 25
C03 08  X  ENG  @0 Treatment @5 25
C03 08  X  SPA  @0 Tratamiento @5 25
C07 01  X  FRE  @0 Oeil pathologie @5 37
C07 01  X  ENG  @0 Eye disease @5 37
C07 01  X  SPA  @0 Ojo patología @5 37
C07 02  X  FRE  @0 Segment antérieur pathologie @2 NM @5 38
C07 02  X  ENG  @0 Anterior segment disease @2 NM @5 38
C07 02  X  SPA  @0 Segmento anterior patología @2 NM @5 38
C07 03  X  FRE  @0 Uvée pathologie @5 39
C07 03  X  ENG  @0 Uvea disease @5 39
C07 03  X  SPA  @0 Uvea patología @5 39
N21       @1 240
N44 01      @1 OTO
N82       @1 OTO

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Le document en format XML

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<div type="abstract" xml:lang="en">PURPOSE: To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation. SETTING: Private practice, Siena, Italy. METHODS: This retrospective analysis comprised 356 consecutive eyes of 212 patients. In myopic eyes, the ZSAL-4 IOL (205 eyes of 125 patients) or the ZSAL-4 Plus IOL (106 eyes of 63 patients) was used. In hyperopic eyes (45 eyes of 24 patients), the Type 54 IOL was implanted. Haptic posterior angulation was 19 degrees (ZSAL-4), 23 degrees (ZSAL-4 Plus), and 14 degrees (Type 54). RESULTS: Clinically significant iridocyclitis occurred in 11 eyes (3.1%) of 11 patients. Mean patient age was 37.3 years ± 9.4 (SD). Sixty-four percent were male (odds ratio [OR], 3.0; 95% confidence interval [Cl], 0.8 to 7.4, not statistically significant). Iridocyclitis was observed in 4.4% of hyperopic eyes (OR, 1.6; 95% Cl, 0.3 to 7.4; not statistically significant) and in 2.9% of myopic eyes. In myopic eyes, it followed the implantation of ZSAL-4 IOL in 3.9% of eyes (OR, 4.1; 95% Cl, 0.5 to 33.6; not statistically significant), and of ZSAL-4 Plus IOL in 1%. Mean time from surgery was 8.5 + 10.6 months). Presentation included aqueous flare (100%), posterior synechiae (82%), blurred vision (82%), redness (36%), pain (27%), IOL precipitates (18%), and angular synechiae (9%). Only 1 patient had recurrences, leading to IOL explantation and cataract surgery. After topical therapy, best spectacle-corrected visual acuity was fully recovered in 9 of 11 eyes. CONCLUSION: Iridocyclitis can occur months or years after the implantation of angle-supported phakic lOLs. No statistically significant risk factors were identified. Functional prognosis is generally good.</div>
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