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Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation

Identifieur interne : 000E29 ( PascalFrancis/Curation ); précédent : 000E28; suivant : 000E30

Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation

Auteurs : Yousuf M. Khalifa [États-Unis] ; Majid Moshirfar [États-Unis] ; Mark D. Mifflin [États-Unis] ; Kandon Kamae [États-Unis] ; Nick Mamalis [États-Unis] ; Liliana Werner [États-Unis]

Source :

RBID : Pascal:10-0489614

Descripteurs français

English descriptors

Abstract

PURPOSE: To assess the histopathology of anterior subcapsular cataract associated with a collagen copolymer posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens) using light microscopy after pIOL explantation and cataract surgery. SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN: Laboratory investigation. METHODS: Pathology specimens related to explanted pIOLs were reviewed and preoperative and postoperative patient data collected. The anterior lens capsules and explanted pIOLs were examined. RESULTS: Four eyes (3 patients) had pIOL explantation for low vault and anterior subcapsular cataract. The explanted pIOLs were the shorter length models (3,12.1 mm; 1,12.6 mm). Anterior segment optical coherence tomography (AS-OCT) confirmed the low pIOL vault before explantation in 2 eyes. Histopathology of the anterior subcapsular cataract showed fibrous metaplasia with a variable number of lens epithelial cell (LEC) layers attached to the inner surface of the anterior capsulorhexis specimens. Light microscopy of the explanted pIOLs showed no pigment on 1 lens, mild pigment deposition on 1 haptic, and pigment deposition throughout the anterior surface of 2 pIOLs. CONCLUSIONS: Anterior subcapsular cataract associated with the pIOLs was caused by low vaulting (confirmed on AS-OCT) and consequent fibrous metaplasia of the anterior LECs. Surgeons should consider the possibility of anterior subcapsular cataract associated with shorter platforms when selecting a pIOL length for appropriate vault. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
pA  
A01 01  1    @0 0886-3350
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A03   1    @0 J. cataract refractive surg.
A05       @2 36
A06       @2 10
A08 01  1  ENG  @1 Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation
A11 01  1    @1 KHALIFA (Yousuf M.)
A11 02  1    @1 MOSHIRFAR (Majid)
A11 03  1    @1 MIFFLIN (Mark D.)
A11 04  1    @1 KAMAE (Kandon)
A11 05  1    @1 MAMALIS (Nick)
A11 06  1    @1 WERNER (Liliana)
A14 01      @1 Flaum Eye Institute University of Rochester @2 Rochester, New York @3 USA @Z 1 aut.
A14 02      @1 John A. Moran Eye Center University of Utah @2 Salt Lake City, Utah @3 USA @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.
A20       @1 1768-1774
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000193275850250
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 33 ref.
A47 01  1    @0 10-0489614
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
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C01 01    ENG  @0 PURPOSE: To assess the histopathology of anterior subcapsular cataract associated with a collagen copolymer posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens) using light microscopy after pIOL explantation and cataract surgery. SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN: Laboratory investigation. METHODS: Pathology specimens related to explanted pIOLs were reviewed and preoperative and postoperative patient data collected. The anterior lens capsules and explanted pIOLs were examined. RESULTS: Four eyes (3 patients) had pIOL explantation for low vault and anterior subcapsular cataract. The explanted pIOLs were the shorter length models (3,12.1 mm; 1,12.6 mm). Anterior segment optical coherence tomography (AS-OCT) confirmed the low pIOL vault before explantation in 2 eyes. Histopathology of the anterior subcapsular cataract showed fibrous metaplasia with a variable number of lens epithelial cell (LEC) layers attached to the inner surface of the anterior capsulorhexis specimens. Light microscopy of the explanted pIOLs showed no pigment on 1 lens, mild pigment deposition on 1 haptic, and pigment deposition throughout the anterior surface of 2 pIOLs. CONCLUSIONS: Anterior subcapsular cataract associated with the pIOLs was caused by low vaulting (confirmed on AS-OCT) and consequent fibrous metaplasia of the anterior LECs. Surgeons should consider the possibility of anterior subcapsular cataract associated with shorter platforms when selecting a pIOL length for appropriate vault. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
C02 01  X    @0 002B09G
C02 02  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 Développement @5 09
C03 02  X  ENG  @0 Development @5 09
C03 02  X  SPA  @0 Desarrollo @5 09
C03 03  X  FRE  @0 Association @5 10
C03 03  X  ENG  @0 Association @5 10
C03 03  X  SPA  @0 Asociación @5 10
C03 04  X  FRE  @0 Collagène @5 11
C03 04  X  ENG  @0 Collagen @5 11
C03 04  X  SPA  @0 Colágeno @5 11
C03 05  X  FRE  @0 Chambre postérieure @5 12
C03 05  X  ENG  @0 Posterior chamber @5 12
C03 05  X  SPA  @0 Cámara posterior @5 12
C03 06  X  FRE  @0 Lentille intraoculaire @5 13
C03 06  X  ENG  @0 Intraocular lens @5 13
C03 06  X  SPA  @0 Lente intraocular @5 13
C03 07  X  FRE  @0 Corrélation @5 14
C03 07  X  ENG  @0 Correlation @5 14
C03 07  X  SPA  @0 Correlación @5 14
C03 08  X  FRE  @0 Ophtalmologie @5 15
C03 08  X  ENG  @0 Ophthalmology @5 15
C03 08  X  SPA  @0 Oftalmología @5 15
C03 09  X  FRE  @0 Chirurgie @5 16
C03 09  X  ENG  @0 Surgery @5 16
C03 09  X  SPA  @0 Cirugía @5 16
C03 10  X  FRE  @0 Traitement @5 78
C03 10  X  ENG  @0 Treatment @5 78
C03 10  X  SPA  @0 Tratamiento @5 78
C07 01  X  FRE  @0 Pathologie du cristallin @5 37
C07 01  X  ENG  @0 Lens disease @5 37
C07 01  X  SPA  @0 Cristalino patología @5 37
C07 02  X  FRE  @0 Pathologie de l'oeil @5 38
C07 02  X  ENG  @0 Eye disease @5 38
C07 02  X  SPA  @0 Ojo patología @5 38
C07 03  X  FRE  @0 Pathologie du segment antérieur @2 NM @5 39
C07 03  X  ENG  @0 Anterior segment disease @2 NM @5 39
C07 03  X  SPA  @0 Segmento anterior patología @2 NM @5 39
N21       @1 326
N44 01      @1 OTO
N82       @1 OTO

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<term>Collagen</term>
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<term>Intraocular lens</term>
<term>Ophthalmology</term>
<term>Posterior chamber</term>
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<div type="abstract" xml:lang="en">PURPOSE: To assess the histopathology of anterior subcapsular cataract associated with a collagen copolymer posterior chamber phakic intraocular lens (pIOL) (Visian Implantable Collamer Lens) using light microscopy after pIOL explantation and cataract surgery. SETTING: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN: Laboratory investigation. METHODS: Pathology specimens related to explanted pIOLs were reviewed and preoperative and postoperative patient data collected. The anterior lens capsules and explanted pIOLs were examined. RESULTS: Four eyes (3 patients) had pIOL explantation for low vault and anterior subcapsular cataract. The explanted pIOLs were the shorter length models (3,12.1 mm; 1,12.6 mm). Anterior segment optical coherence tomography (AS-OCT) confirmed the low pIOL vault before explantation in 2 eyes. Histopathology of the anterior subcapsular cataract showed fibrous metaplasia with a variable number of lens epithelial cell (LEC) layers attached to the inner surface of the anterior capsulorhexis specimens. Light microscopy of the explanted pIOLs showed no pigment on 1 lens, mild pigment deposition on 1 haptic, and pigment deposition throughout the anterior surface of 2 pIOLs. CONCLUSIONS: Anterior subcapsular cataract associated with the pIOLs was caused by low vaulting (confirmed on AS-OCT) and consequent fibrous metaplasia of the anterior LECs. Surgeons should consider the possibility of anterior subcapsular cataract associated with shorter platforms when selecting a pIOL length for appropriate vault. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.</div>
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<s5>10</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Association</s0>
<s5>10</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Asociación</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Collagène</s0>
<s5>11</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Collagen</s0>
<s5>11</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Colágeno</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Chambre postérieure</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Posterior chamber</s0>
<s5>12</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Cámara posterior</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Lentille intraoculaire</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Intraocular lens</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Lente intraocular</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Corrélation</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Correlation</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Correlación</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Ophtalmologie</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Ophthalmology</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Oftalmología</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>78</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>78</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>78</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie du cristallin</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Lens disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Cristalino patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Pathologie de l'oeil</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du segment antérieur</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Anterior segment disease</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Segmento anterior patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fN21>
<s1>326</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |texte=   Cataract development associated with collagen copolymer posterior chamber phakic intraocular lenses: Clinicopathological correlation
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