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Postoperative ultraschallbiomikroskopische Bestimmung der Haptiklage von Irisblendenlinsen bei kongenitaler und traumatischer Aniridie im Vergleich zu Gonioskopie

Identifieur interne : 001586 ( PascalFrancis/Curation ); précédent : 001585; suivant : 001587

Postoperative ultraschallbiomikroskopische Bestimmung der Haptiklage von Irisblendenlinsen bei kongenitaler und traumatischer Aniridie im Vergleich zu Gonioskopie

Auteurs : N. Schweykart [Allemagne] ; T. Reinhard [Allemagne] ; S. Engelhardt [Allemagne] ; R. Sundmacher [Allemagne]

Source :

RBID : Pascal:99-0362488

Descripteurs français

English descriptors

Abstract

Background Ultrasound biomicroscopy (UBM) allows to determine the haptic position of posterior chamber lenses (PCL) in relation to adjacent structures. In transsclerally sutured PCLs, the comparison between intraoperatively endoscopically and postoperatively localized haptic positions via UBM showed a correspondence of only 81%. The different localisation of 19% of the examined haptic postions was explained with postoperative dislocation without any proof for this assumption. The purpose of this study therefore was the correlation of UBM results with simultaneously determined haptic positions via gonioscopy in aniridia after black diaphragm PCL implantation. Patients and methods The haptic positions of black diaphragm PCL implants in 20 patients with congenital and 13 patients with traumatic aniridia were determined via UBM (50-MHz-probe) and gonioscopy 44,4 (6-75) months postoperatively. Results 39/66 haptic positions could be localized in gonioscopy as well as in UBM. 38 haptics (97,4% ) showed the same position in both examination techniques. Determination of the haptic position through one of the two examination techniques was impossible in 27/66 haptics (11 haptics in gonioscopy, 16 haptics in UBM). Reasons for this were primarily haptic position behind iris remnants and corneal opacities in gonioscopy and scarring of the ciliary body in UBM. Conclusions The validity of UBM in localization of PCLs was confirmed gonioscopically, which also confirm s our prior assumption of postoperative displacement of IOL-haptics after transscleral suturing in about 20% of cases. Scarring of the ciliary body was the most important obstacle in the determination of PCL haptic positions in relation to adjacent structures.
pA  
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A08 01  1  GER  @1 Postoperative ultraschallbiomikroskopische Bestimmung der Haptiklage von Irisblendenlinsen bei kongenitaler und traumatischer Aniridie im Vergleich zu Gonioskopie
A11 01  1    @1 SCHWEYKART (N.)
A11 02  1    @1 REINHARD (T.)
A11 03  1    @1 ENGELHARDT (S.)
A11 04  1    @1 SUNDMACHER (R.)
A14 01      @1 Augenklinik der Heinrich-Heine-Universität Düsseldorf, Moorenstrasse 5 @2 40225 Düsseldorf @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
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A47 01  1    @0 99-0362488
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A68 01  1  ENG  @1 Postoperative ultrasound biomicroscopic evaluation of tbe haptic position of black diaphragm posterior chamber lenses in congenital and traumatic aniridia in comparison with gonioscopy
C01 01    ENG  @0 Background Ultrasound biomicroscopy (UBM) allows to determine the haptic position of posterior chamber lenses (PCL) in relation to adjacent structures. In transsclerally sutured PCLs, the comparison between intraoperatively endoscopically and postoperatively localized haptic positions via UBM showed a correspondence of only 81%. The different localisation of 19% of the examined haptic postions was explained with postoperative dislocation without any proof for this assumption. The purpose of this study therefore was the correlation of UBM results with simultaneously determined haptic positions via gonioscopy in aniridia after black diaphragm PCL implantation. Patients and methods The haptic positions of black diaphragm PCL implants in 20 patients with congenital and 13 patients with traumatic aniridia were determined via UBM (50-MHz-probe) and gonioscopy 44,4 (6-75) months postoperatively. Results 39/66 haptic positions could be localized in gonioscopy as well as in UBM. 38 haptics (97,4% ) showed the same position in both examination techniques. Determination of the haptic position through one of the two examination techniques was impossible in 27/66 haptics (11 haptics in gonioscopy, 16 haptics in UBM). Reasons for this were primarily haptic position behind iris remnants and corneal opacities in gonioscopy and scarring of the ciliary body in UBM. Conclusions The validity of UBM in localization of PCLs was confirmed gonioscopically, which also confirm s our prior assumption of postoperative displacement of IOL-haptics after transscleral suturing in about 20% of cases. Scarring of the ciliary body was the most important obstacle in the determination of PCL haptic positions in relation to adjacent structures.
C02 01  X    @0 002B24O02
C03 01  X  FRE  @0 Aniridie @5 01
C03 01  X  ENG  @0 Aniridia @5 01
C03 01  X  SPA  @0 Aniridia @5 01
C03 02  X  FRE  @0 Traumatisme @5 02
C03 02  X  ENG  @0 Trauma @5 02
C03 02  X  SPA  @0 Traumatismo @5 02
C03 03  X  FRE  @0 Oeil @5 03
C03 03  X  ENG  @0 Eye @5 03
C03 03  X  SPA  @0 Ojo @5 03
C03 04  X  FRE  @0 Diaphragme @5 04
C03 04  X  ENG  @0 Diaphragm @5 04
C03 04  X  SPA  @0 Diafragma @5 04
C03 05  X  FRE  @0 Chambre postérieure @5 05
C03 05  X  ENG  @0 Posterior chamber @5 05
C03 05  X  SPA  @0 Cámara posterior @5 05
C03 06  X  FRE  @0 Traitement @5 06
C03 06  X  ENG  @0 Treatment @5 06
C03 06  X  SPA  @0 Tratamiento @5 06
C03 07  X  FRE  @0 Position @5 07
C03 07  X  ENG  @0 Position @5 07
C03 07  X  SPA  @0 Posición @5 07
C03 08  X  FRE  @0 Postopératoire @5 08
C03 08  X  ENG  @0 Postoperative @5 08
C03 08  X  SPA  @0 Postoperatorio @5 08
C03 09  X  FRE  @0 Technique @5 09
C03 09  X  ENG  @0 Technique @5 09
C03 09  X  SPA  @0 Técnica @5 09
C03 10  X  FRE  @0 Ultrason @5 10
C03 10  X  ENG  @0 Ultrasound @5 10
C03 10  X  SPA  @0 Ultrasonido @5 10
C03 11  X  FRE  @0 Biomicroscopie @5 11
C03 11  X  ENG  @0 Biomicroscopy @5 11
C03 11  X  SPA  @0 Biomicroscopía @5 11
C03 12  X  FRE  @0 Gonioscopie @5 12
C03 12  X  ENG  @0 Gonioscopy @5 12
C03 12  X  SPA  @0 Gonioscopía @5 12
C03 13  X  FRE  @0 Etude comparative @5 13
C03 13  X  ENG  @0 Comparative study @5 13
C03 13  X  SPA  @0 Estudio comparativo @5 13
C03 14  X  FRE  @0 Homme @5 14
C03 14  X  ENG  @0 Human @5 14
C03 14  X  SPA  @0 Hombre @5 14
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 Uvée pathologie @5 38
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C07 02  X  SPA  @0 Uvea patología @5 38
C07 03  X  FRE  @0 Malformation @5 39
C07 03  X  ENG  @0 Malformation @5 39
C07 03  X  SPA  @0 Malformación @5 39
C07 04  X  FRE  @0 Maladie congénitale @5 40
C07 04  X  ENG  @0 Congenital disease @5 40
C07 04  X  SPA  @0 Enfermedad congénita @5 40
C07 05  X  FRE  @0 Chirurgie @5 45
C07 05  X  ENG  @0 Surgery @5 45
C07 05  X  SPA  @0 Cirugía @5 45
N21       @1 228

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<term>Gonioscopy</term>
<term>Human</term>
<term>Position</term>
<term>Posterior chamber</term>
<term>Postoperative</term>
<term>Technique</term>
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<term>Aniridie</term>
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<term>Traitement</term>
<term>Position</term>
<term>Postopératoire</term>
<term>Technique</term>
<term>Ultrason</term>
<term>Biomicroscopie</term>
<term>Gonioscopie</term>
<term>Etude comparative</term>
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<div type="abstract" xml:lang="en">Background Ultrasound biomicroscopy (UBM) allows to determine the haptic position of posterior chamber lenses (PCL) in relation to adjacent structures. In transsclerally sutured PCLs, the comparison between intraoperatively endoscopically and postoperatively localized haptic positions via UBM showed a correspondence of only 81%. The different localisation of 19% of the examined haptic postions was explained with postoperative dislocation without any proof for this assumption. The purpose of this study therefore was the correlation of UBM results with simultaneously determined haptic positions via gonioscopy in aniridia after black diaphragm PCL implantation. Patients and methods The haptic positions of black diaphragm PCL implants in 20 patients with congenital and 13 patients with traumatic aniridia were determined via UBM (50-MHz-probe) and gonioscopy 44,4 (6-75) months postoperatively. Results 39/66 haptic positions could be localized in gonioscopy as well as in UBM. 38 haptics (97,4% ) showed the same position in both examination techniques. Determination of the haptic position through one of the two examination techniques was impossible in 27/66 haptics (11 haptics in gonioscopy, 16 haptics in UBM). Reasons for this were primarily haptic position behind iris remnants and corneal opacities in gonioscopy and scarring of the ciliary body in UBM. Conclusions The validity of UBM in localization of PCLs was confirmed gonioscopically, which also confirm s our prior assumption of postoperative displacement of IOL-haptics after transscleral suturing in about 20% of cases. Scarring of the ciliary body was the most important obstacle in the determination of PCL haptic positions in relation to adjacent structures.</div>
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<s0>Background Ultrasound biomicroscopy (UBM) allows to determine the haptic position of posterior chamber lenses (PCL) in relation to adjacent structures. In transsclerally sutured PCLs, the comparison between intraoperatively endoscopically and postoperatively localized haptic positions via UBM showed a correspondence of only 81%. The different localisation of 19% of the examined haptic postions was explained with postoperative dislocation without any proof for this assumption. The purpose of this study therefore was the correlation of UBM results with simultaneously determined haptic positions via gonioscopy in aniridia after black diaphragm PCL implantation. Patients and methods The haptic positions of black diaphragm PCL implants in 20 patients with congenital and 13 patients with traumatic aniridia were determined via UBM (50-MHz-probe) and gonioscopy 44,4 (6-75) months postoperatively. Results 39/66 haptic positions could be localized in gonioscopy as well as in UBM. 38 haptics (97,4% ) showed the same position in both examination techniques. Determination of the haptic position through one of the two examination techniques was impossible in 27/66 haptics (11 haptics in gonioscopy, 16 haptics in UBM). Reasons for this were primarily haptic position behind iris remnants and corneal opacities in gonioscopy and scarring of the ciliary body in UBM. Conclusions The validity of UBM in localization of PCLs was confirmed gonioscopically, which also confirm s our prior assumption of postoperative displacement of IOL-haptics after transscleral suturing in about 20% of cases. Scarring of the ciliary body was the most important obstacle in the determination of PCL haptic positions in relation to adjacent structures.</s0>
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<fC03 i1="04" i2="X" l="SPA">
<s0>Diafragma</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Chambre postérieure</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Posterior chamber</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Cámara posterior</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Position</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Position</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Posición</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Postopératoire</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Postoperative</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Postoperatorio</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Technique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Technique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Técnica</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Ultrason</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Ultrasound</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Ultrasonido</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Biomicroscopie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Biomicroscopy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Biomicroscopía</s0>
<s5>11</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Gonioscopie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Gonioscopy</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Gonioscopía</s0>
<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Etude comparative</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Comparative study</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Estudio comparativo</s0>
<s5>13</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Homme</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Human</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>14</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Oeil pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Uvée pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Uvea disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Uvea patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Malformation</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Malformation</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Malformación</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Maladie congénitale</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Congenital disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Enfermedad congénita</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>45</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>45</s5>
</fC07>
<fN21>
<s1>228</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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   |texte=   Postoperative ultraschallbiomikroskopische Bestimmung der Haptiklage von Irisblendenlinsen bei kongenitaler und traumatischer Aniridie im Vergleich zu Gonioskopie
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