Late-onset decentration of iris-fixated phakic intraocular lenses: a case series.
Identifieur interne : 001311 ( PubMed/Corpus ); précédent : 001310; suivant : 001312Late-onset decentration of iris-fixated phakic intraocular lenses: a case series.
Auteurs : Muriël Doors ; Fred A. Eggink ; Carroll A B. Webers ; Rudy M M A. NuijtsSource :
- American journal of ophthalmology [ 1879-1891 ] ; 2009.
English descriptors
- KwdEn :
- Adult, Anterior Chamber (pathology), Endothelium, Vascular (pathology), Follow-Up Studies, Foreign-Body Migration (diagnosis), Foreign-Body Migration (etiology), Foreign-Body Migration (physiopathology), Humans, Iris (surgery), Lens Implantation, Intraocular, Middle Aged, Phakic Intraocular Lenses, Postoperative Complications, Prospective Studies, Tomography, Optical Coherence, Visual Acuity (physiology).
- MESH :
- diagnosis : Foreign-Body Migration.
- etiology : Foreign-Body Migration.
- pathology : Anterior Chamber, Endothelium, Vascular.
- physiology : Visual Acuity.
- physiopathology : Foreign-Body Migration.
- surgery : Iris.
- Adult, Follow-Up Studies, Humans, Lens Implantation, Intraocular, Middle Aged, Phakic Intraocular Lenses, Postoperative Complications, Prospective Studies, Tomography, Optical Coherence.
Abstract
To investigate late-onset downward decentration of iris-fixated phakic intraocular lenses (pIOL) resulting from progressive shifting of the haptics through the iris and its influence on the position of the pIOL and the amount of enclavated iris tissue.
DOI: 10.1016/j.ajo.2009.01.012
PubMed: 19327741
Links to Exploration step
pubmed:19327741Le document en format XML
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<author><name sortKey="Doors, Muriel" sort="Doors, Muriel" uniqKey="Doors M" first="Muriël" last="Doors">Muriël Doors</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, University Hospital Maastricht, Maastricht, The Netherlands. muriel.doors@mumc.nl</nlm:affiliation>
</affiliation>
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<author><name sortKey="Eggink, Fred A" sort="Eggink, Fred A" uniqKey="Eggink F" first="Fred A" last="Eggink">Fred A. Eggink</name>
</author>
<author><name sortKey="Webers, Carroll A B" sort="Webers, Carroll A B" uniqKey="Webers C" first="Carroll A B" last="Webers">Carroll A B. Webers</name>
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<author><name sortKey="Nuijts, Rudy M M A" sort="Nuijts, Rudy M M A" uniqKey="Nuijts R" first="Rudy M M A" last="Nuijts">Rudy M M A. Nuijts</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Late-onset decentration of iris-fixated phakic intraocular lenses: a case series.</title>
<author><name sortKey="Doors, Muriel" sort="Doors, Muriel" uniqKey="Doors M" first="Muriël" last="Doors">Muriël Doors</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, University Hospital Maastricht, Maastricht, The Netherlands. muriel.doors@mumc.nl</nlm:affiliation>
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<author><name sortKey="Eggink, Fred A" sort="Eggink, Fred A" uniqKey="Eggink F" first="Fred A" last="Eggink">Fred A. Eggink</name>
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<author><name sortKey="Webers, Carroll A B" sort="Webers, Carroll A B" uniqKey="Webers C" first="Carroll A B" last="Webers">Carroll A B. Webers</name>
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<author><name sortKey="Nuijts, Rudy M M A" sort="Nuijts, Rudy M M A" uniqKey="Nuijts R" first="Rudy M M A" last="Nuijts">Rudy M M A. Nuijts</name>
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<series><title level="j">American journal of ophthalmology</title>
<idno type="eISSN">1879-1891</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Anterior Chamber (pathology)</term>
<term>Endothelium, Vascular (pathology)</term>
<term>Follow-Up Studies</term>
<term>Foreign-Body Migration (diagnosis)</term>
<term>Foreign-Body Migration (etiology)</term>
<term>Foreign-Body Migration (physiopathology)</term>
<term>Humans</term>
<term>Iris (surgery)</term>
<term>Lens Implantation, Intraocular</term>
<term>Middle Aged</term>
<term>Phakic Intraocular Lenses</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Tomography, Optical Coherence</term>
<term>Visual Acuity (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anterior Chamber</term>
<term>Endothelium, Vascular</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Iris</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Middle Aged</term>
<term>Phakic Intraocular Lenses</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Tomography, Optical Coherence</term>
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<front><div type="abstract" xml:lang="en">To investigate late-onset downward decentration of iris-fixated phakic intraocular lenses (pIOL) resulting from progressive shifting of the haptics through the iris and its influence on the position of the pIOL and the amount of enclavated iris tissue.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19327741</PMID>
<DateCreated><Year>2009</Year>
<Month>05</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted><Year>2009</Year>
<Month>06</Month>
<Day>03</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1891</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>147</Volume>
<Issue>6</Issue>
<PubDate><Year>2009</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>American journal of ophthalmology</Title>
<ISOAbbreviation>Am. J. Ophthalmol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Late-onset decentration of iris-fixated phakic intraocular lenses: a case series.</ArticleTitle>
<Pagination><MedlinePgn>997-1003, 1003.e1-2</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ajo.2009.01.012</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To investigate late-onset downward decentration of iris-fixated phakic intraocular lenses (pIOL) resulting from progressive shifting of the haptics through the iris and its influence on the position of the pIOL and the amount of enclavated iris tissue.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Institutional, prospective, observational case series.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six patients (9 eyes) from among 368 eyes had 1 shifted haptic during long-term follow-up. Anterior segment optical coherence tomography (AS-OCT) was used to measure the distance between the edges of the pIOL and the corneal endothelium. Slit-lamp photography imaged the pIOL after implantation and after decentration. The images were analyzed to determine decentration and amount of iris tissue at the enclavation sites.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Shifting of the haptics occurred in 2.4% and was discovered at a mean follow-up of 4.8 years (range, 3 to 7 years). Mean downward decentration was 0.28 +/- 0.15 mm. Mean edge-distances on the nasal, temporal, superior, and inferior side were 1.71 +/- 0.30 mm, 1.86 +/- 0.31 mm, 1.86 +/- 0.31 mm, and 1.58 +/- 0.34 mm, respectively. Mean enclavated iris tissue on the nasal and temporal side was smaller after decentration when compared with that directly after surgery (P = .033 and P = .017, respectively). Shifting of the haptics did not result in a decreased uncorrected and best-corrected visual acuity.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Late-onset downward decentration resulting from progressive shifting of the haptics occurred in 2.4% and was associated with a decrease in enclavated iris tissue. AS-OCT showed a mean distance between the edge of the pIOL and the endothelium greater than the advised safety distance of 1.5 mm.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Doors</LastName>
<ForeName>Muriël</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Ophthalmology, University Hospital Maastricht, Maastricht, The Netherlands. muriel.doors@mumc.nl</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Eggink</LastName>
<ForeName>Fred A</ForeName>
<Initials>FA</Initials>
</Author>
<Author ValidYN="Y"><LastName>Webers</LastName>
<ForeName>Carroll A B</ForeName>
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<Author ValidYN="Y"><LastName>Nuijts</LastName>
<ForeName>Rudy M M A</ForeName>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2009</Year>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000867">Anterior Chamber</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004730">Endothelium, Vascular</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007498">Iris</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019654">Lens Implantation, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D054120">Phakic Intraocular Lenses</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011183">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D041623">Tomography, Optical Coherence</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName>
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