Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision.
Identifieur interne : 001B32 ( PubMed/Corpus ); précédent : 001B31; suivant : 001B33Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision.
Auteurs : Gregg T. Kokame ; Izumi Yamamoto ; Huck MandelSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2004.
English descriptors
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- MESH :
Abstract
To report the results of managing dislocated posterior chamber intraocular lenses (PC IOLs) by externalizing the haptics through a clear corneal incision.
DOI: 10.1016/j.jcrs.2003.09.065
PubMed: 15130643
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision.</title><author><name sortKey="Kokame, Gregg T" sort="Kokame, Gregg T" uniqKey="Kokame G" first="Gregg T" last="Kokame">Gregg T. Kokame</name><affiliation><nlm:affiliation>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu, USA. retinahawaii@aol.com</nlm:affiliation></affiliation></author><author><name sortKey="Yamamoto, Izumi" sort="Yamamoto, Izumi" uniqKey="Yamamoto I" first="Izumi" last="Yamamoto">Izumi Yamamoto</name></author><author><name sortKey="Mandel, Huck" sort="Mandel, Huck" uniqKey="Mandel H" first="Huck" last="Mandel">Huck Mandel</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15130643</idno><idno type="pmid">15130643</idno><idno type="doi">10.1016/j.jcrs.2003.09.065</idno><idno type="wicri:Area/PubMed/Corpus">001B32</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision.</title><author><name sortKey="Kokame, Gregg T" sort="Kokame, Gregg T" uniqKey="Kokame G" first="Gregg T" last="Kokame">Gregg T. Kokame</name><affiliation><nlm:affiliation>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu, USA. retinahawaii@aol.com</nlm:affiliation></affiliation></author><author><name sortKey="Yamamoto, Izumi" sort="Yamamoto, Izumi" uniqKey="Yamamoto I" first="Izumi" last="Yamamoto">Izumi Yamamoto</name></author><author><name sortKey="Mandel, Huck" sort="Mandel, Huck" uniqKey="Mandel H" first="Huck" last="Mandel">Huck Mandel</name></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="ISSN">0886-3350</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cornea (surgery)</term><term>Female</term><term>Foreign-Body Migration (surgery)</term><term>Humans</term><term>Lens Implantation, Intraocular (methods)</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Reoperation</term><term>Retrospective Studies</term><term>Sclera (surgery)</term><term>Surgical Flaps</term><term>Suture Techniques</term><term>Visual Acuity</term><term>Vitrectomy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Cornea</term><term>Foreign-Body Migration</term><term>Sclera</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Reoperation</term><term>Retrospective Studies</term><term>Surgical Flaps</term><term>Suture Techniques</term><term>Visual Acuity</term><term>Vitrectomy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To report the results of managing dislocated posterior chamber intraocular lenses (PC IOLs) by externalizing the haptics through a clear corneal incision.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">15130643</PMID><DateCreated><Year>2004</Year><Month>05</Month><Day>07</Day></DateCreated><DateCompleted><Year>2004</Year><Month>06</Month><Day>21</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0886-3350</ISSN><JournalIssue CitedMedium="Print"><Volume>30</Volume><Issue>5</Issue><PubDate><Year>2004</Year><Month>May</Month></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Scleral fixation of dislocated posterior chamber intraocular lenses: Temporary haptic externalization through a clear corneal incision.</ArticleTitle><Pagination><MedlinePgn>1049-56</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report the results of managing dislocated posterior chamber intraocular lenses (PC IOLs) by externalizing the haptics through a clear corneal incision.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">The Retina Center at Pali Momi, Aiea, Hawaii, USA.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This retrospective consecutive series comprised cases in which a dislocated PC IOL was managed with pars plana vitrectomy. With this method, the dislocated PC IOL is retrieved and stabilized in the anterior chamber. The haptic is externalized through a clear corneal incision for suture knot placement and then reinserted. A scleral fixation suture is placed 1.25 mm posterior to the limbus under a scleral flap.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The study included 14 eyes of 14 patients with a minimum follow-up of 6 months (median 15.4 months). There were 2 subluxated PC IOLs, 11 posteriorly dislocated PC IOLs, and 1 in-the-bag IOL dislocation. Postoperative vision and/or visual symptoms were stable or improved in 86% of eyes. Two eyes had worse vision caused by conditions not related to surgery including chronic cystoid macular edema from latanoprost use and optic atrophy. All IOLs were well fixated and stable, although 1 eye with asymmetric haptics had a slightly tilted IOL.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Dislocated PC IOL management by externalizing the haptic through a clear corneal incision stabilized the IOL in the anterior chamber, minimized intraocular operative manipulations, and allowed easier placement of the opposite haptic over residual capsule, if available. Stable fixation was achieved without dislocation or IOL-related complications recurring.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kokame</LastName><ForeName>Gregg T</ForeName><Initials>GT</Initials><AffiliationInfo><Affiliation>Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu, USA. retinahawaii@aol.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yamamoto</LastName><ForeName>Izumi</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Mandel</LastName><ForeName>Huck</ForeName><Initials>H</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cataract Refract Surg</MedlineTA><NlmUniqueID>8604171</NlmUniqueID><ISSNLinking>0886-3350</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003315">Cornea</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013524">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014821">Vitrectomy</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>5</Month><Day>8</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>6</Month><Day>24</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2003</Year><Month>Sep</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>5</Month><Day>8</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15130643</ArticleId><ArticleId IdType="doi">10.1016/j.jcrs.2003.09.065</ArticleId><ArticleId IdType="pii">S0886335003009490</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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