Intraocular pressure changes after phacoemulsification and foldable silicone lens implantation using Healon GV.
Identifieur interne : 001F50 ( PubMed/Corpus ); précédent : 001F49; suivant : 001F51Intraocular pressure changes after phacoemulsification and foldable silicone lens implantation using Healon GV.
Auteurs : L. Mastropasqua ; P. Carpineto ; M. Ciancaglini ; G. FalconioSource :
- Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde [ 0030-3755 ] ; 1998.
English descriptors
- KwdEn :
- Aged, Capsulorhexis, Female, Follow-Up Studies, Glaucoma, Angle-Closure (chemically induced), Humans, Hyaluronic Acid (adverse effects), Intraocular Pressure (drug effects), Lens Implantation, Intraocular, Lenses, Intraocular, Male, Ocular Hypertension (chemically induced), Phacoemulsification, Postoperative Complications, Retrospective Studies, Silicone Elastomers, Trabecular Meshwork (drug effects).
- MESH :
- chemical , adverse effects : Hyaluronic Acid.
- chemically induced : Glaucoma, Angle-Closure, Ocular Hypertension.
- drug effects : Intraocular Pressure, Trabecular Meshwork.
- Aged, Capsulorhexis, Female, Follow-Up Studies, Humans, Lens Implantation, Intraocular, Lenses, Intraocular, Male, Phacoemulsification, Postoperative Complications, Retrospective Studies, Silicone Elastomers.
Abstract
The authors studied the intraocular pressure (IOP) changes after phacoemulsification with two different kinds of foldable silicone lens implantation using Healon GV as viscoelastic substance. One hundred patients undergoing cataract surgery were enrolled in this study. Inclusion criteria were: absence of ocular hypertension or glaucoma. Patients were randomly assigned to plate haptic (Silens PH, Domilens Chiron Vision, Lyon, France) or three-piece (CeeOntrade mark& ;920, Pharmacia spa, Milano, Italia) silicone intraocular lens (IOL) implantation. Following phacoemulsification and cortical aspiration, the capsular bag was reinflated with Healon GV. After foldable silicone IOL insertion residual Healon GV was removed from the anterior chamber. IOP was measured preoperatively and at 6, 24 h and 1 week postoperatively. Six hours postoperatively IOP was higher in the Silens PH group than in the CeeOn group (20. 85+/-5.42 vs. 18.88+/-2.95 mm Hg, p= 0.026). The difference was confirmed after 24 h (21.02+/-5.18 vs. 17.34+/-3.18 mm Hg, p < 0.01). Despite the medical treatment (acetazolamide 250 mg orally every 6 h), at the 24-hour control 2 eyes with plate haptic silicone lens showed IOP values higher than 30 mm Hg. Slitlamp examination showed in both eyes a shallowing of the anterior chamber together with the evidence of capsular bag hyperdistension and capsular block resulting from the occlusion of the circular anterior capsule opening by the plate haptic IOL. Residual Healon GV removal from the anterior chamber was performed. At 1-week control both eyes showed normalization of IOP. The use of a plate haptic silicone lens may be associated with a more consistent retention of Healon GV in the eye with trapping in the capsular bag. Retained viscoelastic may cause either trabecular meshwork blockage by viscoelastic substance or postoperative capsular bag hyperdistension, anteroplacement of the IOL optic and capsular block from occlusion of the circular anterior opening by the IOL optic.
PubMed: 9693288
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Intraocular pressure changes after phacoemulsification and foldable silicone lens implantation using Healon GV.</title><author><name sortKey="Mastropasqua, L" sort="Mastropasqua, L" uniqKey="Mastropasqua L" first="L" last="Mastropasqua">L. Mastropasqua</name><affiliation><nlm:affiliation>Institute of Ophthalmology, University 'G. D'Annunzio', Chieti, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Carpineto, P" sort="Carpineto, P" uniqKey="Carpineto P" first="P" last="Carpineto">P. Carpineto</name></author><author><name sortKey="Ciancaglini, M" sort="Ciancaglini, M" uniqKey="Ciancaglini M" first="M" last="Ciancaglini">M. Ciancaglini</name></author><author><name sortKey="Falconio, G" sort="Falconio, G" uniqKey="Falconio G" first="G" last="Falconio">G. Falconio</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9693288</idno><idno type="pmid">9693288</idno><idno type="wicri:Area/PubMed/Corpus">001F50</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Intraocular pressure changes after phacoemulsification and foldable silicone lens implantation using Healon GV.</title><author><name sortKey="Mastropasqua, L" sort="Mastropasqua, L" uniqKey="Mastropasqua L" first="L" last="Mastropasqua">L. Mastropasqua</name><affiliation><nlm:affiliation>Institute of Ophthalmology, University 'G. D'Annunzio', Chieti, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Carpineto, P" sort="Carpineto, P" uniqKey="Carpineto P" first="P" last="Carpineto">P. Carpineto</name></author><author><name sortKey="Ciancaglini, M" sort="Ciancaglini, M" uniqKey="Ciancaglini M" first="M" last="Ciancaglini">M. Ciancaglini</name></author><author><name sortKey="Falconio, G" sort="Falconio, G" uniqKey="Falconio G" first="G" last="Falconio">G. Falconio</name></author></analytic><series><title level="j">Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde</title><idno type="ISSN">0030-3755</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Capsulorhexis</term><term>Female</term><term>Follow-Up Studies</term><term>Glaucoma, Angle-Closure (chemically induced)</term><term>Humans</term><term>Hyaluronic Acid (adverse effects)</term><term>Intraocular Pressure (drug effects)</term><term>Lens Implantation, Intraocular</term><term>Lenses, Intraocular</term><term>Male</term><term>Ocular Hypertension (chemically induced)</term><term>Phacoemulsification</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Silicone Elastomers</term><term>Trabecular Meshwork (drug effects)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Hyaluronic Acid</term></keywords><keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Glaucoma, Angle-Closure</term><term>Ocular Hypertension</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Intraocular Pressure</term><term>Trabecular Meshwork</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Capsulorhexis</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lens Implantation, Intraocular</term><term>Lenses, Intraocular</term><term>Male</term><term>Phacoemulsification</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Silicone Elastomers</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors studied the intraocular pressure (IOP) changes after phacoemulsification with two different kinds of foldable silicone lens implantation using Healon GV as viscoelastic substance. One hundred patients undergoing cataract surgery were enrolled in this study. Inclusion criteria were: absence of ocular hypertension or glaucoma. Patients were randomly assigned to plate haptic (Silens PH, Domilens Chiron Vision, Lyon, France) or three-piece (CeeOntrade mark& ;920, Pharmacia spa, Milano, Italia) silicone intraocular lens (IOL) implantation. Following phacoemulsification and cortical aspiration, the capsular bag was reinflated with Healon GV. After foldable silicone IOL insertion residual Healon GV was removed from the anterior chamber. IOP was measured preoperatively and at 6, 24 h and 1 week postoperatively. Six hours postoperatively IOP was higher in the Silens PH group than in the CeeOn group (20. 85+/-5.42 vs. 18.88+/-2.95 mm Hg, p= 0.026). The difference was confirmed after 24 h (21.02+/-5.18 vs. 17.34+/-3.18 mm Hg, p < 0.01). Despite the medical treatment (acetazolamide 250 mg orally every 6 h), at the 24-hour control 2 eyes with plate haptic silicone lens showed IOP values higher than 30 mm Hg. Slitlamp examination showed in both eyes a shallowing of the anterior chamber together with the evidence of capsular bag hyperdistension and capsular block resulting from the occlusion of the circular anterior capsule opening by the plate haptic IOL. Residual Healon GV removal from the anterior chamber was performed. At 1-week control both eyes showed normalization of IOP. The use of a plate haptic silicone lens may be associated with a more consistent retention of Healon GV in the eye with trapping in the capsular bag. Retained viscoelastic may cause either trabecular meshwork blockage by viscoelastic substance or postoperative capsular bag hyperdistension, anteroplacement of the IOL optic and capsular block from occlusion of the circular anterior opening by the IOL optic.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9693288</PMID><DateCreated><Year>1998</Year><Month>09</Month><Day>28</Day></DateCreated><DateCompleted><Year>1998</Year><Month>09</Month><Day>28</Day></DateCompleted><DateRevised><Year>2007</Year><Month>09</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0030-3755</ISSN><JournalIssue CitedMedium="Print"><Volume>212</Volume><Issue>5</Issue><PubDate><Year>1998</Year></PubDate></JournalIssue><Title>Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde</Title><ISOAbbreviation>Ophthalmologica</ISOAbbreviation></Journal><ArticleTitle>Intraocular pressure changes after phacoemulsification and foldable silicone lens implantation using Healon GV.</ArticleTitle><Pagination><MedlinePgn>318-21</MedlinePgn></Pagination><Abstract><AbstractText>The authors studied the intraocular pressure (IOP) changes after phacoemulsification with two different kinds of foldable silicone lens implantation using Healon GV as viscoelastic substance. One hundred patients undergoing cataract surgery were enrolled in this study. Inclusion criteria were: absence of ocular hypertension or glaucoma. Patients were randomly assigned to plate haptic (Silens PH, Domilens Chiron Vision, Lyon, France) or three-piece (CeeOntrade mark& ;920, Pharmacia spa, Milano, Italia) silicone intraocular lens (IOL) implantation. Following phacoemulsification and cortical aspiration, the capsular bag was reinflated with Healon GV. After foldable silicone IOL insertion residual Healon GV was removed from the anterior chamber. IOP was measured preoperatively and at 6, 24 h and 1 week postoperatively. Six hours postoperatively IOP was higher in the Silens PH group than in the CeeOn group (20. 85+/-5.42 vs. 18.88+/-2.95 mm Hg, p= 0.026). The difference was confirmed after 24 h (21.02+/-5.18 vs. 17.34+/-3.18 mm Hg, p < 0.01). Despite the medical treatment (acetazolamide 250 mg orally every 6 h), at the 24-hour control 2 eyes with plate haptic silicone lens showed IOP values higher than 30 mm Hg. Slitlamp examination showed in both eyes a shallowing of the anterior chamber together with the evidence of capsular bag hyperdistension and capsular block resulting from the occlusion of the circular anterior capsule opening by the plate haptic IOL. Residual Healon GV removal from the anterior chamber was performed. At 1-week control both eyes showed normalization of IOP. The use of a plate haptic silicone lens may be associated with a more consistent retention of Healon GV in the eye with trapping in the capsular bag. Retained viscoelastic may cause either trabecular meshwork blockage by viscoelastic substance or postoperative capsular bag hyperdistension, anteroplacement of the IOL optic and capsular block from occlusion of the circular anterior opening by the IOL optic.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mastropasqua</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Institute of Ophthalmology, University 'G. D'Annunzio', Chieti, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carpineto</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Ciancaglini</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Falconio</LastName><ForeName>G</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>SWITZERLAND</Country><MedlineTA>Ophthalmologica</MedlineTA><NlmUniqueID>0054655</NlmUniqueID><ISSNLinking>0030-3755</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D012826">Silicone Elastomers</NameOfSubstance></Chemical><Chemical><RegistryNumber>9004-61-9</RegistryNumber><NameOfSubstance UI="D006820">Hyaluronic Acid</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019923">Capsulorhexis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015812">Glaucoma, Angle-Closure</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000139">chemically induced</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006820">Hyaluronic Acid</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007429">Intraocular Pressure</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000187">drug effects</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019654">Lens Implantation, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007910">Lenses, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009798">Ocular Hypertension</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000139">chemically induced</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D018918">Phacoemulsification</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012826">Silicone Elastomers</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014129">Trabecular Meshwork</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000187">drug effects</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>8</Month><Day>7</Day><Hour>2</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2000</Year><Month>8</Month><Day>16</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>8</Month><Day>7</Day><Hour>2</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9693288</ArticleId><ArticleId IdType="pii">oph12318</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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