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Simultaneous correction of post-traumatic aphakia and aniridia with the use of artificial iris and IOL implantation.

Identifieur interne : 000A48 ( PubMed/Curation ); précédent : 000A47; suivant : 000A49

Simultaneous correction of post-traumatic aphakia and aniridia with the use of artificial iris and IOL implantation.

Auteurs : Cesare Forlini [Italie] ; Matteo Forlini ; Robert Rejdak ; Agata Prokopiuk ; Oxana Levkina ; Adriana Bratu ; Paolo Rossini ; Perfecto R. Cagampang ; Gian Maria Cavallini

Source :

RBID : pubmed:23324893

English descriptors

Abstract

Combined post-traumatic aniridia and aphakia demand extensive and complex reconstructive surgery. We present our approach for simultaneous correction of this surgical situation with the use of the ArtificialIris (Dr. Schmidt Intraocularlinsen GmbH, Germany) with a foldable acrylic IOL Lentis L-313 (Oculentis, GmbH, Germany) sutured to its surface. The novelty (our first operation was on June 2010) of this surgical technique is based on the combined use of foldable (with closed haptics) IOL and Artificialiris to correct post-traumatic aniridia and aphakia.

DOI: 10.1007/s00417-012-2254-7
PubMed: 23324893

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pubmed:23324893

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<title xml:lang="en">Simultaneous correction of post-traumatic aphakia and aniridia with the use of artificial iris and IOL implantation.</title>
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<name sortKey="Forlini, Cesare" sort="Forlini, Cesare" uniqKey="Forlini C" first="Cesare" last="Forlini">Cesare Forlini</name>
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<nlm:affiliation>Department of Ophthalmology, Santa Maria Delle Croci Hospital, Viale V Randi n. 5-48121, Ravenna, Italy. forlinic@forlinic.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Ophthalmology, Santa Maria Delle Croci Hospital, Viale V Randi n. 5-48121, Ravenna</wicri:regionArea>
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<name sortKey="Forlini, Matteo" sort="Forlini, Matteo" uniqKey="Forlini M" first="Matteo" last="Forlini">Matteo Forlini</name>
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<name sortKey="Rejdak, Robert" sort="Rejdak, Robert" uniqKey="Rejdak R" first="Robert" last="Rejdak">Robert Rejdak</name>
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<name sortKey="Prokopiuk, Agata" sort="Prokopiuk, Agata" uniqKey="Prokopiuk A" first="Agata" last="Prokopiuk">Agata Prokopiuk</name>
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<name sortKey="Levkina, Oxana" sort="Levkina, Oxana" uniqKey="Levkina O" first="Oxana" last="Levkina">Oxana Levkina</name>
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<name sortKey="Bratu, Adriana" sort="Bratu, Adriana" uniqKey="Bratu A" first="Adriana" last="Bratu">Adriana Bratu</name>
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<name sortKey="Rossini, Paolo" sort="Rossini, Paolo" uniqKey="Rossini P" first="Paolo" last="Rossini">Paolo Rossini</name>
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<name sortKey="Cagampang, Perfecto R" sort="Cagampang, Perfecto R" uniqKey="Cagampang P" first="Perfecto R" last="Cagampang">Perfecto R. Cagampang</name>
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<name sortKey="Cavallini, Gian Maria" sort="Cavallini, Gian Maria" uniqKey="Cavallini G" first="Gian Maria" last="Cavallini">Gian Maria Cavallini</name>
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<name sortKey="Levkina, Oxana" sort="Levkina, Oxana" uniqKey="Levkina O" first="Oxana" last="Levkina">Oxana Levkina</name>
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<name sortKey="Bratu, Adriana" sort="Bratu, Adriana" uniqKey="Bratu A" first="Adriana" last="Bratu">Adriana Bratu</name>
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<term>Adolescent</term>
<term>Aniridia (etiology)</term>
<term>Aniridia (surgery)</term>
<term>Aphakia (etiology)</term>
<term>Aphakia (surgery)</term>
<term>Artificial Organs</term>
<term>Cataract Extraction</term>
<term>Corneal Injuries</term>
<term>Endotamponade</term>
<term>Eye Injuries, Penetrating (etiology)</term>
<term>Eye Injuries, Penetrating (surgery)</term>
<term>Humans</term>
<term>Iris</term>
<term>Keratoplasty, Penetrating</term>
<term>Lens Implantation, Intraocular</term>
<term>Middle Aged</term>
<term>Silicone Oils (administration & dosage)</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Silicone Oils</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Aniridia</term>
<term>Aphakia</term>
<term>Eye Injuries, Penetrating</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Aniridia</term>
<term>Aphakia</term>
<term>Eye Injuries, Penetrating</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Artificial Organs</term>
<term>Cataract Extraction</term>
<term>Corneal Injuries</term>
<term>Endotamponade</term>
<term>Humans</term>
<term>Iris</term>
<term>Keratoplasty, Penetrating</term>
<term>Lens Implantation, Intraocular</term>
<term>Middle Aged</term>
<term>Vitrectomy</term>
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<div type="abstract" xml:lang="en">Combined post-traumatic aniridia and aphakia demand extensive and complex reconstructive surgery. We present our approach for simultaneous correction of this surgical situation with the use of the ArtificialIris (Dr. Schmidt Intraocularlinsen GmbH, Germany) with a foldable acrylic IOL Lentis L-313 (Oculentis, GmbH, Germany) sutured to its surface. The novelty (our first operation was on June 2010) of this surgical technique is based on the combined use of foldable (with closed haptics) IOL and Artificialiris to correct post-traumatic aniridia and aphakia.</div>
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<Month>02</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted>
<Year>2013</Year>
<Month>06</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>11</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1435-702X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>251</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2013</Year>
<Month>Mar</Month>
</PubDate>
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<Title>Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie</Title>
<ISOAbbreviation>Graefes Arch. Clin. Exp. Ophthalmol.</ISOAbbreviation>
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<ArticleTitle>Simultaneous correction of post-traumatic aphakia and aniridia with the use of artificial iris and IOL implantation.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Combined post-traumatic aniridia and aphakia demand extensive and complex reconstructive surgery. We present our approach for simultaneous correction of this surgical situation with the use of the ArtificialIris (Dr. Schmidt Intraocularlinsen GmbH, Germany) with a foldable acrylic IOL Lentis L-313 (Oculentis, GmbH, Germany) sutured to its surface. The novelty (our first operation was on June 2010) of this surgical technique is based on the combined use of foldable (with closed haptics) IOL and Artificialiris to correct post-traumatic aniridia and aphakia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Four consecutive cases of combined post-traumatic lesions of iris and lens, corrected with complex device ArtificialIris and foldable IOL. In two cases, the compound implant was sutured to the sclera in sulcus during the penetrating keratoplasty; in another case, it was positioned through a corneal incision of about 5.0 mm with transscleral fixation, and in one patient with preserved capsular support and possibility of IOL in-the-bag implantation the ArtificialIris was placed in sulcus sutureless through a clear corneal tunnel.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Maximal follow-up was 6 months. The complex device was placed firmly fixed within the sulcus, including in the eye implanted without sutures, and showed a stable and centered position without any tilt or torque.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Management of post-traumatic aniridia combined with aphakia by haptic fixation of a foldable acrylic IOL on a foldable iris prosthesis appears to be a promising approach which gives the surgeon the possibility to correct a complex lesion with one procedure, which is less traumatic and faster. Existence of foldable materials, both iris and IOL, permits relatively small corneal incisions (4.0-5.0 mm). Moreover, the custom-tailored iris prosthesis gives a perfect aesthetic result.</AbstractText>
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<RefSource>Graefes Arch Clin Exp Ophthalmol. 2013 Oct;251(10):2491</RefSource>
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<RefSource>Graefes Arch Clin Exp Ophthalmol. 2013 Oct;251(10):2493-4</RefSource>
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<DescriptorName MajorTopicYN="N" UI="D000293">Adolescent</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D015783">Aniridia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D001035">Aphakia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<DescriptorName MajorTopicYN="Y" UI="D001187">Artificial Organs</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D002387">Cataract Extraction</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D065306">Corneal Injuries</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D058450">Endotamponade</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D015807">Eye Injuries, Penetrating</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D007498">Iris</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D015948">Keratoplasty, Penetrating</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D019654">Lens Implantation, Intraocular</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012827">Silicone Oils</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000008">administration & dosage</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014821">Vitrectomy</DescriptorName>
</MeshHeading>
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<Year>2012</Year>
<Month>8</Month>
<Day>26</Day>
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<PubMedPubDate PubStatus="accepted">
<Year>2012</Year>
<Month>12</Month>
<Day>24</Day>
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