Your browser doesn't support javascript.
loading
Exchange technique for opacified hydrophilic acrylic intraocular lenses.
Voros, G M; Strong, N P.
Afiliação
  • Voros GM; Department of Ophthalmology, Royal Victoria Infirmary, Newcastle-upon-Tyne - UK. gvorosgr@doctors.org.uk
Eur J Ophthalmol ; 15(4): 465-7, 2005.
Article em En | MEDLINE | ID: mdl-16001379
PURPOSE: To report an exchange technique for opacified hydrophilic acrylic intraocular lenses (IOLs). METHODS: . Twenty patients with two different types of opacified hydrophilic acrylic IOLs underwent IOL exchange by a single surgeon. Circumferential enlargement of the pre-existing capsulorrhexis was a critical step of the procedure, and resulted in expression of the IOL with minimal traction to the capsule. Implantation of an in-the-sulcus IOL followed. Surgical technique, complications, and visual outcome are discussed. RESULTS: Time from the initial cataract operation varied from 15 to 61 months (mean 30.5), and in all cases marked fibrosis was encountered. Eighteen patients had uncomplicated IOL exchange. Posterior capsule rupture occurred in two cases. Vision improved in 16 cases, remained unchanged in 3 cases, and deteriorated in 1 case. CONCLUSIONS: IOL exchange of opacified hydrophilic acrylic IOLs is a particularly challenging procedure due to extensive fibrosis. Circumferential enlargement of the pre-existing capsulorrhexis significantly facilitates the mobilization of the IOL from its fibrous pocket, with the use of minimal forces. Thus, the risk of zonular dehiscence or posterior capsule rupture is minimized.
Assuntos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Resinas Acrílicas / Falha de Prótese / Implante de Lente Intraocular / Remoção de Dispositivo / Lentes Intraoculares Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2005 Tipo de documento: Article País de publicação: Estados Unidos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Resinas Acrílicas / Falha de Prótese / Implante de Lente Intraocular / Remoção de Dispositivo / Lentes Intraoculares Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2005 Tipo de documento: Article País de publicação: Estados Unidos