دورية أكاديمية
[Management of post-traumatic aphakia and aniridia: Retrospective study of 17 patients undergoing scleral-sutured artificial iris intraocular lens implantation. Management of aphakia-aniridia with scleral-sutured artificial iris intraocular lenses].
| العنوان: | [Management of post-traumatic aphakia and aniridia: Retrospective study of 17 patients undergoing scleral-sutured artificial iris intraocular lens implantation. Management of aphakia-aniridia with scleral-sutured artificial iris intraocular lenses]. |
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| عنوان ترانسليتريتد: | Prise en charge de l’aphakie et de l’aniridie post-traumatiques. Étude rétrospective de 17 patients opérés d’implants intraoculaires suturés à la sclère à iris artificiel. Gestion de l’aphakie-aniridie par implants suturés à la sclère à iris artificiel. |
| المؤلفون: | Villemont AS; Service d'ophtalmologie, hôpital Edouard-Herriot, 69003 Lyon, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France. Electronic address: as.villemont@hotmail.fr., Kocaba V; Service d'ophtalmologie, hôpital Edouard-Herriot, 69003 Lyon, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France., Janin-Manificat H; Service d'ophtalmologie, hôpital Edouard-Herriot, 69003 Lyon, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France., Abouaf L; Service de neuro-ophtalmologie, hôpital neurologique Pierre-Wertheimer, 69677 Bron, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France., Poli M; Service d'ophtalmologie, centre hospitalier de Lyon Sud, 69495 Pierre-Bénite, France., Marty AS; Service d'ophtalmologie, hôpital Edouard-Herriot, 69003 Lyon, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France., Rabilloud M; Service de biostatistique et bioinformatique des hospices civils de Lyon, 69003 Lyon, France; CNRS UMR 558, laboratoire biostatistique santé, 69100 Villeurbanne, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France., Fleury J; Service d'ophtalmologie, hôpital Edouard-Herriot, 69003 Lyon, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France., Burillon C; Service d'ophtalmologie, hôpital Edouard-Herriot, 69003 Lyon, France; Service d'ophtalmologie, centre hospitalier de Lyon Sud, 69495 Pierre-Bénite, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France. |
| المصدر: | Journal francais d'ophtalmologie [J Fr Ophtalmol] 2017 Sep; Vol. 40 (7), pp. 592-605. Date of Electronic Publication: 2017 Aug 10. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | French |
| بيانات الدورية: | Publisher: Masson Country of Publication: France NLM ID: 7804128 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1773-0597 (Electronic) Linking ISSN: 01815512 NLM ISO Abbreviation: J Fr Ophtalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Paris, New York, Masson. |
| مواضيع طبية MeSH: | Eye, Artificial*, Aniridia/*surgery , Aphakia/*surgery , Eye Injuries/*surgery , Iris/*surgery , Lens Implantation, Intraocular/*methods , Sclera/*surgery, Adult ; Aged ; Aniridia/etiology ; Aphakia/etiology ; Eye Injuries/complications ; Female ; Humans ; Iris/pathology ; Lens Implantation, Intraocular/adverse effects ; Lenses, Intraocular/adverse effects ; Male ; Middle Aged ; Retrospective Studies ; Sclera/pathology ; Suture Techniques/adverse effects ; Sutures/adverse effects ; Young Adult |
| مستخلص: | Purpose: To evaluate the long-term outcomes of artificial iris intraocular lenses sutured to the sclera for managing traumatic aphakia and aniridia. Methods: All consecutive cases receiving a Morcher ® combination implant from June 2008 to February 2016 in Edouard-Herriot Hospital (Lyon, France) were included in this single-center retrospective study. Visual acuity, subjective degree of glare, quality of life and surgical complications were evaluated. Results: Seventeen eyes of 17 patients were included, among which 82% were male. The mean age was 42 years. The injuries consisted of 23.5% contusion and 70.5% open globe injuries, of which 41% were globe ruptures. There was one postoperative case. A penetrating keratoplasty was performed at the same time for eight eyes. The mean follow-up was 32 months. Best-corrected visual acuity improved in 41.2%, remained the same in 17.6% and decreased in 41.2% of our cases. Distance vision averaged 1±0.25 line better and near vision 2.2±0.32 lines better when visual acuity was quantifiable before surgery. Glare improved in 80% of patients and remained stable in 20%, decreasing on average from 3.3/5 [min. 3-max. 4; SD: 0.48] before surgery to 1.9/5 [min. 0-max. 4; SD: 1.197] after surgery. Regarding the esthetic results, 78% of the patients declared themselves reasonably to very satisfied; 57% reported no limitation of activities of daily living, and 43% reported mild limitation. Ocular hypertension and glaucoma, found in 40% of eyes, were the main postoperative complications. Conclusion: Implantation of prosthetic iris device combined with an intraocular lens appears to be safe and effective in reducing glare disability and improving visual acuity. Close, long-term monitoring is essential for the success of this surgery. (Copyright © 2017 Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Aniridia; Aniridie; Aphakia; Aphakie; Black diaphragm intraocular lens; Implant suturé à la sclère; Implant à diaphragme noir; Implant à iris artificiel; Intraocular lens with prosthetic iris; Ocular trauma; Sutured scleral-fixated intraocular lens; Traumatologie |
| تواريخ الأحداث: | Date Created: 20170814 Date Completed: 20180523 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jfo.2017.03.004 |
| PMID: | 28802684 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1773-0597 |
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| DOI: | 10.1016/j.jfo.2017.03.004 |