دورية أكاديمية
Endocapsular artificial iris implantation for iris defects: Reducing symptoms, restoring visual function and improving cosmesis.
| العنوان: | Endocapsular artificial iris implantation for iris defects: Reducing symptoms, restoring visual function and improving cosmesis. |
|---|---|
| المؤلفون: | Crawford AZ; Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.; Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, Auckland, New Zealand., Freundlich SEN; Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.; Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, Auckland, New Zealand., Lim J; Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.; Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, Auckland, New Zealand., McGhee CNJ; Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.; Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, Auckland, New Zealand.; Eye Institute, Auckland, New Zealand. |
| المصدر: | Clinical & experimental ophthalmology [Clin Exp Ophthalmol] 2022 Jul; Vol. 50 (5), pp. 490-499. Date of Electronic Publication: 2022 Apr 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Pub. Asia Country of Publication: Australia NLM ID: 100896531 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1442-9071 (Electronic) Linking ISSN: 14426404 NLM ISO Abbreviation: Clin Exp Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Carlton, Vic. : Wiley-Blackwell Pub. Asia Original Publication: Carlton, Vic. : Blackwell Science Asia, c2000- |
| مواضيع طبية MeSH: | Aniridia*/surgery , Lenses, Intraocular*/adverse effects, Humans ; Iris/surgery ; Lens Implantation, Intraocular/methods ; Postoperative Complications/surgery ; Prosthesis Implantation ; Retrospective Studies ; Visual Acuity |
| مستخلص: | Background: To investigate repair of iris defects by endocapsular implantation of an artificial iris, in relation to visual outcomes, safety profile and patient satisfaction. Methods: Retrospective, consecutive case series from Greenlane tertiary teaching hospital and Eye Institute, Auckland, New Zealand. Medical records of patients implanted with an endocapsular artificial iris were reviewed and followed for minimum 3 months. Patient characteristics, surgical management, clinical outcomes and subjective responses were recorded. Results: Nineteen artificial irises were implanted in 18 patients. Etiologies were iris melanotic lesion excision (73.7%), trauma (10.5%), congenital aniridia (10.5%) and Urrets-Zavalia syndrome (5.3%). During postoperative follow-up [14.1 ± 12.4 months (range: 3 to 59 months)], best corrected visual acuity (BCVA) and intraocular pressure (IOP) did not change significantly [BCVA, 0.23 logarithm of the minimum angle of resolution (logMAR) (20/32 Snellen) preoperatively vs. 0.18 logMAR postoperatively (20/25 Snellen) (Z = -0.222, p = 0.824); IOP, 15 mmHg preoperatively vs. 17 mmHg postoperatively (Z = 1.377, p = 0.1447)]. Mild or self-limiting complications included: elevated IOP (42.1%), cystoid macular oedema (15.8%); persisting postoperative uveitis (15.8%) and minor vaulting of the prosthesis (15.7%). Moderate or severe complications included significant vaulting of prosthesis requiring surgical revision (5.3%) and a single eye (5.3%) with trabeculectomy and corneal graft failure. 94.4% of patients were very satisfied with the cosmesis and would be highly likely to have the procedure again. Conclusions: This study confirms that endocapsular insertion of an artificial iris is typically associated with good functional and cosmetic results and a relatively low risk of significant complications. (© 2022 The Authors. Clinical & Experimental Ophthalmology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Ophthalmologists.) |
| References: | Graefes Arch Clin Exp Ophthalmol. 2016 Jul;254(7):1419-24. (PMID: 26892143) Clin Exp Ophthalmol. 2022 Jul;50(5):490-499. (PMID: 35420244) Oman J Ophthalmol. 2021 Jun 28;14(2):69-73. (PMID: 34345138) Clin Exp Ophthalmol. 2017 Nov;45(8):831-834. (PMID: 28403577) Perception. 2006;35(8):1089-105. (PMID: 17076068) Invest Ophthalmol Vis Sci. 2015 Oct;56(11):6724-33. (PMID: 26567783) Pediatrics. 2008 Nov;122(5):1033-8. (PMID: 18977984) J Ophthalmol. 2018 Sep 23;2018:3262068. (PMID: 30345111) Clin Exp Ophthalmol. 2019 Apr;47(3):346-356. (PMID: 30953417) Ophthalmology. 2016 May;123(5):1011-8. (PMID: 26935356) Clin Exp Ophthalmol. 2018 Apr;46(3):298-299. (PMID: 28842945) Optom Vis Sci. 2004 Jul;81(7):505-9. (PMID: 15252349) J Cataract Refract Surg. 2017 Jun;43(6):724-731. (PMID: 28732604) Surv Ophthalmol. 2020 Sep - Oct;65(5):496-512. (PMID: 32092363) PLoS One. 2020 Aug 13;15(8):e0237616. (PMID: 32790803) J Cataract Refract Surg. 2020 Jun;46(6):893-901. (PMID: 32176161) |
| معلومات مُعتمدة: | Ophthalmology Futures Research Scholarship Joan Ready; Corneal Research fellowship in Ophthalmology Maurice and Phyllis Paykel Trust; Doctoral Scholarship University of Auckland |
| فهرسة مساهمة: | Keywords: artificial endocapsular iris implant; artificial iris; iris colour; iris defect; iris melanoma |
| تواريخ الأحداث: | Date Created: 20220414 Date Completed: 20220713 Latest Revision: 20221015 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9542440 |
| DOI: | 10.1111/ceo.14083 |
| PMID: | 35420244 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1442-9071 |
|---|---|
| DOI: | 10.1111/ceo.14083 |