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Retropupillary iris claw intraocular lens implantation in aphakia for dislocated intraocular lens

2016Artigo científico Acesso aberto
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dc.contributor.authorFaria, Mun Yueh
dc.contributor.authorFerreira, Nuno Pinto
dc.contributor.authorPinto, Joana Medeiros
dc.contributor.authorSousa, David Cordeiro
dc.contributor.authorLeal, Ines
dc.contributor.authorNeto, Eliana
dc.contributor.authorMarques-Neves, Carlos
dc.date.accessioned2020-12-09T14:36:18Z
dc.date.available2020-12-09T14:36:18Z
dc.date.issued2016
dc.description© 2016 Faria et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/).pt_PT
dc.description.abstractBackground: Nowadays, dislocated intraocular lenses (IOLs) and inadequate capsular support are becoming a challenge for every ophthalmic surgeon. Explantation of dislocated IOL and iris claw IOL (ICIOL) are the techniques that have been used in our ophthalmic department. The aim of this study is to report our technique for retropupillar ICIOL. Methods: This study is a retrospective case series. A total of 105 eyes with dislocated IOL from the patients at the Department of Ophthalmology in Santa Maria Hospital, a tertiary reference hospital in Lisbon, Portugal, from January 2012 until January 2016, had been analyzed. Of these 105 eyes, 66 eyes had dislocated one-piece IOL and 39 eyes had dislocated three-piece IOL. The latter underwent iris suture of the same IOL and were excluded from this study. The remaining 66 eyes with dislocated one-piece IOL underwent pars plana vitrectomy, that is, explantation of dislocated IOL through corneal incision and an implantation of retropupillary ICIOL. Operative data and postoperative outcomes included best corrected visual acuity, IOL position, intraocular pressure, pigment dispersion, clinical signs of endothelial cell loss, and anterior chamber depth. Results: The mean follow-up was 23 months (range: 6–48 months). The mean preoperative best corrected visual acuity was 1.260±0.771 logMAR, and postoperative best corrected visual acuity was 0.352±0.400 logMAR units. Mean vision gain was 0.909 logMar units. The patients had the following complications: 1) retinal detachment was found in one patient, 2) corneal edema was found in three patients, 3) high intraocular pressure was observed in twelve patients, 4) subluxation of the IOL was observed in one patient, and 5) macular edema was found in three eyes. Conclusion: The results demonstrate that retropupillary ICIOL is an easy and effective method for the correction of aphakia in patients not receiving capsule support. The safety of this procedure must be interpreted in the context of a surgery usually indicated in complicated cases.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt Med Case Rep J. 2016;9:261-265pt_PT
dc.identifier.doi10.2147/IMCRJ.S116771pt_PT
dc.identifier.eissn1179-142X
dc.identifier.urihttp://hdl.handle.net/10451/45191
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherDovepresspt_PT
dc.relation.publisherversionhttps://www.dovepress.com/international-medical-case-reports-journal-journalpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAphakiapt_PT
dc.subjectRetropupillary iris claw IOLpt_PT
dc.subjectDislocated IOLpt_PT
dc.titleRetropupillary iris claw intraocular lens implantation in aphakia for dislocated intraocular lenspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage265pt_PT
oaire.citation.startPage261pt_PT
oaire.citation.titleInternational Medical Case Reports Journalpt_PT
oaire.citation.volume9pt_PT
person.familyNamePinto Ferreira
person.familyNameMedeiros Pinto
person.familyNameSousa
person.familyNameLeal
person.familyNameMarques Neves
person.givenNameNuno
person.givenNameJoana
person.givenNameDavid Cordeiro
person.givenNameInes
person.givenNameCarlos
person.identifier707480
person.identifier.ciencia-idDF1D-9635-8FC4
person.identifier.ciencia-idCD11-9FB8-5416
person.identifier.ciencia-idC119-D580-13D6
person.identifier.orcid0000-0001-7968-0501
person.identifier.orcid0000-0003-1020-259X
person.identifier.orcid0000-0002-7680-0325
person.identifier.orcid0000-0001-9622-8779
person.identifier.orcid0000-0002-3842-2466
person.identifier.ridA-6192-2015
person.identifier.scopus-author-id57188627862
person.identifier.scopus-author-id57187966600
person.identifier.scopus-author-id6504812918
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery89125a58-2d62-4e9f-8bf1-cc81c58a9a0c

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