IRIS MODIFICATIONS FOLLOWING EXTRACAPSULAR CATARACT-EXTRACTION WITH POSTERIOR CHAMBER LENS IMPLANTATION

被引：18
作者：
BRAZITIKOS, PD
ROTH, A
机构：
[1] Clinique d'Ophtalmologie, Hôpital Cantonal Universitaire, Geneva
来源：
JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1991年 / 17卷 / 03期
关键词：
EXTRACAPSULAR CATARACT EXTRACTION; FIBRINOUS MEMBRANE; IN-THE-BAG IMPLANTATION; INTRAOCULAR LENS; INTRAOPERATIVE IRIS INJURY; IRIS STEP; POSTOPERATIVE PUPILLARY MOTILITY; POSTOPERATIVE SYNECHIA; PUPIL CAPTURE; SUBLUXATION; SULCUS IMPLANTATION;
D O I：
10.1016/S0886-3350(13)80823-1
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
We prospectively examined 94 eyes of 93 consecutive patients who had planned extracapsular cataract extraction or phacoemulsification with posterior chamber intraocular lens (IOL) implantation. The observed postoperative iris biomicroscopic modifications are described and classified. Iris synechial formation was more frequently observed in eyes with pseudoexfoliation syndrome, when an irregular anterior capsulotomy was performed, when the IOL was other than in the bag, and in cases of postoperative fibrinous exudation. Synechias occurred more frequently in intraoperatively injured iris areas. Pupil capture was the only postoperative iris modification that was observed to affect visual acuity. The maximal postoperative dilation was greater and the pupillary photic reaction was significantly less modified postoperatively (P = .0058) when the IOL was fixated within the capsular bag.
引用
收藏
页码：269 / 280
页数：12
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共 52 条
  • [1] Apple DJ, Mamalis N, Loftfield K, Et al., Complications of intraocular lenses. A historical and histopathological review, Surv Ophthalmol, 29, pp. 1-54, (1984)
  • [2] Kratz RP, Mazzocco TR, Davidson B, Colvard DM, A comparative analysis of anterior chamber, iris-supported, capsule-fixated, and posterior chamber intraocular lenses following cataract extraction by phacoemulsification, Ophthalmology, 88, pp. 56-58, (1981)
  • [3] Jaffe NS, The changing scene of intraocular implant lens surgery, Am J Ophthalmol, 88, pp. 819-828, (1979)
  • [4] McDonnell PJ, Green WR, Maumenee AE, Iliff WJ, Pathology of intraocular lenses in 33 eyes examined postmortem, Ophthalmology, 90, pp. 386-403, (1983)
  • [5] Stark WJ, Terry AC, Worthen D, Murray GC, Update of intraocular lenses implanted in the United States, American Journal of Ophthalmology, 98, pp. 238-239, (1984)
  • [6] Bourne WM, Liesegang TJ, Waller RR, Ilstrup DM, The effect of sodium hyaluronate on endothelial cell damage during extracapsular cataract extraction and posterior chamber lens implantation, Am J Ophthalmol, 98, pp. 759-762, (1984)
  • [7] Schultz RO, Glasser DB, Matsuda M, Et al., Response of the corneal endothelium to cataract surgery, Arch Ophthalmol, 104, pp. 1164-1169, (1986)
  • [8] Kraff MC, Sanders DR, Lieberman HL, Monitoring for continuing endothelial cell loss with cataract extraction and intraocular lens implantation, Ophthalmology, 89, pp. 30-34, (1982)
  • [9] Baller RS, Opacification of the posterior capsule-an alternative to discission, Ophthalmic Surg, 8, 6, pp. 48-50, (1977)
  • [10] Lindstrom RL, Harris WS, Management of the posterior capsule following posterior chamber lens implantation, Am Intra-Ocular Implant Soc J, 6, pp. 255-258, (1980)
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