Chronic subclinical inflammation in phakic eyes with intraocular lenses to correct myopia

Pérez-Santonja, Juan J; Iradier, María T; Castillo, José Manuel Benítez del; Serrano, José María González; Zato, Miguel A.

doi:10.1016/s0886-3350(96)80216-1

Cited by 106 publications

(48 citation statements)

References 17 publications

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Section: Schlüsselwörterunclassified

“…Jedoch sind eine Reihe von "morphologischen" Komplikationen beschrieben worden. Dazu gehören u. a. die Dezentrierung der Kunstlinse, akute und chronische Uveitiden, zum Teil einhergehend mit einem chronischen Makulaödem, eine Irisatrophie, eine Verziehung der Pupille, die Entwicklung einer Katarakt, ein induziertes Glaukom, ein progressiver Verlust von Hornhautendothelzellen, vereinzelte Netzhautablösungen und auch Endophthalmitiden [2,3,9,11,13].Bisher sind nur wenige Untersuchungen zu den funktionellen Verände-rungen nach einer solchen Operation durchgeführt worden. Dabei geht es weniger um die eigentliche unkorrigierte oder korrigierte zentrale Sehschärfe als vielmehr um die postoperative Blendempfindlichkeit und das Empfinden von Halos während der Dämmerung oder der Nacht.…”

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Blendempfindlichkeit und Halos nach "phakic IOL"-Operation zur Behandlung einer hohen Myopie

Maroccos¹,

Vaz

Marinho

et al. 2001

Der Ophthalmologe

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Section: Schlüsselwörterunclassified

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Blendempfindlichkeit und Halos nach "phakic IOL"-Operation zur Behandlung einer hohen Myopie

Maroccos¹,

Vaz

Marinho

et al. 2001

Der Ophthalmologe

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“…Chronic subclinical inflammation has also been observed in phakic eyes with IOLs. 47 It has been suggested that while endothelial cell loss continued over the first three years of follow-up (2%-3% per year), there was a cell increase of 0.1% between three years and four years, suggesting that endothelial remodeling and stability may have occurred. 48 Although multiple factors influence the side effect profile of phakic IOLs, the majority of complications can generally be predicted by the design and location of the phakic IOL within the anterior segment.…”

Section: Discussionmentioning

confidence: 99%

Comparison of clear lens extraction and collamer lens implantation in high myopia

Emarah

El-Helw²,

Yassin³

2010

OPTH

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Aim:To compare the outcomes of clear lens extraction and collamer lens implantation in high myopia. Patients and methods: Myopic patients younger than 40 years old with more than 12 diopters of myopia or who were not fit for laser-assisted in situ keratomileusis were included. Group 1 comprised patients undergoing clear lens extraction and Group 2 patients received the Visian implantable collamer lens. Outcome and complications were evaluated. Results: Postoperative best corrected visual acuity was -0.61 ± 0.18 in Group 1 and 0.79 ± 0.16 in Group 2. In Group 1, 71.4% achieved a postoperative uncorrected visual acuity better than the preoperative best corrected visual acuity, while only 51.8% patients achieved this in Group 2. Intraocular pressure decreased by 12.55% in Group 1, and increased by 15.11% in Group 2. Corneal endothelial cell density decreased by 4.47% in Group 1 and decreased by 5.67% in Group 2. Posterior capsule opacification occurred in Group 1. In Group 2, lens opacification occurred in 11.11%, significant pigment dispersion in 3.7%, and pupillary block glaucoma in 3.7%. Conclusion: Clear lens extraction presents less of a financial load up front, and less likelihood of the need for a secondary intervention in the future. Clear lens extraction is a more viable solution in developing countries with limited financial resources.

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“…As regards the onset of a more or less marked postsurgical inflammatory reaction, the data in literature are very heterogeneous because they cover different surgical techniques and several types of lenses [26][27][28][29]. Some studies have however demonstrated how the onset of cystoid macular edema varies from 6.7% to 42.9% following scleral-fixated IOL implants while it is drastically reduced from 5.7% to 22.2% with 4 ISRN Ophthalmology anterior chamber IOL implants [11,19,[30][31][32][33][34][35].…”

Section: Discussionmentioning

confidence: 99%

Secondary IOL implantation without capsular support. A laser flare cell‐meter study

Bravetti¹,

Leonetti²,

Mandrioli³

et al. 2007

Acta Ophthalmologica Scandinavica

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Phacoemulsification and the contemporary implantation of intraocular lens (IOL) within the capsular bag represent the standard of care in cataract surgery, but sometimes a primary IOL implant is not possible due to intraoperative complications or preexisting conditions so that a secondary implantation of IOL within the anterior or posterior chamber is necessary. The aim of our study was to assess the degree of inflammation due to a secondary implant of claw lenses, angle-supported IOLs, and scleral-fixated IOLs by means of an objective, repeatable, and noninvasive device, the laser flare cell meter, which evaluates aqueous flare and cells within the anterior chamber in vivo and to show the contribution of the single IOLs to the genesis of inflammation.

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Chronic subclinical inflammation in phakic eyes with intraocular lenses to correct myopia

Abstract: Our study shows chronic subclinical inflammation between 1 and 2 years after implantation of both IOL types.

Cited by 106 publications

References 17 publications

Blendempfindlichkeit und Halos nach "phakic IOL"-Operation zur Behandlung einer hohen Myopie

Blendempfindlichkeit und Halos nach "phakic IOL"-Operation zur Behandlung einer hohen Myopie

Comparison of clear lens extraction and collamer lens implantation in high myopia

Secondary IOL implantation without capsular support. A laser flare cell‐meter study

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