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[PMID]:28682016
[Au] Autor:Lim DH; Shin DH; Han G; Chung ES; Chung TY
[Ad] Endereço:Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
[Ti] Título:The Incidence and Risk Factors of Lens-iris Diaphragm Retropulsion Syndrome during Phacoemulsification.
[So] Source:Korean J Ophthalmol;31(4):313-319, 2017 Aug.
[Is] ISSN:2092-9382
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:PURPOSE: In the present study, the incidence and risk factors of lens-iris diaphragm retropulsion syndrome (LIDRS) were evaluated. METHODS: Patients who underwent cataract surgery using phacoemulsification between June 2014 and December 2014 were included in the study. The preoperative ocular biometric and intraoperative surgical parameters were examined. The incidence of LIDRS and various risk factors were analyzed using an independent t-test, Pearson's chi-square test, and univariable and multivariable logistic regression analyses. RESULTS: Among 124 eyes of 124 patients, 100 (80.6%) had no LIDRS and 24 (19.4%) had LIDRS. LIDRS occurred in 13 of 31 vitrectomized eyes (41.9%) and 11 of 93 non-vitrectomized eyes (11.8%). Based on univariable analysis, age (odds ratio [OR], 0.920; p = 0.001), vitrectomized eye (OR, 5.038; p = 0.001), spherical equivalent (OR, 0.778; p < 0.001), axial length (OR, 1.716; p < 0.001), anterior chamber depth (OR, 3.328; p = 0.037), and 3.0 mm vs. 2.2 mm incision size (OR, 4.964; p = 0.001) were statistically significant risk factors associated with the development of LIDRS. Conditional multivariable logistic regression showed that vitrectomized eye (OR, 3.865; 95% confidence interval [CI], 1.201 to 12.436; p = 0.023), long axial length (OR, 1.709; 95% CI, 1.264 to 2.310; p = 0.001), and 3.0 vs. 2.2 mm incision size (OR, 3.571; 95% CI, 1.120 to 11.393; p = 0.031) were significant independent risk factors associated with LIDRS. CONCLUSIONS: LIDRS is a relatively common occurrence and was found to be associated with vitrectomized eye, long axial length, and larger incision size. Evaluating risk factors prior to cataract surgery can help reduce associated morbidity.
[Mh] Termos MeSH primário: Segmento Anterior do Olho/diagnóstico por imagem
Complicações Intraoperatórias/epidemiologia
Doenças da Íris/epidemiologia
Doenças do Cristalino/epidemiologia
Facoemulsificação/efeitos adversos
Complicações Pós-Operatórias/epidemiologia
Medição de Risco/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Incidência
Doenças da Íris/diagnóstico
Doenças da Íris/etiologia
Doenças do Cristalino/diagnóstico
Doenças do Cristalino/etiologia
Masculino
Meia-Idade
Prevalência
República da Coreia/epidemiologia
Fatores de Risco
Síndrome
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.3341/kjo.2016.0050


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[PMID]:27646328
[Au] Autor:Neffendorf JE; Gupta B; Williamson TH
[Ad] Endereço:Department of Ophthalmology, Royal Berkshire Hospital, Reading - UK.
[Ti] Título:Intraoperative complications of patients undergoing small-gauge and 20-gauge vitrectomy: a database study of 4,274 procedures.
[So] Source:Eur J Ophthalmol;27(2):226-230, 2017 Mar 10.
[Is] ISSN:1724-6016
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare the intraoperative complications between 23-G and 20-G instrumentation in patients undergoing pars plana vitrectomy (PPV). METHODS: This was a retrospective comparative study of 4,274 PPV procedures by the same surgical team between 1998 and 2016. A total of 2,648 operations were carried out with 20-G surgery and 1,626 operations with 23-G surgery. Main outcome measures were the incidence of choroidal haemorrhage, iatrogenic retinal break, and lens touch. RESULTS: The most frequent surgical indication in both 20-G and 23-G was rhegmatogenous retinal detachment (RRD), 38.7% (1,026/2,648) and 45.9% (746/1,626), respectively. The frequency of choroidal haemorrhage was 1.0% with 20-G surgery (26/2,648) vs 0.6% with 23-G (9/1,626, p = 0.16). Subgroup analysis showed the increased risk was present in RRD surgery, 1.6% (16/1,026) vs 0.1% (1/746, p = 0.002), but not in all other indications combined, 20-G with 0.6% (10/1,622) and 23-G 0.9% (8/88, p = 0.46). This increased risk was also true for RRD when excluding combined scleral buckle surgery. There was an increased risk of iatrogenic retinal break in RRD cases undergoing 20-G, 5.8% (60/1,026), compared to 23-G vitrectomy, 1.9% (14/746, p<0.0001). There was no difference in rates of lens touch between 20-G and 23-G. CONCLUSIONS: 23-G microincisional PPV has a lower risk of choroidal haemorrhage and iatrogenic retinal tears than 20-G vitrectomy particularly for eyes with RRD.
[Mh] Termos MeSH primário: Complicações Intraoperatórias
Doenças do Cristalino/cirurgia
Doenças Retinianas/cirurgia
Vitrectomia
Hemorragia Vítrea/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Hemorragia da Coroide/etiologia
Bases de Dados Factuais
Feminino
Seres Humanos
Incidência
Complicações Intraoperatórias/etiologia
Masculino
Meia-Idade
Complicações Pós-Operatórias
Perfurações Retinianas/etiologia
Estudos Retrospectivos
Recurvamento da Esclera/métodos
Acuidade Visual
Vitrectomia/efeitos adversos
Vitrectomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160921
[St] Status:MEDLINE
[do] DOI:10.5301/ejo.5000856


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[PMID]:27613228
[Au] Autor:Jayaratne SK; Donaldson PJ; Vickers MH; Lim JC
[Ad] Endereço:a Department of Physiology, Faculty of Medical and Health Sciences , University of Auckland , Auckland , New Zealand.
[Ti] Título:The Effects of Maternal Under-Nutrition and a Post-Natal High Fat Diet on Lens Growth, Transparency and Oxidative Defense Systems in Rat Offspring.
[So] Source:Curr Eye Res;42(4):589-599, 2017 Apr.
[Is] ISSN:1460-2202
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: A poor early life nutrition environment is well established to result in a range of cardiometabolic disorders in offspring in later life. These effects can be exacerbated via exposure to an obesogenic dietary environment. To date, the effect of maternal diet and/or a post-natal obesogenic nutritional environment on key characteristics related to lens growth and oxidative stress has not been undertaken. The present study, therefore, examined the characteristics and oxidative status of the lens. MATERIALS AND METHODS: Using a model of moderate maternal under-nutrition, rat dams were fed either a control diet (100% ad libitum, CON) or undernourished throughout pregnancy (50% of ad libitum intake, UN) and offspring fed either a control (5% fat, C) or high fat (30% fat, HF) diet post-weaning, resulting in four nutritional groups; CON-C, CON-HF, UN-C, and UN-HF. Offspring lenses were extracted at 160 days of age, weighed, imaged under dark and bright field microscopy, and then dissected into cortical and core fractions for biochemical analyses of oxidative stress markers. RESULTS: Our findings reveal that lenses from all groups were transparent. However, gender specific changes were evident at the biochemical level with increased oxidative stress detected in the cortex and core of female but not male UN-C lenses, and in the cortex of male but not female CON-HF lenses. The greatest increase in oxidative stress was detected in the UN-HF group in the cortex and core regions of the lens and for both genders. CONCLUSIONS: These findings show that oxidative stress is exacerbated in the lens as a result of a combination of altered pre-natal and post-natal diet. This demonstrates a novel interaction between the two developmental windows and warrants further investigations toward devising appropriate nutritional strategies for minimizing oxidative stress in the lens.
[Mh] Termos MeSH primário: Dieta Hiperlipídica/efeitos adversos
Doenças do Cristalino/etiologia
Cristalino/crescimento & desenvolvimento
Desnutrição/complicações
Fenômenos Fisiológicos da Nutrição Materna
Estresse Oxidativo/fisiologia
[Mh] Termos MeSH secundário: Adiposidade
Animais
Ácido Ascórbico/metabolismo
Biomarcadores/metabolismo
Glicemia/metabolismo
Peso Corporal
Feminino
Glutationa/metabolismo
Insulina/sangue
Doenças do Cristalino/metabolismo
Cristalino/metabolismo
Leptina/sangue
Masculino
Obesidade/etiologia
Obesidade/metabolismo
Gravidez
Ratos
Ratos Sprague-Dawley
Vitamina E/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Blood Glucose); 0 (Insulin); 0 (Leptin); 1406-18-4 (Vitamin E); GAN16C9B8O (Glutathione); PQ6CK8PD0R (Ascorbic Acid)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160911
[St] Status:MEDLINE
[do] DOI:10.1080/02713683.2016.1214969


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[PMID]:27930798
[Au] Autor:Kaweri L; Kurian M; Vunnavu K; Shetty R; Shetty B
[Ti] Título:Change in Visual Quality Following Surgery in a Case of Anterior Lenticonus Without Syndromic Association.
[So] Source:J Refract Surg;32(12):858-860, 2016 Dec 01.
[Is] ISSN:1081-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Aberrações de Frente de Onda da Córnea/fisiopatologia
Doenças do Cristalino/cirurgia
Transtornos da Visão/fisiopatologia
Acuidade Visual/fisiologia
[Mh] Termos MeSH secundário: Aberrometria
Adulto
Seres Humanos
Doenças do Cristalino/fisiopatologia
Implante de Lente Intraocular
Cristalino/cirurgia
Masculino
Oftalmoscopia
Pseudofacia/fisiopatologia
Retinoscopia
Tomografia de Coerência Óptica
Transtornos da Visão/etiologia
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE
[do] DOI:10.3928/1081597X-20161018-01


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[PMID]:27314855
[Au] Autor:Klein-Theyer A; Horwath-Winter J; Rabensteiner DF; Schwantzer G; Wultsch G; Aminfar H; Heidinger A; Boldin I
[Ad] Endereço:Department of Ophthalmology, Medical University of Graz, Graz, Austria.
[Ti] Título:The Impact of Visual Guided Order Picking on Ocular Comfort, Ocular Surface and Tear Function.
[So] Source:PLoS One;11(6):e0157564, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: We investigated the effects of a visual picking system on ocular comfort, the ocular surface and tear function compared to those of a voice guided picking solution. DESIGN: Prospective, observational, cohort study. SETTING: Institutional. STUDY POPULATION: A total of 25 young asymptomatic volunteers performed commissioning over 10 hours on two consecutive days. MAIN OUTCOME MEASURES: The operators were guided in the picking process by two different picking solutions, either visually or by voice while their subjective symptoms and ocular surface and tear function parameters were recorded. RESULTS: The visual analogue scale (VAS) values, according to subjective dry eye symptoms, in the visual condition were significantly higher at the end of the commissioning than the baseline measurements. In the voice condition, the VAS values remained stable during the commissioning. The tear break-up time (BUT) values declined significantly in the visual condition (pre-task: 16.6 sec and post-task: 9.6 sec) in the right eyes, that were exposed to the displays, the left eyes in the visual condition showed only a minor decline, whereas the BUT values in the voice condition remained constant (right eyes) or even increased (left eyes) over the time. No significant differences in the tear meniscus height values before and after the commissioning were observed in either condition. CONCLUSION: In our study, the use of visually guided picking solutions was correlated with post-task subjective symptoms and tear film instability.
[Mh] Termos MeSH primário: Síndromes do Olho Seco/tratamento farmacológico
Olho/fisiopatologia
Doenças do Cristalino/tratamento farmacológico
Lágrimas/fisiologia
[Mh] Termos MeSH secundário: Adulto
Síndromes do Olho Seco/fisiopatologia
Face
Feminino
Seres Humanos
Umidade
Doenças do Cristalino/fisiopatologia
Masculino
Meia-Idade
Visão Ocular/fisiologia
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160618
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0157564


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[PMID]:27285326
[Au] Autor:Trikha S; Agrawal S; Saffari SE; Jayaswal R; Yang YF
[Ad] Endereço:Department of Ophthalmology, Queen Alexandra Hospital, Cosham, Portsmouth, Hampshire, UK.
[Ti] Título:Visual outcomes in patients with zonular dialysis following cataract surgery.
[So] Source:Eye (Lond);30(10):1331-1335, 2016 Oct.
[Is] ISSN:1476-5454
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PurposeTo evaluate the visual outcomes of patients with zonular dialysis following cataract surgery.Patients and methodsMedical records of all patients with documented zonular dialysis, either pre- or peri-operatively, undergoing cataract surgery between 2004-2010 at Queen Alexandra Hospital, Portsmouth, were retrospectively reviewed. Baseline demographics and biometry were analysed, and ocular co-morbidities documented. Intraoperative complications and the use of a capsular tension ring (CTR) were identified. Early and late best-corrected visual acuity (BCVA) post surgery were determined using LogMar values. Univariate and multivariate linear regression analysis was performed to determine associations with BCVA post surgery, and further subgroup analysis performed in groups determined by CTR use.ResultsThe records of 22 312 consecutive eyes undergoing cataract surgery were reviewed. The incidence of zonular dialysis was 0.50% (111 eyes). A CTR was inserted in 46 eyes. Using a multivariate linear regression model, better initial pre-operative BCVA (P=0.019), the use of a CTR (P=0.014), and the absence of vitreous loss during surgery (P=0.008, ß 0.45) were associated with improved early postoperative BCVA (mean follow-up 6.6 weeks). Better medium-term postoperative BCVA was significantly associated with preoperative BCVA (P=0.002) and the use of a CTR during surgery (P=0.004, ß -0.41).ConclusionsThe overall incidence of zonular dialysis is low. CTR use intra-operatively suggests improved early and medium-term BCVA and should be considered in all cases of zonular dialysis.
[Mh] Termos MeSH primário: Traumatismos Oculares/cirurgia
Doenças do Cristalino/cirurgia
Ligamentos/lesões
Facoemulsificação/métodos
Implante de Prótese
Acuidade Visual/fisiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Biometria
Traumatismos Oculares/etiologia
Traumatismos Oculares/fisiopatologia
Feminino
Seres Humanos
Incidência
Complicações Intraoperatórias
Doenças do Cristalino/etiologia
Doenças do Cristalino/fisiopatologia
Implante de Lente Intraocular
Masculino
Próteses e Implantes
Pseudofacia/fisiopatologia
Estudos Retrospectivos
Fatores de Risco
Ruptura Espontânea
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:171001
[Lr] Data última revisão:
171001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160611
[St] Status:MEDLINE
[do] DOI:10.1038/eye.2016.108


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[PMID]:27145815
[Au] Autor:Kitamura F; Inoue T; Kuroda U; Tanihara H
[Ad] Endereço:Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Chuo-ku, Kumamoto, Japan.
[Ti] Título:Angle closure caused by a plateau-like iris associated with an enlarged Soemmering's ring: a case report.
[So] Source:BMC Ophthalmol;16(1):49, 2016 May 04.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study evaluated the anterior ocular segment in a pseudophakic eye with angle closure due to a plateau-like iris associated with Soemmering's ring, using ultrasound biomicroscopy (UBM) and anterior segment optical coherence tomography (AS-OCT). CASE PRESENTATION: A 60-year-old woman was referred from a local clinic due to sudden-onset ocular pain and uncontrolled intraocular pressure (IOP) in the left eye, which was 56 mmHg after treatment with latanoprost, timolol, and dorzolamide eye drops. Fourteen years earlier, she developed acute primary angle closure. At that time, because the IOP remained elevated after a peripheral iridectomy, cataract extraction combined with goniosynechialysis was added. After the IOP decreased to within the normal range, a secondary intraocular lens was implanted outside the bag. On this admission, UBM and AS-OCT images showed angle closure caused by the combination of a plateau-like iris and contact between the mydriatic pupillary margin and enlarged Soemmering's ring. After adding 2 % pilocarpine four times a day, the mydriasis resolved slightly, and the IOP decreased to the normal range between 8 and 18 mmHg. AS-OCT images showed re-opening of the angle structure after treatment with 2 % pilocarpine. CONCLUSION: The intraocular pressure and angle structure in eyes with a plateau iris after cataract extraction should be followed carefully.
[Mh] Termos MeSH primário: Glaucoma de Ângulo Fechado/etiologia
Doenças da Íris/complicações
Doenças do Cristalino/complicações
Pseudofacia/etiologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170126
[Lr] Data última revisão:
170126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160506
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-016-0226-0


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[PMID]:27026463
[Au] Autor:Masket S
[Ti] Título:Subluxated multifocal intraocular lens-capsular bag-capsular tension ring complex. February consultation #1.
[So] Source:J Cataract Refract Surg;42(2):339, 2016 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Migração do Implante de Lente Intraocular/etiologia
Cápsula do Cristalino/patologia
Doenças do Cristalino/etiologia
Lentes Intraoculares
Próteses e Implantes
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Migração do Implante de Lente Intraocular/cirurgia
Seres Humanos
Doenças do Cristalino/cirurgia
Masculino
Facoemulsificação
Desenho de Prótese
Reoperação
Técnicas de Sutura
Transtornos da Visão/reabilitação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160331
[St] Status:MEDLINE


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[PMID]:27026459
[Au] Autor:Hara T; Hara T; Sakanishi K; Hashimoto T; Motoyama Y
[Ad] Endereço:From the Hara Eye Hospital (Takeshi Hara, Tsutomu Hara, Hashimoto, Motoyama), Utsunomiya, and Menicon Co., Ltd. (Sakanishi), Nagoya, Japan.
[Ti] Título:Structure of the entire capsular bag containing an endocapsular equator ring and intraocular lens.
[So] Source:J Cataract Refract Surg;42(2):332-5, 2016 Feb.
[Is] ISSN:1873-4502
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: We report in vivo observation of a capsular bag containing an endocapsular equator ring and intraocular lens that was explanted 5 years after the initial surgery. The capsule equator remained completely circular. The inside of the capsular bag retained the open space, and the endocapsular equator ring blocked proliferative tissue under the anterior capsule at the equator and prevented posterior capsule opacification. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
[Mh] Termos MeSH primário: Migração do Implante de Lente Intraocular/cirurgia
Cápsula do Cristalino/patologia
Doenças do Cristalino/cirurgia
Lentes Intraoculares
Próteses e Implantes
[Mh] Termos MeSH secundário: Migração do Implante de Lente Intraocular/etiologia
Remoção de Dispositivo
Seres Humanos
Doenças do Cristalino/etiologia
Implante de Lente Intraocular
Masculino
Meia-Idade
Facoemulsificação
Reoperação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160331
[St] Status:MEDLINE


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[PMID]:27018809
[Au] Autor:Elhousseini Z; Lee E; Williamson TH
[Ad] Endereço:*Department of Ophthalmology, Royal Free Hospital, London, United Kingdom;†Department of Ophthalmology, Epsom and St. Helier University Hospitals, United Kingdom; and‡Department of Ophthalmology, Guy's and St Thomas' Hospital, London, United Kingdom.
[Ti] Título:INCIDENCE OF LENS TOUCH DURING PARS PLANA VITRECTOMY AND OUTCOMES FROM SUBSEQUENT CATARACT SURGERY.
[So] Source:Retina;36(4):825-9, 2016 Apr.
[Is] ISSN:1539-2864
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the incidence of lens touch during pars plana vitrectomy (PPV) and evaluate cataract surgery complications after lens touch. METHODS: One thousand three hundred and ninety nine phakic patients who underwent PPV during the period from 2001 to 2013 were included in the study. Data of the PPV and lens touch (excluding lens bite) complications were reviewed from an electronic database (VITREOR). Subsequent cataract surgery data and intraoperative complications were reviewed. A control group consisted of 149 cases of phakic patients who underwent PPV with no lens touch then subsequent cataract surgery. All surgeries were performed by senior surgeons, and no cataract was present before the PPV. RESULTS: The incidence of lens touch was 3.7% (52 of 1,399 phakic patients). The Demographics and presenting complaints of the patients were not significantly associated with lens touch, but retinal detachment with proliferative vitreoretinopathy, the use of silicone oil and use of relaxing retinectomy were associated with more lens touch. Cataract developed in 49 patients of whom 45 underwent cataract surgery. Nuclear sclerosis developed in 22 patients, 16 had posterior subcapsular, 8 had mixed lens opacities, and 3 had white cataract. The median duration between PPV and cataract surgery was 4 months in the lens touch group, which was significantly shorter than the median of 8 months in the control group (P = 0.001). During the subsequent cataract surgery in the lens touch group, 5 patients (11%) had a posterior capsule rupture, whereas the control group had only 2 cases of posterior capsule rupture 1.4% (P = 0.008). Final visual acuity was 0.3 LogMar or better in 22 patients (44%). CONCLUSION: Lens touch is a frequent complication of PPV in a phakic eye. It is more common in patients having surgery for proliferative vitreoretinopathy. Care should be taken when performing subsequent cataract surgery on an eye with lens touch as it carries a significantly increased chance of posterior capsule rupture.
[Mh] Termos MeSH primário: Catarata/etiologia
Complicações Intraoperatórias
Doenças do Cristalino/etiologia
Doenças do Cristalino/cirurgia
Facoemulsificação
Vitrectomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Incidência
Implante de Lente Intraocular
Masculino
Meia-Idade
Estudos Prospectivos
Pseudofacia/fisiopatologia
Descolamento Retiniano/cirurgia
Acuidade Visual/fisiologia
Vitreorretinopatia Proliferativa/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160329
[Lr] Data última revisão:
160329
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160329
[St] Status:MEDLINE
[do] DOI:10.1097/IAE.0000000000000779



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