Pigment Release and Secondary Glaucoma After Implantation of Single-piece Acrylic Intraocular Lenses in the Ciliary Sulcus - 18/08/11
Inquiries to Harvey Siy Uy, MD, Asian Eye Institute, 9F Phinma Plaza Building, Rockwell Center, Makati City, Philippines 1200Résumé |
Purpose |
To report the association of sulcus-fixated, single-piece hydrophobic acrylic intraocular lenses (HAIOL) with pigment release and secondary glaucoma.
Design |
Interventional case series.
Methods |
HAIOL was implanted in the ciliary sulcus of 20 eyes that developed posterior capsule rupture during phacoemulsification. We analyzed postoperative best-corrected visual acuity, manifest refraction, frequency of intraocular lens malpositioning, and postoperative complications.
Results |
Postoperative best-corrected visual acuity was 20/40 or better in all eyes. The mean postoperative sphere was −0.5 ± 0.7 diopters (range +1.25 to −2.00); the mean postoperative cylinder was −1.2 ± 0.8 diopters (range 0 to −2.50). None of the HAIOLs was decentered or dislocated, and none required repositioning. Seven eyes (35%) developed pigment release; three eyes (15%) developed secondary glaucoma.
Conclusions |
Implantation of single-piece HAIOLs in the ciliary sulcus is associated with pigment release and secondary glaucoma. Alternative methods of aphakic correction should be considered.
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Vol 142 - N° 2
P. 330-332 - août 2006 Retour au numéro
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