ABSTRACT
PURPOSE: To report the appearance of glistenings in the Artiflex iris-claw phakic intraocular lens (pIOL) (Ophtec B.V.); evaluate their prevalence, severity, and visual significance; and determine whether a large in-depth study of the IOL is warranted. SETTING: La Fe University Hospital, Valencia, Spain. METHODS: Twenty eyes of 13 patients who had the Artiflex pIOL implantation at the same institution over a 2-year period were randomly selected and evaluated by slitlamp examination; visual acuity was also measured. Glistenings in the Artiflex pIOL were graded from trace to 4+ at the slitlamp. RESULTS: Four Artiflex pIOLs had lenticular glistenings ranging from grade 1+ to grade 4+. Analysis of visual acuity and patient satisfaction showed that the glistenings had no clinical significance. CONCLUSIONS: Glistenings appeared some Artiflex pIOLs to varying degrees, although they were not visually significant in any case. A larger study of this IOL is needed to determine whether severe cases of glistenings affect visual function and assess their cause and evolution over time.
Subject(s)
Iris/surgery , Lens Implantation, Intraocular/methods , Lens, Crystalline/physiology , Lenses, Intraocular , Myopia/surgery , Prosthesis Failure , Adult , Female , Humans , Male , Middle Aged , Patient Satisfaction , Visual AcuityABSTRACT
PURPOSE: Anterior chamber involvement is unusual in patients with acute lymphoblastic leukemia (ALL) and has never been described in the setting of Ph+ (Philadelphia chromosome-positive) ALL. Moreover, there have been no reports of this complication as a primary relapse in a patient treated with imatinib. DESIGN: Interventional case report. METHODS: A 55-year-old woman with Ph+ ALL in complete remission with imatinib and presenting unilateral anterior uveitis at initial examination was clinically evaluated. Hematologic and ocular studies were performed: blood films, bone marrow smears, and anterior chamber paracentesis with aqueous fluid cytology. RESULTS: Although there was no evidence of leukemia in the blood or bone marrow samples, aqueous fluid cytology identified Ph+ positive lymphoblastic leukemic cells. CONCLUSIONS: The patient had developed anterior chamber infiltration without hematological relapse while treated with imatinib. In our opinion, paracentesis should be performed without delay when uveitis develops in ALL, regardless of systemic relapse.
Subject(s)
Anterior Chamber/pathology , Antineoplastic Agents/therapeutic use , Eye Neoplasms/pathology , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy , Leukemic Infiltration/pathology , Piperazines/therapeutic use , Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Pyrimidines/therapeutic use , Aqueous Humor/cytology , Benzamides , Female , Humans , Imatinib Mesylate , In Situ Hybridization, Fluorescence , Middle Aged , Philadelphia Chromosome , Remission Induction , Uveitis, Anterior/diagnosisABSTRACT
Se presentan 32 casos de catarata traumatica con y sin herida perforante del globo ocular en pacientes jovenes, a los cuales se les realizo una facofragmentacion ultrasonica y aspiracion de la catarata. Se describe los tiempos mas importantes de la tecnica quirurgica y se muestran los resultados obtenidos en la relacion a la agudeza visual postoperatoria y el estado anatomico del ojo. En 6 casos se implanto una lentilla intraocular o seudofaco. Finalmente se describe las complicaciones postoperatorias mas frecuentes.
