ABSTRACT
ABSTRACT Purpose: To analyze the outcomes of in-the-bag toric intraocular lens implantation for anterior capsular tears during phacoemulsification. Methods: The cohort of this retrospective, consecutive, interventional case series included eight patients. One patient was excluded as the tear was used to enlarge the rhexis. The mean preoperative astigmatism was -1.67D (± 0.98) and the mean preoperative unaided logMAR visual acuity was 0.62 (± 0.76). The mean angle between the anterior capsule tear and the closest intraocular lens haptic was 51.25° (range, 30°-90°). Results: The final unaided logMAR visual acuity was 0.16 (± 0.21) and the final cylinder was -1.1 D (± 0.59). The mean follow-up duration was about 2 ± 1.2 months. In this case series, no lens had to be explanted or rotated postoperatively. Placement of a toric intraocular lens in the presence anterior capsule tear was safe in all patients. An angle of at least 30° remained between the tear and the intraocular lens haptic. Conclusion: Placement of toric intraocular lens in the presence of an anterior capsule tear may be safe, at least in cases with a 30° angle between the anterior capsule tear and the intraocular lens haptic.
RESUMO Objetivo: Analisar os resultados do implante de lentes intraoculares tóricas para rupturas capsulares anteriores durante a facoemulsificação. Métodos: A coorte desta série retrospectiva, consecutiva e intervencional de casos que inclui 8 pacientes. Um paciente foi excluído quando a lágrima foi usada para aumentar a rexe. O astigmatismo pré-operatório médio foi de -1,67 D (± 0,98) e a média da acuidade visual logMAR sem intervenção pré-operatória foi de 0,62 (± 0,76). A média do ângulo entre a ruptura da cápsula anterior e o háptico mais próximo da lente intraocular foi de 51,25° (variação, 30°-90°). Resultados: A acuidade visual logMAR final sem ajuda foi de 0,16 (± 0,21) e o cilindro final foi de -1,1 D (± 0,59). O tempo médio de acompanhamento foi de aproximadamente 2 ± 1,2 meses. Nesta série de casos, nenhuma lente teve que ser removida ou rotacionada no pós-operatório. A colocação de uma lente intraocular tórica na presença de uma ruptura da cápsula anterior mostrou-se segura em todos os pacientes. Um ângulo de pelo menos 30° permaneceu entre a ruptura e o háptico da lente intraocular. Conclusão: A colocação de lente intraocular tórica na presença de uma ruptura da cápsula anterior pode ser segura, pelo menos em casos com um ângulo de 30° entre a ruptura da cápsula anterior e o háptico da lente intraocular.
Subject(s)
Humans , Female , Middle Aged , Phacoemulsification/adverse effects , Lens Implantation, Intraocular/methods , Anterior Capsular Rupture, Ocular/surgery , Anterior Capsular Rupture, Ocular/etiology , Lenses, Intraocular , Refraction, Ocular , Time Factors , Visual Acuity , Reproducibility of Results , Retrospective Studies , Treatment Outcome , Anterior Capsular Rupture, Ocular/physiopathologyABSTRACT
PURPOSE: To analyze the outcomes of in-the--bag toric intraocular lens implantation for anterior capsular tears during phacoemulsification. METHODS: The cohort of this re-trospective, consecutive, interventional case series included eight patients. One patient was excluded as the tear was used to enlarge the rhexis. The mean preoperative astigmatism was -1.67D (± 0.98) and the mean preoperative unaided logMAR visual acuity was 0.62 (± 0.76). The mean angle between the anterior capsule tear and the closest intraocular lens haptic was 51.25° (range, 30°-90°). RESULTS: The final unaided logMAR visual acuity was 0.16 (± 0.21) and the final cylinder was -1.1 D (± 0.59). The mean follow-up duration was about 2 ± 1.2 months. In this case series, no lens had to be explanted or rotated postoperatively. Placement of a toric intraocular lens in the presence anterior capsule tear was safe in all patients. An angle of at least 30° remained between the tear and the intraocular lens haptic. CONCLUSION: Placement of toric intraocular lens in the presence of an anterior capsule tear may be safe, at least in cases with a 30° angle between the anterior capsule tear and the intraocular lens haptic.
Subject(s)
Anterior Capsular Rupture, Ocular/etiology , Anterior Capsular Rupture, Ocular/surgery , Lens Implantation, Intraocular/methods , Lenses, Intraocular , Phacoemulsification/adverse effects , Anterior Capsular Rupture, Ocular/physiopathology , Female , Humans , Male , Middle Aged , Refraction, Ocular , Reproducibility of Results , Retrospective Studies , Time Factors , Treatment Outcome , Visual AcuityABSTRACT
We describe a technique for pediatric traumatic cataract management in cases in which part of the anterior capsule has been ruptured. The technique requires creating a 2-incision push-pull capsulorhexis in the intact anterior capsule. The capsulorhexis is made in a manner that converts the edge of the ruptured anterior capsule into a band of capsule that holds the intraocular lens (IOL) in the bag, reducing the incidence of early, intermediate, or late postoperative lens-iris capture. It also reduces the chances of IOL displacement.
Subject(s)
Anterior Capsular Rupture, Ocular/surgery , Capsulorhexis/methods , Cataract Extraction/methods , Cataract/etiology , Eye Injuries, Penetrating/surgery , Lens, Crystalline/injuries , Wounds, Nonpenetrating/surgery , Adolescent , Anterior Capsular Rupture, Ocular/etiology , Child , Child, Preschool , Coloring Agents/administration & dosage , Eye Injuries, Penetrating/etiology , Humans , Lens Implantation, Intraocular , Trypan Blue/administration & dosage , Viscosupplements/supply & distribution , Visual Acuity/physiology , Vitrectomy/methods , Wounds, Nonpenetrating/etiologyABSTRACT
PURPOSE: To report the outcome of phacoemulsification with toric intraocular lens (IOL) implantation in Alport syndrome with spontaneously ruptured capsule. METHODS: Case report and literature review. RESULTS: A 2.2-mm clear corneal phacoemulsification with toric lens implantation was done in anterior lenticonus with spontaneously ruptured anterior capsule. The toric IOL was well-centered with good visual outcome. CONCLUSIONS: Safe phacoemulsification with toric IOL implantation is possible in cases with spontaneous rupture of anterior lens capsule. Ability to achieve compact and complete capsulorhexis is one of the key steps to achieve favorable results.
Subject(s)
Anterior Capsular Rupture, Ocular/surgery , Lens Diseases/surgery , Lens Implantation, Intraocular , Nephritis, Hereditary/complications , Phacoemulsification , Anterior Capsular Rupture, Ocular/diagnosis , Anterior Capsular Rupture, Ocular/etiology , Humans , Lens Diseases/diagnosis , Lens Diseases/etiology , Lenses, Intraocular , Male , Nephritis, Hereditary/diagnosis , Prosthesis Design , Rupture, Spontaneous , Visual Acuity , Young AdultSubject(s)
Anterior Capsular Rupture, Ocular/etiology , Iatrogenic Disease , Ocular Hypertension/therapy , Paracentesis/adverse effects , Angiogenesis Inhibitors/administration & dosage , Anterior Capsular Rupture, Ocular/surgery , Female , Humans , Intraocular Pressure , Intravitreal Injections , Middle Aged , Ocular Hypertension/etiology , Wet Macular Degeneration/drug therapyABSTRACT
UNLABELLED: We describe the results of clear lens extraction in 7 eyes of 4 Alport-syndrome patients. Three patients (6 eyes) had both anterior and posterior lenticonus; the fourth patient had spontaneous rupture of the anterior lens capsule, resulting in an acute drop in vision. Clear lens extraction was an effective method for visual rehabilitation in Alport syndrome patients. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
Subject(s)
Anterior Capsular Rupture, Ocular/surgery , Lens Diseases/surgery , Nephritis, Hereditary/complications , Adolescent , Anterior Capsular Rupture, Ocular/etiology , Cataract Extraction , Female , Humans , Lens Diseases/etiology , Lens Implantation, Intraocular , Male , Myopia/etiology , Myopia/rehabilitation , Rupture, Spontaneous , Vision Disorders/etiology , Vision Disorders/rehabilitation , Visual Acuity/physiology , Young AdultABSTRACT
Posterior dislocation of IOLs has been reported following Nd:YAG laser for anterior capsule contraction in only 3 cases and these involved plate haptic silicone lenses; while the dislocation of IOLs into the vitreous cavity following posterior Nd:YAG laser capsulotomy have been reported in plate haptic silicone lenses and single piece hydrophilic acrylic (polymacon) lenses. We report a patient who suffered the delayed dislocation of an injectable hydrophilic acylic IOL (SlimFlex-m 123 IOL, PhysIOL, Liège, Belgium) following combined Nd:YAG laser anterior and posterior capsulotomy. We also explore the factors that may predispose to anterior capsular contraction syndrome and IOL dislocation.
