Anterior capsule contraction with foldable silicone intraocular lenses.
| Autor: | Dahlhauser KF; Madigan Army Medical Center, Tacoma, Washington 98431-5000, USA., Wroblewski KJ, Mader TH |
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| Jazyk: | angličtina |
| Zdroj: | Journal of cataract and refractive surgery [J Cataract Refract Surg] 1998 Sep; Vol. 24 (9), pp. 1216-9. |
| DOI: | 10.1016/s0886-3350(98)80014-x |
| Abstrakt: | Purpose: To examine the causes signs, and symptoms of anterior capsule contraction syndrome and the response to neodymium YAG (Nd:YAG) anterior capsulotomy. Setting: Madigan Army Medical Center, Tacoma, Washington, USA. Methods: This retrospective review comprised 70 cases of phacoemulsification with foldable plate-haptic silicone intraocular lens (IOL) implantation. Patients who developed anterior capsule contraction postoperatively, defined as the anterior capsule being visible through an undilated pupil, had a radial anterior capsulotomy with an Nd:YAG laser. Variables analyzed were visual acuity, subjective complaints, associated inflammation, and IOL decentration. Results: Ten eyes of 9 patients (14%) developed anterior capsule contraction and had Nd:YAG laser radial anterior capsulotomy. Three of 9 patients reported decreased visual acuity and glare. Two other patients had chronic anterior chamber inflammation unresponsive to steroids after surgery that resolved after Nd:YAG anterior capsulotomy. Intraocular lens decentration was observed in 3 patients before the Nd:YAG capsulotomy. Posterior lens dislocation occurred in 1 patient after capsulotomy and required surgical lens exchange. Conclusion: One-piece foldable silicone IOLs may not provide enough peripheral capsule expansion. |
| Databáze: | MEDLINE |
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