Eye (London, England) · 1990
Secondary intraocular lens implantation: eight year experience.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hayward J M, Noble B A, George N
Аннотация
OBJECTIVE: To investigate the outcome of secondary intra-ocular lens implantation. Neither a requirement for vitreous surgery nor previous complicated eye surgery/trauma was considered necessarily to be a contra-indication.
DESIGN: Retrospective Study. Recruitment was achieved by examination of operating theatre records.
SETTING: Teaching Hospital.
PATIENTS: 52 out of 54 consecutive cases in whom a secondary lens had been implanted from 1982-1989 under the care of one consultant (BAN).
INTERVENTIONS: The medical records of all patients were reviewed and data collected for 52 of the total of 54 patients.
MAIN OUTCOME MEASURES: Visual acuity and major complications.
RESULTS: 77% of eyes retained the same Snellen visual acuity or better than that pre-operatively and 88% were within one line or better. The Mann Whitney U-test showed that neither vitreous manipulation at the time of secondary lens implantation nor a previous history of trauma had a significant effect on the change between pre- and post-operative Snellen visual acuity. Only one patient developed a retinal detachment and eight had cystoid macula oedema although in only one patient did this account for a final decrease in post-operative visual acuity of more than one line. The most common complication was an intense post-operative uveitis (35%) leading in some cases to indefinite low dose topical steroid treatment (21%).
CONCLUSIONS: This technique gives good visual results, even in the disorganised eye, providing the vitreous is adequately managed. However there is a significant complication rate which should be discussed with the patient before undertaking surgery.
DESIGN: Retrospective Study. Recruitment was achieved by examination of operating theatre records.
SETTING: Teaching Hospital.
PATIENTS: 52 out of 54 consecutive cases in whom a secondary lens had been implanted from 1982-1989 under the care of one consultant (BAN).
INTERVENTIONS: The medical records of all patients were reviewed and data collected for 52 of the total of 54 patients.
MAIN OUTCOME MEASURES: Visual acuity and major complications.
RESULTS: 77% of eyes retained the same Snellen visual acuity or better than that pre-operatively and 88% were within one line or better. The Mann Whitney U-test showed that neither vitreous manipulation at the time of secondary lens implantation nor a previous history of trauma had a significant effect on the change between pre- and post-operative Snellen visual acuity. Only one patient developed a retinal detachment and eight had cystoid macula oedema although in only one patient did this account for a final decrease in post-operative visual acuity of more than one line. The most common complication was an intense post-operative uveitis (35%) leading in some cases to indefinite low dose topical steroid treatment (21%).
CONCLUSIONS: This technique gives good visual results, even in the disorganised eye, providing the vitreous is adequately managed. However there is a significant complication rate which should be discussed with the patient before undertaking surgery.