Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis
Soheilian, Masoud ; Karimian, Farid ; Javadi, Mohammad Ali ; Sajjadi, Hamid ; Ahmadieh, Hamid ; Azarmina, Mohsen ; Valaee, Naser ; Rahmani, Bahram ; Peyman, Gholam A.
Springer
Published 1997
Springer
Published 1997
| ISSN: |
1573-2630
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|---|---|
| Keywords: |
cataract ; Fuchs‘ heterochromic iridocyclitis ; posterior chamber intraocular lens ; uveitis
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| Source: |
Springer Online Journal Archives 1860-2000
|
| Topics: |
Medicine
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| Notes: |
Abstract Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber lens implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or lensectomy(13 eyes) accompanied by posterior chamber intraocular lens implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular lens implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p〈 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P 〈 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation.
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| Type of Medium: |
Electronic Resource
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| URL: |
| _version_ | 1798296654136213504 |
|---|---|
| autor | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. |
| autorsonst | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. |
| book_url | http://dx.doi.org/10.1023/A:1026490902566 |
| datenlieferant | nat_lic_papers |
| hauptsatz | hsatz_simple |
| identnr | NLM194448053 |
| iqvoc_descriptor_title | iqvoc_00000119:management |
| issn | 1573-2630 |
| journal_name | International ophthalmology |
| materialart | 1 |
| notes | Abstract Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber lens implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or lensectomy(13 eyes) accompanied by posterior chamber intraocular lens implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular lens implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p〈 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P 〈 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation. |
| package_name | Springer |
| publikationsjahr_anzeige | 1997 |
| publikationsjahr_facette | 1997 |
| publikationsjahr_intervall | 8004:1995-1999 |
| publikationsjahr_sort | 1997 |
| publisher | Springer |
| reference | 21 (1997), S. 137-141 |
| schlagwort | cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis |
| search_space | articles |
| shingle_author_1 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. |
| shingle_author_2 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. |
| shingle_author_3 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. |
| shingle_author_4 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. |
| shingle_catch_all_1 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis Abstract Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber lens implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or lensectomy(13 eyes) accompanied by posterior chamber intraocular lens implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular lens implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p〈 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P 〈 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation. 1573-2630 15732630 Springer |
| shingle_catch_all_2 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis Abstract Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber lens implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or lensectomy(13 eyes) accompanied by posterior chamber intraocular lens implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular lens implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p〈 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P 〈 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation. 1573-2630 15732630 Springer |
| shingle_catch_all_3 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis Abstract Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber lens implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or lensectomy(13 eyes) accompanied by posterior chamber intraocular lens implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular lens implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p〈 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P 〈 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation. 1573-2630 15732630 Springer |
| shingle_catch_all_4 | Soheilian, Masoud Karimian, Farid Javadi, Mohammad Ali Sajjadi, Hamid Ahmadieh, Hamid Azarmina, Mohsen Valaee, Naser Rahmani, Bahram Peyman, Gholam A. Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis cataract Fuchs‘ heterochromic iridocyclitis posterior chamber intraocular lens uveitis Abstract Background: To determine the inflammatory course and level of visual rehabilitation after cataract extraction and posterior chamber lens implantation in patients withFuchs‘ heterochromic iridocyclitis complicated by cataract. Methods: In a clinical trial, 32 eyes (visual acuity of 20/160 or worse) of 30 patients underwent extracapsular cataract extraction (19 eyes) or lensectomy(13 eyes) accompanied by posterior chamber intraocular lens implantation. Indirect ophthalmoscopy was performed intraoperatively prior to intraocular lens implantation and the extent of vitreous haze was assessed. If vitreous haziness was 3+ or more, core vitrectomy (two eyes) or three-port pars plana deep vitrectomy (four eyes) was performed. Results: After an average follow up of14.4 months (6 to 24 months), there was no statistically significant increase in cell and flare in the anterior chamber and vitreous or in keratic precipitates compared with the preoperative status of the eyes. However, 12%of the eyes developed synechiae (anterior and/or posterior) in comparison to preoperative condition (p〈 0.05). Eighty-seven percent of the eyes gained visual acuity of 20/40 or better (P 〈 0.005). Using the logistic regression model, a higher level of preoperative inflammation was associated with reduced likelihood of gaining visual acuity of 20/25 or more (OR = 0.25, 95%CI 0.049, 1.255). The complications of surgery were synechiae, 12%; opaque posterior capsule, 12%; vitreous loss, 3%; chronic glaucoma, 3%; and retinal detachment,3%. Conclusions: Implantation of a posterior chamber intraocular lens can be well tolerated in patients with Fuchs‘ heterochromic iridocyclitis. Vitrectomy, whenever indicated in addition to cataract extraction, improves visual rehabilitation. 1573-2630 15732630 Springer |
| shingle_title_1 | Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis |
| shingle_title_2 | Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis |
| shingle_title_3 | Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis |
| shingle_title_4 | Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis |
| sigel_instance_filter | dkfz geomar wilbert ipn albert fhp |
| source_archive | Springer Online Journal Archives 1860-2000 |
| timestamp | 2024-05-06T09:55:31.938Z |
| titel | Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis |
| titel_suche | Surgical management of cataract and posterior chamber intraocular lens implantation in Fuchs‘ heterochromic iridocyclitis |
| topic | WW-YZ |
| uid | nat_lic_papers_NLM194448053 |