Cases reported "Sclerosis"

Filter by keywords:



Filtering documents. Please wait...

1/2. Lens opacities after posterior chamber phakic intraocular lens implantation.

    PURPOSE: To describe a case series to determine the incidence of lens opacities after posterior chamber phakic intraocular lens (IOL) implantation (STAAR Surgical, Monrovia, CA) for very high ametropias. DESIGN: Retrospective, noncomparative, interventional case series. PARTICIPANTS: Fourteen eyes of 170 consecutive eyes with high ametropias in whom lens opacities developed after posterior chamber phakic IOL implant (PCPIOL). INTERVENTION: Posterior chamber phakic intraocular lens implant. MAIN OUTCOME MEASURES: Lens opacity appearance, localization, and clinical course. RESULTS: Fourteen eyes developed lens opacities 125 /- 116 days after phakic IOL implant. All eyes had anterior subcapsular opacities, and two eyes also developed nuclear sclerosis. The anterior opacities did not extend posteriorly within the lens, and there were no posterior subcapsular cataracts. Seventy-one percent of opacities were first seen diagnosis was 9.1 /- 6.8 months. Nine of the 14 (64%) opacities were asymptomatic. Two eyes developed nocturnal glare, with no loss of best-corrected visual acuity (BCVA) and one had loss of BCVA. Two additional eyes with both nuclear sclerotic and anterior subcapsular lens opacities had visual symptoms and/or loss of BCVA and underwent phakic IOL explantation, cataract extraction by phacoemulsification, and PCPIOL implant with good visual outcome. In the entire series, 5 of 170 (2.3%) implantations had symptomatic opacities in which 111 implantations were the first or second case of the implanting surgeon. CONCLUSIONS: Lens opacities are a potential complication of phakic IOL implantation. Most lens opacities were first seen in the early postoperative period and were most likely due to surgically induced trauma. The anterior subcapsular type was most common and tended not to be rapidly progressive during the follow-up period. The presence of nuclear sclerotic cataract was visually significant and progressive. Long-term follow-up is warranted to evaluate the rate of progression and course of lens opacities after phakic IOL implant surgery.
- - - - - - - - - -
ranking = 1
keywords = phacoemulsification
(Clic here for more details about this article)

2/2. Opalescent nuclear cataract.

    Thirty-eight patients with excellent visual acuity but poor visual function as measured by contrast sensitivity and glare testing were studied. Clinical characteristics of opalescent nuclear cataracts, which have previously been described biochemically, are reported. The findings indicate that opalescent nuclear sclerosis is responsible for increased lenticular myopia and increased glare disability. This form of cataract responds rapidly to low power phacoemulsification of short duration, allowing a satisfactory surgical result.
- - - - - - - - - -
ranking = 1
keywords = phacoemulsification
(Clic here for more details about this article)


Leave a message about 'Sclerosis'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.