scholarly journals Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Ahmad M. Mansour ◽  
Shady T. Awwad
Keyword(s):  
Intraocular Lens ◽  
Anterior Segment ◽  
Inflammatory Cells ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Suture Fixation ◽  
Anterior Compartment ◽  
Posterior Chamber Intraocular Lens ◽  
Iris Fixation ◽  
Gain Access

We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Also certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and hence the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate.

Histopathological changes in the anterior segment with anterior and posterior chamber intraocular lens

2020 ◽  
Vol 55 (5) ◽  
pp. 437-444
Author(s):  
Christina Mastromonaco ◽  
Matthew Balazsi ◽  
Nabil Saheb ◽  
Ali Salimi ◽  
Miguel N. Burnier
Keyword(s):  
Intraocular Lens ◽  
Anterior Segment ◽  
Posterior Chamber ◽  
Histopathological Changes ◽  
Posterior Chamber Intraocular Lens

scholarly journals Comparison of Patient's Satisfaction Level after Different Types of Posterior Chamber Intraocular Lens Implantation

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Muhammad Waseem ◽  
Sadia Humayun ◽  
Omer Farooq ◽  
Quratulain Humayun ◽  
Sana Sadiq Sheikh
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Night Vision ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Satisfaction Level ◽  
Intraocular Lens Implantation ◽  
Patient’S Satisfaction ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation

Objective. To compare patient’s satisfaction level in performing routine activities during daylight and night vision after implantation with rigid, foldable, or rollable posterior chamber intraocular lens implants in uneventful cataract surgery. Design. Retrospective, cross-sectional. Place and Duration of Study. PNS SHIFA Hospital, Karachi, from Nov. 2009 to Nov. 2010. Methodology. 91 cataract surgery patients who had uneventful phacoemulsification, within the bag placement of intraocular lens and achieved best corrected visual acuity 6/9 or better were included in the study. Patients who developed postoperative complications were excluded. A specially designed questionnaire was used to assess patient’s satisfaction level of vision for those who underwent cataract surgery at least 3 months ago. Finally, they were categorized into five groups ranging from “very good” to “very poor.” SPSS version 16 was used to analyze the results. Results. There was a difference in satisfaction level between three groups. Vision was good in the day and the night with foldable posterior chamber intraocular lens implants. Conclusion. It was concluded that visual satisfaction level of patients who had foldable posterior chamber intraocular lens implantation was better during the day and night as compared to patients who had rigid or rollable posterior chamber intraocular lenses implantation.

Trans-iris fixation of dislocated in-the-bag intraocular lenses

2019 ◽  
Vol 30 (3) ◽  
pp. 538-542
Author(s):  
Amir Faramarzi ◽  
Sepehr Feizi ◽  
Shahin Yazdani
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Lens Dislocation ◽  
Capsular Tension Ring ◽  
Intraocular Lens Dislocation ◽  
Late Dislocation ◽  
Iris Fixation ◽  
Capsular Bag

Purpose: The aim of this article is to describe the safety and efficacy of trans-iris suture fixation for the management of late dislocation of in-the-capsular-bag intraocular lenses following uncomplicated cataract surgery. Patients and methods: Eleven eyes of 11 patients with late in-the-capsular-bag intraocular lens dislocation following uneventful phacoemulsification cataract surgery were recruited in the study. The dislocated intraocular lens–capsular bag complex was sutured to the iris at two points 180° apart using 9-0 polypropylene sutures on long needles. Results: Mean patient age was 67 ± 6 years. Seven eyes had pseudoexfoliation syndrome, one eye had Marfan syndrome, and another eye had a traumatic cataract; no risk factor was identified for intraocular lens dislocation in two eyes. A capsular tension ring had been implanted during cataract surgery in four eyes. In six eyes, the posterior chamber intraocular lenses were one-piece foldable while the remaining were three-piece intraocular lenses. Compared to the preoperative value, corrected distance visual acuity was significantly improved postoperatively ( p < 0.005). Intraoperative hyphema occurred in two eyes. Pupil ovalization was observed in all eyes. Mean endothelial cell count decreased by 4 ± 1.7% after intraocular lens fixation. The capsular bag–intraocular lens complex was stable and well-centered in the pupillary area in all eyes at the final follow-up examination which was performed 16 ± 4 months postoperatively. Conclusion: Trans-iris fixation is a simple and effective procedure for management of late intraocular lenses–capsular bag complex dislocation, without major complications.

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