Publicação
Iris-claw intraocular lens implantation in children with ectopia lentis
| Resumo: | ABSTRACT Purpose: Artisan iris-claw lens implantation (AICLI) is a surgical technique for treating ectopia lentis. We aimed to compare visual outcomes and possible long-term complications of AICLI surgery in pediatric patients with ectopia lentis with or without a diagnosable hereditary disease. Methods: Seventeen children with non-traumatic ectopia lentis were retros pectively classified into two groups: group 1 included children with a diagnosable hereditary disease (11 patients, 65%), and group 2 included children without any definable hereditary disease (six patients, 35%). Patients were evaluated for post-surgical refraction, best-corrected visual acuity, and clinical follow-up complications. Results: The average follow-up time was 38 months, and the average age of the patients was 103 ± 53 months (30-196 months). Best-corrected visual acuity values were significantly increased in both groups after surgery (p<0.05). Target refraction values were achieved at a rate of 47% in group 1 and 22% in group 2. Post-surgery complications, such as lens dislocation (36%, 11 eyes of 10 patients) and hypotonia (10%, three eyes of three patients) were observed in both groups, and retinal detachments (10%, three eyes of three patients) were observed in three patients from group 1. Conclusions: Compared with previous similar studies, this study utilized the largest pediatric patient group and had the longest post-surgery follow-up time. Moreover, it is advisable that pediatric patients with non-traumatic ectopia lentis be carefully screened for any underlying hereditary disease, especially diseases related to connective tissue metabolism. |
|---|---|
| Autores principais: | Çevik,Sadık Görkem |
| Outros Autores: | Çevik,Muhammer Özgür; Özmen,Ahmet Tuncer |
| Assunto: | Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| Ano: | 2017 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | IBICT |
| Idioma: | inglês |
| Origem: | Oasisbr |
| _version_ | 1871509952870219776 |
|---|---|
| author | Çevik,Sadık Görkem |
| author2 | Çevik,Muhammer Özgür Özmen,Ahmet Tuncer |
| author2_role | author author |
| author_facet | Çevik,Sadık Görkem Çevik,Muhammer Özgür Özmen,Ahmet Tuncer |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Çevik,Sadık Görkem\"},{\"Person.name\":\"Çevik,Muhammer Özgür\"},{\"Person.name\":\"Özmen,Ahmet Tuncer\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Çevik,Sadık Görkem Çevik,Muhammer Özgür Özmen,Ahmet Tuncer |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| datacite.titles.title.fl_str_mv | Iris-claw intraocular lens implantation in children with ectopia lentis |
| dc.creator.none.fl_str_mv | Çevik,Sadık Görkem Çevik,Muhammer Özgür Özmen,Ahmet Tuncer |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000200114 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Conselho Brasileiro de Oftalmologia |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Arquivos Brasileiros de Oftalmologia v.80 n.2 2017 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
| dc.subject.none.fl_str_mv | Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| dc.title.fl_str_mv | Iris-claw intraocular lens implantation in children with ectopia lentis |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | ABSTRACT Purpose: Artisan iris-claw lens implantation (AICLI) is a surgical technique for treating ectopia lentis. We aimed to compare visual outcomes and possible long-term complications of AICLI surgery in pediatric patients with ectopia lentis with or without a diagnosable hereditary disease. Methods: Seventeen children with non-traumatic ectopia lentis were retros pectively classified into two groups: group 1 included children with a diagnosable hereditary disease (11 patients, 65%), and group 2 included children without any definable hereditary disease (six patients, 35%). Patients were evaluated for post-surgical refraction, best-corrected visual acuity, and clinical follow-up complications. Results: The average follow-up time was 38 months, and the average age of the patients was 103 ± 53 months (30-196 months). Best-corrected visual acuity values were significantly increased in both groups after surgery (p<0.05). Target refraction values were achieved at a rate of 47% in group 1 and 22% in group 2. Post-surgery complications, such as lens dislocation (36%, 11 eyes of 10 patients) and hypotonia (10%, three eyes of three patients) were observed in both groups, and retinal detachments (10%, three eyes of three patients) were observed in three patients from group 1. Conclusions: Compared with previous similar studies, this study utilized the largest pediatric patient group and had the longest post-surgery follow-up time. Moreover, it is advisable that pediatric patients with non-traumatic ectopia lentis be carefully screened for any underlying hereditary disease, especially diseases related to connective tissue metabolism. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
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| identifier.url.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000200114 |
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| institution | IBICT |
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| language | eng |
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| network_name_str | Oasisbr |
| oai_identifier_str | oai:scielo:S0004-27492017000200114 |
| organization_str_mv | urn:organizationAcronym:oasisbr |
| person_str_mv | Çevik,Sadık Görkem Çevik,Muhammer Özgür Özmen,Ahmet Tuncer |
| publishDate | 2017 |
| publisher.none.fl_str_mv | Conselho Brasileiro de Oftalmologia |
| repo_facet_str | urn:repositoryAcronym:oasisbr{{{_:::_}}}Oasisbr |
| reponame_str | Oasisbr |
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| spelling | Iris-claw intraocular lens implantation in children with ectopia lentisÇevik,Sadık GörkemÇevik,Muhammer ÖzgürÖzmen,Ahmet TuncerLens implantation, intraocular/methodsLenses, intraocularMarfan syndrome/complicationsHomocystinuriaEctopia lentis/surgeryopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000200114URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000200114URLHasVersion2017-04-01ABSTRACT Purpose: Artisan iris-claw lens implantation (AICLI) is a surgical technique for treating ectopia lentis. We aimed to compare visual outcomes and possible long-term complications of AICLI surgery in pediatric patients with ectopia lentis with or without a diagnosable hereditary disease. Methods: Seventeen children with non-traumatic ectopia lentis were retros pectively classified into two groups: group 1 included children with a diagnosable hereditary disease (11 patients, 65%), and group 2 included children without any definable hereditary disease (six patients, 35%). Patients were evaluated for post-surgical refraction, best-corrected visual acuity, and clinical follow-up complications. Results: The average follow-up time was 38 months, and the average age of the patients was 103 ± 53 months (30-196 months). Best-corrected visual acuity values were significantly increased in both groups after surgery (p<0.05). Target refraction values were achieved at a rate of 47% in group 1 and 22% in group 2. Post-surgery complications, such as lens dislocation (36%, 11 eyes of 10 patients) and hypotonia (10%, three eyes of three patients) were observed in both groups, and retinal detachments (10%, three eyes of three patients) were observed in three patients from group 1. Conclusions: Compared with previous similar studies, this study utilized the largest pediatric patient group and had the longest post-surgery follow-up time. Moreover, it is advisable that pediatric patients with non-traumatic ectopia lentis be carefully screened for any underlying hereditary disease, especially diseases related to connective tissue metabolism.engtext/htmlConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.80 n.2 2017reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBOjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Iris-claw intraocular lens implantation in children with ectopia lentis Çevik,Sadık Görkem Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| title | Iris-claw intraocular lens implantation in children with ectopia lentis |
| title_full | Iris-claw intraocular lens implantation in children with ectopia lentis |
| title_fullStr | Iris-claw intraocular lens implantation in children with ectopia lentis |
| title_full_unstemmed | Iris-claw intraocular lens implantation in children with ectopia lentis |
| title_short | Iris-claw intraocular lens implantation in children with ectopia lentis |
| title_sort | Iris-claw intraocular lens implantation in children with ectopia lentis |
| topic | Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| topic_facet | Lens implantation, intraocular/methods Lenses, intraocular Marfan syndrome/complications Homocystinuria Ectopia lentis/surgery |
| url | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000200114 |
| visible | 1 |
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