Hydroview lens implant calcification: 186 exchanges at a district general hospital
Aim This paper describes the experience at a district general hospital of coping with an abrupt onset of calcification of Hydroview intraocular lens (IOL) implants requiring exchange surgery mostly for symptoms of glare, even though the visual acuities were relatively good. Methods In this retrospec...
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| Veröffentlicht in: | Eye (London) 2008-03, Vol.22 (3), p.325-331 |
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| creator | Syam, P Byrne, P Lewis, G Husain, T Kleinmann, G Mamalis, N Apple, D J Rimmer, T |
| description | Aim
This paper describes the experience at a district general hospital of coping with an abrupt onset of calcification of Hydroview intraocular lens (IOL) implants requiring exchange surgery mostly for symptoms of glare, even though the visual acuities were relatively good.
Methods
In this retrospective study, the operative details of 174 consecutive lens exchanges by one surgeon were retrieved from the surgeon's notes. Of these, pre and post-operative details of 106 consecutive patients were obtained from the hospital notes.
Results
Of the 174 lens exchanges, all were sutureless except one and 31 eyes (18%) had had previous capsulotomies. Of 143 eyes with intact posterior capsules, eight (5.6%) needed anterior vitrectomy. Lens replacements were in the bag in 136 (95%), in the sulcus in five (3.5%), and in the anterior chamber in two (1.5%). Of the 31 eyes with previous capsulotomies, 10 (32%) needed anterior vitrectomy. Lens replacements were in the bag in 22 (71%) and in the sulcus in the remaining nine cases (29%). Postoperatively the best-corrected visual acuity was improved in 53%, remained the same in 35%, and deteriorated in 12%.
Conclusion
The lens exchange procedure was mostly predictable with satisfactory visual results allowing preoperative counselling of risks to be similar to that for cataract surgery. The onset and resolution of the period of implantation of lenses requiring exchange has not been explained. |
| doi_str_mv | 10.1038/sj.eye.6702530 |
| format | Article |
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This paper describes the experience at a district general hospital of coping with an abrupt onset of calcification of Hydroview intraocular lens (IOL) implants requiring exchange surgery mostly for symptoms of glare, even though the visual acuities were relatively good.
Methods
In this retrospective study, the operative details of 174 consecutive lens exchanges by one surgeon were retrieved from the surgeon's notes. Of these, pre and post-operative details of 106 consecutive patients were obtained from the hospital notes.
Results
Of the 174 lens exchanges, all were sutureless except one and 31 eyes (18%) had had previous capsulotomies. Of 143 eyes with intact posterior capsules, eight (5.6%) needed anterior vitrectomy. Lens replacements were in the bag in 136 (95%), in the sulcus in five (3.5%), and in the anterior chamber in two (1.5%). Of the 31 eyes with previous capsulotomies, 10 (32%) needed anterior vitrectomy. Lens replacements were in the bag in 22 (71%) and in the sulcus in the remaining nine cases (29%). Postoperatively the best-corrected visual acuity was improved in 53%, remained the same in 35%, and deteriorated in 12%.
Conclusion
The lens exchange procedure was mostly predictable with satisfactory visual results allowing preoperative counselling of risks to be similar to that for cataract surgery. The onset and resolution of the period of implantation of lenses requiring exchange has not been explained.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/sj.eye.6702530</identifier><identifier>PMID: 17057650</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Calcinosis - etiology ; clinical-study ; Device Removal - economics ; Device Removal - methods ; Device Removal - statistics & numerical data ; Fatty Acids - metabolism ; Female ; Follow-Up Studies ; Hospitals, District ; Humans ; Hydrogel, Polyethylene Glycol Dimethacrylate - metabolism ; Laboratory Medicine ; Lenses, Intraocular - adverse effects ; Lenses, Intraocular - standards ; Liability, Legal ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Prosthesis Failure ; Reoperation - methods ; Retrospective Studies ; Surgery ; Surgical Oncology ; Visual Acuity</subject><ispartof>Eye (London), 2008-03, Vol.22 (3), p.325-331</ispartof><rights>Royal College of Ophthalmologists 2008</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Mar 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-c9c2a01a6dc342a1dfa0163f134f60bc5eab03c56bd140a23c195edd1c06a2633</citedby><cites>FETCH-LOGICAL-c452t-c9c2a01a6dc342a1dfa0163f134f60bc5eab03c56bd140a23c195edd1c06a2633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20219163$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17057650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Syam, P</creatorcontrib><creatorcontrib>Byrne, P</creatorcontrib><creatorcontrib>Lewis, G</creatorcontrib><creatorcontrib>Husain, T</creatorcontrib><creatorcontrib>Kleinmann, G</creatorcontrib><creatorcontrib>Mamalis, N</creatorcontrib><creatorcontrib>Apple, D J</creatorcontrib><creatorcontrib>Rimmer, T</creatorcontrib><title>Hydroview lens implant calcification: 186 exchanges at a district general hospital</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Aim
This paper describes the experience at a district general hospital of coping with an abrupt onset of calcification of Hydroview intraocular lens (IOL) implants requiring exchange surgery mostly for symptoms of glare, even though the visual acuities were relatively good.
Methods
In this retrospective study, the operative details of 174 consecutive lens exchanges by one surgeon were retrieved from the surgeon's notes. Of these, pre and post-operative details of 106 consecutive patients were obtained from the hospital notes.
Results
Of the 174 lens exchanges, all were sutureless except one and 31 eyes (18%) had had previous capsulotomies. Of 143 eyes with intact posterior capsules, eight (5.6%) needed anterior vitrectomy. Lens replacements were in the bag in 136 (95%), in the sulcus in five (3.5%), and in the anterior chamber in two (1.5%). Of the 31 eyes with previous capsulotomies, 10 (32%) needed anterior vitrectomy. Lens replacements were in the bag in 22 (71%) and in the sulcus in the remaining nine cases (29%). Postoperatively the best-corrected visual acuity was improved in 53%, remained the same in 35%, and deteriorated in 12%.
Conclusion
The lens exchange procedure was mostly predictable with satisfactory visual results allowing preoperative counselling of risks to be similar to that for cataract surgery. The onset and resolution of the period of implantation of lenses requiring exchange has not been explained.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Calcinosis - etiology</subject><subject>clinical-study</subject><subject>Device Removal - economics</subject><subject>Device Removal - methods</subject><subject>Device Removal - statistics & numerical data</subject><subject>Fatty Acids - metabolism</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals, District</subject><subject>Humans</subject><subject>Hydrogel, Polyethylene Glycol Dimethacrylate - metabolism</subject><subject>Laboratory Medicine</subject><subject>Lenses, Intraocular - adverse effects</subject><subject>Lenses, Intraocular - standards</subject><subject>Liability, Legal</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Prosthesis Failure</subject><subject>Reoperation - methods</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Visual Acuity</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kMFrFDEUh0OptOvq1ZsSBL3N9iWZZHZ6k6JWKBRKBW_hbSbTZpmd2eZlqvvfN3anLQieQnjf--WXj7F3AhYC1PKE1gu_8wtTgdQKDthMlJUpdKnLQzaDWkMhpfx1zF4TrQHysIIjdiwq0JXRMGNX57smDvfB_-ad74mHzbbDPnGHnQttcJjC0J9ysTTc_3G32N944pg48iZQisElfuN7H7HjtwNtQ8LuDXvVYkf-7XTO2c9vX6_PzouLy-8_zr5cFK7UMhWudhJBoGmcKiWKps03o1qhytbAymmPK1BOm1UjSkCpnKi1bxrhwKA0Ss3Z533uNg53o6dkN4Gc73J_P4xkK1B1tdRlBj_-A66HMfa5m5ViqbSRGZ2zxR5ycSCKvrXbGDYYd1aA_ava0tpm1XZSnRc-TKnjauObF3xym4FPE4CUdbYRexfomZMgRS0e_3Gy5yiPst_4Uu-_T7_fb_SYxuifI5_mD020oKI</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Syam, P</creator><creator>Byrne, P</creator><creator>Lewis, G</creator><creator>Husain, T</creator><creator>Kleinmann, G</creator><creator>Mamalis, N</creator><creator>Apple, D J</creator><creator>Rimmer, T</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080301</creationdate><title>Hydroview lens implant calcification: 186 exchanges at a district general hospital</title><author>Syam, P ; Byrne, P ; Lewis, G ; Husain, T ; Kleinmann, G ; Mamalis, N ; Apple, D J ; Rimmer, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-c9c2a01a6dc342a1dfa0163f134f60bc5eab03c56bd140a23c195edd1c06a2633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Calcinosis - etiology</topic><topic>clinical-study</topic><topic>Device Removal - economics</topic><topic>Device Removal - methods</topic><topic>Device Removal - statistics & numerical data</topic><topic>Fatty Acids - metabolism</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals, District</topic><topic>Humans</topic><topic>Hydrogel, Polyethylene Glycol Dimethacrylate - metabolism</topic><topic>Laboratory Medicine</topic><topic>Lenses, Intraocular - adverse effects</topic><topic>Lenses, Intraocular - standards</topic><topic>Liability, Legal</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Prosthesis Failure</topic><topic>Reoperation - methods</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Syam, P</creatorcontrib><creatorcontrib>Byrne, P</creatorcontrib><creatorcontrib>Lewis, G</creatorcontrib><creatorcontrib>Husain, T</creatorcontrib><creatorcontrib>Kleinmann, G</creatorcontrib><creatorcontrib>Mamalis, N</creatorcontrib><creatorcontrib>Apple, D J</creatorcontrib><creatorcontrib>Rimmer, T</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Syam, P</au><au>Byrne, P</au><au>Lewis, G</au><au>Husain, T</au><au>Kleinmann, G</au><au>Mamalis, N</au><au>Apple, D J</au><au>Rimmer, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hydroview lens implant calcification: 186 exchanges at a district general hospital</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>22</volume><issue>3</issue><spage>325</spage><epage>331</epage><pages>325-331</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Aim
This paper describes the experience at a district general hospital of coping with an abrupt onset of calcification of Hydroview intraocular lens (IOL) implants requiring exchange surgery mostly for symptoms of glare, even though the visual acuities were relatively good.
Methods
In this retrospective study, the operative details of 174 consecutive lens exchanges by one surgeon were retrieved from the surgeon's notes. Of these, pre and post-operative details of 106 consecutive patients were obtained from the hospital notes.
Results
Of the 174 lens exchanges, all were sutureless except one and 31 eyes (18%) had had previous capsulotomies. Of 143 eyes with intact posterior capsules, eight (5.6%) needed anterior vitrectomy. Lens replacements were in the bag in 136 (95%), in the sulcus in five (3.5%), and in the anterior chamber in two (1.5%). Of the 31 eyes with previous capsulotomies, 10 (32%) needed anterior vitrectomy. Lens replacements were in the bag in 22 (71%) and in the sulcus in the remaining nine cases (29%). Postoperatively the best-corrected visual acuity was improved in 53%, remained the same in 35%, and deteriorated in 12%.
Conclusion
The lens exchange procedure was mostly predictable with satisfactory visual results allowing preoperative counselling of risks to be similar to that for cataract surgery. The onset and resolution of the period of implantation of lenses requiring exchange has not been explained.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>17057650</pmid><doi>10.1038/sj.eye.6702530</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Eye (London), 2008-03, Vol.22 (3), p.325-331 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Biological and medical sciences Calcinosis - etiology clinical-study Device Removal - economics Device Removal - methods Device Removal - statistics & numerical data Fatty Acids - metabolism Female Follow-Up Studies Hospitals, District Humans Hydrogel, Polyethylene Glycol Dimethacrylate - metabolism Laboratory Medicine Lenses, Intraocular - adverse effects Lenses, Intraocular - standards Liability, Legal Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous Ophthalmology Pharmaceutical Sciences/Technology Prosthesis Failure Reoperation - methods Retrospective Studies Surgery Surgical Oncology Visual Acuity |
| title | Hydroview lens implant calcification: 186 exchanges at a district general hospital |
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