A complication of scleral expansion surgery for treatment of presbyopia
PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia. METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling...
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| Veröffentlicht in: | American journal of ophthalmology 2000-10, Vol.130 (4), p.521-523 |
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| container_title | American journal of ophthalmology |
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| creator | Singh, Gurpreet Chalfin, Steven |
| description | PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia.
METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders.
RESULTS: After removal of the scleral expanders, the patient demonstrated a −1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal.
CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation. |
| doi_str_mv | 10.1016/S0002-9394(00)00583-3 |
| format | Article |
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METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders.
RESULTS: After removal of the scleral expanders, the patient demonstrated a −1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal.
CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(00)00583-3</identifier><identifier>PMID: 11024428</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Female ; Humans ; Medical sciences ; Middle Aged ; Myopia - etiology ; Pain - etiology ; Presbyopia - surgery ; Sclera - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Tissue Expansion - adverse effects ; Vision Disorders - etiology ; Visual Acuity</subject><ispartof>American journal of ophthalmology, 2000-10, Vol.130 (4), p.521-523</ispartof><rights>2000 Elsevier Science Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-46cdf3add8e135869d529df431c2f5a70c87683bd483db30b2577eb19722e9f43</citedby><cites>FETCH-LOGICAL-c484t-46cdf3add8e135869d529df431c2f5a70c87683bd483db30b2577eb19722e9f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-9394(00)00583-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=853230$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11024428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, Gurpreet</creatorcontrib><creatorcontrib>Chalfin, Steven</creatorcontrib><title>A complication of scleral expansion surgery for treatment of presbyopia</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia.
METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders.
RESULTS: After removal of the scleral expanders, the patient demonstrated a −1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal.
CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myopia - etiology</subject><subject>Pain - etiology</subject><subject>Presbyopia - surgery</subject><subject>Sclera - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Tissue Expansion - adverse effects</subject><subject>Vision Disorders - etiology</subject><subject>Visual Acuity</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1LwzAYwPEgipvTj6AUBNFDNW9t0pOI6BQGHtRzSJOnEmmbmnTivr3tNubRU0j4PUn4I3RK8DXBJL95xRjTtGAFv8T4CuNMspTtoSmRokiJLMg-mu7IBB3F-Dlsc8HFIZoQginnVE7R_C4xvulqZ3TvfJv4KommhqDrBH463cbxMC7DB4RVUvmQ9AF030Dbj7QLEMuV75w-RgeVriOcbNcZen98eLt_Shcv8-f7u0VquOR9ynNjK6atlUBYJvPCZrSwFWfE0CrTAhspcslKyyWzJcMlzYSAkhSCUigGN0MXm3u74L-WEHvVuGigrnULfhmVoGwowNkAsw00wccYoFJdcI0OK0WwGguqdUE15lEYq3VBNc6dbR9Ylg3Yv6ltsgGcb4GORtdV0K1xcedkxijDg7rdKBhifDsIKhoHrQHrApheWe_--cgvzFOMkw</recordid><startdate>20001001</startdate><enddate>20001001</enddate><creator>Singh, Gurpreet</creator><creator>Chalfin, Steven</creator><general>Elsevier Inc</general><general>Elsevier</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>7X8</scope></search><sort><creationdate>20001001</creationdate><title>A complication of scleral expansion surgery for treatment of presbyopia</title><author>Singh, Gurpreet ; Chalfin, Steven</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-46cdf3add8e135869d529df431c2f5a70c87683bd483db30b2577eb19722e9f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myopia - etiology</topic><topic>Pain - etiology</topic><topic>Presbyopia - surgery</topic><topic>Sclera - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Tissue Expansion - adverse effects</topic><topic>Vision Disorders - etiology</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Gurpreet</creatorcontrib><creatorcontrib>Chalfin, Steven</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>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Gurpreet</au><au>Chalfin, Steven</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A complication of scleral expansion surgery for treatment of presbyopia</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2000-10-01</date><risdate>2000</risdate><volume>130</volume><issue>4</issue><spage>521</spage><epage>523</epage><pages>521-523</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia.
METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders.
RESULTS: After removal of the scleral expanders, the patient demonstrated a −1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal.
CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11024428</pmid><doi>10.1016/S0002-9394(00)00583-3</doi><tpages>3</tpages></addata></record> |
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| ispartof | American journal of ophthalmology, 2000-10, Vol.130 (4), p.521-523 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Biological and medical sciences Female Humans Medical sciences Middle Aged Myopia - etiology Pain - etiology Presbyopia - surgery Sclera - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Tissue Expansion - adverse effects Vision Disorders - etiology Visual Acuity |
| title | A complication of scleral expansion surgery for treatment of presbyopia |
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