Elschnig pearl formation along the posterior capsulotomy margin after neodymium:YAG capsulotomy
Purpose: To determine the incidence of Elschnig pearl formation along the capsulotomy margin (string of pearls) after neodymium:YAG (Nd:YAG) laser posterior capsulotomy and to elucidate its clinical features, predisposing factors, effect on visual function, and association with additional capsulotom...
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| Veröffentlicht in: | Journal of cataract and refractive surgery 1997-12, Vol.23 (10), p.1556-1560 |
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| container_title | Journal of cataract and refractive surgery |
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| creator | Kato, Katsuhiko Kurosaka, Daijiro Bissen-Miyajima, Hiroko Negishi, Kazuno Hara, Emiko Nagamoto, Toshiyuki |
| description | Purpose: To determine the incidence of Elschnig pearl formation along the capsulotomy margin (string of pearls) after neodymium:YAG (Nd:YAG) laser posterior capsulotomy and to elucidate its clinical features, predisposing factors, effect on visual function, and association with additional capsulotomy.
Setting: Keio University Hospital, Tokyo, Japan.
Methods: The records of 418 eyes that had had Nd:YAG posterior capsulotomy after cataract surgery were retrospectively reviewed. Of those, 315 were excluded for short follow-up (fewer than 12 months) or insufficient clinical examination data. In the remaining 103 eyes, the incidence of string of pearls was calculated, and its clinical features, predisposing factors, effect on visual function, and correlation with additional capsulotomy were evaluated.
Results: String of pearls was identified in 49 eyes (47.6%); 37 (75.5%) developed pearls within 1 year after Nd:YAG capsulotomy. The incidence was significantly higher in patients having intraocular lens implantation and continuous curvilinear capsulorhexis (CCC) than in those without (95.9 versus 61.1% and 97.9 versus 55.6%, respectively). No significant differences were found in patient age and sex, total Nd:YAG energy, and the presence of diabetes mellitus or high myopia. String of pearls caused visual disturbances in 17 eyes (34.7%). The rate of repeat capsulotomy was higher in patients with string of pearls than in those without (36.7 and 9.3%, respectively).
Conclusions: String of pearls formation was a common and significant complication after Nd:YAG posterior capsulotomy. Intraocular lens implantation and CCC may promote its formation. |
| doi_str_mv | 10.1016/S0886-3350(97)80029-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79546122</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0886335097800296</els_id><sourcerecordid>79546122</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-9de5b23c1e5fcce84045d6af3cd68377683f3d0e56b64b75da19e32fa0f58fc03</originalsourceid><addsrcrecordid>eNqFkE1LwzAYx4Moc04_wqAHET1Uk6ZJWy8yxnwBwYN68BSy5MmMtE1NWmHf3ujG8OblyeH_e17yQ2hK8CXBhF8947LkKaUMn1fFRYlxVqV8D41JWdA0ZzjbR-MdcoiOQvjAGOcZZSM0qnLGc8LHSCzqoN5bu0o6kL5OjPON7K1rE1m7dpX075B0LvTgrfOJkl0Yate7Zp000q9sxEzMkhacXjd2aK7fZnd_sWN0YGQd4GT7TtDr7eJlfp8-Pt09zGePqaJl1aeVBrbMqCLAjFJQ5jhnmktDleYlLYpYDNUYGF_yfFkwLUkFNDMSG1YahekEnW3mdt59DhB60digoK5lPG0IoqhYzkmWRZBtQOVdCB6M6LyNf1kLgsWPWPErVvxYE1UhfsUKHvum2wXDsgG969qajPnpNpdBydp42SobdlhG4hxSROxmg0GU8WXBi6AstAq09aB6oZ3955BvUbeW4g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79546122</pqid></control><display><type>article</type><title>Elschnig pearl formation along the posterior capsulotomy margin after neodymium:YAG capsulotomy</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Kato, Katsuhiko ; Kurosaka, Daijiro ; Bissen-Miyajima, Hiroko ; Negishi, Kazuno ; Hara, Emiko ; Nagamoto, Toshiyuki</creator><creatorcontrib>Kato, Katsuhiko ; Kurosaka, Daijiro ; Bissen-Miyajima, Hiroko ; Negishi, Kazuno ; Hara, Emiko ; Nagamoto, Toshiyuki</creatorcontrib><description>Purpose: To determine the incidence of Elschnig pearl formation along the capsulotomy margin (string of pearls) after neodymium:YAG (Nd:YAG) laser posterior capsulotomy and to elucidate its clinical features, predisposing factors, effect on visual function, and association with additional capsulotomy.
Setting: Keio University Hospital, Tokyo, Japan.
Methods: The records of 418 eyes that had had Nd:YAG posterior capsulotomy after cataract surgery were retrospectively reviewed. Of those, 315 were excluded for short follow-up (fewer than 12 months) or insufficient clinical examination data. In the remaining 103 eyes, the incidence of string of pearls was calculated, and its clinical features, predisposing factors, effect on visual function, and correlation with additional capsulotomy were evaluated.
Results: String of pearls was identified in 49 eyes (47.6%); 37 (75.5%) developed pearls within 1 year after Nd:YAG capsulotomy. The incidence was significantly higher in patients having intraocular lens implantation and continuous curvilinear capsulorhexis (CCC) than in those without (95.9 versus 61.1% and 97.9 versus 55.6%, respectively). No significant differences were found in patient age and sex, total Nd:YAG energy, and the presence of diabetes mellitus or high myopia. String of pearls caused visual disturbances in 17 eyes (34.7%). The rate of repeat capsulotomy was higher in patients with string of pearls than in those without (36.7 and 9.3%, respectively).
Conclusions: String of pearls formation was a common and significant complication after Nd:YAG posterior capsulotomy. Intraocular lens implantation and CCC may promote its formation.</description><identifier>ISSN: 0886-3350</identifier><identifier>EISSN: 1873-4502</identifier><identifier>DOI: 10.1016/S0886-3350(97)80029-6</identifier><identifier>PMID: 9456416</identifier><identifier>CODEN: JCSUEV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Capsulorhexis - adverse effects ; Female ; Humans ; Incidence ; Laser Therapy - adverse effects ; Lens Capsule, Crystalline - pathology ; Lens Capsule, Crystalline - physiopathology ; Lens Capsule, Crystalline - surgery ; Lens Implantation, Intraocular ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - pathology ; Postoperative Complications - physiopathology ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Vision Disorders - etiology ; Vision Disorders - pathology ; Vision Disorders - physiopathology ; Visual Acuity - physiology</subject><ispartof>Journal of cataract and refractive surgery, 1997-12, Vol.23 (10), p.1556-1560</ispartof><rights>1997 American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-9de5b23c1e5fcce84045d6af3cd68377683f3d0e56b64b75da19e32fa0f58fc03</citedby><cites>FETCH-LOGICAL-c389t-9de5b23c1e5fcce84045d6af3cd68377683f3d0e56b64b75da19e32fa0f58fc03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0886-3350(97)80029-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2100217$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9456416$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kato, Katsuhiko</creatorcontrib><creatorcontrib>Kurosaka, Daijiro</creatorcontrib><creatorcontrib>Bissen-Miyajima, Hiroko</creatorcontrib><creatorcontrib>Negishi, Kazuno</creatorcontrib><creatorcontrib>Hara, Emiko</creatorcontrib><creatorcontrib>Nagamoto, Toshiyuki</creatorcontrib><title>Elschnig pearl formation along the posterior capsulotomy margin after neodymium:YAG capsulotomy</title><title>Journal of cataract and refractive surgery</title><addtitle>J Cataract Refract Surg</addtitle><description>Purpose: To determine the incidence of Elschnig pearl formation along the capsulotomy margin (string of pearls) after neodymium:YAG (Nd:YAG) laser posterior capsulotomy and to elucidate its clinical features, predisposing factors, effect on visual function, and association with additional capsulotomy.
Setting: Keio University Hospital, Tokyo, Japan.
Methods: The records of 418 eyes that had had Nd:YAG posterior capsulotomy after cataract surgery were retrospectively reviewed. Of those, 315 were excluded for short follow-up (fewer than 12 months) or insufficient clinical examination data. In the remaining 103 eyes, the incidence of string of pearls was calculated, and its clinical features, predisposing factors, effect on visual function, and correlation with additional capsulotomy were evaluated.
Results: String of pearls was identified in 49 eyes (47.6%); 37 (75.5%) developed pearls within 1 year after Nd:YAG capsulotomy. The incidence was significantly higher in patients having intraocular lens implantation and continuous curvilinear capsulorhexis (CCC) than in those without (95.9 versus 61.1% and 97.9 versus 55.6%, respectively). No significant differences were found in patient age and sex, total Nd:YAG energy, and the presence of diabetes mellitus or high myopia. String of pearls caused visual disturbances in 17 eyes (34.7%). The rate of repeat capsulotomy was higher in patients with string of pearls than in those without (36.7 and 9.3%, respectively).
Conclusions: String of pearls formation was a common and significant complication after Nd:YAG posterior capsulotomy. Intraocular lens implantation and CCC may promote its formation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Capsulorhexis - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laser Therapy - adverse effects</subject><subject>Lens Capsule, Crystalline - pathology</subject><subject>Lens Capsule, Crystalline - physiopathology</subject><subject>Lens Capsule, Crystalline - surgery</subject><subject>Lens Implantation, Intraocular</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - pathology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Vision Disorders - etiology</subject><subject>Vision Disorders - pathology</subject><subject>Vision Disorders - physiopathology</subject><subject>Visual Acuity - physiology</subject><issn>0886-3350</issn><issn>1873-4502</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LwzAYx4Moc04_wqAHET1Uk6ZJWy8yxnwBwYN68BSy5MmMtE1NWmHf3ujG8OblyeH_e17yQ2hK8CXBhF8947LkKaUMn1fFRYlxVqV8D41JWdA0ZzjbR-MdcoiOQvjAGOcZZSM0qnLGc8LHSCzqoN5bu0o6kL5OjPON7K1rE1m7dpX075B0LvTgrfOJkl0Yate7Zp000q9sxEzMkhacXjd2aK7fZnd_sWN0YGQd4GT7TtDr7eJlfp8-Pt09zGePqaJl1aeVBrbMqCLAjFJQ5jhnmktDleYlLYpYDNUYGF_yfFkwLUkFNDMSG1YahekEnW3mdt59DhB60digoK5lPG0IoqhYzkmWRZBtQOVdCB6M6LyNf1kLgsWPWPErVvxYE1UhfsUKHvum2wXDsgG969qajPnpNpdBydp42SobdlhG4hxSROxmg0GU8WXBi6AstAq09aB6oZ3955BvUbeW4g</recordid><startdate>19971201</startdate><enddate>19971201</enddate><creator>Kato, Katsuhiko</creator><creator>Kurosaka, Daijiro</creator><creator>Bissen-Miyajima, Hiroko</creator><creator>Negishi, Kazuno</creator><creator>Hara, Emiko</creator><creator>Nagamoto, Toshiyuki</creator><general>Elsevier Inc</general><general>Elsevier Science</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>19971201</creationdate><title>Elschnig pearl formation along the posterior capsulotomy margin after neodymium:YAG capsulotomy</title><author>Kato, Katsuhiko ; Kurosaka, Daijiro ; Bissen-Miyajima, Hiroko ; Negishi, Kazuno ; Hara, Emiko ; Nagamoto, Toshiyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-9de5b23c1e5fcce84045d6af3cd68377683f3d0e56b64b75da19e32fa0f58fc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Capsulorhexis - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Laser Therapy - adverse effects</topic><topic>Lens Capsule, Crystalline - pathology</topic><topic>Lens Capsule, Crystalline - physiopathology</topic><topic>Lens Capsule, Crystalline - surgery</topic><topic>Lens Implantation, Intraocular</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - pathology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Vision Disorders - etiology</topic><topic>Vision Disorders - pathology</topic><topic>Vision Disorders - physiopathology</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, Katsuhiko</creatorcontrib><creatorcontrib>Kurosaka, Daijiro</creatorcontrib><creatorcontrib>Bissen-Miyajima, Hiroko</creatorcontrib><creatorcontrib>Negishi, Kazuno</creatorcontrib><creatorcontrib>Hara, Emiko</creatorcontrib><creatorcontrib>Nagamoto, Toshiyuki</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>Journal of cataract and refractive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, Katsuhiko</au><au>Kurosaka, Daijiro</au><au>Bissen-Miyajima, Hiroko</au><au>Negishi, Kazuno</au><au>Hara, Emiko</au><au>Nagamoto, Toshiyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elschnig pearl formation along the posterior capsulotomy margin after neodymium:YAG capsulotomy</atitle><jtitle>Journal of cataract and refractive surgery</jtitle><addtitle>J Cataract Refract Surg</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>23</volume><issue>10</issue><spage>1556</spage><epage>1560</epage><pages>1556-1560</pages><issn>0886-3350</issn><eissn>1873-4502</eissn><coden>JCSUEV</coden><abstract>Purpose: To determine the incidence of Elschnig pearl formation along the capsulotomy margin (string of pearls) after neodymium:YAG (Nd:YAG) laser posterior capsulotomy and to elucidate its clinical features, predisposing factors, effect on visual function, and association with additional capsulotomy.
Setting: Keio University Hospital, Tokyo, Japan.
Methods: The records of 418 eyes that had had Nd:YAG posterior capsulotomy after cataract surgery were retrospectively reviewed. Of those, 315 were excluded for short follow-up (fewer than 12 months) or insufficient clinical examination data. In the remaining 103 eyes, the incidence of string of pearls was calculated, and its clinical features, predisposing factors, effect on visual function, and correlation with additional capsulotomy were evaluated.
Results: String of pearls was identified in 49 eyes (47.6%); 37 (75.5%) developed pearls within 1 year after Nd:YAG capsulotomy. The incidence was significantly higher in patients having intraocular lens implantation and continuous curvilinear capsulorhexis (CCC) than in those without (95.9 versus 61.1% and 97.9 versus 55.6%, respectively). No significant differences were found in patient age and sex, total Nd:YAG energy, and the presence of diabetes mellitus or high myopia. String of pearls caused visual disturbances in 17 eyes (34.7%). The rate of repeat capsulotomy was higher in patients with string of pearls than in those without (36.7 and 9.3%, respectively).
Conclusions: String of pearls formation was a common and significant complication after Nd:YAG posterior capsulotomy. Intraocular lens implantation and CCC may promote its formation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9456416</pmid><doi>10.1016/S0886-3350(97)80029-6</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Capsulorhexis - adverse effects Female Humans Incidence Laser Therapy - adverse effects Lens Capsule, Crystalline - pathology Lens Capsule, Crystalline - physiopathology Lens Capsule, Crystalline - surgery Lens Implantation, Intraocular Male Medical sciences Middle Aged Postoperative Complications - pathology Postoperative Complications - physiopathology Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Vision Disorders - etiology Vision Disorders - pathology Vision Disorders - physiopathology Visual Acuity - physiology |
| title | Elschnig pearl formation along the posterior capsulotomy margin after neodymium:YAG capsulotomy |
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