Abstract:
:Data on 41 cases (37 intraocular lenses and four globes) of intraocular lenses explanted or expulsed after ocular trauma were retrieved from over 5,000 intraocular lenses and 1,200 globes. The age of the male and female donors varied significantly (male, 64.4 +/- 13.1 years; female, 75.5 +/- 12.6 years; P = .0334). Twenty-two were posterior chamber, 11 were anterior chamber, and eight were iris-fixated lenses. The mean implant durations were 0.66 +/- 0.9 years for posterior chamber intraocular lenses, 4.0 +/- 3.4 years for anterior chamber lenses, and 9.0 +/- 4.9 years for iris-fixated lenses. Accidental falling was the most common trauma in 14 of 21 cases (67%). In the posterior chamber intraocular lens group, trauma was more severe and resulted in rupture of the globe in 19 of 22 cases (86%) and expulsion of the intraocular lens in 15 of 22 cases (68%). Rupture usually occurred at the surgical wound, even when the trauma happened five years postoperatively. In contrast, most of the eyes with anterior chamber intraocular lenses and iris-fixated intraocular lenses did not rupture, but a minor trauma often resulted in intraocular lens dislocation and secondary complications that necessitated intraocular lens explantation. The pathologic findings were nonspecific (proteinaceous deposits, blood and pigment adherent to the intraocular lens). Severity of trauma and pathologic findings were not correlated. Posterior chamber intraocular lenses are more resistant to minor ocular trauma compared to anterior chamber and iris-fixated intraocular lenses.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Assia EI,Blotnick CA,Powers TP,Legler UF,Apple DJdoi
10.1016/s0002-9394(14)73012-0subject
Has Abstractpub_date
1994-01-15 00:00:00pages
30-6issue
1eissn
0002-9394issn
1879-1891pii
S0002-9394(14)73012-0journal_volume
117pub_type
杂志文章abstract::Twelve patients (14 eyes) had intraocular pressure elevations induced by repository coritcosteroids. The duration and severity of the resulting pressure elevations were directly related to the decreasing solubility of the agent employed. Ten patitens had received intensive topical corticosteroids before injection, res...
journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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更新日期:1991-08-15 00:00:00
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更新日期:2014-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:1998-11-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2008-05-01 00:00:00
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更新日期:2009-05-01 00:00:00
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更新日期:2016-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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更新日期:2009-11-01 00:00:00
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更新日期:2007-03-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章,多中心研究
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更新日期:2019-11-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1996-11-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2007-04-01 00:00:00
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更新日期:1990-01-15 00:00:00
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pub_type: 杂志文章
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更新日期:1975-06-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章,多中心研究
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更新日期:2019-09-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2004-10-01 00:00:00
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更新日期:2015-09-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2011-11-01 00:00:00
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更新日期:2000-03-01 00:00:00
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更新日期:1981-11-01 00:00:00