Severe Intraocular lens tilt following the Yamane technique.

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY Journal of cataract and refractive surgery Pub Date : 2024-10-24 DOI:10.1097/j.jcrs.0000000000001575
Neil Kelkar, Kevin Eid, Austin S Nakatsuka, Catherine Johnson, Nick Mamalis, Liliana Werner
{"title":"Severe Intraocular lens tilt following the Yamane technique.","authors":"Neil Kelkar, Kevin Eid, Austin S Nakatsuka, Catherine Johnson, Nick Mamalis, Liliana Werner","doi":"10.1097/j.jcrs.0000000000001575","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate CT Lucia 602 intraocular lenses (IOLs) implanted in cases lacking capsular support, and explanted because of decentration/dislocation with subsequent pathological analysis. The main objectives were to a) document the status of haptics, and b) verify the presence of the \"rotisserie\" effect.</p><p><strong>Setting: </strong>John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.</p><p><strong>Design: </strong>Case series with clinicopathological correlation.</p><p><strong>Methods: </strong>13 explanted CT Lucia 602 lenses were included, 12 implanted via the Yamane technique, and 1 that was iris-fixated. Four lenses were explanted between October 2020 and February 2022. Nine lenses, explanted between November 2022 and February 2024 also exhibited severe optic tilt, leading to explantation. A chart review was performed to obtain clinical information from each case. Explanted lenses underwent gross and microscopic examination for haptic status and rotation, in the dry state (room temperature) and after hydration (body temperature).</p><p><strong>Results: </strong>Time between implantation and explantation was longer for lenses explanted before November 2022 (without severe tilt). Among the 26 haptics evaluated, 15 were deformed, 6 were broken, 2 were detached, and 3 were unremarkable. Four haptics of Yamane lenses explanted between November 2022 and February 2024 showed free rotation within the optic insertion, after hydration at body temperature.</p><p><strong>Conclusion: </strong>Anecdotal reports of the \"rotisserie\" effect of CT Lucia 602 lenses implanted via the Yamane technique appeared mostly during the second half of 2022, and suggested that affected lenses were from specific batches, which appears to be consistent with the findings of this study.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cataract and refractive surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/j.jcrs.0000000000001575","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: To evaluate CT Lucia 602 intraocular lenses (IOLs) implanted in cases lacking capsular support, and explanted because of decentration/dislocation with subsequent pathological analysis. The main objectives were to a) document the status of haptics, and b) verify the presence of the "rotisserie" effect.

Setting: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.

Design: Case series with clinicopathological correlation.

Methods: 13 explanted CT Lucia 602 lenses were included, 12 implanted via the Yamane technique, and 1 that was iris-fixated. Four lenses were explanted between October 2020 and February 2022. Nine lenses, explanted between November 2022 and February 2024 also exhibited severe optic tilt, leading to explantation. A chart review was performed to obtain clinical information from each case. Explanted lenses underwent gross and microscopic examination for haptic status and rotation, in the dry state (room temperature) and after hydration (body temperature).

Results: Time between implantation and explantation was longer for lenses explanted before November 2022 (without severe tilt). Among the 26 haptics evaluated, 15 were deformed, 6 were broken, 2 were detached, and 3 were unremarkable. Four haptics of Yamane lenses explanted between November 2022 and February 2024 showed free rotation within the optic insertion, after hydration at body temperature.

Conclusion: Anecdotal reports of the "rotisserie" effect of CT Lucia 602 lenses implanted via the Yamane technique appeared mostly during the second half of 2022, and suggested that affected lenses were from specific batches, which appears to be consistent with the findings of this study.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Yamane 技术后严重的眼内晶状体倾斜。
目的:评估在缺乏囊膜支持的病例中植入的 CT Lucia 602 眼内人工晶体(IOLs),这些病例因分散/脱位而被摘除,随后进行病理分析。主要目的是:a)记录触觉状态;b)验证是否存在 "旋转 "效应:美国犹他州盐湖城犹他大学约翰-莫兰眼科中心:方法:纳入 13 个已取出的 CT Lucia 602 镜片,其中 12 个是通过 Yamane 技术植入的,1 个是虹膜固定的。4 个镜片是在 2020 年 10 月至 2022 年 2 月期间取出的。在 2022 年 11 月至 2024 年 2 月期间取出的 9 个镜片也表现出严重的视神经倾斜,导致镜片取出。为了获得每个病例的临床信息,对病历进行了审查。取出的镜片在干燥状态(室温)和水合状态(体温)下接受了触觉状态和旋转的大体和显微镜检查:结果:在 2022 年 11 月之前摘除的镜片(无严重倾斜),植入和摘除之间的时间间隔较长。在评估的 26 个触点中,15 个变形,6 个断裂,2 个脱落,3 个无异常。在 2022 年 11 月至 2024 年 2 月期间取出的山根镜片中,有 4 个触点在体温下水合后显示在光学插入部内自由旋转:结论:通过山根技术植入的 CT Lucia 602 镜片出现 "旋转 "效应的轶事报道主要出现在 2022 年下半年,并表明受影响的镜片来自特定批次,这似乎与本研究的结果一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
5.60
自引率
14.30%
发文量
259
审稿时长
8.5 weeks
期刊介绍: The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS). JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.
期刊最新文献
Ocular Shape of Cataract with Retinitis Pigmentosa: A Case-Control Study. Intraocular Lens Rotational Stability after Cataract Surgery with and without Primary Posterior Continuous Curvilinear Capsulorrhexis. Risk of Zonular Dialysis in Fellow-Eye Cataract Surgeries: A Multicenter Comparative Study. Accuracy of intraocular lens power calculation in patients with endothelial dystrophy without edema. Analysis of the ESCRS calculator's prediction accuracy.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1