Endophthalmitis after phakic intraocular lens implantation to correct high myopia

Pérez-Santonja, Juan J; Rui­z–Moreno, J.M.; Hoz, Fernando de la; Giner-Gorriti, Concepción; Alió, Jorge L.

doi:10.1016/s0886-3350(99)00162-5

Cited by 36 publications

(15 citation statements)

References 15 publications

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“…None of our patients has developed severe complications which might threaten their vision, such as retinal detachment [30,31], vitreous hemorrhage [22], or panophthalmitis [27].…”

Section: Discussionmentioning

confidence: 86%

Correction of high myopia with different phakic anterior chamber intraocular lenses: ICARE angle-supported lens and Verisyse iris-claw lens

Gierek-Ciaciura

Gierek-Lapińska

Ochalik

et al. 2006

Graefe's Arch Clin Exp Ophthalmol

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“…None of our patients has developed severe complications which might threaten their vision, such as retinal detachment [30,31], vitreous hemorrhage [22], or panophthalmitis [27].…”

Section: Discussionmentioning

confidence: 86%

Correction of high myopia with different phakic anterior chamber intraocular lenses: ICARE angle-supported lens and Verisyse iris-claw lens

Gierek-Ciaciura

Gierek-Lapińska

Ochalik

et al. 2006

Graefe's Arch Clin Exp Ophthalmol

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“…O risco de infecção intraocular sempre existe, já tendo sido reportado um caso de endoftalmite (56) .…”

Section: Outras Complicaçõesunclassified

Lentes fácicas de câmara anterior

Nosé¹,

Forseto²

2012

Rev. bras.oftalmol.

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Os autores declaram inexistir conflitos de interesseRecebido para publicação em 5/4/2011 -Aceito para publicação em 26/11/2011 RESUMOOs implantes em olhos fácicos apresentam-se como uma opção para a correção de altas ametropias. De acordo com sua localização podem ser classificados como de câmara anterior ou posterior, sendo que os primeiros subdividem-se em fixação iriana ou de suporte angular. Além da correção da miopia, as lentes de fixação iriana apresentam modelos para hipermétropes e astigmatas. Várias modificações no desenho das lentes foram propostas nas últimas décadas com a finalidade de reduzir complicações tardias, como a perda endotelial progressiva. Cuidados no intraoperatório devem ser tomados de forma a diminuir a perda endotelial aguda relacionada ao trauma. Avanços nos métodos de triagem pré-operatória também melhoraram a segurança do procedimento. A estimativa do poder dióptrico é baseada nos cálculos de Van der Heijde, sendo dependente da profundidade de câmara anterior, do equivalente esférico da refração e da média ceratométrica. Resultados a longo prazo demonstram a eficácia, previsibilidade e segurança do procedimento. Dependendo do modelo, além da possibilidade de perda endotelial, outras possíveis complicações incluem: irite, dispersão pigmentar, atrofia de íris, ovalização pupilar, rotação, descentração ou deslocamento da lente, hipertensão ocular e bloqueio pupilar. Modelos dobráveis atualmente disponíveis vêm apresentado resultados bastante promissores com redução da taxa de complicações.Descritores: Lentes intraoculares fácicas; câmara anterior; erros de refração; procedimentos cirúrgicos refrativos; complicações intraoperatórias; complicações pós-operatórias ABSTRACT The phakic intraocular lenses (pIOLs) are a good option for the correction of high refractive errors. According to their

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“…3 A few cases of early postoperative endophthalmitis (postpenetrating keratoplasty or cataract surgery) because of GBS have also been reported. 3,4 Delayed onset endophthalmitis is a wellrecognised complication of conjunctival filtration blebs. Although most series report a preponderance of streptococcal species as the causative organisms, these are usually viridans streptococci or Streptococcus pneumoniae.…”

Section: Commentmentioning

confidence: 99%

“…Intraocular AVMs of the anterior segment are rare. They have been described in the iris 4,5 but no reports exist of such vascular abnormalities of ciliary body. Intraocular tumour is an …”

Section: Commentmentioning

confidence: 99%

Late onset group B streptococcus endophthalmitis associated with conjunctival filtration bleb

Tan

Escardo-Paton

Walters

2003

Eye

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posterior staphylomata and must be differentiated from exudative detachment of the macula.The macular lesion in our case was a small, round, hole-like lesion with a yellow base. Fluorescein angiography showed hypofluorescence in the centre and hyperfluorescence surrounding it, and this was typical for bull's eye maculopathy. Considering the macular lesions in pathological myopia, this lesion may be a sequela of haemorrhage (Fuchs' spot?) that blocked fluorescence in the centre. There is an RPE atrophy that enables the choroidal fluorescence surrounding the lesion. However, biomicroscopy and OCT scans did not support these findings. Horizontal and vertical optical coherence tomography images obtained through the fovea demonstrated a full thickness defect of the highly reflective band corresponding to the RPE and choriocapillaris. An area of increased reflectivity was observed beneath this defect. The overlying retinal layers were normal. According to this appearance on OCT, our interpretation was a colobomatous defect of RPE and choriocapillaris in the foveal area. Fluorescein angiography findings were in accordance with this lesion. The central hypofluorescent area corresponds to the area of choriocapillaris and RPE atrophy, while the surrounding hyperfluorescence corresponds to the RPE defect only (window defect). If this lesion were a Fuchs' spot, on OCT scans, we would expect to find an irregular RPE and choriocapillaris layer with RPE atrophy surrounding it.With these findings, we conclude that this is an unusual atrophic macular lesion of pathological myopia having different features with different diagnostic examinations. We intend to follow up this patient in order to evaluate the prognosis.

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Endophthalmitis after phakic intraocular lens implantation to correct high myopia

Cited by 36 publications

References 15 publications

Correction of high myopia with different phakic anterior chamber intraocular lenses: ICARE angle-supported lens and Verisyse iris-claw lens

Correction of high myopia with different phakic anterior chamber intraocular lenses: ICARE angle-supported lens and Verisyse iris-claw lens

Lentes fácicas de câmara anterior

Late onset group B streptococcus endophthalmitis associated with conjunctival filtration bleb

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