Black diaphragm intraocular lens implantation in patients with aniridia.

Purpose: To review the management outcomes of black diaphragm intraocular (BDI) lens implantation in Arab patients with aniridia. Methods: Patients with aniridia undergone BDI lens implantation at our institution between 2013 and 2014 were included. Uncorrected visual acuity (UCVA), manifest refract...

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Publicado en:Journal of Ophthalmic & Vision Research Vol. 14; no. 1; pp. 27 - 32
Autor principal: Al-Rashidi, Sultan
Formato: research tables/charts Journal Article
Publicado: Knowledge E DMCC Jan-Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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        20082010
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      jtl: Journal of Ophthalmic & Vision Research
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      dt: Jan-Mar2019
      vid: 14
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      pub: Knowledge E DMCC
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        10.4103/jovr.jovr_244_17
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        atl: Black diaphragm intraocular lens implantation in patients with aniridia.
      aug:
        au: Al-Rashidi, Sultan
        affil: Department of Ophthalmology, College of Medicine, Qassim University, Buraidah, Al-Qassim
      sug:
        subj:
          Aniridia Surgery
          Lenses, Intraocular Methods
          Arabs Psychosocial Factors
          Human
          Male
          Female
          Pretest-Posttest Design
          Visual Acuity Evaluation
          Refraction, Ocular Evaluation
          Intraoperative Complications Surgery
          Postoperative Complications Surgery
          Treatment Outcomes Evaluation
          After Care
          Time Factors
          Descriptive Statistics
          Photophobia
          Corneal Transplantation Methods
          Male
          Female
      ab: Purpose: To review the management outcomes of black diaphragm intraocular (BDI) lens implantation in Arab patients with aniridia. Methods: Patients with aniridia undergone BDI lens implantation at our institution between 2013 and 2014 were included. Uncorrected visual acuity (UCVA), manifest refraction, and best-corrected visual acuity (BCVA) were evaluated before and 6 months and yearly after BDI lens implant surgery until the last visit. Intra- and postoperative complications were noted. Results: Our series comprised 14 patients (8 males) with aniridia. The median duration of follow-up was 30 months (25% quartile). Ocular parameters, refractive status, and vison were all significantly improved at the last follow-up compared to the preoperative values (P < 0.05 for all comparisons). All patients reported a significant decrease in photophobia and glare. Postoperatively, 11 eyes (78%) gained 2 or more lines of UCVA. At the last follow-up, BCVA increased by 2 or more lines in all cases. Early postoperative complications included main wound leakage (one eye) and anterior chamber hyphema (one eye). Late (≥6 months) complications included corneal decompensation (one eye), failed penetrating keratoplasty graft (2 eyes), and subluxation of a scleral fixated BDI lens (one eye). Surgical interventions performed to manage complications included penetrating keratoplasty in 2 eyes with corneal decompensation and failed graft (one each), and re-suturing of a subluxated intraocular lens (one eye). Conclusion: BDI lenses seem to be a safe and effective iris prosthetic with intraocular lens combination surgery for patients with congenital or traumatic aniridia. Periodic evaluation and prompt management of complications are recommended.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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