[Ocular implantation and exfoliative syndrome].
Operative difficulties and post operative complications after posterior chamber lens implantation are described in 27 eyes with exfoliation syndrome, 8 simple exfoliation syndromes and 19 capsular glaucoma. 14 eyes were operated on by extracapsular extraction and posterior chamber lens implantation in the capsular bag; 13 eyes had extracapsular cataract implantation combined with trabeculectomy. Operative difficulties were due to bad mydriasis and zonular laxity. There was no zonular dialysis. Post-operative visual acuity was between 20/40 and 20/20 in 70% of the cases. There was nos lens luxation. Intercapsular implantation is possible without great risk. The risk of zonular rupture occurs principally during extracapsular extraction. Implants 4 to 12 times Lighter than a cataract human lens do not seem to be dangerous when there is no peroperative zonular rupture.
Metge
P
P
Cohen
H
H
Graff
F
F
Morin
B
B
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications; D005260:Female; D005901:Glaucoma / Q000150:complications / Q000601:surgery; D006801:Humans; D007432:Intraoperative Period; D007905:Lens Diseases / Q000150:complications / Q000601:surgery*; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D011184:Postoperative Period; D012307:Risk Factors; D013997:Time Factors
Implantation oculaire et syndrome exfoliatif.