PMID- 21587274
OWN - NLM
STAT- MEDLINE
DCOM- 20111020
LR  - 20211020
IS  - 1476-5454 (Electronic)
IS  - 0950-222X (Print)
IS  - 0950-222X (Linking)
VI  - 25
IP  - 8
DP  - 2011 Aug
TI  - Polypseudophakia for cataract surgery: 10-year follow-up on safety and stability 
      of two poly-methyl-methacrylate (PMMA) intraocular lenses within the capsular 
      bag.
PG  - 1090-3
LID - 10.1038/eye.2011.107 [doi]
AB  - PURPOSE: To report the long-term follow-up (more than 10 years) of three patients 
      who have undergone polypseudophakia phacoemulsification cataract surgery. 
      METHODS: A case series of three patients and four procedures. Two 
      poly-methyl-methacrylate (PMMA) intraocular lenses (IOLs) were placed within the 
      capsular bag (P359UV, Storz, Tuttlingen, Germany). No complications occurred 
      peri-operatively. A full ophthalmological examination was performed at 10-year 
      follow-up, looking for decentration, tilt, and complications of interlenticular 
      opacification (ILO) between the IOLs. RESULTS: Inferior ILO with Elschnig pearls 
      was observed in only one case, and was likely to be visually insignificant. No 
      ILO was observed in the other three eyes. In one patient, the piggyback IOL had 
      been displaced 1-2 mm nasally, but there was no tilt of the IOLs, with the 
      haptics remaining well aligned. There was no displacement or tilt of the 
      piggyback IOL in the other three cases. Corneal endothelial cell count (SP-2000P, 
      Topcon, Tokyo, Japan) was above 1000 cell/mm(2) in all cases. CONCLUSIONS: With 
      the introduction of foldable IOLs, the piggyback IOL is usually placed in the 
      sulcus, but we have shown good long-term stability and minimal complications of 
      dual PMMA IOLs placed within the bag.
FAU - Gomaa, A
AU  - Gomaa A
AD  - Ophthalmology Department, Sussex Eye Hospital, Brighton, UK.
FAU - Lee, R M H
AU  - Lee RM
FAU - Liu, C S C
AU  - Liu CS
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110513
PL  - England
TA  - Eye (Lond)
JT  - Eye (London, England)
JID - 8703986
RN  - 9011-14-7 (Polymethyl Methacrylate)
SB  - IM
MH  - Aged, 80 and over
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Lens Implantation, Intraocular/instrumentation/*methods
MH  - *Lenses, Intraocular
MH  - Middle Aged
MH  - Phacoemulsification/*instrumentation/methods
MH  - Polymethyl Methacrylate/*therapeutic use
MH  - Prosthesis Design
MH  - Treatment Outcome
PMC - PMC3178208
EDAT- 2011/05/19 06:00
MHDA- 2011/10/21 06:00
PMCR- 2012/08/01
CRDT- 2011/05/19 06:00
PHST- 2011/05/19 06:00 [entrez]
PHST- 2011/05/19 06:00 [pubmed]
PHST- 2011/10/21 06:00 [medline]
PHST- 2012/08/01 00:00 [pmc-release]
AID - eye2011107 [pii]
AID - 10.1038/eye.2011.107 [doi]
PST - ppublish
SO  - Eye (Lond). 2011 Aug;25(8):1090-3. doi: 10.1038/eye.2011.107. Epub 2011 May 13.