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Role of ultrasound biomicroscopy in the planning for secondary implantation of intra ocular lens in aphakia

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Abstract

Purpose This is a prospective investigational study that was performed at Tanta University Eye Hospital, Tanta, Egypt to evaluate the role of ultrasound biomicroscopy (UBM) in planning secondary implantation of intra ocular lens (IOL) in aphakia. Methods Preoperative UBM was performed for the assessment of anterior segment of 30 aphakic eyes admitted for secondary IOL implantation with special attention to central corneal thickness (CCT), anterior chamber depth (ACD), ciliary sulcus (CS), anatomical changes, and posterior capsular (PC) integrity which had been assessed by measuring the remnants of PC with special attention to the 12, 3, 5, 6, 7, and 9 o’clock meridians. Results This study involved 30 eyes in 27 patients; 16 males and 11 females. The mean age was 8.39 ± 2.36 years. The causes of aphakia were: congenital cataract extraction in14 eyes (46.7 %); trauma in 14 eyes (46.7 %); and after extracapsular cataract extraction in 2 eyes (6.6 %). The mean CCT was 0.61 + 0.35 mm and the mean ACD was 3.03 + 0.41 mm. The ciliary sulcus was patent in 28 eyes (93.4 %). Posterior synechia was observed in 8 eyes (26.7 %), lens remnants in 11 eyes (36.7 %), corneal scars in 11 eyes (36.7 %), and vitreous in anterior chamber in 1 eye (3.3 %). The integrity of PC was illustrated with a diagram. Conclusions UBM is a useful device to evaluate aphakic eyes before secondary IOL implantation through good evaluation of the anterior segment with special attention to the posterior capsular integrity, ciliary sulcus, anterior chamber depth, corneal thickness, and detection of any structural changes in the anterior segment resulting from the remote cause of aphakia.

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The authors did not receive any financial support from any public or private sources.

The authors have no financial or proprietary interest in a product, method, or material described herein.

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Authors and Affiliations

  1. Kafr Elsheikh Ophthalmic Center, Kafr Elsheikh, Egypt

    Mohamed Elfiky

  2. Faculty of Medicine, Tanta University, Tanta, Egypt

    Hisham Saad, Rabab Elseht & Adel Selima

  3. Magrabi Eye Hospital, Tanta, Egypt

    Hisham Saad

Authors
  1. Mohamed Elfiky
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  2. Hisham Saad
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  3. Rabab Elseht
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  4. Adel Selima
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Correspondence to Hisham Saad.

Additional information

The XXV Conference of the Societas Internationalis Pro Diagnostica Ultrasonica in Ophthalmologia (SIDUO) in Berlin, Germany 2–5 July 2014.

The XXXII Congress of the European Society of Cataract and Refractive Surgeons (ESCRS) in London, United Kingdom 13–17 September 2014.

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Elfiky, M., Saad, H., Elseht, R. et al. Role of ultrasound biomicroscopy in the planning for secondary implantation of intra ocular lens in aphakia. Int Ophthalmol 36, 391–400 (2016). https://doi.org/10.1007/s10792-015-0141-z

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  • DOI: https://doi.org/10.1007/s10792-015-0141-z

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