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Intermittent pupillary capture of intraocular lens after transscleral fixation in congenital ectopia lentis patient triggered by dark environment: A case report.

Abstract Although transscleral-fixated intraocular lens (IOL) implantation has been the most frequently chosen treatment for patients with inadequate capsule support, the ghost pupillary capture phenomenon did not cause enough attention.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28296765
OWN - NLM
STAT- MEDLINE
DA  - 20170315
DCOM- 20170410
LR  - 20170410
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 11
DP  - 2017 Mar
TI  - Intermittent pupillary capture of intraocular lens after transscleral fixation in
      congenital ectopia lentis patient triggered by dark environment: A case report.
PG  - e6342
LID - 10.1097/MD.0000000000006342 [doi]
AB  - RATIONALE: Although transscleral-fixated intraocular lens (IOL) implantation has 
      been the most frequently chosen treatment for patients with inadequate capsule
      support, the ghost pupillary capture phenomenon did not cause enough attention.
      PATIENT CONCERNS: We present an unusual case withintermittent pupillary capture
      of intraocular lens. DIAGNOSIS: After 5 minutes staying in the dark environment, 
      the pentacam examination revealed a mild nasal pupillary capture of the IOL.
      INTERVENTIONS: A clear observation using the slit-lamp was attempted, and the
      light shining on the pupil sped up the sliding of the captured IOL. OUTCOMES: The
      captured portion of the IOL recovered rapidly accompanied with pupil retraction
      when the patient was exposed in the light. CONCLUSIONS: Pupillary capture of an
      IOL is an uncommon but potentially serious postoperative complication of
      transscleral fixation. Many pupillary capture cases may have been overlooked in
      the past. Physicians should be aware of its potential side effect, recognize its 
      clinical manifestation, and knowledgeable of effective management.
FAU - Wang, Zhirong
AU  - Wang Z
AD  - aState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen 
      University, Guangzhou, China bDepartment of Ophthalmology, University of
      California, San Francisco, CA, USA.
FAU - Cao, Qianzhong
AU  - Cao Q
FAU - Jin, Guangming
AU  - Jin G
FAU - Young, Charlotte Aimee
AU  - Young CA
FAU - Wang, Yiyao
AU  - Wang Y
FAU - Zheng, Danying
AU  - Zheng D
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Child
MH  - Darkness
MH  - Ectopia Lentis/*surgery
MH  - Female
MH  - Humans
MH  - Lens Implantation, Intraocular/*adverse effects
MH  - Lenses, Intraocular/*adverse effects
MH  - Postoperative Complications/*physiopathology
MH  - Pupil Disorders/*etiology/*physiopathology
MH  - Slit Lamp
PMC - PMC5369920
EDAT- 2017/03/16 06:00
MHDA- 2017/04/11 06:00
CRDT- 2017/03/16 06:00
AID - 10.1097/MD.0000000000006342 [doi]
AID - 00005792-201703170-00046 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Mar;96(11):e6342. doi: 10.1097/MD.0000000000006342.

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