Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Apple, DJ; Escobar-Gomez, M; Zaugg, B; Kleinmann, G; Borkenstein, AF.
Modern cataract surgery: unfinished business and unanswered questions.
Surv Ophthalmol. 2011; 56(6 Suppl):S3-53
Doi: 10.1016/j.survophthal.2011.10.001
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- Co-authors Med Uni Graz
- Borkenstein Andreas
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- Abstract:
- We summarize information, based on clinicopathologic studies over the past decade, on various cataract intraocular lens (IOL) procedures and modern "specialized" IOLs, that will help surgeons continuously improve long-term results for cataract patients. Although most operations do initially provide excellent refractive correction and visual rehabilitation, late complications occur. These sometimes are missed because they are outside of the routine period of follow-up care. We have tried to determine if the various techniques and IOLs truly deliver the long-term results that we desire. Most safety and efficacy information is derived from the manufacturer and is passed through the U.S. Food and Drug Administration (FDA). This is often based on limited, relatively short-term observations made by the manufacturer. After a lens receives FDA approval, there are few means to assess the outcome of each procedure and lens years later. We rarely hear of a 10- or 20-year follow-up study. We have found that one of the best means to assess long-term results is pathologic analyses. We discuss recently studied aspects of pathologic reactions, such as posterior capsule opacification, intracapsular fibrosis, glistenings, intralenticular opacification, and other issues with the various IOL platforms; we then present a clinicopathological overview of tissues and IOLs from our database. These include hydrophobic and hydrophilic acrylic designs, plate lenses, and a dual optic lens.
- Find related publications in this database (using NLM MeSH Indexing)
- Capsule Opacification - history
- Cataract - history
- Cataract Extraction - history
- History, 18th Century -
- History, 19th Century -
- History, 20th Century -
- History, 21st Century -
- Humans -
- Lens Implantation, Intraocular - history
- Ophthalmology - history
- Vision Disorders - history
- Find related publications in this database (Keywords)
- Posterior capsule opacification
- intracapsular fibrosis
- glistenings
- clinicopathological analysis
- intraocular lenses