{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T23:11:04Z","timestamp":1652224264419},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Marfan Syndrome is an autosomal dominant disease with multiple ocular abnormalities including ectopia lentis and a high incidence of rhegmatogenous retinal detachment\n\t\t\t\t\t(RRD). The management of RRD may be challenging in cases of aphakic patients with Marfan.<\/jats:p><jats:p>\n          Purpose To report on the management of four cases of simultaneous RRD and aphakia with vitrectomy, silicone oil tamponade, and retropupillary iris-claw intraocular lens (IOL)\n\t\t\t\t\timplantation in patients with Marfan that have been operated at the Jules-Gonin Eye Hospital between 2019 and 2020.<\/jats:p><jats:p>\n          History and Signs Ages at presentation were 20, 30, 32, and 31 years, respectively. All patients had a history of extraction of a dislocated lens. None of the patients had a previous\n\t\t\t\t\tposterior vitrectomy. Two patients had records of previous measurements for IOL calculation by optical biometry (IOL Master, Carl Zeiss Meditec AG, Jena, Germany) about 1 year prior to the\n\t\t\t\t\tRRD development. In two cases, measurements for IOL calculation by optical biometry were based on the contralateral eye.<\/jats:p><jats:p>\n          Therapy and Outcome All patients underwent 23\u2009G vitrectomy, peripheral iridotomy, and retropupillary iris-claw IOL. No intraoperative complications were encountered. All patients had\n\t\t\t\t\tsilicone oil tamponade, one of which required heavy silicone oil. Silicone oil was removed 3 months following primary surgery. Minimum follow-up was 1 year. The single surgery anatomic\n\t\t\t\t\tsuccess rate was 100%. All patients had visual acuity of at least 0.8 at the last follow-up (1.25, 1.0, 0.8, and 0.8 respectively). The targeted refractive results were accurately achieved\n\t\t\t\t\tin all four cases postoperatively. One patient presented ocular hypertension 2 weeks after surgery due to presumed steroid response and was managed conservatively. None of the patients had\n\t\t\t\t\tsilicone oil migration into the anterior chamber.<\/jats:p><jats:p>\n          Conclusion Retropupillary iris-claw IOL implantation in cases of RRD and aphakia creates a barrier to tamponades from the posterior segment, effectively preventing them from entering\n\t\t\t\t\tthe anterior segment of the eye. Therefore, the management of aphakia and retinal detachment with simultaneous vitrectomy and a retropupillary iris-claw IOL may be a successful strategy in\n\t\t\t\t\treducing postoperative complications in patients with Marfan syndrome.<\/jats:p>","DOI":"10.1055\/a-1766-6381","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:36:36Z","timestamp":1651012596000},"page":"490-493","source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous Management of Retinal Detachment and Aphakia with Pars Plana Vitrectomy, Silicone Oil Tamponade and Retropupillary Iris-Claw Intraocular Lens Implantation in\n\t\t\t\t\tPatients with Marfan Syndrome"],"prefix":"10.1055","volume":"239","author":[{"given":"Safia","family":"Hsin","sequence":"additional","affiliation":[{"name":"Jules Gonin University Eye Hospital, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodor","family":"Stappler","sequence":"additional","affiliation":[{"name":"Jules Gonin University Eye Hospital, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelena","family":"Potic","sequence":"additional","affiliation":[{"name":"Jules Gonin University Eye Hospital, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Wolfensberger","sequence":"additional","affiliation":[{"name":"Jules Gonin University Eye Hospital, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lazaros","family":"Konstantinidis","sequence":"additional","affiliation":[{"name":"Jules Gonin University Eye Hospital, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.4103\/jovr.jovr_29_18","article-title":"Management Strategies of Ocular Abnormalities in Patients with Marfan Syndrome: Current Perspective","volume":"14","author":"H Esfandiari","year":"2019","journal-title":"J Ophthalmic Vis Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/00006982-200208000-00005","article-title":"Retinal detachment in Marfan syndrome: clinical characteristics and surgical outcome","volume":"22","author":"T Sharma","year":"2002","journal-title":"Retina"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/00004397-200110000-00021","article-title":"Retinal detachment in Marfan\u02bcs syndrome","volume":"41","author":"J F Remulla","year":"2001","journal-title":"Int Ophthalmol Clin"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.2147\/OPTH.S215352","article-title":"Combined pars plana vitrectomy with phacoemulsification for rhegmatogenous retinal detachment repair","volume":"13","author":"J Guber","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1007\/s00417-005-0146-9","article-title":"Pars plana vitrectomy, phacoemulsification and intraocular lens implantation. Comparison of clinical complications in a combined versus two-step surgical approach","volume":"244","author":"F Treumer","year":"2006","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1097\/IAE.0000000000001221","article-title":"Complex Retinal Detachment in Phakic Patients: Previtrectomy Phacoemulsification Versus Combined Phacovitrectomy","volume":"37","author":"G M Tosi","year":"2017","journal-title":"Retina"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1007\/s00417-009-1155-x","article-title":"Silicone oil induced glaucoma: a review","volume":"247","author":"P Ichhpujani","year":"2009","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1001\/archopht.125.7.883","article-title":"Silicone oil pupillary block: an exception to combined Argon-Nd\u200a:\u200aYAG laser iridotomy success in angle-closure glaucoma","volume":"125","author":"A H Zalta","year":"2007","journal-title":"Arch Ophthalmol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1007\/s40123-021-00439-x","article-title":"Differences in Axial Length and IOL Power Based on Alternative A-Scan or Fellow-Eye Biometry in Macula-Off Rhegmatogenous Retinal Detachment Eyes","volume":"11","author":"R Liu","year":"2022","journal-title":"Ophthalmology Ther"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"5964127","DOI":"10.1155\/2019\/5964127","article-title":"Postoperative Refractive Prediction Error Measured by Optical and Acoustic Biometry after Phacovitrectomy for Rhegmatogenous Retinal Detachment without Macular Involvement","volume":"2019","author":"M Sakamoto","year":"2019","journal-title":"J Ophthalmol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1097\/ICB.0b013e3181f047ca","article-title":"Scleral fixation intraocular lens as a barrier for silicone oil in traumatic aphakia, aniridia, and recurrent retinal detachment: case report","volume":"5","author":"C C Tseng","year":"2011","journal-title":"Retin Cases Brief Rep"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1001\/archophthalmol.2010.300","article-title":"Silicone oil retention sutures in aphakic eyes with iris loss","volume":"128","author":"R C Gentile","year":"2010","journal-title":"Arch Ophthalmol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1766-6381.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T22:45:12Z","timestamp":1652222712000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1766-6381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":12,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,4,26]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1766-6381","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}