Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture
Objective: To explore the simplified technique for transscleral fixation of a foldable posterior chamber intraocular lens (IOLs) in patients with aphakia or inadequate posterior capsule support. Methods: A review was conducted of 18 eyes of eighteen patients with the absence of—or inadequate—capsule...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-05-01
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| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2018.1535011 |
| _version_ | 1797684671893471232 |
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| author | Baojiang Li Yangjing Zhang Xiaowei Gao |
| author_facet | Baojiang Li Yangjing Zhang Xiaowei Gao |
| author_sort | Baojiang Li |
| collection | DOAJ |
| description | Objective: To explore the simplified technique for transscleral fixation of a foldable posterior chamber intraocular lens (IOLs) in patients with aphakia or inadequate posterior capsule support. Methods: A review was conducted of 18 eyes of eighteen patients with the absence of—or inadequate—capsule support, after the simplified technique of using a foldable posterior chamber intraocular lens (PC IOLs) with stable four-point transscleral fixation, as performed by a skilled surgeon. This technique uses only a single suture and a knot to fix a PC IOL firmly without creating a scleral flap. The mean follow-up time was 18 ± 5.8 months (ranging from 12 to 24 months). Results: All patients exhibited improved visual acuity. No IOL tilt or dislocation or iris capture was observed, and all patients exhibited stable and centered IOL after surgery. No complex complications, such as suture shedding and exposure, corneal endothelial decompensation, persistent uveitis, or retinal detachment and endophthalmitis were observed. Conclusion: The simplified technique proposed here is a reliable, economical, and reproducible method of treating patients with aphakia or inadequate posterior capsule support. It provides excellent IOL stability, reduces surgical duration and complexity, and prevents certain complications. |
| first_indexed | 2024-03-12T00:34:08Z |
| format | Article |
| id | doaj.art-66f86bdd4ee0416085a29d020e07ce70 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:34:08Z |
| publishDate | 2020-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-66f86bdd4ee0416085a29d020e07ce702023-09-15T10:07:29ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532020-05-0133544645210.1080/08941939.2018.15350111535011Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single SutureBaojiang Li0Yangjing Zhang1Xiaowei Gao2Department of Opthalmic Center, the 474th Hospital of Chinese PLADepartment of Opthalmic Center, the 474th Hospital of Chinese PLADepartment of Opthalmic Center, the 474th Hospital of Chinese PLAObjective: To explore the simplified technique for transscleral fixation of a foldable posterior chamber intraocular lens (IOLs) in patients with aphakia or inadequate posterior capsule support. Methods: A review was conducted of 18 eyes of eighteen patients with the absence of—or inadequate—capsule support, after the simplified technique of using a foldable posterior chamber intraocular lens (PC IOLs) with stable four-point transscleral fixation, as performed by a skilled surgeon. This technique uses only a single suture and a knot to fix a PC IOL firmly without creating a scleral flap. The mean follow-up time was 18 ± 5.8 months (ranging from 12 to 24 months). Results: All patients exhibited improved visual acuity. No IOL tilt or dislocation or iris capture was observed, and all patients exhibited stable and centered IOL after surgery. No complex complications, such as suture shedding and exposure, corneal endothelial decompensation, persistent uveitis, or retinal detachment and endophthalmitis were observed. Conclusion: The simplified technique proposed here is a reliable, economical, and reproducible method of treating patients with aphakia or inadequate posterior capsule support. It provides excellent IOL stability, reduces surgical duration and complexity, and prevents certain complications.http://dx.doi.org/10.1080/08941939.2018.1535011aphakiafour-point fixationinadequate posterior capsulenon-scleral flappc iolsingle suturetransscleral fixation |
| spellingShingle | Baojiang Li Yangjing Zhang Xiaowei Gao Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture Journal of Investigative Surgery aphakia four-point fixation inadequate posterior capsule non-scleral flap pc iol single suture transscleral fixation |
| title | Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture |
| title_full | Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture |
| title_fullStr | Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture |
| title_full_unstemmed | Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture |
| title_short | Simple Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens Using a Single Suture |
| title_sort | simple technique for transscleral fixation of a foldable posterior chamber intraocular lens using a single suture |
| topic | aphakia four-point fixation inadequate posterior capsule non-scleral flap pc iol single suture transscleral fixation |
| url | http://dx.doi.org/10.1080/08941939.2018.1535011 |
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