Clin Ophthalmol. 2016 Jan 27;10:227-31. doi: 10.2147/OPTH.S101515. eCollection 2016.
Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel.
Clinical ophthalmology (Auckland, N.Z.)
Takahiro Kawaji, Tomoki Sato, Hidenobu Tanihara
Affiliations
Affiliations
- Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Japan; Sato Eye & Internal Medicine Clinic, Kumamoto, Japan.
- Sato Eye & Internal Medicine Clinic, Kumamoto, Japan.
- Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Japan.
PMID: 26869757
PMCID: PMC4734824 DOI: 10.2147/OPTH.S101515
Abstract
PURPOSE: To report the results of sutureless scleral fixation of a posterior chamber intraocular lens (IOL) by using our developed simple technique.
METHODS: We retrospectively reviewed the medical records of 48 eyes of 47 patients who underwent sutureless intrascleral IOL fixation by using our modified technique. A 25-gauge microvitreoretinal knife was used to perform sclerotomies and create limbus-parallel scleral tunnels with lamellar dissection in which the haptics were fixed.
RESULTS: The IOLs were fixed and centered well. The mean follow-up period was 26.7 months. Postoperative complications included smooth vitreous hemorrhage in four eyes (8.3%), cystoid macular edema in two eyes (4.2%), and iris capture of the IOL in two eyes (4.2%). No other complications, such as breakage of the IOL, spontaneous IOL dislocation, or retinal detachment, were detected during the follow-up period.
CONCLUSION: The lamellar dissection of the limbus-parallel scleral tunnel can simplify the forceps-assisted introduction of the haptics into the scleral tunnel, and this technique seemed to be safe.
Keywords: intraocular lenses; intrascleral fixation; ophthalmologic surgical procedures; sutureless fixation
References
- Ophthalmology. 2014 Jan;121(1):61-6 - PubMed
- J Cataract Refract Surg. 1997 Apr;23(3):413-8 - PubMed
- Surv Ophthalmol. 2005 Sep-Oct;50(5):429-62 - PubMed
- J Cataract Refract Surg. 2010 Feb;36(2):254-9 - PubMed
- J Cataract Refract Surg. 2014 Jan;40(1):2-7 - PubMed
- J Cataract Refract Surg. 2008 Sep;34(9):1433-8 - PubMed
- J Cataract Refract Surg. 2009 Dec;35(12):2051-3 - PubMed
- Eye (Lond). 2012 Jun;26(6):788-91 - PubMed
- J Cataract Refract Surg. 1997 Nov;23(9):1289-94 - PubMed
- Am J Ophthalmol. 2012 Apr;153(4):594-601, 601.e1-2 - PubMed
- J Cataract Refract Surg. 2011 Jul;37(7):1263-9 - PubMed
- J Cataract Refract Surg. 2000 Jul;26(7):1028-34 - PubMed
- J Cataract Refract Surg. 2007 Nov;33(11):1851-4 - PubMed
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