Short-term Clinical Outcomes after Transscleral Fixation Using the Intrascleral Pocket Technique: A Retrospective Cohort Study Analysis
Identifieur interne : 000080 ( Main/Merge ); précédent : 000079; suivant : 000081Short-term Clinical Outcomes after Transscleral Fixation Using the Intrascleral Pocket Technique: A Retrospective Cohort Study Analysis
Auteurs : Yong-Wun Cho [Corée du Sud] ; Woong-Sun Yoo [Corée du Sud] ; Inyoung Chung [Corée du Sud] ; Seong-Wook Seo [Corée du Sud] ; Ji-Myong Yoo [Corée du Sud] ; Seong-Jae Kim [Corée du Sud]Source :
- Korean Journal of Ophthalmology : KJO [ 1011-8942 ] ; 2016.
Abstract
To compare the two transscleral fixation (TSF) techniques of intrascleral pocket and conventional scleral flap with conjunctival division techniques in terms of short-term clinical effects.
This retrospective cohort study included all consecutive patients with aphakia in Gyeongsang National University Hospital in Jinju, Korea, who underwent TSF between January 2012 and December 2014. The medical records of all patients were retrospectively reviewed, and the endothelial cell count (ECC), refraction, best-corrected visual acuity (BCVA), intraocular pressure, slit lamp, and fundus examination results before and 1 day and 6 months after surgery were recorded. The postoperative complications and visual outcomes were also recorded.
The intrascleral pocket and conventional-flap groups did not differ significantly in terms of demographics, presurgical BCVA, or ECC. However, the intrascleral pocket group had a significantly lower BCVA at 1 day and 6 months after surgery compared to the conventional-flap group. The two groups did not differ in terms of ECC 6 months after surgery. The intrascleral pocket group had no postoperative complications, but five patients in the conventional-flap group complained of irritation. In both groups, the intraocular lens was well positioned without tilting or subluxation, and astigmatism was significantly reduced at 1 day and 6 months after surgery.
The intrascleral pocket technique of TSF does not involve conjunctival dissection and is a successful method of sulcus fixation. It stably corrects the intraocular lens and is easy to perform, which helps to reduce operation time. It also reliably yields rapid visual acuity recovery without complications.
Url:
DOI: 10.3341/kjo.2016.30.2.108
PubMed: 27051258
PubMed Central: 4820520
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Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27051258</idno><idno type="pmc">4820520</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4820520</idno><idno type="RBID">PMC:4820520</idno><idno type="doi">10.3341/kjo.2016.30.2.108</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000524</idno><idno type="wicri:Area/Pmc/Curation">000524</idno><idno type="wicri:Area/Pmc/Checkpoint">000046</idno><idno type="wicri:Area/Ncbi/Merge">004153</idno><idno type="wicri:Area/Ncbi/Curation">004153</idno><idno type="wicri:Area/Ncbi/Checkpoint">004153</idno><idno type="wicri:doubleKey">1011-8942:2016:Cho Y:short:term:clinical</idno><idno type="wicri:Area/Main/Merge">000080</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Short-term Clinical Outcomes after Transscleral Fixation Using the Intrascleral Pocket Technique: A Retrospective Cohort Study Analysis</title><author><name sortKey="Cho, Yong Wun" sort="Cho, Yong Wun" uniqKey="Cho Y" first="Yong-Wun" last="Cho">Yong-Wun Cho</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author><author><name sortKey="Yoo, Woong Sun" sort="Yoo, Woong Sun" uniqKey="Yoo W" first="Woong-Sun" last="Yoo">Woong-Sun Yoo</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author><author><name sortKey="Chung, Inyoung" sort="Chung, Inyoung" uniqKey="Chung I" first="Inyoung" last="Chung">Inyoung Chung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author><author><name sortKey="Seo, Seong Wook" sort="Seo, Seong Wook" uniqKey="Seo S" first="Seong-Wook" last="Seo">Seong-Wook Seo</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author><author><name sortKey="Yoo, Ji Myong" sort="Yoo, Ji Myong" uniqKey="Yoo J" first="Ji-Myong" last="Yoo">Ji-Myong Yoo</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Seong Jae" sort="Kim, Seong Jae" uniqKey="Kim S" first="Seong-Jae" last="Kim">Seong-Jae Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju</wicri:regionArea><wicri:noRegion>Jinju</wicri:noRegion></affiliation></author></analytic><series><title level="j">Korean Journal of Ophthalmology : KJO</title><idno type="ISSN">1011-8942</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To compare the two transscleral fixation (TSF) techniques of intrascleral pocket and conventional scleral flap with conjunctival division techniques in terms of short-term clinical effects.</p></sec><sec><title>Methods</title><p>This retrospective cohort study included all consecutive patients with aphakia in Gyeongsang National University Hospital in Jinju, Korea, who underwent TSF between January 2012 and December 2014. The medical records of all patients were retrospectively reviewed, and the endothelial cell count (ECC), refraction, best-corrected visual acuity (BCVA), intraocular pressure, slit lamp, and fundus examination results before and 1 day and 6 months after surgery were recorded. The postoperative complications and visual outcomes were also recorded.</p></sec><sec><title>Results</title><p>The intrascleral pocket and conventional-flap groups did not differ significantly in terms of demographics, presurgical BCVA, or ECC. However, the intrascleral pocket group had a significantly lower BCVA at 1 day and 6 months after surgery compared to the conventional-flap group. The two groups did not differ in terms of ECC 6 months after surgery. The intrascleral pocket group had no postoperative complications, but five patients in the conventional-flap group complained of irritation. In both groups, the intraocular lens was well positioned without tilting or subluxation, and astigmatism was significantly reduced at 1 day and 6 months after surgery.</p></sec><sec><title>Conclusions</title><p>The intrascleral pocket technique of TSF does not involve conjunctival dissection and is a successful method of sulcus fixation. It stably corrects the intraocular lens and is easy to perform, which helps to reduce operation time. It also reliably yields rapid visual acuity recovery without complications.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wagoner, Md" uniqKey="Wagoner M">MD Wagoner</name></author><author><name sortKey="Cox, Ta" uniqKey="Cox T">TA Cox</name></author><author><name sortKey="Ariyasu, Rg" uniqKey="Ariyasu R">RG Ariyasu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, Js" uniqKey="Lewis J">JS Lewis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Teichmann, Kd" uniqKey="Teichmann K">KD Teichmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Dh" uniqKey="Kim D">DH Kim</name></author><author><name sortKey="Heo, Jw" uniqKey="Heo J">JW Heo</name></author><author><name sortKey="Hwang, Sw" uniqKey="Hwang S">SW Hwang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ma, Dj" uniqKey="Ma D">DJ Ma</name></author><author><name sortKey="Kim, Mk" uniqKey="Kim M">MK Kim</name></author><author><name sortKey="Wee, Wr" uniqKey="Wee W">WR Wee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Cp" uniqKey="Lin C">CP Lin</name></author><author><name sortKey="Tseng, Hy" uniqKey="Tseng H">HY Tseng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Solomon, K" uniqKey="Solomon K">K Solomon</name></author><author><name sortKey="Gussler, Jr" uniqKey="Gussler J">JR Gussler</name></author><author><name sortKey="Gussler, C" uniqKey="Gussler C">C Gussler</name></author><author><name sortKey="Van Meter, Ws" uniqKey="Van Meter W">WS Van Meter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, Js" uniqKey="Lewis J">JS Lewis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kir, E" uniqKey="Kir E">E Kir</name></author><author><name sortKey="Kocaturk, T" uniqKey="Kocaturk T">T Kocaturk</name></author><author><name sortKey="Dayanir, V" uniqKey="Dayanir V">V Dayanir</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cho, Yw" uniqKey="Cho Y">YW Cho</name></author><author><name sortKey="Chung, Iy" uniqKey="Chung I">IY Chung</name></author><author><name sortKey="Yoo, Jm" uniqKey="Yoo J">JM Yoo</name></author><author><name sortKey="Kim, Sj" uniqKey="Kim S">SJ Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malbran, Es" uniqKey="Malbran E">ES Malbran</name></author><author><name sortKey="Malbran, E" uniqKey="Malbran E">E Malbran</name></author><author><name sortKey="Negri, I" uniqKey="Negri I">I Negri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szurman, P" uniqKey="Szurman P">P Szurman</name></author><author><name sortKey="Petermeier, K" uniqKey="Petermeier K">K Petermeier</name></author><author><name sortKey="Aisenbrey, S" uniqKey="Aisenbrey S">S Aisenbrey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stewart, Mw" uniqKey="Stewart M">MW Stewart</name></author><author><name sortKey="Landers, Mb" uniqKey="Landers M">MB Landers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heilskov, T" uniqKey="Heilskov T">T Heilskov</name></author><author><name sortKey="Joondeph, Bc" uniqKey="Joondeph B">BC Joondeph</name></author><author><name sortKey="Olsen, Kr" uniqKey="Olsen K">KR Olsen</name></author><author><name sortKey="Blankenship, Gw" uniqKey="Blankenship G">GW Blankenship</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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