A knotless, one-haptic fixation of posterior chamber intraocular lenses: one-year results
Identifieur interne : 000774 ( Pmc/Checkpoint ); précédent : 000773; suivant : 000775A knotless, one-haptic fixation of posterior chamber intraocular lenses: one-year results
Auteurs : Pipat KongsapSource :
- International Journal of Ophthalmology [ 2222-3959 ] ; 2015.
Abstract
To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens (IOL) in eyes which had deficient of posterior capsular support.
This retrospective study was comprised of ten patients with deficient posterior capsular support who underwent one-haptic fixation of posterior chamber IOLs, between February 2010 and October 2011. IOL as implanted with one haptic supported on the capsular remnant and the other haptic drawn into the sulcus by anchoring suture without a knot. All patients were evaluated for pre- and postoperative visual acuity, lens centration, intra-and postoperative complications.
A knotless, one-haptic fixation of posterior chamber IOLs has successfully been performed on ten eyes. All cases had inadequate capsular support (
In the presence of insufficient capsular support, a knotless, one-haptic fixation of posterior chamber IOLs is a safe and viable option which reduces the operation time, and minimizes postoperative suture-related complications.
Url:
DOI: 10.3980/j.issn.2222-3959.2015.01.19
PubMed: 25709917
PubMed Central: 4325251
Affiliations:
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<author><name sortKey="Kongsap, Pipat" sort="Kongsap, Pipat" uniqKey="Kongsap P" first="Pipat" last="Kongsap">Pipat Kongsap</name>
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<series><title level="j">International Journal of Ophthalmology</title>
<idno type="ISSN">2222-3959</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>AIM</title>
<p>To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens (IOL) in eyes which had deficient of posterior capsular support.</p>
</sec>
<sec><title>METHODS</title>
<p>This retrospective study was comprised of ten patients with deficient posterior capsular support who underwent one-haptic fixation of posterior chamber IOLs, between February 2010 and October 2011. IOL as implanted with one haptic supported on the capsular remnant and the other haptic drawn into the sulcus by anchoring suture without a knot. All patients were evaluated for pre- and postoperative visual acuity, lens centration, intra-and postoperative complications.</p>
</sec>
<sec><title>RESULTS</title>
<p>A knotless, one-haptic fixation of posterior chamber IOLs has successfully been performed on ten eyes. All cases had inadequate capsular support (<italic>i.e.</italic>
a capsular tear ranged from 5 to 7 clock hours). The average age was 74.25±8.87y (SD). The average postoperative uncorrected visual acuity was 0.51 logMAR. Complications included hyphema in one eye, a mild inflammatory reaction in the anterior chamber in two eyes, and a transient rise in IOP in one eye. Neither IOL tilt nor dislocation was observed and there were no later complications.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>In the presence of insufficient capsular support, a knotless, one-haptic fixation of posterior chamber IOLs is a safe and viable option which reduces the operation time, and minimizes postoperative suture-related complications.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Ophthalmol</journal-id>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group><journal-title>International Journal of Ophthalmology</journal-title>
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<issn pub-type="ppub">2222-3959</issn>
<issn pub-type="epub">2227-4898</issn>
<publisher><publisher-name>International Journal of Ophthalmology Press</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25709917</article-id>
<article-id pub-id-type="pmc">4325251</article-id>
<article-id pub-id-type="publisher-id">ijo-08-01-104</article-id>
<article-id pub-id-type="doi">10.3980/j.issn.2222-3959.2015.01.19</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Research</subject>
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</article-categories>
<title-group><article-title>A knotless, one-haptic fixation of posterior chamber intraocular lenses: one-year results</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Kongsap</surname>
<given-names>Pipat</given-names>
</name>
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<aff id="aff1"><addr-line>Department of Ophthalmology, Prapokklao Hospital, Chanthaburi 22000, Thailand</addr-line>
</aff>
<author-notes><corresp><bold>Correspondence to:</bold>
Pipat Kongsap. Department of Ophthalmology, Prapokklao Hospital, Chanthaburi 22000, Thailand. <email>pkongsap@yahoo.com</email>
; <email>pkongsap@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>18</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>8</volume>
<issue>1</issue>
<fpage>104</fpage>
<lpage>106</lpage>
<history><date date-type="received"><day>26</day>
<month>2</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>8</day>
<month>8</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>International Journal of Ophthalmology Press</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract><sec><title>AIM</title>
<p>To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens (IOL) in eyes which had deficient of posterior capsular support.</p>
</sec>
<sec><title>METHODS</title>
<p>This retrospective study was comprised of ten patients with deficient posterior capsular support who underwent one-haptic fixation of posterior chamber IOLs, between February 2010 and October 2011. IOL as implanted with one haptic supported on the capsular remnant and the other haptic drawn into the sulcus by anchoring suture without a knot. All patients were evaluated for pre- and postoperative visual acuity, lens centration, intra-and postoperative complications.</p>
</sec>
<sec><title>RESULTS</title>
<p>A knotless, one-haptic fixation of posterior chamber IOLs has successfully been performed on ten eyes. All cases had inadequate capsular support (<italic>i.e.</italic>
a capsular tear ranged from 5 to 7 clock hours). The average age was 74.25±8.87y (SD). The average postoperative uncorrected visual acuity was 0.51 logMAR. Complications included hyphema in one eye, a mild inflammatory reaction in the anterior chamber in two eyes, and a transient rise in IOP in one eye. Neither IOL tilt nor dislocation was observed and there were no later complications.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>In the presence of insufficient capsular support, a knotless, one-haptic fixation of posterior chamber IOLs is a safe and viable option which reduces the operation time, and minimizes postoperative suture-related complications.</p>
</sec>
</abstract>
<kwd-group><kwd>intraocular lens</kwd>
<kwd>scleral fixation</kwd>
<kwd>one-haptic fixation</kwd>
<kwd>knotless technique</kwd>
</kwd-group>
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