Scleral fixation suture technique without lens removal for posteriorly dislocated intraocular lenses.
Identifieur interne : 001987 ( PubMed/Checkpoint ); précédent : 001986; suivant : 001988Scleral fixation suture technique without lens removal for posteriorly dislocated intraocular lenses.
Auteurs : Ercan Mensiz [Turquie] ; Erdal Aytuluner ; Yusuf OzerturkSource :
- Canadian journal of ophthalmology. Journal canadien d'ophtalmologie [ 0008-4182 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
- chemical : Polypropylenes.
- surgery : Foreign-Body Migration, Postoperative Complications, Sclera.
- Aged, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Reoperation, Surgical Flaps, Suture Techniques, Sutures, Visual Acuity, Vitrectomy.
Abstract
Posterior chamber intraocular lenses (IOLs) may dislocate into the vitreous or over the retina at the time of, or several months after, surgery or following injury. Techniques described to reposition dislocated lenses have drawbacks, such as lens removal, lens exchange, difficulties of lens repositioning procedures and high cost We describe a technique in which the haptics of dislocated IOLs are fixed to the sclera after the haptics are externalized solely through a pars plicata incision site and tied with a 10-0 Prolene suture.
PubMed: 12322861
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Scleral fixation suture technique without lens removal for posteriorly dislocated intraocular lenses.</title><author><name sortKey="Mensiz, Ercan" sort="Mensiz, Ercan" uniqKey="Mensiz E" first="Ercan" last="Mensiz">Ercan Mensiz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, School of Medicine, Suleyman Demirel University, Isparta, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Ophthalmology, School of Medicine, Suleyman Demirel University, Isparta</wicri:regionArea><wicri:noRegion>Isparta</wicri:noRegion></affiliation></author><author><name sortKey="Aytuluner, Erdal" sort="Aytuluner, Erdal" uniqKey="Aytuluner E" first="Erdal" last="Aytuluner">Erdal Aytuluner</name></author><author><name sortKey="Ozerturk, Yusuf" sort="Ozerturk, Yusuf" uniqKey="Ozerturk Y" first="Yusuf" last="Ozerturk">Yusuf Ozerturk</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2002">2002</date><idno type="RBID">pubmed:12322861</idno><idno type="pmid">12322861</idno><idno type="wicri:Area/PubMed/Corpus">001C51</idno><idno type="wicri:Area/PubMed/Curation">001C51</idno><idno type="wicri:Area/PubMed/Checkpoint">001987</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Scleral fixation suture technique without lens removal for posteriorly dislocated intraocular lenses.</title><author><name sortKey="Mensiz, Ercan" sort="Mensiz, Ercan" uniqKey="Mensiz E" first="Ercan" last="Mensiz">Ercan Mensiz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, School of Medicine, Suleyman Demirel University, Isparta, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Ophthalmology, School of Medicine, Suleyman Demirel University, Isparta</wicri:regionArea><wicri:noRegion>Isparta</wicri:noRegion></affiliation></author><author><name sortKey="Aytuluner, Erdal" sort="Aytuluner, Erdal" uniqKey="Aytuluner E" first="Erdal" last="Aytuluner">Erdal Aytuluner</name></author><author><name sortKey="Ozerturk, Yusuf" sort="Ozerturk, Yusuf" uniqKey="Ozerturk Y" first="Yusuf" last="Ozerturk">Yusuf Ozerturk</name></author></analytic><series><title level="j">Canadian journal of ophthalmology. Journal canadien d'ophtalmologie</title><idno type="ISSN">0008-4182</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Foreign-Body Migration (surgery)</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Polypropylenes</term><term>Postoperative Complications (surgery)</term><term>Reoperation</term><term>Sclera (surgery)</term><term>Surgical Flaps</term><term>Suture Techniques</term><term>Sutures</term><term>Visual Acuity</term><term>Vitrectomy</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Polypropylenes</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Foreign-Body Migration</term><term>Postoperative Complications</term><term>Sclera</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Reoperation</term><term>Surgical Flaps</term><term>Suture Techniques</term><term>Sutures</term><term>Visual Acuity</term><term>Vitrectomy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Posterior chamber intraocular lenses (IOLs) may dislocate into the vitreous or over the retina at the time of, or several months after, surgery or following injury. Techniques described to reposition dislocated lenses have drawbacks, such as lens removal, lens exchange, difficulties of lens repositioning procedures and high cost We describe a technique in which the haptics of dislocated IOLs are fixed to the sclera after the haptics are externalized solely through a pars plicata incision site and tied with a 10-0 Prolene suture.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">12322861</PMID><DateCreated><Year>2002</Year><Month>09</Month><Day>26</Day></DateCreated><DateCompleted><Year>2003</Year><Month>03</Month><Day>17</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0008-4182</ISSN><JournalIssue CitedMedium="Print"><Volume>37</Volume><Issue>5</Issue><PubDate><Year>2002</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Canadian journal of ophthalmology. Journal canadien d'ophtalmologie</Title><ISOAbbreviation>Can. J. Ophthalmol.</ISOAbbreviation></Journal><ArticleTitle>Scleral fixation suture technique without lens removal for posteriorly dislocated intraocular lenses.</ArticleTitle><Pagination><MedlinePgn>290-4</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Posterior chamber intraocular lenses (IOLs) may dislocate into the vitreous or over the retina at the time of, or several months after, surgery or following injury. Techniques described to reposition dislocated lenses have drawbacks, such as lens removal, lens exchange, difficulties of lens repositioning procedures and high cost We describe a technique in which the haptics of dislocated IOLs are fixed to the sclera after the haptics are externalized solely through a pars plicata incision site and tied with a 10-0 Prolene suture.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">After pars plana vitrectomy, the IOL was grasped with an intraocular forceps and moved to the pupillary area. A second intraocular forceps was inserted from the site of planned fixation, and the tip of the haptic was pulled out and heated to form a knob to avoid suture slipping. A 10-0 Prolene suture was then tied to the haptic by means of a sailor knot The haptic was reinserted intraocularly, and the outstaying sutures were tied with conventional knots over the sclera or under the scleral flaps. The procedure was then repeated on the other side.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">This technique has been used in 12 patients (12 eyes), 7 men and 5 women ranging in age from 45 to 77 (mean 63.8 [standard deviation 8.5]) years. The time between diagnosis of dislocation and surgery was 10 to 20 days in six cases and 21 to 39 days in six cases. The IOL was dislocated into the vitreous in eight cases (67%) and over the retina in four cases (33%). The preoperative best corrected visual acuity ranged from 20/200 to 20/30. Intraoperatively, mild vitreous hemorrhage developed in two patients (17%), macular edema developed in two patients (17%), and rhegmatogenous retinal detachment developed in one patient (8%). The final visual acuity ranged from 20/50 to 20/20 in 11 patients; the patient with retinal detachment had hand movement vision.</AbstractText><AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">The technique of scleral fixation of posteriorly dislocated IOLS without lens removal is a safe, inexpensive and useful complement to other techniques.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mensiz</LastName><ForeName>Ercan</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, School of Medicine, Suleyman Demirel University, Isparta, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aytuluner</LastName><ForeName>Erdal</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Ozerturk</LastName><ForeName>Yusuf</ForeName><Initials>Y</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Can J Ophthalmol</MedlineTA><NlmUniqueID>0045312</NlmUniqueID><ISSNLinking>0008-4182</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D011126">Polypropylenes</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011126">Polypropylenes</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013524">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013537">Sutures</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014821">Vitrectomy</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>9</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2003</Year><Month>3</Month><Day>18</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>9</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12322861</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Turquie</li></country></list><tree><noCountry><name sortKey="Aytuluner, Erdal" sort="Aytuluner, Erdal" uniqKey="Aytuluner E" first="Erdal" last="Aytuluner">Erdal Aytuluner</name><name sortKey="Ozerturk, Yusuf" sort="Ozerturk, Yusuf" uniqKey="Ozerturk Y" first="Yusuf" last="Ozerturk">Yusuf Ozerturk</name></noCountry><country name="Turquie"><noRegion><name sortKey="Mensiz, Ercan" sort="Mensiz, Ercan" uniqKey="Mensiz E" first="Ercan" last="Mensiz">Ercan Mensiz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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