Repositioning a subluxated sutured intraocular lens in a vitrectomized eye
Identifieur interne : 000557 ( Istex/Corpus ); précédent : 000556; suivant : 000558Repositioning a subluxated sutured intraocular lens in a vitrectomized eye
Auteurs : Shih-Chung Lee ; Fred Kuanfu Chen ; Sung-Huei Tseng ; Hon-Chun ChengSource :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 2000.
Abstract
A simple, effective technique for repositioning a subluxated intraocular lens (IOL) in a vitrectomized eye is reported. A 49-year-old man who had previous pars plana vitrectomy and transscleral suture fixation of a posterior chamber (PC) IOL had lens subluxation caused by slippage of the haptic from a fixation suture. The IOL was dangling in the liquefied vitreous, preventing direct visualization of the displaced haptic. The displaced haptic was directly grasped from the opposite side with an intraocular forceps through a limbal wound and resutured to the sclera. Because only the end-grip intraocular forceps was required, this technique provides anterior segment surgeons an alternative technique of repositioning scleral-fixated PC IOLs.
Url:
DOI: 10.1016/S0886-3350(00)00476-4
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A 49-year-old man who had previous pars plana vitrectomy and transscleral suture fixation of a posterior chamber (PC) IOL had lens subluxation caused by slippage of the haptic from a fixation suture. The IOL was dangling in the liquefied vitreous, preventing direct visualization of the displaced haptic. The displaced haptic was directly grasped from the opposite side with an intraocular forceps through a limbal wound and resutured to the sclera. Because only the end-grip intraocular forceps was required, this technique provides anterior segment surgeons an alternative technique of repositioning scleral-fixated PC IOLs.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Shih-Chung Lee MD</name><affiliations><json:string>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</json:string></affiliations></json:item><json:item><name>Fred Kuanfu Chen MBBS</name><affiliations><json:string>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</json:string></affiliations></json:item><json:item><name>Sung-Huei Tseng MD</name><affiliations><json:string>E-mail: shtseng@mail.ncku.edu.tw</json:string><json:string>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</json:string></affiliations></json:item><json:item><name>Hon-Chun Cheng</name><affiliations><json:string>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Technique</value></json:item></subject><language><json:string>eng</json:string></language><abstract>A simple, effective technique for repositioning a subluxated intraocular lens (IOL) in a vitrectomized eye is reported. A 49-year-old man who had previous pars plana vitrectomy and transscleral suture fixation of a posterior chamber (PC) IOL had lens subluxation caused by slippage of the haptic from a fixation suture. The IOL was dangling in the liquefied vitreous, preventing direct visualization of the displaced haptic. The displaced haptic was directly grasped from the opposite side with an intraocular forceps through a limbal wound and resutured to the sclera. Because only the end-grip intraocular forceps was required, this technique provides anterior segment surgeons an alternative technique of repositioning scleral-fixated PC IOLs.</abstract><qualityIndicators><score>3.101</score><pdfVersion>1.2</pdfVersion><pdfPageSize>586 x 785 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>1</keywordCount><abstractCharCount>746</abstractCharCount><pdfWordCount>1793</pdfWordCount><pdfCharCount>11035</pdfCharCount><pdfPageCount>4</pdfPageCount><abstractWordCount>109</abstractWordCount></qualityIndicators><title>Repositioning a subluxated sutured intraocular lens in a vitrectomized eye</title><pii><json:string>S0886-3350(00)00476-4</json:string></pii><genre><json:string>brief communication</json:string></genre><host><volume>26</volume><pii><json:string>S0886-3350(00)X0019-3</json:string></pii><pages><last>1580</last><first>1577</first></pages><issn><json:string>0886-3350</json:string></issn><issue>11</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>Journal of Cataract & Refractive Surgery</title><publicationDate>2000</publicationDate></host><categories><wos><json:string>OPHTHALMOLOGY</json:string><json:string>SURGERY</json:string></wos></categories><publicationDate>2000</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1016/S0886-3350(00)00476-4</json:string></doi><id>21736A4010374FE5B5042D11B1DAAEEC0719F4AD</id><score>1</score><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/21736A4010374FE5B5042D11B1DAAEEC0719F4AD/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/21736A4010374FE5B5042D11B1DAAEEC0719F4AD/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/21736A4010374FE5B5042D11B1DAAEEC0719F4AD/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/21736A4010374FE5B5042D11B1DAAEEC0719F4AD/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Repositioning a subluxated sutured intraocular lens in a vitrectomized eye</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>2000</date></publicationStmt><notesStmt><note>None of the authors has a financial or proprietary interest in any material or method mentioned.</note><note type="content">Section title: Technique</note><note type="content">Figure 1: (Lee) Intraoperative rupture of 1 Prolene suture results in a severely subluxated and dangling IOL in a vitrectomized eye.</note><note type="content">Figure 2: (Lee) A straight needle carrying 10-0 Prolene is inserted into the barrel of a 27 gauge needle.</note><note type="content">Figure 3: (Lee) The loop of the Prolene suture is pulled out using a Sinskey hook.</note><note type="content">Figure 5: (Lee) The Prolene suture is tied to the externalized haptic.</note><note type="content">Figure 6: (Lee) The externalized haptic is grasped by a 0.12 mm forceps, inserted into the anterior chamber, and transferred to the intraocular forceps. The haptic is held on a plane parallel to and under the plane of iris to facilitate precise haptic placement in the sulcus.</note><note type="content">Figure 7: (Lee) The needle carrying the Prolene suture penetrates 1 lip of the scleral groove internally, then the other lip externally. The suture is tied to itself and buried in the groove.</note><note type="content">Figure 4: (Lee) The displaced haptic is grasped with an intraocular forceps and externalized with the help of a Sinskey hook.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Repositioning a subluxated sutured intraocular lens in a vitrectomized eye</title><author><persName><forename type="first">Shih-Chung</forename><surname>Lee</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation></author><author><persName><forename type="first">Fred Kuanfu</forename><surname>Chen</surname></persName><roleName type="degree">MBBS</roleName><note type="biography">(Hons)</note><affiliation>(Hons)</affiliation><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation></author><author><persName><forename type="first">Sung-Huei</forename><surname>Tseng</surname></persName><roleName type="degree">MD</roleName><email>shtseng@mail.ncku.edu.tw</email><note type="biography">Reprint requests to Sung-Huei Tseng, MD, 138 Sheng Li Road, Tainan, Taiwan, Republic of China</note><affiliation>Reprint requests to Sung-Huei Tseng, MD, 138 Sheng Li Road, Tainan, Taiwan, Republic of China</affiliation><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation></author><author><persName><forename type="first">Hon-Chun</forename><surname>Cheng</surname></persName><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation></author></analytic><monogr><title level="j">Journal of Cataract & Refractive Surgery</title><title level="j" type="abbrev">JCRS</title><idno type="pISSN">0886-3350</idno><idno type="PII">S0886-3350(00)X0019-3</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000"></date><biblScope unit="volume">26</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1577">1577</biblScope><biblScope unit="page" to="1580">1580</biblScope></imprint></monogr><idno type="istex">21736A4010374FE5B5042D11B1DAAEEC0719F4AD</idno><idno type="DOI">10.1016/S0886-3350(00)00476-4</idno><idno type="PII">S0886-3350(00)00476-4</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>A simple, effective technique for repositioning a subluxated intraocular lens (IOL) in a vitrectomized eye is reported. A 49-year-old man who had previous pars plana vitrectomy and transscleral suture fixation of a posterior chamber (PC) IOL had lens subluxation caused by slippage of the haptic from a fixation suture. The IOL was dangling in the liquefied vitreous, preventing direct visualization of the displaced haptic. The displaced haptic was directly grasped from the opposite side with an intraocular forceps through a limbal wound and resutured to the sclera. Because only the end-grip intraocular forceps was required, this technique provides anterior segment surgeons an alternative technique of repositioning scleral-fixated PC IOLs.</p></abstract><textClass><keywords scheme="keyword"><list><head>Article category</head><item><term>Technique</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2000-04-14">Registration</change><change when="2000">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: ce:floats; body; tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"><istex:entity SYSTEM="gr1" NDATA="IMAGE" name="GR1"></istex:entity><istex:entity SYSTEM="gr2" NDATA="IMAGE" name="GR2"></istex:entity><istex:entity SYSTEM="gr3" NDATA="IMAGE" name="GR3"></istex:entity><istex:entity SYSTEM="gr5" NDATA="IMAGE" name="GR5"></istex:entity><istex:entity SYSTEM="gr6" NDATA="IMAGE" name="GR6"></istex:entity><istex:entity SYSTEM="gr7" NDATA="IMAGE" name="GR7"></istex:entity><istex:entity SYSTEM="gr4" NDATA="IMAGE" name="GR4"></istex:entity></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="sco" xml:lang="en"><item-info><jid>JCRS</jid><aid>651</aid><ce:pii>S0886-3350(00)00476-4</ce:pii><ce:doi>10.1016/S0886-3350(00)00476-4</ce:doi><ce:copyright type="society" year="2000">ASCRS and ESCRS</ce:copyright><ce:doctopics><ce:doctopic><ce:text>Technique</ce:text></ce:doctopic></ce:doctopics></item-info><head><ce:dochead><ce:textfn>Technique</ce:textfn></ce:dochead><ce:title>Repositioning a subluxated sutured intraocular lens in a vitrectomized eye<ce:cross-ref refid="FN1"><ce:sup>1</ce:sup></ce:cross-ref><ce:footnote id="FN1"><ce:label>1</ce:label><ce:note-para>None of the authors has a financial or proprietary interest in any material or method mentioned.</ce:note-para></ce:footnote></ce:title><ce:author-group><ce:author><ce:given-name>Shih-Chung</ce:given-name><ce:surname>Lee</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Fred Kuanfu</ce:given-name><ce:surname>Chen</ce:surname><ce:degrees>MBBS</ce:degrees><ce:roles>(Hons)</ce:roles><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Sung-Huei</ce:given-name><ce:surname>Tseng</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="CORR1">*</ce:cross-ref><ce:e-address>shtseng@mail.ncku.edu.tw</ce:e-address></ce:author><ce:author><ce:given-name>Hon-Chun</ce:given-name><ce:surname>Cheng</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</ce:textfn></ce:affiliation><ce:correspondence id="CORR1"><ce:label>*</ce:label><ce:text>Reprint requests to Sung-Huei Tseng, MD, 138 Sheng Li Road, Tainan, Taiwan, Republic of China</ce:text></ce:correspondence></ce:author-group><ce:date-accepted day="14" month="4" year="2000"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>A simple, effective technique for repositioning a subluxated intraocular lens (IOL) in a vitrectomized eye is reported. A 49-year-old man who had previous pars plana vitrectomy and transscleral suture fixation of a posterior chamber (PC) IOL had lens subluxation caused by slippage of the haptic from a fixation suture. The IOL was dangling in the liquefied vitreous, preventing direct visualization of the displaced haptic. The displaced haptic was directly grasped from the opposite side with an intraocular forceps through a limbal wound and resutured to the sclera. Because only the end-grip intraocular forceps was required, this technique provides anterior segment surgeons an alternative technique of repositioning scleral-fixated PC IOLs.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Repositioning a subluxated sutured intraocular lens in a vitrectomized eye</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Repositioning a subluxated sutured intraocular lens in a vitrectomized eye</title></titleInfo><name type="personal"><namePart type="given">Shih-Chung</namePart><namePart type="family">Lee</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Fred Kuanfu</namePart><namePart type="family">Chen</namePart><namePart type="termsOfAddress">MBBS</namePart><description>(Hons)</description><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sung-Huei</namePart><namePart type="family">Tseng</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>E-mail: shtseng@mail.ncku.edu.tw</affiliation><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation><description>Reprint requests to Sung-Huei Tseng, MD, 138 Sheng Li Road, Tainan, Taiwan, Republic of China</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hon-Chun</namePart><namePart type="family">Cheng</namePart><affiliation>Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief communication" displayLabel="Short communication"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">2000</dateIssued><dateValid encoding="w3cdtf">2000-04-14</dateValid><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">A simple, effective technique for repositioning a subluxated intraocular lens (IOL) in a vitrectomized eye is reported. A 49-year-old man who had previous pars plana vitrectomy and transscleral suture fixation of a posterior chamber (PC) IOL had lens subluxation caused by slippage of the haptic from a fixation suture. The IOL was dangling in the liquefied vitreous, preventing direct visualization of the displaced haptic. The displaced haptic was directly grasped from the opposite side with an intraocular forceps through a limbal wound and resutured to the sclera. Because only the end-grip intraocular forceps was required, this technique provides anterior segment surgeons an alternative technique of repositioning scleral-fixated PC IOLs.</abstract><note type="footnote">None of the authors has a financial or proprietary interest in any material or method mentioned.</note><note type="content">Section title: Technique</note><note type="content">Figure 1: (Lee) Intraoperative rupture of 1 Prolene suture results in a severely subluxated and dangling IOL in a vitrectomized eye.</note><note type="content">Figure 2: (Lee) A straight needle carrying 10-0 Prolene is inserted into the barrel of a 27 gauge needle.</note><note type="content">Figure 3: (Lee) The loop of the Prolene suture is pulled out using a Sinskey hook.</note><note type="content">Figure 5: (Lee) The Prolene suture is tied to the externalized haptic.</note><note type="content">Figure 6: (Lee) The externalized haptic is grasped by a 0.12 mm forceps, inserted into the anterior chamber, and transferred to the intraocular forceps. The haptic is held on a plane parallel to and under the plane of iris to facilitate precise haptic placement in the sulcus.</note><note type="content">Figure 7: (Lee) The needle carrying the Prolene suture penetrates 1 lip of the scleral groove internally, then the other lip externally. 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