Luxated intraocular lens fixation using anterior chamber slipknot of the haptic to the sclera: A simple procedure to fixate intraocular lens to the sclera
Identifieur interne : 006F98 ( Main/Curation ); précédent : 006F97; suivant : 006F99Luxated intraocular lens fixation using anterior chamber slipknot of the haptic to the sclera: A simple procedure to fixate intraocular lens to the sclera
Auteurs : T. Micelli Ferrari [Italie] ; N. Cardascia [Italie] ; C. Furino [Italie] ; N. Recchimurzo [Italie] ; F. Boscia [Italie] ; L. Sborgia [Italie]Source :
- European journal of ophtalmology [ 1120-6721 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Anterior Chamber (surgery), Anterior chamber, Female, Fixation, Foreign-Body Migration (surgery), Human, Humans, Intraocular lens, Lens Implantation, Intraocular (methods), Lenses, Intraocular, Luxation, Male, Middle Aged, Postoperative Complications, Refraction, Ocular, Sclera, Sclera (surgery), Suture Techniques, Technique, Treatment, Treatment Outcome, Visual Acuity, Vitrectomy (methods), Vitreous body.
- MESH :
Abstract
PURPOSE. To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity directly to the ciliary sulcus using intraocular slipknot without IOL extraction. DESIGN. Noncomparative interventional case series. MATERIALS AND METHODS. A three-port vitrectomy was performed in all cases. According to the Lewis procedure, two scleral flaps and relative sclerectomies were performed at 3 and 9 o'clock position. IOL was rescued from vitreous cavity by means of perfluorocarbon and stabilized in anterior chamber by intravitreal forceps. Corneal endothelium was preserved by a dispersive ophthalmic viscosurgical device coating. Double armed 10-0 polypropylene was introduced into the vitreous cavity through the 9 o'clock sclerotomy incision and both the needles were passed out of the eye by the 3-o'clock position sclerotomy, guided by a bent 27-gauge needle 1.5 mm from the limbus. Hooking the slipknot around the haptics of the IOL in the anterior chamber by means of vitreous forceps, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. The same procedure was used to fixate the opposite haptic to the ciliary sulcus at the opposite position. RESULTS. In all four cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. CONCLUSIONS. This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.
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Pascal:04-0068126Le document en format XML
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<series><title level="j" type="main">European journal of ophtalmology</title>
<title level="j" type="abbreviated">Eur. j. ophthalmol.</title>
<idno type="ISSN">1120-6721</idno>
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<term>Aged</term>
<term>Anterior Chamber (surgery)</term>
<term>Anterior chamber</term>
<term>Female</term>
<term>Fixation</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Human</term>
<term>Humans</term>
<term>Intraocular lens</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Luxation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Refraction, Ocular</term>
<term>Sclera</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques</term>
<term>Technique</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
<term>Vitrectomy (methods)</term>
<term>Vitreous body</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Chamber</term>
<term>Foreign-Body Migration</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Refraction, Ocular</term>
<term>Suture Techniques</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term>
<term>Fixation</term>
<term>Chambre antérieure</term>
<term>Sclérotique</term>
<term>Technique</term>
<term>Traitement</term>
<term>Luxation</term>
<term>Corps vitré</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">PURPOSE. To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity directly to the ciliary sulcus using intraocular slipknot without IOL extraction. DESIGN. Noncomparative interventional case series. MATERIALS AND METHODS. A three-port vitrectomy was performed in all cases. According to the Lewis procedure, two scleral flaps and relative sclerectomies were performed at 3 and 9 o'clock position. IOL was rescued from vitreous cavity by means of perfluorocarbon and stabilized in anterior chamber by intravitreal forceps. Corneal endothelium was preserved by a dispersive ophthalmic viscosurgical device coating. Double armed 10-0 polypropylene was introduced into the vitreous cavity through the 9 o'clock sclerotomy incision and both the needles were passed out of the eye by the 3-o'clock position sclerotomy, guided by a bent 27-gauge needle 1.5 mm from the limbus. Hooking the slipknot around the haptics of the IOL in the anterior chamber by means of vitreous forceps, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. The same procedure was used to fixate the opposite haptic to the ciliary sulcus at the opposite position. RESULTS. In all four cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. CONCLUSIONS. This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.</div>
</front>
</TEI>
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<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Furino, C" sort="Furino, C" uniqKey="Furino C" first="C." last="Furino">C. Furino</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, University of Bari</s1>
<s2>Bari</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Recchimurzo, N" sort="Recchimurzo, N" uniqKey="Recchimurzo N" first="N." last="Recchimurzo">N. Recchimurzo</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, University of Bari</s1>
<s2>Bari</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Boscia, F" sort="Boscia, F" uniqKey="Boscia F" first="F." last="Boscia">F. Boscia</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, University of Bari</s1>
<s2>Bari</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sborgia, L" sort="Sborgia, L" uniqKey="Sborgia L" first="L." last="Sborgia">L. Sborgia</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology, University of Bari</s1>
<s2>Bari</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">European journal of ophtalmology</title>
<title level="j" type="abbreviated">Eur. j. ophthalmol.</title>
<idno type="ISSN">1120-6721</idno>
<imprint><date when="2003">2003</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">European journal of ophtalmology</title>
<title level="j" type="abbreviated">Eur. j. ophthalmol.</title>
<idno type="ISSN">1120-6721</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anterior chamber</term>
<term>Fixation</term>
<term>Human</term>
<term>Intraocular lens</term>
<term>Luxation</term>
<term>Sclera</term>
<term>Technique</term>
<term>Treatment</term>
<term>Vitreous body</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term>
<term>Fixation</term>
<term>Chambre antérieure</term>
<term>Sclérotique</term>
<term>Technique</term>
<term>Traitement</term>
<term>Luxation</term>
<term>Corps vitré</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">PURPOSE. To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity directly to the ciliary sulcus using intraocular slipknot without IOL extraction. DESIGN. Noncomparative interventional case series. MATERIALS AND METHODS. A three-port vitrectomy was performed in all cases. According to the Lewis procedure, two scleral flaps and relative sclerectomies were performed at 3 and 9 o'clock position. IOL was rescued from vitreous cavity by means of perfluorocarbon and stabilized in anterior chamber by intravitreal forceps. Corneal endothelium was preserved by a dispersive ophthalmic viscosurgical device coating. Double armed 10-0 polypropylene was introduced into the vitreous cavity through the 9 o'clock sclerotomy incision and both the needles were passed out of the eye by the 3-o'clock position sclerotomy, guided by a bent 27-gauge needle 1.5 mm from the limbus. Hooking the slipknot around the haptics of the IOL in the anterior chamber by means of vitreous forceps, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. The same procedure was used to fixate the opposite haptic to the ciliary sulcus at the opposite position. RESULTS. In all four cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. CONCLUSIONS. This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.</div>
</front>
</TEI>
</INIST>
<PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Luxated intraocular lens fixation using anterior chamber slipknot of the haptic to the sclera: a simple procedure to fixate intraocular lens to the sclera.</title>
<author><name sortKey="Micelli Ferrari, T" sort="Micelli Ferrari, T" uniqKey="Micelli Ferrari T" first="T" last="Micelli Ferrari">T. Micelli Ferrari</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, University of Bari, Bari, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Ophthalmology, University of Bari, Bari</wicri:regionArea>
<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cardascia, N" sort="Cardascia, N" uniqKey="Cardascia N" first="N" last="Cardascia">N. Cardascia</name>
</author>
<author><name sortKey="Furino, C" sort="Furino, C" uniqKey="Furino C" first="C" last="Furino">C. Furino</name>
</author>
<author><name sortKey="Recchimurzo, N" sort="Recchimurzo, N" uniqKey="Recchimurzo N" first="N" last="Recchimurzo">N. Recchimurzo</name>
</author>
<author><name sortKey="Boscia, F" sort="Boscia, F" uniqKey="Boscia F" first="F" last="Boscia">F. Boscia</name>
</author>
<author><name sortKey="Sborgia, L" sort="Sborgia, L" uniqKey="Sborgia L" first="L" last="Sborgia">L. Sborgia</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2003">2003</date>
<idno type="RBID">pubmed:12948310</idno>
<idno type="pmid">12948310</idno>
<idno type="wicri:Area/PubMed/Corpus">001B98</idno>
<idno type="wicri:Area/PubMed/Curation">001B98</idno>
<idno type="wicri:Area/PubMed/Checkpoint">001914</idno>
<idno type="wicri:Area/Ncbi/Merge">000404</idno>
<idno type="wicri:Area/Ncbi/Curation">000404</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000404</idno>
<idno type="wicri:doubleKey">1120-6721:2003:Micelli Ferrari T:luxated:intraocular:lens</idno>
<idno type="wicri:Area/Main/Merge">007178</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Luxated intraocular lens fixation using anterior chamber slipknot of the haptic to the sclera: a simple procedure to fixate intraocular lens to the sclera.</title>
<author><name sortKey="Micelli Ferrari, T" sort="Micelli Ferrari, T" uniqKey="Micelli Ferrari T" first="T" last="Micelli Ferrari">T. Micelli Ferrari</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, University of Bari, Bari, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Ophthalmology, University of Bari, Bari</wicri:regionArea>
<wicri:noRegion>Bari</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cardascia, N" sort="Cardascia, N" uniqKey="Cardascia N" first="N" last="Cardascia">N. Cardascia</name>
</author>
<author><name sortKey="Furino, C" sort="Furino, C" uniqKey="Furino C" first="C" last="Furino">C. Furino</name>
</author>
<author><name sortKey="Recchimurzo, N" sort="Recchimurzo, N" uniqKey="Recchimurzo N" first="N" last="Recchimurzo">N. Recchimurzo</name>
</author>
<author><name sortKey="Boscia, F" sort="Boscia, F" uniqKey="Boscia F" first="F" last="Boscia">F. Boscia</name>
</author>
<author><name sortKey="Sborgia, L" sort="Sborgia, L" uniqKey="Sborgia L" first="L" last="Sborgia">L. Sborgia</name>
</author>
</analytic>
<series><title level="j">European journal of ophthalmology</title>
<idno type="ISSN">1120-6721</idno>
<imprint><date when="2003" type="published">2003</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Anterior Chamber (surgery)</term>
<term>Female</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Refraction, Ocular</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
<term>Vitrectomy (methods)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anterior Chamber</term>
<term>Foreign-Body Migration</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Refraction, Ocular</term>
<term>Suture Techniques</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity directly to the ciliary sulcus using intraocular slipknot without IOL extraction.</div>
</front>
</TEI>
</PubMed>
</double>
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