Ab externo technique for accurate haptic placement of transscleral sutured posterior chamber intraocular lenses.
Identifieur interne : 00A703 ( Main/Curation ); précédent : 00A702; suivant : 00A704Ab externo technique for accurate haptic placement of transscleral sutured posterior chamber intraocular lenses.
Auteurs : Kaushal Kulkarni [États-Unis] ; Marco Zarbin ; Lucian V. Del Priore ; Tongalp H. TezelSource :
- Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye [ 1542-8877 ]
English descriptors
- KwdEn :
- MESH :
- chemical : Polypropylenes.
- instrumentation : Suture Techniques.
- methods : Lens Implantation, Intraocular.
- surgery : Aphakia, Postcataract, Sclera.
- Humans, Lenses, Intraocular, Prosthesis Design, Surgical Flaps, Sutures.
Abstract
A modified technique is presented for transscleral suture fixation of posterior chamber intraocular lenses for aphakic correction in cases with inadequate capsular support. An ab externo approach for suture externalization is described that minimizes intraocular manipulation and facilitates accurate placement of haptics in the ciliary sulcus, thereby reducing the risk of lens tilt and decentration. This technique eliminates intraocular suture knots and reduces the amount of time the globe is open during surgery by creating two intraocular suture loops in preparation for posterior chamber intraocular lens placement before creating a limbal incision.
PubMed: 17278542
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pubmed:17278542Le document en format XML
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<author><name sortKey="Kulkarni, Kaushal" sort="Kulkarni, Kaushal" uniqKey="Kulkarni K" first="Kaushal" last="Kulkarni">Kaushal Kulkarni</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey</wicri:regionArea>
<placeName><region type="state">New Jersey</region>
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<author><name sortKey="Zarbin, Marco" sort="Zarbin, Marco" uniqKey="Zarbin M" first="Marco" last="Zarbin">Marco Zarbin</name>
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<author><name sortKey="Del Priore, Lucian V" sort="Del Priore, Lucian V" uniqKey="Del Priore L" first="Lucian V" last="Del Priore">Lucian V. Del Priore</name>
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<author><name sortKey="Tezel, Tongalp H" sort="Tezel, Tongalp H" uniqKey="Tezel T" first="Tongalp H" last="Tezel">Tongalp H. Tezel</name>
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<date when="????"><PubDate><MedlineDate>2007 Jan-Feb</MedlineDate>
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<affiliation wicri:level="2"><nlm:affiliation>University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Zarbin, Marco" sort="Zarbin, Marco" uniqKey="Zarbin M" first="Marco" last="Zarbin">Marco Zarbin</name>
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<author><name sortKey="Del Priore, Lucian V" sort="Del Priore, Lucian V" uniqKey="Del Priore L" first="Lucian V" last="Del Priore">Lucian V. Del Priore</name>
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<author><name sortKey="Tezel, Tongalp H" sort="Tezel, Tongalp H" uniqKey="Tezel T" first="Tongalp H" last="Tezel">Tongalp H. Tezel</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aphakia, Postcataract (surgery)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Polypropylenes</term>
<term>Prosthesis Design</term>
<term>Sclera (surgery)</term>
<term>Surgical Flaps</term>
<term>Suture Techniques (instrumentation)</term>
<term>Sutures</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Polypropylenes</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Suture Techniques</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Aphakia, Postcataract</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Prosthesis Design</term>
<term>Surgical Flaps</term>
<term>Sutures</term>
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<front><div type="abstract" xml:lang="en">A modified technique is presented for transscleral suture fixation of posterior chamber intraocular lenses for aphakic correction in cases with inadequate capsular support. An ab externo approach for suture externalization is described that minimizes intraocular manipulation and facilitates accurate placement of haptics in the ciliary sulcus, thereby reducing the risk of lens tilt and decentration. This technique eliminates intraocular suture knots and reduces the amount of time the globe is open during surgery by creating two intraocular suture loops in preparation for posterior chamber intraocular lens placement before creating a limbal incision.</div>
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