A new small-incision technique for injector implantation of transsclerally sutured foldable lenses.
Identifieur interne : 00A713 ( Main/Curation ); précédent : 00A712; suivant : 00A714A new small-incision technique for injector implantation of transsclerally sutured foldable lenses.
Auteurs : Peter Szurman [Allemagne] ; Katrin Petermeier ; Gesine B. Jaissle ; Karl U. Bartz-SchmidtSource :
- Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye [ 1542-8877 ]
English descriptors
- KwdEn :
- MESH :
- instrumentation : Lens Implantation, Intraocular, Suture Techniques.
- methods : Minimally Invasive Surgical Procedures.
- surgery : Aphakia, Postcataract, Sclera.
- Equipment Design, Follow-Up Studies, Humans, Lenses, Intraocular, Treatment Outcome, Visual Acuity.
Abstract
A new, minimally invasive technique for clear cornea implantation of one-piece acrylic posterior chamber lenses for transscleral suture fixation in aphakic eyes without capsular support is described. Based on the techniques of modern small-incision cataract surgery, implantation was performed through a self-sealing, 2.75-mm temporal clear cornea incision using the injector technique. This was possible by modifying the insertion of the lens into the cartridge and introducing a new suturing technique of the lens. Suturing of the leading haptic end was performed while the lens was still securely stored inside the cartridge. The trailing haptic was tied after implantation. By using a self-sealing tunnel incision and injector technique, significant fluid egress and consecutive transient hypotony may be minimized throughout the procedure and early visual rehabilitation achieved.
PubMed: 17278543
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pubmed:17278543Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology I, University of Tubingen, Tubingen, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Ophthalmology I, University of Tubingen, Tubingen</wicri:regionArea>
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<author><name sortKey="Petermeier, Katrin" sort="Petermeier, Katrin" uniqKey="Petermeier K" first="Katrin" last="Petermeier">Katrin Petermeier</name>
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<author><name sortKey="Jaissle, Gesine B" sort="Jaissle, Gesine B" uniqKey="Jaissle G" first="Gesine B" last="Jaissle">Gesine B. Jaissle</name>
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<author><name sortKey="Bartz Schmidt, Karl U" sort="Bartz Schmidt, Karl U" uniqKey="Bartz Schmidt K" first="Karl U" last="Bartz-Schmidt">Karl U. Bartz-Schmidt</name>
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<affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology I, University of Tubingen, Tubingen, Germany.</nlm:affiliation>
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<author><name sortKey="Jaissle, Gesine B" sort="Jaissle, Gesine B" uniqKey="Jaissle G" first="Gesine B" last="Jaissle">Gesine B. Jaissle</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aphakia, Postcataract (surgery)</term>
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<term>Humans</term>
<term>Lens Implantation, Intraocular (instrumentation)</term>
<term>Lenses, Intraocular</term>
<term>Minimally Invasive Surgical Procedures (methods)</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques (instrumentation)</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Lens Implantation, Intraocular</term>
<term>Suture Techniques</term>
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<term>Follow-Up Studies</term>
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<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">A new, minimally invasive technique for clear cornea implantation of one-piece acrylic posterior chamber lenses for transscleral suture fixation in aphakic eyes without capsular support is described. Based on the techniques of modern small-incision cataract surgery, implantation was performed through a self-sealing, 2.75-mm temporal clear cornea incision using the injector technique. This was possible by modifying the insertion of the lens into the cartridge and introducing a new suturing technique of the lens. Suturing of the leading haptic end was performed while the lens was still securely stored inside the cartridge. The trailing haptic was tied after implantation. By using a self-sealing tunnel incision and injector technique, significant fluid egress and consecutive transient hypotony may be minimized throughout the procedure and early visual rehabilitation achieved.</div>
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