Exposure of haptic of posterior chamber intraocular lens after sutureless intrascleral fixation
Identifieur interne : 000895 ( Main/Exploration ); précédent : 000894; suivant : 000896Exposure of haptic of posterior chamber intraocular lens after sutureless intrascleral fixation
Auteurs : Yoshitsugu Matsui ; Hisashi Matsubara ; Tsukasa Hanemoto [Japon] ; Mineo KondoSource :
- BMC Ophthalmology [ 1471-2415 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- etiology : Prosthesis Failure.
- methods : Lens Implantation, Intraocular.
- surgery : Sclera.
- Aged, Humans, Lenses, Intraocular, Male, Reoperation, Suture Techniques, Visual Acuity.
Abstract
A technique of sutureless intrascleral fixation of an intraocular lens (IOL) in an eye that lacks a posterior capsular support has been reported. The advantage of this technique was that the suture-related complications did not develop. However, the long-term complications of a sutureless IOL implantation have not been reported.
A 75-years-old man had a sutureless intrascleral fixation (Y-fixation) of an IOL 4 months before our examination. The nasal haptic became exposed and the temporal haptic was seen in the subconjunctiva. The tilted IOL was removed and replaced by a posterior chamber IOL that was sutured to the sclera. At the 6 months examination, the eye was quiet and the IOL was stable.
We suggest that the exposure of the nasal haptic of an IOL that was implanted by sutureless intrascleral fixation (Y-fixation) was due to poor surgical technique and/or the erosion of a fragile sclera. Thus, eyes should be carefully and frequently monitored after sutureless intrascleral posterior chamber IOL implantation.
Url:
DOI: 10.1186/s12886-015-0102-3
PubMed: 26272766
PubMed Central: 4535536
Affiliations:
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sort="Hanemoto, Tsukasa" uniqKey="Hanemoto T" first="Tsukasa" last="Hanemoto">Tsukasa Hanemoto</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Kozawa Eye Hospital, Ibaragi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kozawa Eye Hospital, Ibaragi</wicri:regionArea><wicri:noRegion>Ibaragi</wicri:noRegion></affiliation></author><author><name sortKey="Kondo, Mineo" sort="Kondo, Mineo" uniqKey="Kondo M" first="Mineo" last="Kondo">Mineo Kondo</name><affiliation><nlm:aff id="Aff1">Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan</nlm:aff><wicri:noCountry code="subfield">Mie 514-8507 Japan</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26272766</idno><idno type="pmc">4535536</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4535536</idno><idno type="RBID">PMC:4535536</idno><idno 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uniqKey="Matsui Y" first="Yoshitsugu" last="Matsui">Yoshitsugu Matsui</name><affiliation><nlm:aff id="Aff1">Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan</nlm:aff><wicri:noCountry code="subfield">Mie 514-8507 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Matsubara, Hisashi" sort="Matsubara, Hisashi" uniqKey="Matsubara H" first="Hisashi" last="Matsubara">Hisashi Matsubara</name><affiliation><nlm:aff id="Aff1">Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan</nlm:aff><wicri:noCountry code="subfield">Mie 514-8507 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Hanemoto, Tsukasa" sort="Hanemoto, Tsukasa" uniqKey="Hanemoto T" first="Tsukasa" last="Hanemoto">Tsukasa Hanemoto</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Kozawa Eye Hospital, Ibaragi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kozawa Eye Hospital, Ibaragi</wicri:regionArea><wicri:noRegion>Ibaragi</wicri:noRegion></affiliation></author><author><name sortKey="Kondo, Mineo" sort="Kondo, Mineo" uniqKey="Kondo M" first="Mineo" last="Kondo">Mineo Kondo</name><affiliation><nlm:aff id="Aff1">Department of Ophthalmology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507 Japan</nlm:aff><wicri:noCountry code="subfield">Mie 514-8507 Japan</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Ophthalmology</title><idno type="eISSN">1471-2415</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Humans</term><term>Lens Implantation, Intraocular (methods)</term><term>Lenses, Intraocular</term><term>Male</term><term>Prosthesis Failure (etiology)</term><term>Reoperation</term><term>Sclera (surgery)</term><term>Suture Techniques</term><term>Visual Acuity</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Prosthesis Failure</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>Sclera</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Reoperation</term><term>Suture Techniques</term><term>Visual Acuity</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>A technique of sutureless intrascleral fixation of an intraocular lens (IOL) in an eye that lacks a posterior capsular support has been reported. The advantage of this technique was that the suture-related complications did not develop. However, the long-term complications of a sutureless IOL implantation have not been reported.</p></sec><sec><title>Case presentation</title><p>A 75-years-old man had a sutureless intrascleral fixation (Y-fixation) of an IOL 4 months before our examination. The nasal haptic became exposed and the temporal haptic was seen in the subconjunctiva. The tilted IOL was removed and replaced by a posterior chamber IOL that was sutured to the sclera. At the 6 months examination, the eye was quiet and the IOL was stable.</p></sec><sec><title>Conclusion</title><p>We suggest that the exposure of the nasal haptic of an IOL that was implanted by sutureless intrascleral fixation (Y-fixation) was due to poor surgical technique and/or the erosion of a fragile sclera. Thus, eyes should be carefully and frequently monitored after sutureless intrascleral posterior chamber IOL implantation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gabor, Sgb" uniqKey="Gabor S">SGB Gabor</name></author><author><name sortKey="Pavilidis, Mm" uniqKey="Pavilidis M">MM Pavilidis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Jacob, S" uniqKey="Jacob S">S Jacob</name></author><author><name sortKey="Baid, C" uniqKey="Baid C">C Baid</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Srinvasan, S" uniqKey="Srinvasan S">S Srinvasan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ohta, T" uniqKey="Ohta T">T Ohta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Chandrasekar, R" uniqKey="Chandrasekar R">R Chandrasekar</name></author><author><name sortKey="Priyanka, V" uniqKey="Priyanka V">V Priyanka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamane, S" uniqKey="Yamane S">S Yamane</name></author><author><name sortKey="Inoue, M" uniqKey="Inoue M">M Inoue</name></author><author><name sortKey="Arakawa, A" uniqKey="Arakawa A">A Arakawa</name></author><author><name sortKey="Kadonosono, K" uniqKey="Kadonosono K">K Kadonosono</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Packiyalakshmi, S" uniqKey="Packiyalakshmi S">S Packiyalakshmi</name></author><author><name sortKey="Jacob, S" uniqKey="Jacob S">S Jacob</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ohta, T" uniqKey="Ohta T">T Ohta</name></author><author><name sortKey="Toshida, H" uniqKey="Toshida H">H Toshida</name></author><author><name sortKey="Murakami, A" uniqKey="Murakami A">A Murakami</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Genekal, S" uniqKey="Genekal S">S Genekal</name></author><author><name sortKey="Venkataratnam, S" uniqKey="Venkataratnam S">S Venkataratnam</name></author><author><name sortKey="Dorairaj, S" uniqKey="Dorairaj S">S Dorairaj</name></author><author><name sortKey="Jhanji, V" uniqKey="Jhanji V">V Jhanji</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Luk, As" uniqKey="Luk A">AS Luk</name></author><author><name sortKey="Young, Al" uniqKey="Young A">AL Young</name></author><author><name sortKey="Cheng, Ll" uniqKey="Cheng L">LL Cheng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, Yf" uniqKey="Yang Y">YF Yang</name></author><author><name sortKey="Bunce, C" uniqKey="Bunce C">C Bunce</name></author><author><name sortKey="Dart, Jkg" uniqKey="Dart J">JKG Dart</name></author><author><name sortKey="Johnston, Rl" uniqKey="Johnston R">RL Johnston</name></author><author><name sortKey="Charteris, Dg" uniqKey="Charteris D">DG Charteris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcalister, As" uniqKey="Mcalister A">AS McAlister</name></author><author><name sortKey="Hirst, Lw" uniqKey="Hirst L">LW Hirst</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Kondo, Mineo" sort="Kondo, Mineo" uniqKey="Kondo M" first="Mineo" last="Kondo">Mineo Kondo</name><name sortKey="Matsubara, Hisashi" sort="Matsubara, Hisashi" uniqKey="Matsubara H" first="Hisashi" last="Matsubara">Hisashi Matsubara</name><name sortKey="Matsui, Yoshitsugu" sort="Matsui, Yoshitsugu" uniqKey="Matsui Y" first="Yoshitsugu" last="Matsui">Yoshitsugu Matsui</name></noCountry><country name="Japon"><noRegion><name sortKey="Hanemoto, Tsukasa" sort="Hanemoto, Tsukasa" uniqKey="Hanemoto T" first="Tsukasa" last="Hanemoto">Tsukasa Hanemoto</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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