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Surgical technique for repositioning subluxated previously scleral-fixated intraocular lenses

Identifieur interne : 006B17 ( Main/Exploration ); précédent : 006B16; suivant : 006B18

Surgical technique for repositioning subluxated previously scleral-fixated intraocular lenses

Auteurs : Florian N. Balta [Roumanie]

Source :

RBID : Pascal:04-0586692

Descripteurs français

English descriptors

Abstract

PURPOSE: To describe a repositioning technique of a subluxated scleral-fixated rigid intraocular lens (IOL) with haptic holes in eyes with complete or anterior vitrectomy. DESIGN: Interventional case series. METHODS: Using a two-port pars plana vitrectomy, a 10-0 polypropylene suture with the free end fixated to a haptic hole cut from another artificial IOL is passed through a paracentesis, then through the hole of the haptic luxated in the vitreous cavity. It is then reanchored at the sclera, repositioning the IOL. RESULTS: In the two eyes, visual acuity was restored to pre-subluxation levels. During 6-month follow-up, anatomic and functional results were stable, and there were no complications. CONCLUSIONS: This technique enables repositioning of a subluxated, previously sutured rigid IOL without externalization of the lens or haptics and with good results.


Affiliations:


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Le document en format XML

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<s1>Department of Ophthalmology, Bucharest Eye Hospital and Clinic, Garol Davila University of Medicine and Pharmacy</s1>
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<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ophthalmology</term>
<term>Polypropylenes</term>
<term>Reoperation</term>
<term>Sclera</term>
<term>Sclera (surgery)</term>
<term>Surgery</term>
<term>Suture Techniques</term>
<term>Sutures</term>
<term>Technique</term>
<term>Treatment</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
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<term>Polypropylenes</term>
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<term>Lens Implantation, Intraocular</term>
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<term>Foreign-Body Migration</term>
<term>Sclera</term>
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<term>Male</term>
<term>Middle Aged</term>
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<term>Suture Techniques</term>
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<term>Visual Acuity</term>
<term>Vitrectomy</term>
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<div type="abstract" xml:lang="en">PURPOSE: To describe a repositioning technique of a subluxated scleral-fixated rigid intraocular lens (IOL) with haptic holes in eyes with complete or anterior vitrectomy. DESIGN: Interventional case series. METHODS: Using a two-port pars plana vitrectomy, a 10-0 polypropylene suture with the free end fixated to a haptic hole cut from another artificial IOL is passed through a paracentesis, then through the hole of the haptic luxated in the vitreous cavity. It is then reanchored at the sclera, repositioning the IOL. RESULTS: In the two eyes, visual acuity was restored to pre-subluxation levels. During 6-month follow-up, anatomic and functional results were stable, and there were no complications. CONCLUSIONS: This technique enables repositioning of a subluxated, previously sutured rigid IOL without externalization of the lens or haptics and with good results.</div>
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