Management of posteriorly dislocated crystalline lens with perfluorocarbon liquid and fibrin glue-assisted scleral-fixated intraocular lens implantation.
Identifieur interne : 001A59 ( Main/Merge ); précédent : 001A58; suivant : 001A60Management of posteriorly dislocated crystalline lens with perfluorocarbon liquid and fibrin glue-assisted scleral-fixated intraocular lens implantation.
Auteurs : Soo Jung Lee [Corée du Sud] ; In Geun Kim ; Jung Min ParkSource :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2013.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Female, Fibrin Tissue Adhesive (therapeutic use), Fluorocarbons (therapeutic use), Humans, Intraocular Pressure (physiology), Lens Implantation, Intraocular (methods), Lens Subluxation (surgery), Lenses, Intraocular, Male, Middle Aged, Sclera (drug effects), Sclerostomy, Surgical Flaps, Tissue Adhesives (therapeutic use), Visual Acuity (physiology), Vitrectomy.
- MESH :
- chemical , therapeutic use : Fibrin Tissue Adhesive, Fluorocarbons, Tissue Adhesives.
- drug effects : Sclera.
- methods : Lens Implantation, Intraocular.
- physiology : Intraocular Pressure, Visual Acuity.
- surgery : Lens Subluxation.
- Aged, Aged, 80 and over, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Sclerostomy, Surgical Flaps, Vitrectomy.
Abstract
We describe a technique that uses a 23-gauge transconjunctival sutureless vitrectomy with perfluorocarbon liquid (PFCL) and phacoemulsification to manage a dropped nucleus. The PFCL is injected into the vitreous space until the dislocated lens reaches the iris plane and is then removed using phacoemulsification in the anterior chamber. After intraocular lens (IOL) implantation, a 23-gauge forceps is passed through the sclerotomy to grasp the IOL haptic, which is pulled onto the ocular surface. Tunnels are made at the edge of the flap with a 26-gauge needle into which the 2 haptics are tucked for additional stability. The scleral flaps and conjunctiva are then glued using biological glue. Perfluorocarbon liquid reduces lens repulsion and blocks the transmission of the ultrasound stream to the retina. The fibrin glue-assisted sutureless IOL implantation technique could reduce complications and suture-related problems.
DOI: 10.1016/j.jcrs.2013.01.022
PubMed: 23506917
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pubmed:23506917Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Management of posteriorly dislocated crystalline lens with perfluorocarbon liquid and fibrin glue-assisted scleral-fixated intraocular lens implantation.</title><author><name sortKey="Lee, Soo Jung" sort="Lee, Soo Jung" uniqKey="Lee S" first="Soo Jung" last="Lee">Soo Jung Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, Haeundae Paik Hospital, Busan, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Haeundae Paik Hospital, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, In Geun" sort="Kim, In Geun" uniqKey="Kim I" first="In Geun" last="Kim">In Geun Kim</name></author><author><name sortKey="Park, Jung Min" sort="Park, Jung Min" uniqKey="Park J" first="Jung Min" last="Park">Jung Min Park</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="doi">10.1016/j.jcrs.2013.01.022</idno><idno type="RBID">pubmed:23506917</idno><idno type="pmid">23506917</idno><idno type="wicri:Area/PubMed/Corpus">000992</idno><idno type="wicri:Area/PubMed/Curation">000992</idno><idno type="wicri:Area/PubMed/Checkpoint">000858</idno><idno type="wicri:Area/Ncbi/Merge">002581</idno><idno type="wicri:Area/Ncbi/Curation">002581</idno><idno type="wicri:Area/Ncbi/Checkpoint">002581</idno><idno type="wicri:Area/Main/Merge">001A59</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Management of posteriorly dislocated crystalline lens with perfluorocarbon liquid and fibrin glue-assisted scleral-fixated intraocular lens implantation.</title><author><name sortKey="Lee, Soo Jung" sort="Lee, Soo Jung" uniqKey="Lee S" first="Soo Jung" last="Lee">Soo Jung Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, Haeundae Paik Hospital, Busan, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Haeundae Paik Hospital, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, In Geun" sort="Kim, In Geun" uniqKey="Kim I" first="In Geun" last="Kim">In Geun Kim</name></author><author><name sortKey="Park, Jung Min" sort="Park, Jung Min" uniqKey="Park J" first="Jung Min" last="Park">Jung Min Park</name></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="eISSN">1873-4502</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Fibrin Tissue Adhesive (therapeutic use)</term><term>Fluorocarbons (therapeutic use)</term><term>Humans</term><term>Intraocular Pressure (physiology)</term><term>Lens Implantation, Intraocular (methods)</term><term>Lens Subluxation (surgery)</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Sclera (drug effects)</term><term>Sclerostomy</term><term>Surgical Flaps</term><term>Tissue Adhesives (therapeutic use)</term><term>Visual Acuity (physiology)</term><term>Vitrectomy</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Fibrin Tissue Adhesive</term><term>Fluorocarbons</term><term>Tissue Adhesives</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Sclera</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Intraocular Pressure</term><term>Visual Acuity</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lens Subluxation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Sclerostomy</term><term>Surgical Flaps</term><term>Vitrectomy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe a technique that uses a 23-gauge transconjunctival sutureless vitrectomy with perfluorocarbon liquid (PFCL) and phacoemulsification to manage a dropped nucleus. The PFCL is injected into the vitreous space until the dislocated lens reaches the iris plane and is then removed using phacoemulsification in the anterior chamber. After intraocular lens (IOL) implantation, a 23-gauge forceps is passed through the sclerotomy to grasp the IOL haptic, which is pulled onto the ocular surface. Tunnels are made at the edge of the flap with a 26-gauge needle into which the 2 haptics are tucked for additional stability. The scleral flaps and conjunctiva are then glued using biological glue. Perfluorocarbon liquid reduces lens repulsion and blocks the transmission of the ultrasound stream to the retina. The fibrin glue-assisted sutureless IOL implantation technique could reduce complications and suture-related problems.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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