Haptic design for continuous-loop, scleral fixation of posterior chamber lens.
Identifieur interne : 008C39 ( Main/Merge ); précédent : 008C38; suivant : 008C40Haptic design for continuous-loop, scleral fixation of posterior chamber lens.
Auteurs : K D Teichmann ; I A TeichmannSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 1998.
English descriptors
- KwdEn :
- MESH :
Abstract
We describe a haptic design for continuous-loop fixation of posterior chamber intraocular lenses (IOLs) to sclera. The haptic ends are broadened to allow two perforations on each haptic through which the sutures are guided. In this manner (satured with continuous loops), a stable four-point fixation is achieved that resists torsional forces, depending only on the mechanical strength of the haptics. Tilt during suture placement can be avoided by inserting the surgical needles and the 27 gauge disposable needles through the sclera at similar angles and distances from the limbus. When tested in a simple experimental model (as well as clinically), the new IOL behaved as predicted. The advantage of this haptic design is a stable, tilt free fixation by a continuous loop that allows the knot to be buried; the disadvantage is that a sophisticated and meticulously executed surgical technique is essential.
PubMed: 9682105
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pubmed:9682105Le document en format XML
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<author><name sortKey="Teichmann, K D" sort="Teichmann, K D" uniqKey="Teichmann K" first="K D" last="Teichmann">K D Teichmann</name>
<affiliation><nlm:affiliation>King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
<wicri:noCountry code="subField">Kingdom of Saudi Arabia</wicri:noCountry>
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<author><name sortKey="Teichmann, I A" sort="Teichmann, I A" uniqKey="Teichmann I" first="I A" last="Teichmann">I A Teichmann</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Haptic design for continuous-loop, scleral fixation of posterior chamber lens.</title>
<author><name sortKey="Teichmann, K D" sort="Teichmann, K D" uniqKey="Teichmann K" first="K D" last="Teichmann">K D Teichmann</name>
<affiliation><nlm:affiliation>King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
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<series><title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
<imprint><date when="1998" type="published">1998</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Prosthesis Design</term>
<term>Sclera (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Prosthesis Design</term>
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<front><div type="abstract" xml:lang="en">We describe a haptic design for continuous-loop fixation of posterior chamber intraocular lenses (IOLs) to sclera. The haptic ends are broadened to allow two perforations on each haptic through which the sutures are guided. In this manner (satured with continuous loops), a stable four-point fixation is achieved that resists torsional forces, depending only on the mechanical strength of the haptics. Tilt during suture placement can be avoided by inserting the surgical needles and the 27 gauge disposable needles through the sclera at similar angles and distances from the limbus. When tested in a simple experimental model (as well as clinically), the new IOL behaved as predicted. The advantage of this haptic design is a stable, tilt free fixation by a continuous loop that allows the knot to be buried; the disadvantage is that a sophisticated and meticulously executed surgical technique is essential.</div>
</front>
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