Trans-scleral fixation of dislocated posterior chamber intraocular lenses using a 9/0 microsurgical polypropylene snare.
Identifieur interne : 004535 ( Ncbi/Checkpoint ); précédent : 004534; suivant : 004536Trans-scleral fixation of dislocated posterior chamber intraocular lenses using a 9/0 microsurgical polypropylene snare.
Auteurs : B C Little [Royaume-Uni] ; P H Rosen ; G. Orr ; G W AylwardSource :
- Eye (London, England) [ 0950-222X ] ; 1993.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Ophthalmology.
- methods : Ophthalmology.
- surgery : Intraoperative Complications.
- Adult, Aged, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Reoperation, Surgical Instruments, Suture Techniques.
Abstract
We describe a new technique for retrieval, sulcus relocation and trans-scleral fixation of posteriorly dislocated (posterior chamber intraocular lenses (PC-IOLs) in a closed eye using a 9/0 polypropylene snare instrument adapted specifically for this purpose. Our experience is described of the first 5 consecutive cases in which the snare was used. The posteriorly dislocated PC-IOL was successfully relocated in 4 of these cases but per-operative fracture of a lens haptic necessitated removal of the IOL in the fifth. A number of surgical techniques have already been described in the management of this problem but we consider the polypropylene snare to offer the advantages of a simpler technique that obviates the need for either manipulation of needles within the eye or complex suturing procedures.
DOI: 10.1038/eye.1993.172
PubMed: 8119422
Affiliations:
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pubmed:8119422Le document en format XML
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<author><name sortKey="Rosen, P H" sort="Rosen, P H" uniqKey="Rosen P" first="P H" last="Rosen">P H Rosen</name>
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<author><name sortKey="Orr, G" sort="Orr, G" uniqKey="Orr G" first="G" last="Orr">G. Orr</name>
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<front><div type="abstract" xml:lang="en">We describe a new technique for retrieval, sulcus relocation and trans-scleral fixation of posteriorly dislocated (posterior chamber intraocular lenses (PC-IOLs) in a closed eye using a 9/0 polypropylene snare instrument adapted specifically for this purpose. Our experience is described of the first 5 consecutive cases in which the snare was used. The posteriorly dislocated PC-IOL was successfully relocated in 4 of these cases but per-operative fracture of a lens haptic necessitated removal of the IOL in the fifth. A number of surgical techniques have already been described in the management of this problem but we consider the polypropylene snare to offer the advantages of a simpler technique that obviates the need for either manipulation of needles within the eye or complex suturing procedures.</div>
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