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Modified technique for combining DMEK with glued intrascleral haptic fixation of a posterior chamber IOL as a single-stage procedure.

Identifieur interne : 003042 ( Ncbi/Merge ); précédent : 003041; suivant : 003043

Modified technique for combining DMEK with glued intrascleral haptic fixation of a posterior chamber IOL as a single-stage procedure.

Auteurs : Soosan Jacob ; Amar Agarwal ; Dhivya Ashok Kumar ; Ashvin Agarwal ; Athiya Agarwal ; Kaladevi Satish

Source :

RBID : pubmed:24892380

English descriptors

Abstract

To describe changes in the surgical technique required for combining Descemet membrane endothelial keratoplasty with glued intrascleral haptic fixation of a posterior chamber intraocular lens ([IOL] glued IOL) as a single-stage surgery in patients diagnosed as having aphakic or pseudophakic bullous keratopathy.

DOI: 10.3928/1081597X-20140527-04
PubMed: 24892380

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pubmed:24892380

Le document en format XML

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<title xml:lang="en">Modified technique for combining DMEK with glued intrascleral haptic fixation of a posterior chamber IOL as a single-stage procedure.</title>
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<name sortKey="Jacob, Soosan" sort="Jacob, Soosan" uniqKey="Jacob S" first="Soosan" last="Jacob">Soosan Jacob</name>
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<name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name>
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<name sortKey="Kumar, Dhivya Ashok" sort="Kumar, Dhivya Ashok" uniqKey="Kumar D" first="Dhivya Ashok" last="Kumar">Dhivya Ashok Kumar</name>
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<name sortKey="Agarwal, Ashvin" sort="Agarwal, Ashvin" uniqKey="Agarwal A" first="Ashvin" last="Agarwal">Ashvin Agarwal</name>
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<name sortKey="Agarwal, Athiya" sort="Agarwal, Athiya" uniqKey="Agarwal A" first="Athiya" last="Agarwal">Athiya Agarwal</name>
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<name sortKey="Satish, Kaladevi" sort="Satish, Kaladevi" uniqKey="Satish K" first="Kaladevi" last="Satish">Kaladevi Satish</name>
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<name sortKey="Agarwal, Athiya" sort="Agarwal, Athiya" uniqKey="Agarwal A" first="Athiya" last="Agarwal">Athiya Agarwal</name>
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<title level="j">Journal of refractive surgery (Thorofare, N.J. : 1995)</title>
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<term>Corneal Diseases (surgery)</term>
<term>Descemet Stripping Endothelial Keratoplasty (methods)</term>
<term>Fibrin Tissue Adhesive (therapeutic use)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Middle Aged</term>
<term>Reoperation</term>
<term>Sclera (drug effects)</term>
<term>Tissue Adhesives (therapeutic use)</term>
<term>Visual Acuity (physiology)</term>
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<term>Fibrin Tissue Adhesive</term>
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<term>Sclera</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Descemet Stripping Endothelial Keratoplasty</term>
<term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Visual Acuity</term>
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<term>Corneal Diseases</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Lenses, Intraocular</term>
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<front>
<div type="abstract" xml:lang="en">To describe changes in the surgical technique required for combining Descemet membrane endothelial keratoplasty with glued intrascleral haptic fixation of a posterior chamber intraocular lens ([IOL] glued IOL) as a single-stage surgery in patients diagnosed as having aphakic or pseudophakic bullous keratopathy.</div>
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<Day>02</Day>
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<Year>2014</Year>
<Month>08</Month>
<Day>12</Day>
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<Volume>30</Volume>
<Issue>7</Issue>
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<Year>2014</Year>
<Month>Jul</Month>
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<Title>Journal of refractive surgery (Thorofare, N.J. : 1995)</Title>
<ISOAbbreviation>J Refract Surg</ISOAbbreviation>
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<ArticleTitle>Modified technique for combining DMEK with glued intrascleral haptic fixation of a posterior chamber IOL as a single-stage procedure.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To describe changes in the surgical technique required for combining Descemet membrane endothelial keratoplasty with glued intrascleral haptic fixation of a posterior chamber intraocular lens ([IOL] glued IOL) as a single-stage surgery in patients diagnosed as having aphakic or pseudophakic bullous keratopathy.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six patients with corneal decompensation and inadequate capsular support requiring implantation/exchange of an IOL underwent a single staged glued IOL with Descemet membrane endothelial keratoplasty at a tertiary care center. Stability of the anterior chamber and structure of iris diaphragm-IOL complex were assessed intraoperatively by injecting air and, when required, iridoplasty was performed. Patients were observed postoperatively.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One patient had partial graft detachment requiring re-bubbling and 1 patient had a small peripheral detachment with spontaneous resolution. The graft remained attached in all patients. An iridoplasty was required for 2 patients. Visual acuity improved in all patients. The mean preoperative and postoperative corrected distance visual acuity were 0.11 ± 0.07 and 0.7 ± 0.17, respectively. There was significant change in the corrected distance visual acuity after surgery (P = .028). The mean postoperative endothelial cell density at 6 months was 1,710.3 ± 205.8 cells/mm(2).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Descemet membrane endothelial keratoplasty with glued IOL provides stable IOL with decreased pseudophacodonesis for better graft fixation. Iris diaphragm covering IOL optic all around is essential to restore bicamerality, allows sufficiently sized, non-migrating air bubbles, and decreases graft detachment and dislocation both intraoperatively and postoperatively. A need for iridoplasty must be confirmed intra-operatively.</AbstractText>
<CopyrightInformation>Copyright 2014, SLACK Incorporated.</CopyrightInformation>
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