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Minimally Invasive Scleral Fixation of an IOL Using a Suture Thread Inserter Combined With 25-Gauge Vitrectomy.

Identifieur interne : 003117 ( Ncbi/Merge ); précédent : 003116; suivant : 003118

Minimally Invasive Scleral Fixation of an IOL Using a Suture Thread Inserter Combined With 25-Gauge Vitrectomy.

Auteurs : Koichi Nishitsuka ; Hidetoshi Yamashita

Source :

RBID : pubmed:24988531

Abstract

To evaluate a novel surgical technique for IOL fixation using a newly designed suture thread inserter.

DOI: 10.3928/23258160-20140625-02
PubMed: 24988531

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pubmed:24988531

Le document en format XML

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<name sortKey="Yamashita, Hidetoshi" sort="Yamashita, Hidetoshi" uniqKey="Yamashita H" first="Hidetoshi" last="Yamashita">Hidetoshi Yamashita</name>
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<name sortKey="Yamashita, Hidetoshi" sort="Yamashita, Hidetoshi" uniqKey="Yamashita H" first="Hidetoshi" last="Yamashita">Hidetoshi Yamashita</name>
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<title level="j">Ophthalmic surgery, lasers & imaging retina</title>
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<Month>7</Month>
<Day>2</Day>
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<Title>Ophthalmic surgery, lasers & imaging retina</Title>
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<ArticleTitle>Minimally Invasive Scleral Fixation of an IOL Using a Suture Thread Inserter Combined With 25-Gauge Vitrectomy.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate a novel surgical technique for IOL fixation using a newly designed suture thread inserter.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Scleral fixation of an IOL combined with 25-gauge vitrectomy was performed in 13 patients (eight aphakic eyes and five with IOL dislocation). Conjunctival peritomy was performed and scleral tunnels were created at the 2- and 8-o'clock positions. An infusion cannula was inserted through the inferotemporal sclera, and two cannulas were inserted through the scleral tunnels 1.5 or 2.0 mm posterior to the corneal limbus. After vitrectomy, the loop of the 10-0 polypropylene suture was inserted into the ports with a suture thread inserter. The haptics of the foldable IOL were sutured via the cow-hitch method. Haptic externalization was performed in eyes with IOL dislocation. After removing the infusion cannulas, the 10-0 polypropylene sutures were tied to scleral tunnels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all cases, the IOL was fixed stably and visual acuity was improved. There were no intraoperative or postoperative complications.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Scleral IOL fixation with a suture thread inserter combined with 25-gauge vitrectomy appears to be safe and minimally invasive for aphakic eyes and cases of IOL dislocation. The thread inserter mitigates the risk of hemorrhage. [Ophthalmic Surg Lasers Imaging Retina. 2014;45:xxx-xxx.].</AbstractText>
<CopyrightInformation>Copyright 2014, SLACK Incorporated.</CopyrightInformation>
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