Anatomic study of transsclerally sutured intraocular lens implantation.
Identifieur interne : 003E79 ( Ncbi/Merge ); précédent : 003E78; suivant : 003E80Anatomic study of transsclerally sutured intraocular lens implantation.
Auteurs : R J Duffey ; E J Holland ; P J Agapitos ; R L LindstromSource :
- American journal of ophthalmology [ 0002-9394 ] ; 1989.
English descriptors
- KwdEn :
- Anterior Chamber (anatomy & histology), Arteries (anatomy & histology), Ciliary Body (anatomy & histology), Ciliary Body (surgery), Cornea (anatomy & histology), Cornea (surgery), Equipment Design, Humans, Iris (blood supply), Lenses, Intraocular, Needles, Sclera (anatomy & histology), Sclera (surgery), Suture Techniques, Sutures.
- MESH :
- anatomy & histology : Anterior Chamber, Arteries, Ciliary Body, Cornea, Sclera.
- blood supply : Iris.
- surgery : Ciliary Body, Cornea, Sclera.
- Equipment Design, Humans, Lenses, Intraocular, Needles, Suture Techniques, Sutures.
Abstract
We used 21 cadaver eyes to study transsclerally sutured, ciliary sulcus-fixated intraocular lens implantation. Results showed that transscleral sutures should exit the sclera less than 1 mm posterior to the corneoscleral limbus for true ciliary sulcus fixation. The relationship of the ciliary sulcus to the overlying posterior surgical limbus differed in the vertical and horizontal meridians; needles that pierced the ciliary sulcus after being passed perpendicularly through the sclera entered the sclera 0.83 +/- 0.1 mm posterior to the posterior surgical limbus in the vertical meridians and 0.46 +/- 0.1 mm in the horizontal meridians. The major arterial circle of the iris (located in the ciliary body) was avoided as was the entire ciliary body during proper ciliary sulcus fixation. A one-piece, all polymethylmethacrylate, 10-degree vaulted, 13.5-mm haptic spread intraocular lens provides excellent optic centration and haptic stabilization when the haptic structure is placed at the greatest haptic spread and one transscleral suture pass per haptic is made.
PubMed: 2672820
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pubmed:2672820Le document en format XML
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<author><name sortKey="Duffey, R J" sort="Duffey, R J" uniqKey="Duffey R" first="R J" last="Duffey">R J Duffey</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, University of Minnesota, Minneapolis 55455.</nlm:affiliation>
<wicri:noCountry code="subField">Minneapolis 55455</wicri:noCountry>
</affiliation>
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<author><name sortKey="Holland, E J" sort="Holland, E J" uniqKey="Holland E" first="E J" last="Holland">E J Holland</name>
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<author><name sortKey="Agapitos, P J" sort="Agapitos, P J" uniqKey="Agapitos P" first="P J" last="Agapitos">P J Agapitos</name>
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<author><name sortKey="Lindstrom, R L" sort="Lindstrom, R L" uniqKey="Lindstrom R" first="R L" last="Lindstrom">R L Lindstrom</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Anatomic study of transsclerally sutured intraocular lens implantation.</title>
<author><name sortKey="Duffey, R J" sort="Duffey, R J" uniqKey="Duffey R" first="R J" last="Duffey">R J Duffey</name>
<affiliation><nlm:affiliation>Department of Ophthalmology, University of Minnesota, Minneapolis 55455.</nlm:affiliation>
<wicri:noCountry code="subField">Minneapolis 55455</wicri:noCountry>
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<author><name sortKey="Holland, E J" sort="Holland, E J" uniqKey="Holland E" first="E J" last="Holland">E J Holland</name>
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<author><name sortKey="Agapitos, P J" sort="Agapitos, P J" uniqKey="Agapitos P" first="P J" last="Agapitos">P J Agapitos</name>
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<author><name sortKey="Lindstrom, R L" sort="Lindstrom, R L" uniqKey="Lindstrom R" first="R L" last="Lindstrom">R L Lindstrom</name>
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<series><title level="j">American journal of ophthalmology</title>
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<imprint><date when="1989" type="published">1989</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anterior Chamber (anatomy & histology)</term>
<term>Arteries (anatomy & histology)</term>
<term>Ciliary Body (anatomy & histology)</term>
<term>Ciliary Body (surgery)</term>
<term>Cornea (anatomy & histology)</term>
<term>Cornea (surgery)</term>
<term>Equipment Design</term>
<term>Humans</term>
<term>Iris (blood supply)</term>
<term>Lenses, Intraocular</term>
<term>Needles</term>
<term>Sclera (anatomy & histology)</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques</term>
<term>Sutures</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Anterior Chamber</term>
<term>Arteries</term>
<term>Ciliary Body</term>
<term>Cornea</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Iris</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Ciliary Body</term>
<term>Cornea</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Equipment Design</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Needles</term>
<term>Suture Techniques</term>
<term>Sutures</term>
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<front><div type="abstract" xml:lang="en">We used 21 cadaver eyes to study transsclerally sutured, ciliary sulcus-fixated intraocular lens implantation. Results showed that transscleral sutures should exit the sclera less than 1 mm posterior to the corneoscleral limbus for true ciliary sulcus fixation. The relationship of the ciliary sulcus to the overlying posterior surgical limbus differed in the vertical and horizontal meridians; needles that pierced the ciliary sulcus after being passed perpendicularly through the sclera entered the sclera 0.83 +/- 0.1 mm posterior to the posterior surgical limbus in the vertical meridians and 0.46 +/- 0.1 mm in the horizontal meridians. The major arterial circle of the iris (located in the ciliary body) was avoided as was the entire ciliary body during proper ciliary sulcus fixation. A one-piece, all polymethylmethacrylate, 10-degree vaulted, 13.5-mm haptic spread intraocular lens provides excellent optic centration and haptic stabilization when the haptic structure is placed at the greatest haptic spread and one transscleral suture pass per haptic is made.</div>
</front>
</TEI>
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<DateCreated><Year>1989</Year>
<Month>10</Month>
<Day>05</Day>
</DateCreated>
<DateCompleted><Year>1989</Year>
<Month>10</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised><Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0002-9394</ISSN>
<JournalIssue CitedMedium="Print"><Volume>108</Volume>
<Issue>3</Issue>
<PubDate><Year>1989</Year>
<Month>Sep</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>American journal of ophthalmology</Title>
<ISOAbbreviation>Am. J. Ophthalmol.</ISOAbbreviation>
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<ArticleTitle>Anatomic study of transsclerally sutured intraocular lens implantation.</ArticleTitle>
<Pagination><MedlinePgn>300-9</MedlinePgn>
</Pagination>
<Abstract><AbstractText>We used 21 cadaver eyes to study transsclerally sutured, ciliary sulcus-fixated intraocular lens implantation. Results showed that transscleral sutures should exit the sclera less than 1 mm posterior to the corneoscleral limbus for true ciliary sulcus fixation. The relationship of the ciliary sulcus to the overlying posterior surgical limbus differed in the vertical and horizontal meridians; needles that pierced the ciliary sulcus after being passed perpendicularly through the sclera entered the sclera 0.83 +/- 0.1 mm posterior to the posterior surgical limbus in the vertical meridians and 0.46 +/- 0.1 mm in the horizontal meridians. The major arterial circle of the iris (located in the ciliary body) was avoided as was the entire ciliary body during proper ciliary sulcus fixation. A one-piece, all polymethylmethacrylate, 10-degree vaulted, 13.5-mm haptic spread intraocular lens provides excellent optic centration and haptic stabilization when the haptic structure is placed at the greatest haptic spread and one transscleral suture pass per haptic is made.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Duffey</LastName>
<ForeName>R J</ForeName>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000867">Anterior Chamber</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D001158">Arteries</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000033">anatomy & histology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002924">Ciliary Body</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000033">anatomy & histology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003315">Cornea</DescriptorName>
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<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007498">Iris</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000098">blood supply</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009339">Needles</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000033">anatomy & histology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013536">Suture Techniques</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013537">Sutures</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<name sortKey="Holland, E J" sort="Holland, E J" uniqKey="Holland E" first="E J" last="Holland">E J Holland</name>
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