Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation
Identifieur interne : 000B37 ( PascalFrancis/Checkpoint ); précédent : 000B36; suivant : 000B38Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation
Auteurs : Manabu Sasahara [Japon] ; Junichi Kiryu [Japon] ; Nagahisa Yoshimura [Japon]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation</title><author><name sortKey="Sasahara, Manabu" sort="Sasahara, Manabu" uniqKey="Sasahara M" first="Manabu" last="Sasahara">Manabu Sasahara</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Kiryu, Junichi" sort="Kiryu, Junichi" uniqKey="Kiryu J" first="Junichi" last="Kiryu">Junichi Kiryu</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Yoshimura, Nagahisa" sort="Yoshimura, Nagahisa" uniqKey="Yoshimura N" first="Nagahisa" last="Yoshimura">Nagahisa Yoshimura</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">06-0001087</idno><date when="2005">2005</date><idno type="stanalyst">PASCAL 06-0001087 INIST</idno><idno type="RBID">Pascal:06-0001087</idno><idno type="wicri:Area/PascalFrancis/Corpus">000E39</idno><idno type="wicri:Area/PascalFrancis/Curation">000667</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000B37</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation</title><author><name sortKey="Sasahara, Manabu" sort="Sasahara, Manabu" uniqKey="Sasahara M" first="Manabu" last="Sasahara">Manabu Sasahara</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Kiryu, Junichi" sort="Kiryu, Junichi" uniqKey="Kiryu J" first="Junichi" last="Kiryu">Junichi Kiryu</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Yoshimura, Nagahisa" sort="Yoshimura, Nagahisa" uniqKey="Yoshimura N" first="Nagahisa" last="Yoshimura">Nagahisa Yoshimura</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Endoscope</term><term>Fixation</term><term>Incidence</term><term>Intraocular lens</term><term>Luxation</term><term>Ophthalmology</term><term>Sclera</term><term>Surgery</term><term>Suturation</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Luxation</term><term>Endoscope</term><term>Sclérotique</term><term>Suture chirurgicale</term><term>Fixation</term><term>Incidence</term><term>Lentille intraoculaire</term><term>Chirurgie</term><term>Ophtalmologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">PURPOSE: To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (lOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups. SETTING: Kyoto University Hospital, Kyoto, Japan. METHODS: This retrospective nonrandomized study comprised 121 eyes of 115 patients who had transscleral sulcus suture fixation of an IOL by the ab externo method. Typical 3-port vitrectomy was performed in 26 eyes in which the needle entry site and the haptic location were controlled using an endoscope. RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce'surgical complications, especially postoperative IOL dislocation.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0886-3350</s0></fA01><fA02 i1="01"><s0>JCSUEV</s0></fA02><fA03 i2="1"><s0>J. cataract refractive surg.</s0></fA03><fA05><s2>31</s2></fA05><fA06><s2>9</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation</s1></fA08><fA11 i1="01" i2="1"><s1>SASAHARA (Manabu)</s1></fA11><fA11 i1="02" i2="1"><s1>KIRYU (Junichi)</s1></fA11><fA11 i1="03" i2="1"><s1>YOSHIMURA (Nagahisa)</s1></fA11><fA14 i1="01"><s1>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA20><s1>1777-1780</s1></fA20><fA21><s1>2005</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20937</s2><s5>354000135137430160</s5></fA43><fA44><s0>0000</s0><s1>© 2006 INIST-CNRS. 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RESULTS: During follow-up of at least 3 months, surgical complications in the nonendoscope-assisted group (95 eyes) included IOL dislocation in 22 eyes (23%), high astigmatism in 12 eyes (13%), transient ocular hypertension in 10 eyes (11%), vitreous hemorrhage in 5 eyes (5.3%), retinal detachment in 4 eyes (4.2%), and cystoid macular edema in 2 eyes (2.0%). In the endoscope-assisted group (26 eyes), the same complications were markedly decreased: there were no cases of IOL dislocation, high astigmatism, vitreous hemorrhage, retinal detachment, or cystoid macular edema; transient ocular hypertension occurred in 1 eye (3.8%). There was a statistically significant difference in the incidence of IOL dislocation between the 2 groups (P<.01). 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