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Modified technique of haptic externalization for scleral fixation of dislocated posterior chamber lens implants

Identifieur interne : 000080 ( PascalFrancis/Curation ); précédent : 000079; suivant : 000081

Modified technique of haptic externalization for scleral fixation of dislocated posterior chamber lens implants

Auteurs : Gregg T. Kokame [États-Unis] ; Neal H. Atebara [États-Unis] ; Michael D. Bennett [États-Unis]

Source :

RBID : Pascal:01-0096708

Descripteurs français

English descriptors

Abstract

PURPOSE: To describe a modified technique of haptic externalization during repositioning of dislocated posterior chamber lens implants, which facilitates placement of scleral fixation sutures around the haptic for implant stabilization. METHODS: We describe a technique of repositioning a dislocated posterior chamber implant with scleral fixation sutures, which uses a small, clear corneal incision for externalization of the haptic. After a loop of 10-0 Prolene suture (Ethicon, Inc., Somerville, New Jersey) is placed around the externalized haptic, the sutures are retrieved through a sclerotomy 1.0 mm posterior to the limbus. The haptic is reimplanted into the ciliary sulcus. A separate scleral fixation bite closes the sclerotomy, and it is tied to the 10-0 Prolene sutures looped around the haptic. RESULTS: The dislocated implant was stable and fixated in good position 5 months after surgery using this technique. CONCLUSION: This externalization technique minimizes the extensive intraocular manipulations necessary to create a suture loop around a haptic of a dislocated implant. The clear corneal incision allows for clear visualization during externalization of the haptic.
pA  
A01 01  1    @0 0002-9394
A02 01      @0 AJOPAA
A03   1    @0 Am. j. ophthalmol.
A05       @2 131
A06       @2 1
A08 01  1  ENG  @1 Modified technique of haptic externalization for scleral fixation of dislocated posterior chamber lens implants
A11 01  1    @1 KOKAME (Gregg T.)
A11 02  1    @1 ATEBARA (Neal H.)
A11 03  1    @1 BENNETT (Michael D.)
A14 01      @1 The Retina Center at Pali Momi, Kapi'olani Health, University of Hawaii School of Medicine @2 Aiea, Hawaii @3 USA @Z 1 aut. @Z 3 aut.
A14 02      @1 Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine @2 Aiea, Hawaii @3 USA @Z 1 aut. @Z 2 aut.
A20       @1 129-131
A21       @1 2001
A23 01      @0 ENG
A43 01      @1 INIST @2 2012 @5 354000093858170200
A44       @0 0000 @1 © 2001 INIST-CNRS. All rights reserved.
A45       @0 5 ref.
A47 01  1    @0 01-0096708
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 American journal of ophthalmology
A66 01      @0 USA
C01 01    ENG  @0 PURPOSE: To describe a modified technique of haptic externalization during repositioning of dislocated posterior chamber lens implants, which facilitates placement of scleral fixation sutures around the haptic for implant stabilization. METHODS: We describe a technique of repositioning a dislocated posterior chamber implant with scleral fixation sutures, which uses a small, clear corneal incision for externalization of the haptic. After a loop of 10-0 Prolene suture (Ethicon, Inc., Somerville, New Jersey) is placed around the externalized haptic, the sutures are retrieved through a sclerotomy 1.0 mm posterior to the limbus. The haptic is reimplanted into the ciliary sulcus. A separate scleral fixation bite closes the sclerotomy, and it is tied to the 10-0 Prolene sutures looped around the haptic. RESULTS: The dislocated implant was stable and fixated in good position 5 months after surgery using this technique. CONCLUSION: This externalization technique minimizes the extensive intraocular manipulations necessary to create a suture loop around a haptic of a dislocated implant. The clear corneal incision allows for clear visualization during externalization of the haptic.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Implantation chirurgicale @5 01
C03 01  X  ENG  @0 Surgical implantation @5 01
C03 01  X  SPA  @0 Implantación quirúrgica @5 01
C03 02  X  FRE  @0 Lentille intraoculaire @5 02
C03 02  X  ENG  @0 Intraocular lens @5 02
C03 02  X  SPA  @0 Lente intraocular @5 02
C03 03  X  FRE  @0 Chambre postérieure @5 03
C03 03  X  ENG  @0 Posterior chamber @5 03
C03 03  X  SPA  @0 Cámara posterior @5 03
C03 04  X  FRE  @0 Dislocation @5 04
C03 04  X  ENG  @0 Dislocation @5 04
C03 04  X  SPA  @0 Dislocación @5 04
C03 05  X  FRE  @0 Technique @5 17
C03 05  X  ENG  @0 Technique @5 17
C03 05  X  SPA  @0 Técnica @5 17
C03 06  X  FRE  @0 Traitement @5 18
C03 06  X  ENG  @0 Treatment @5 18
C03 06  X  SPA  @0 Tratamiento @5 18
C03 07  X  FRE  @0 Homme @5 20
C03 07  X  ENG  @0 Human @5 20
C03 07  X  SPA  @0 Hombre @5 20
C03 08  X  FRE  @0 Externalisation @4 INC @5 86
C03 09  X  FRE  @0 Haptique @4 CD @5 96
C03 09  X  ENG  @0 Haptics @4 CD @5 96
C07 01  X  FRE  @0 Chirurgie @5 37
C07 01  X  ENG  @0 Surgery @5 37
C07 01  X  SPA  @0 Cirugía @5 37
N21       @1 064

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