Re: Scleral fixation of one piece intraocular lens by injector implantation
Identifieur interne : 000079 ( Pmc/Curation ); précédent : 000078; suivant : 000080Re: Scleral fixation of one piece intraocular lens by injector implantation
Auteurs : Ertu Rul Can [Turquie]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2015.
Url:
DOI: 10.4103/0301-4738.159905
PubMed: 26139817
PubMed Central: 4501153
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Re: Scleral fixation of one piece intraocular lens by injector implantation</title><author><name sortKey="Can, Ertu Rul" sort="Can, Ertu Rul" uniqKey="Can E" first="Ertu Rul" last="Can">Ertu Rul Can</name><affiliation wicri:level="1"><nlm:aff id="aff1">Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Samsun, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Samsun</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26139817</idno><idno type="pmc">4501153</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4501153</idno><idno type="RBID">PMC:4501153</idno><idno type="doi">10.4103/0301-4738.159905</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000079</idno><idno type="wicri:Area/Pmc/Curation">000079</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Re: Scleral fixation of one piece intraocular lens by injector implantation</title><author><name sortKey="Can, Ertu Rul" sort="Can, Ertu Rul" uniqKey="Can E" first="Ertu Rul" last="Can">Ertu Rul Can</name><affiliation wicri:level="1"><nlm:aff id="aff1">Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Samsun, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Samsun</wicri:regionArea></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Can, E" uniqKey="Can E">E Can</name></author><author><name sortKey="Basaran, R" uniqKey="Basaran R">R Basaran</name></author><author><name sortKey="Gul, A" uniqKey="Gul A">A Gul</name></author><author><name sortKey="Birinci, H" uniqKey="Birinci H">H Birinci</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">IJO</journal-id><journal-title-group><journal-title>Indian Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">0301-4738</issn><issn pub-type="epub">1998-3689</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26139817</article-id><article-id pub-id-type="pmc">4501153</article-id><article-id pub-id-type="publisher-id">IJO-63-466</article-id><article-id pub-id-type="doi">10.4103/0301-4738.159905</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letters to the Editor</subject></subj-group></article-categories><title-group><article-title>Re: Scleral fixation of one piece intraocular lens by injector implantation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Can</surname><given-names>Ertuğrul</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib></contrib-group><aff id="aff1">Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Samsun, Turkey</aff><author-notes><corresp id="cor1"><bold>Correspondence to:</bold> Dr. Ertuğrul Can, Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Samsun, Turkey 55139 E-mail: <email xlink:href="ertugrulcan73@hotmail.com">ertugrulcan73@hotmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2015</year></pub-date><volume>63</volume><issue>5</issue><fpage>466</fpage><lpage>467</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Ophthalmology</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions></article-meta></front><body><p>Dear Editor,</p><p>We agree with the concern that we did not mention the increasingly popular techniques of secondary intraocular lens (IOL) implantation in aphakia management, namely intrascleral sutureless haptic fixation and iris-claw lenses and it would be better to concern about those techniques in the article. However, we believe that intrascleral sutureless haptic fixation techniques are so cumbersome that no one, but a veteran ophthalmic surgeon can succeed it and they are not as popular as the reviewer suppose. This can be more understood after trying a few attempts. Today, scleral fixation of a foldable IOL seems to be the most popular method for aphakia in the world.</p><p>In our case series, we used one-piece IOLs, and it is true that transscleral IOL fixation has some risks and complications such as IOL decentration, tilt, suture breakage, vitreous hemorrhage, and endophthalmitis. Except IOL decentration and tilt, our procedure has the same risk factors that can be seen in all sutured sclera fixated IOL surgeries, and these are the limitation of our procedure. It would be better to prefer a three-piece hydrophobic IOL to decrease the likelihood of such complications.</p><p>In a scleral-fixated IOL, the haptics are stacked in the ciliary sulcus, and the IOL is not suspended. Hence, we do not agree with the concern that there is more pseudophacodonesis, and this may lead to posterior segment complications in the long-term.</p><p>Late suture breakage and other complications of scleral fixated posterior chamber IOLs are possible to occur, but they were reported in the literature as case reports. Their very low ratio is not an obstacle to do this method. The likelihood of having a complication in a normal phacoemulsification surgery is much more and this situation is not an obstacle to perform phacoemulsification surgery.</p><p>We left suture knots were long, extended and buried under the conjunctiva in order to prevent suture exposure and external suture erosion. We did not leave the sutures short in length. It is the choice of the surgeon to make a scleral flap, scleral pocket or patch graft to cover the external suture.[<xref rid="ref1" ref-type="bibr">1</xref>]</p></body><back><ref-list><title>Reference</title><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Can</surname><given-names>E</given-names></name><name><surname>Basaran</surname><given-names>R</given-names></name><name><surname>Gul</surname><given-names>A</given-names></name><name><surname>Birinci</surname><given-names>H</given-names></name></person-group><article-title>Scleral fixation of one piece intraocular lens by injector implantation</article-title><source>Indian J Ophthalmol</source><year>2014</year><volume>62</volume><fpage>857</fpage><lpage>60</lpage><pub-id pub-id-type="pmid">25230961</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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