Alternative technique for implantation of a scleral-fixated intraocular lens.
Identifieur interne : 001160 ( PubMed/Checkpoint ); précédent : 001159; suivant : 001161Alternative technique for implantation of a scleral-fixated intraocular lens.
Auteurs : Marc Peden [États-Unis] ; Serrhel Adams ; Bryan Huffman ; Shalesh KaushalSource :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2009.
English descriptors
- KwdEn :
- MESH :
- chemical : Polypropylenes.
- methods : Lens Implantation, Intraocular, Phacoemulsification.
- surgery : Sclera.
- Humans, Surgical Flaps, Suture Techniques, Sutures.
Abstract
We describe an alternative method of implanting a scleral-fixated intraocular lens (IOL) that facilitates passage of the suture and improves control of suture placement. An ab externo approach introduces a loop of polypropylene (Prolene) through the sclera in a single 27-gauge puncture. The loop is used to secure the IOL haptic in a cow-hitch fashion, which minimizes the risk for the knot to unravel and the IOL to dislocate. After the IOL is placed in the eye, it is secured with the externalized curved suture needle. Knots are covered with a scleral flap. This technique improves efficiency and control in placing an IOL near the normal anatomical location of the crystalline lens when the absence of capsule support precludes nontethered placement of an IOL in the sulcus or capsular bag.
DOI: 10.1016/j.jcrs.2008.08.041
PubMed: 19185234
Affiliations:
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An ab externo approach introduces a loop of polypropylene (Prolene) through the sclera in a single 27-gauge puncture. The loop is used to secure the IOL haptic in a cow-hitch fashion, which minimizes the risk for the knot to unravel and the IOL to dislocate. After the IOL is placed in the eye, it is secured with the externalized curved suture needle. Knots are covered with a scleral flap. This technique improves efficiency and control in placing an IOL near the normal anatomical location of the crystalline lens when the absence of capsule support precludes nontethered placement of an IOL in the sulcus or capsular bag.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19185234</PMID><DateCreated><Year>2009</Year><Month>02</Month><Day>02</Day></DateCreated><DateCompleted><Year>2009</Year><Month>05</Month><Day>13</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1873-4502</ISSN><JournalIssue CitedMedium="Internet"><Volume>35</Volume><Issue>2</Issue><PubDate><Year>2009</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Alternative technique for implantation of a scleral-fixated intraocular lens.</ArticleTitle><Pagination><MedlinePgn>226-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrs.2008.08.041</ELocationID><Abstract><AbstractText>We describe an alternative method of implanting a scleral-fixated intraocular lens (IOL) that facilitates passage of the suture and improves control of suture placement. An ab externo approach introduces a loop of polypropylene (Prolene) through the sclera in a single 27-gauge puncture. The loop is used to secure the IOL haptic in a cow-hitch fashion, which minimizes the risk for the knot to unravel and the IOL to dislocate. After the IOL is placed in the eye, it is secured with the externalized curved suture needle. Knots are covered with a scleral flap. This technique improves efficiency and control in placing an IOL near the normal anatomical location of the crystalline lens when the absence of capsule support precludes nontethered placement of an IOL in the sulcus or capsular bag.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Peden</LastName><ForeName>Marc</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, University of Florida College of Medicine, Gainesville, Florida, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adams</LastName><ForeName>Serrhel</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Huffman</LastName><ForeName>Bryan</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Kaushal</LastName><ForeName>Shalesh</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cataract Refract Surg</MedlineTA><NlmUniqueID>8604171</NlmUniqueID><ISSNLinking>0886-3350</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D011126">Polypropylenes</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D018918">Phacoemulsification</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011126">Polypropylenes</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013524">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013537">Sutures</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2008</Year><Month>3</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2008</Year><Month>8</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2009</Year><Month>8</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>2</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>2</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>5</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0886-3350(08)01055-9</ArticleId><ArticleId IdType="doi">10.1016/j.jcrs.2008.08.041</ArticleId><ArticleId IdType="pubmed">19185234</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><noCountry><name sortKey="Adams, Serrhel" sort="Adams, Serrhel" uniqKey="Adams S" first="Serrhel" last="Adams">Serrhel Adams</name><name sortKey="Huffman, Bryan" sort="Huffman, Bryan" uniqKey="Huffman B" first="Bryan" last="Huffman">Bryan Huffman</name><name sortKey="Kaushal, Shalesh" sort="Kaushal, Shalesh" uniqKey="Kaushal S" first="Shalesh" last="Kaushal">Shalesh Kaushal</name></noCountry><country name="États-Unis"><region name="Floride"><name sortKey="Peden, Marc" sort="Peden, Marc" uniqKey="Peden M" first="Marc" last="Peden">Marc Peden</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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