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Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation.

Identifieur interne : 001727 ( PubMed/Checkpoint ); précédent : 001726; suivant : 001728

Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation.

Auteurs : Manabu Sasahara [Japon] ; Junichi Kiryu ; Nagahisa Yoshimura

Source :

RBID : pubmed:16246783

English descriptors

Abstract

To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (IOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups.

DOI: 10.1016/j.jcrs.2005.02.029
PubMed: 16246783


Affiliations:


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pubmed:16246783

Le document en format XML

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<title xml:lang="en">Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation.</title>
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<name sortKey="Sasahara, Manabu" sort="Sasahara, Manabu" uniqKey="Sasahara M" first="Manabu" last="Sasahara">Manabu Sasahara</name>
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<nlm:affiliation>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto</wicri:regionArea>
<wicri:noRegion>Kyoto</wicri:noRegion>
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<author>
<name sortKey="Kiryu, Junichi" sort="Kiryu, Junichi" uniqKey="Kiryu J" first="Junichi" last="Kiryu">Junichi Kiryu</name>
</author>
<author>
<name sortKey="Yoshimura, Nagahisa" sort="Yoshimura, Nagahisa" uniqKey="Yoshimura N" first="Nagahisa" last="Yoshimura">Nagahisa Yoshimura</name>
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<title xml:lang="en">Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation.</title>
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<name sortKey="Sasahara, Manabu" sort="Sasahara, Manabu" uniqKey="Sasahara M" first="Manabu" last="Sasahara">Manabu Sasahara</name>
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<nlm:affiliation>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto</wicri:regionArea>
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<name sortKey="Kiryu, Junichi" sort="Kiryu, Junichi" uniqKey="Kiryu J" first="Junichi" last="Kiryu">Junichi Kiryu</name>
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<author>
<name sortKey="Yoshimura, Nagahisa" sort="Yoshimura, Nagahisa" uniqKey="Yoshimura N" first="Nagahisa" last="Yoshimura">Nagahisa Yoshimura</name>
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<title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Endoscopy (methods)</term>
<term>Female</term>
<term>Foreign-Body Migration (prevention & control)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Intraoperative Complications (prevention & control)</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications (prevention & control)</term>
<term>Retrospective Studies</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Endoscopy</term>
<term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Foreign-Body Migration</term>
<term>Intraoperative Complications</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Suture Techniques</term>
<term>Visual Acuity</term>
<term>Vitrectomy</term>
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<front>
<div type="abstract" xml:lang="en">To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (IOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups.</div>
</front>
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<DateCreated>
<Year>2005</Year>
<Month>10</Month>
<Day>25</Day>
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<DateCompleted>
<Year>2005</Year>
<Month>12</Month>
<Day>12</Day>
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<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0886-3350</ISSN>
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<Volume>31</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2005</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cataract and refractive surgery</Title>
<ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocation.</ArticleTitle>
<Pagination>
<MedlinePgn>1777-80</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To examine the surgical complications of transscleral sulcus suture of posterior chamber intraocular lenses (IOLs) and to compare the rates of surgical complications between patients in the nonendoscope-assisted and endoscope-assisted groups.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Kyoto University Hospital, Kyoto, Japan.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce surgical complications, especially postoperative IOL dislocation.</AbstractText>
</Abstract>
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<DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName>
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