Repositioning a decentered intraocular lens with 4 haptics.
Identifieur interne : 000066 ( PubMed/Corpus ); précédent : 000065; suivant : 000067Repositioning a decentered intraocular lens with 4 haptics.
Auteurs : Jiewei Liu ; Wenjie Liu ; Yading Jia ; Zaina N. Al-Mohtaseb ; Li WangSource :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2016.
Abstract
We describe a technique to reposition a decentered 4-haptic intraocular lens (IOL). Using an ophthalmic viscosurgical device, the haptic with the worst distortion is dissected from the capsular bag and pulled outside the bag. The opposite haptic (180 degrees away) is also dissected and placed in front of the anterior capsule. The remaining 2 haptics are left in the capsular bag. With this repositioning, the 2 haptics in the bag limit the IOL movement, the 2 haptics outside the bag are no longer distorted, and the IOL is centered. We present 2 cases in which this technique was used to reposition decentered 4-haptic IOLs.
DOI: 10.1016/j.jcrs.2016.02.003
PubMed: 27006325
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<author><name sortKey="Liu, Jiewei" sort="Liu, Jiewei" uniqKey="Liu J" first="Jiewei" last="Liu">Jiewei Liu</name>
<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA. Electronic address: jieweiliu1967@sina.com.</nlm:affiliation>
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<author><name sortKey="Liu, Wenjie" sort="Liu, Wenjie" uniqKey="Liu W" first="Wenjie" last="Liu">Wenjie Liu</name>
<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.</nlm:affiliation>
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<author><name sortKey="Jia, Yading" sort="Jia, Yading" uniqKey="Jia Y" first="Yading" last="Jia">Yading Jia</name>
<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.</nlm:affiliation>
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<author><name sortKey="Al Mohtaseb, Zaina N" sort="Al Mohtaseb, Zaina N" uniqKey="Al Mohtaseb Z" first="Zaina N" last="Al-Mohtaseb">Zaina N. Al-Mohtaseb</name>
<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.</nlm:affiliation>
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<author><name sortKey="Wang, Li" sort="Wang, Li" uniqKey="Wang L" first="Li" last="Wang">Li Wang</name>
<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.</nlm:affiliation>
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<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA. Electronic address: jieweiliu1967@sina.com.</nlm:affiliation>
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<author><name sortKey="Liu, Wenjie" sort="Liu, Wenjie" uniqKey="Liu W" first="Wenjie" last="Liu">Wenjie Liu</name>
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<author><name sortKey="Jia, Yading" sort="Jia, Yading" uniqKey="Jia Y" first="Yading" last="Jia">Yading Jia</name>
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<author><name sortKey="Wang, Li" sort="Wang, Li" uniqKey="Wang L" first="Li" last="Wang">Li Wang</name>
<affiliation><nlm:affiliation>From Shanxi Eye Hospital (J. Liu, W. Liu, Jia, Wang), Taiyuan, China, and Cullen Eye Institute (Al-Mohtaseb, Wang), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.</nlm:affiliation>
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<front><div type="abstract" xml:lang="en">We describe a technique to reposition a decentered 4-haptic intraocular lens (IOL). Using an ophthalmic viscosurgical device, the haptic with the worst distortion is dissected from the capsular bag and pulled outside the bag. The opposite haptic (180 degrees away) is also dissected and placed in front of the anterior capsule. The remaining 2 haptics are left in the capsular bag. With this repositioning, the 2 haptics in the bag limit the IOL movement, the 2 haptics outside the bag are no longer distorted, and the IOL is centered. We present 2 cases in which this technique was used to reposition decentered 4-haptic IOLs.</div>
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<Title>Journal of cataract and refractive surgery</Title>
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<Abstract><AbstractText Label="UNLABELLED">We describe a technique to reposition a decentered 4-haptic intraocular lens (IOL). Using an ophthalmic viscosurgical device, the haptic with the worst distortion is dissected from the capsular bag and pulled outside the bag. The opposite haptic (180 degrees away) is also dissected and placed in front of the anterior capsule. The remaining 2 haptics are left in the capsular bag. With this repositioning, the 2 haptics in the bag limit the IOL movement, the 2 haptics outside the bag are no longer distorted, and the IOL is centered. We present 2 cases in which this technique was used to reposition decentered 4-haptic IOLs.</AbstractText>
<AbstractText Label="FINANCIAL DISCLOSURE" NlmCategory="BACKGROUND">None of the authors has a financial or proprietary interest in any material or method mentioned.</AbstractText>
<CopyrightInformation>Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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