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SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES.

Identifieur interne : 000316 ( PubMed/Corpus ); précédent : 000315; suivant : 000317

SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES.

Auteurs : Min Kim ; Dong H. Lee ; Hyoung J. Koh ; Sung C. Lee ; Sung S. Kim

Source :

RBID : pubmed:26102441

English descriptors

Abstract

To report short-term surgical outcomes of single-stage simultaneous rescue and sutureless intrascleral fixation of dislocated intraocular lens (IOLs).

DOI: 10.1097/IAE.0000000000000484
PubMed: 26102441

Links to Exploration step

pubmed:26102441

Le document en format XML

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<title xml:lang="en">SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES.</title>
<author>
<name sortKey="Kim, Min" sort="Kim, Min" uniqKey="Kim M" first="Min" last="Kim">Min Kim</name>
<affiliation>
<nlm:affiliation>*Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; and †Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lee, Dong H" sort="Lee, Dong H" uniqKey="Lee D" first="Dong H" last="Lee">Dong H. Lee</name>
</author>
<author>
<name sortKey="Koh, Hyoung J" sort="Koh, Hyoung J" uniqKey="Koh H" first="Hyoung J" last="Koh">Hyoung J. Koh</name>
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<author>
<name sortKey="Lee, Sung C" sort="Lee, Sung C" uniqKey="Lee S" first="Sung C" last="Lee">Sung C. Lee</name>
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<author>
<name sortKey="Kim, Sung S" sort="Kim, Sung S" uniqKey="Kim S" first="Sung S" last="Kim">Sung S. Kim</name>
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<date when="2015">2015</date>
<idno type="doi">10.1097/IAE.0000000000000484</idno>
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<title xml:lang="en">SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES.</title>
<author>
<name sortKey="Kim, Min" sort="Kim, Min" uniqKey="Kim M" first="Min" last="Kim">Min Kim</name>
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<nlm:affiliation>*Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; and †Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.</nlm:affiliation>
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<name sortKey="Lee, Dong H" sort="Lee, Dong H" uniqKey="Lee D" first="Dong H" last="Lee">Dong H. Lee</name>
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<name sortKey="Koh, Hyoung J" sort="Koh, Hyoung J" uniqKey="Koh H" first="Hyoung J" last="Koh">Hyoung J. Koh</name>
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<name sortKey="Lee, Sung C" sort="Lee, Sung C" uniqKey="Lee S" first="Sung C" last="Lee">Sung C. Lee</name>
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<name sortKey="Kim, Sung S" sort="Kim, Sung S" uniqKey="Kim S" first="Sung S" last="Kim">Sung S. Kim</name>
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<series>
<title level="j">Retina (Philadelphia, Pa.)</title>
<idno type="eISSN">1539-2864</idno>
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<date when="2015" type="published">2015</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Artificial Lens Implant Migration (surgery)</term>
<term>Cell Count</term>
<term>Endothelium, Corneal (pathology)</term>
<term>Female</term>
<term>Fibrin Tissue Adhesive (therapeutic use)</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Sclera (surgery)</term>
<term>Sclerostomy</term>
<term>Surgical Flaps</term>
<term>Suture Techniques</term>
<term>Tissue Adhesives (therapeutic use)</term>
<term>Tomography, Optical Coherence</term>
<term>Visual Acuity (physiology)</term>
<term>Vitrectomy</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Fibrin Tissue Adhesive</term>
<term>Tissue Adhesives</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Endothelium, Corneal</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Artificial Lens Implant Migration</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cell Count</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Sclerostomy</term>
<term>Surgical Flaps</term>
<term>Suture Techniques</term>
<term>Tomography, Optical Coherence</term>
<term>Vitrectomy</term>
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<front>
<div type="abstract" xml:lang="en">To report short-term surgical outcomes of single-stage simultaneous rescue and sutureless intrascleral fixation of dislocated intraocular lens (IOLs).</div>
</front>
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<DateCreated>
<Year>2015</Year>
<Month>06</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>12</Month>
<Day>09</Day>
</DateCompleted>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1539-2864</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>35</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2015</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Retina (Philadelphia, Pa.)</Title>
<ISOAbbreviation>Retina (Philadelphia, Pa.)</ISOAbbreviation>
</Journal>
<ArticleTitle>SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES.</ArticleTitle>
<Pagination>
<MedlinePgn>1450-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/IAE.0000000000000484</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report short-term surgical outcomes of single-stage simultaneous rescue and sutureless intrascleral fixation of dislocated intraocular lens (IOLs).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixteen eyes of 16 patients who underwent simultaneous rescue and intrascleral fixation of dislocated 3-piece IOLs were retrospectively evaluated. Partial thickness limbal-based scleral flaps (2.0 × 2.0 mm) were created, and a 22-gauge round needle was used to create a sclerotomy at 1.5 mm from the limbus under the previously created scleral flap, and a 23-gauge trans pars plana vitrectomy was performed. Bimanual maneuvers using two 23-gauge end-grasping forceps under chandelier illumination and a wide-angle viewing system enabled 1 step rescue of IOLs from the posterior vitreous cavity with 1 hand and simultaneous haptic externalization through sclerotomy with the other hand. An externalized haptic was placed into the 3-mm intrascleral tunnel created using a bent 26-gauge needle. Fibrin glue was used to fixate haptics and close the scleral flaps.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Intraocular lenses were successfully rescued and sclera-fixated through intrascleral tunnels in all 16 eyes (mean age, 56.56 ± 19.89 years). The mean preoperative logarithm of the minimum angle of resolution best-corrected visual acuity was 0.92 ± 0.68, and this significantly improved at 6 months to 0.289 ± 0.36 (P = 0.003). During the follow-up period (10.1 ± 3.21 months), no significant change of endothelial cell count or central foveal thickness was noted postoperatively (P = 0.203 and P = 0.979, respectively). There were no significant postoperative complications such as IOL dislocation, IOL decentration, retinal detachment, endophthalmitis, or postoperative hypotony.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Simultaneous rescue and sutureless intrascleral haptic fixation of dislocated 3-piece IOLs using bimanual maneuvers is an effective, safe, and minimally invasive surgical method to rescue and fixate the dislocated IOL without further explant.</AbstractText>
</Abstract>
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<LastName>Kim</LastName>
<ForeName>Min</ForeName>
<Initials>M</Initials>
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<Affiliation>*Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; and †Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.</Affiliation>
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<LastName>Lee</LastName>
<ForeName>Dong H</ForeName>
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<Language>eng</Language>
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<Country>United States</Country>
<MedlineTA>Retina</MedlineTA>
<NlmUniqueID>8309919</NlmUniqueID>
<ISSNLinking>0275-004X</ISSNLinking>
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<DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D015718">Fibrin Tissue Adhesive</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D014014">Tissue Adhesives</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000627">therapeutic use</QualifierName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D041623">Tomography, Optical Coherence</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014821">Vitrectomy</DescriptorName>
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