Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes.
Identifieur interne : 000704 ( PubMed/Corpus ); précédent : 000703; suivant : 000705Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes.
Auteurs : Yong-Wun Cho ; In-Young Chung ; Ji-Myong Yoo ; Seong-Jae KimSource :
- Korean journal of ophthalmology : KJO [ 1011-8942 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- methods : Lens Implantation, Intraocular.
- surgery : Aphakia, Sclera.
- Aged, Aged, 80 and over, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Sutures, Treatment Outcome, Vitrectomy.
Abstract
In this case series, we assessed a new technique, the intrascleral pocket procedure of transscleral fixation (TF) of the intraocular lens (IOL) in post-vitrectomized eyes. We performed the transscleral fixation of IOL in four aphakic patients who underwent pars plana vitrectomy. Two points 180° apart were marked at the limbus. A 2-mm-sized intrascleral pocket was created by lamellar dissection using a crescent blade without conjunctival dissection. A 2.8-mm clear corneal incision (CCI) was made using a keratome. Prolene sutures were exteriorized through the CCI pocket and a three-piece foldable acrylic IOL was injected via CCI and the ends of the haptics were exteriorized through the CCI. The prolene sutures for each haptic in the intrascleral pocket bed were then tied and knots were buried under scleral flaps. No patient had complaints such as conjunctival irritation, and visual acuity was almost identical to preoperative best-corrected visual acuity at day 1 postoperatively. IOLs were well placed without tilting or subluxation. They had no wound dehiscence or endophthalmitis postoperatively. The intrascleral pocket procedure of TF without the need for conjunctival dissection is a successful method for sulcus fixation in post-vitrectomized eyes predisposed to developing glaucoma.
DOI: 10.3341/kjo.2014.28.2.181
PubMed: 24688263
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes.</title><author><name sortKey="Cho, Yong Wun" sort="Cho, Yong Wun" uniqKey="Cho Y" first="Yong-Wun" last="Cho">Yong-Wun Cho</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Chung, In Young" sort="Chung, In Young" uniqKey="Chung I" first="In-Young" last="Chung">In-Young Chung</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yoo, Ji Myong" sort="Yoo, Ji Myong" uniqKey="Yoo J" first="Ji-Myong" last="Yoo">Ji-Myong Yoo</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Seong Jae" sort="Kim, Seong Jae" uniqKey="Kim S" first="Seong-Jae" last="Kim">Seong-Jae Kim</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="doi">10.3341/kjo.2014.28.2.181</idno><idno type="RBID">pubmed:24688263</idno><idno type="pmid">24688263</idno><idno type="wicri:Area/PubMed/Corpus">000704</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes.</title><author><name sortKey="Cho, Yong Wun" sort="Cho, Yong Wun" uniqKey="Cho Y" first="Yong-Wun" last="Cho">Yong-Wun Cho</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Chung, In Young" sort="Chung, In Young" uniqKey="Chung I" first="In-Young" last="Chung">In-Young Chung</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yoo, Ji Myong" sort="Yoo, Ji Myong" uniqKey="Yoo J" first="Ji-Myong" last="Yoo">Ji-Myong Yoo</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Seong Jae" sort="Kim, Seong Jae" uniqKey="Kim S" first="Seong-Jae" last="Kim">Seong-Jae Kim</name><affiliation><nlm:affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Korean journal of ophthalmology : KJO</title><idno type="ISSN">1011-8942</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Aphakia (surgery)</term><term>Female</term><term>Humans</term><term>Lens Implantation, Intraocular (methods)</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Sclera (surgery)</term><term>Sutures</term><term>Treatment Outcome</term><term>Vitrectomy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lens Implantation, Intraocular</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Aphakia</term><term>Sclera</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Lenses, Intraocular</term><term>Male</term><term>Middle Aged</term><term>Sutures</term><term>Treatment Outcome</term><term>Vitrectomy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In this case series, we assessed a new technique, the intrascleral pocket procedure of transscleral fixation (TF) of the intraocular lens (IOL) in post-vitrectomized eyes. We performed the transscleral fixation of IOL in four aphakic patients who underwent pars plana vitrectomy. Two points 180° apart were marked at the limbus. A 2-mm-sized intrascleral pocket was created by lamellar dissection using a crescent blade without conjunctival dissection. A 2.8-mm clear corneal incision (CCI) was made using a keratome. Prolene sutures were exteriorized through the CCI pocket and a three-piece foldable acrylic IOL was injected via CCI and the ends of the haptics were exteriorized through the CCI. The prolene sutures for each haptic in the intrascleral pocket bed were then tied and knots were buried under scleral flaps. No patient had complaints such as conjunctival irritation, and visual acuity was almost identical to preoperative best-corrected visual acuity at day 1 postoperatively. IOLs were well placed without tilting or subluxation. They had no wound dehiscence or endophthalmitis postoperatively. The intrascleral pocket procedure of TF without the need for conjunctival dissection is a successful method for sulcus fixation in post-vitrectomized eyes predisposed to developing glaucoma.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24688263</PMID><DateCreated><Year>2014</Year><Month>04</Month><Day>01</Day></DateCreated><DateCompleted><Year>2015</Year><Month>04</Month><Day>09</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1011-8942</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Korean journal of ophthalmology : KJO</Title><ISOAbbreviation>Korean J Ophthalmol</ISOAbbreviation></Journal><ArticleTitle>Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes.</ArticleTitle><Pagination><MedlinePgn>181-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3341/kjo.2014.28.2.181</ELocationID><Abstract><AbstractText>In this case series, we assessed a new technique, the intrascleral pocket procedure of transscleral fixation (TF) of the intraocular lens (IOL) in post-vitrectomized eyes. We performed the transscleral fixation of IOL in four aphakic patients who underwent pars plana vitrectomy. Two points 180° apart were marked at the limbus. A 2-mm-sized intrascleral pocket was created by lamellar dissection using a crescent blade without conjunctival dissection. A 2.8-mm clear corneal incision (CCI) was made using a keratome. Prolene sutures were exteriorized through the CCI pocket and a three-piece foldable acrylic IOL was injected via CCI and the ends of the haptics were exteriorized through the CCI. The prolene sutures for each haptic in the intrascleral pocket bed were then tied and knots were buried under scleral flaps. No patient had complaints such as conjunctival irritation, and visual acuity was almost identical to preoperative best-corrected visual acuity at day 1 postoperatively. IOLs were well placed without tilting or subluxation. They had no wound dehiscence or endophthalmitis postoperatively. The intrascleral pocket procedure of TF without the need for conjunctival dissection is a successful method for sulcus fixation in post-vitrectomized eyes predisposed to developing glaucoma.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cho</LastName><ForeName>Yong-Wun</ForeName><Initials>YW</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chung</LastName><ForeName>In-Young</ForeName><Initials>IY</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yoo</LastName><ForeName>Ji-Myong</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Seong-Jae</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>Korean J Ophthalmol</MedlineTA><NlmUniqueID>8804513</NlmUniqueID><ISSNLinking>1011-8942</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Ophthalmology. 1993 Sep;100(9):1346-50</RefSource><PMID Version="1">8371922</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Can J Ophthalmol. 2008 Dec;43(6):707-11</RefSource><PMID Version="1">19020638</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Ophthalmol. 2010 Feb;94(2):167-9</RefSource><PMID Version="1">20139289</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cataract Refract Surg. 2010 May;36(5):707-11</RefSource><PMID Version="1">20457360</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eye Contact Lens. 2011 Sep;37(5):316-9</RefSource><PMID Version="1">21862898</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cataract Refract Surg. 1993 Jul;19(4):488-93</RefSource><PMID Version="1">8355155</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ophthalmic Surg. 1994 Aug;25(8):549-53</RefSource><PMID Version="1">7970540</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ophthalmology. 2003 Apr;110(4):840-59</RefSource><PMID Version="1">12689913</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cataract Refract Surg. 2004 Jul;30(7):1401-4</RefSource><PMID Version="1">15210214</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int Ophthalmol. 1986 May;9(2-3):151-60</RefSource><PMID Version="1">3522455</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ophthalmic Surg. 1991 Nov;22(11):692-5</RefSource><PMID Version="1">1792035</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cataract Refract Surg. 2006 Feb;32(2):200-2</RefSource><PMID Version="1">16564993</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Korean J Ophthalmol. 2014 Aug;28(4):353</RefSource><PMID Version="1">25255487</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Korean J Ophthalmol. 2014 Aug;28(4):352-3</RefSource><PMID Version="1">25120346</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001035">Aphakia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><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="Y" UI="D007910">Lenses, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013537">Sutures</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D014821">Vitrectomy</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3958636</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Aphakia</Keyword><Keyword MajorTopicYN="N">Intraocular lens implantation</Keyword><Keyword MajorTopicYN="N">Intrascleral pocket</Keyword><Keyword MajorTopicYN="N">Transscleral fixation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>4</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>6</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="epublish"><Year>2014</Year><Month>3</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.3341/kjo.2014.28.2.181</ArticleId><ArticleId IdType="pubmed">24688263</ArticleId><ArticleId IdType="pmc">PMC3958636</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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