The torque and tilt gamble.
Identifieur interne : 002020 ( PubMed/Corpus ); précédent : 002019; suivant : 002021The torque and tilt gamble.
Auteurs : K D Teichmann ; I A TeichmannSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 1997.
English descriptors
- KwdEn :
- MESH :
- etiology : Foreign-Body Migration.
- surgery : Sclera.
- Humans, Lenses, Intraocular, Models, Anatomic, Predictive Value of Tests, Suture Techniques.
Abstract
To analyze possible suture configurations at the haptics of posterior chamber intraocular lenses (IOLs) and estimate the resulting tilt.
PubMed: 9159686
Links to Exploration step
pubmed:9159686Le document en format XML
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<author><name sortKey="Teichmann, K D" sort="Teichmann, K D" uniqKey="Teichmann K" first="K D" last="Teichmann">K D Teichmann</name>
<affiliation><nlm:affiliation>King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Teichmann, I A" sort="Teichmann, I A" uniqKey="Teichmann I" first="I A" last="Teichmann">I A Teichmann</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="1997">1997</date>
<idno type="RBID">pubmed:9159686</idno>
<idno type="pmid">9159686</idno>
<idno type="wicri:Area/PubMed/Corpus">002020</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The torque and tilt gamble.</title>
<author><name sortKey="Teichmann, K D" sort="Teichmann, K D" uniqKey="Teichmann K" first="K D" last="Teichmann">K D Teichmann</name>
<affiliation><nlm:affiliation>King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Teichmann, I A" sort="Teichmann, I A" uniqKey="Teichmann I" first="I A" last="Teichmann">I A Teichmann</name>
</author>
</analytic>
<series><title level="j">Journal of cataract and refractive surgery</title>
<idno type="ISSN">0886-3350</idno>
<imprint><date when="1997" type="published">1997</date>
</imprint>
</series>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Foreign-Body Migration (etiology)</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Models, Anatomic</term>
<term>Predictive Value of Tests</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Foreign-Body Migration</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Sclera</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Models, Anatomic</term>
<term>Predictive Value of Tests</term>
<term>Suture Techniques</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">To analyze possible suture configurations at the haptics of posterior chamber intraocular lenses (IOLs) and estimate the resulting tilt.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9159686</PMID>
<DateCreated><Year>1997</Year>
<Month>07</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>1997</Year>
<Month>07</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised><Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0886-3350</ISSN>
<JournalIssue CitedMedium="Print"><Volume>23</Volume>
<Issue>3</Issue>
<PubDate><Year>1997</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cataract and refractive surgery</Title>
<ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>The torque and tilt gamble.</ArticleTitle>
<Pagination><MedlinePgn>413-8</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To analyze possible suture configurations at the haptics of posterior chamber intraocular lenses (IOLs) and estimate the resulting tilt.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using a plastic cylinder with two pairs of holes drilled on opposite sides and an IOL with eyelets in the haptics, we determined possible suture configurations and analyzed them for net torque on the IOL haptics that would result in tilting of the optic.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We identified 64 combinations of regular and countless combinations of irregular suture configurations. Among the 16 most likely combinations, only 4 were torque-free (or torque neutral), 2 caused maximum tilt, and 10 induced some tilting. Theoretically, torque could be eliminated by radial suture placement, but this is anatomically undesirable, and by positioning the eyelet perpendicular to the haptic, but this is technically difficult. Longer suture bites tended to lessen the torsion on the haptic but increased the risk of the suture looping around the free end of the haptic.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Surgeons using scleral fixation of a posterior chamber IOL should be aware of the possibility of inducing tilt and should aim for symmetrical suture configurations at the two haptics.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Teichmann</LastName>
<ForeName>K D</ForeName>
<Initials>KD</Initials>
<AffiliationInfo><Affiliation>King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Teichmann</LastName>
<ForeName>I A</ForeName>
<Initials>IA</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>UNITED STATES</Country>
<MedlineTA>J Cataract Refract Surg</MedlineTA>
<NlmUniqueID>8604171</NlmUniqueID>
<ISSNLinking>0886-3350</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Cataract Refract Surg. 1997 Dec;23(10):1433-4</RefSource>
<PMID Version="1">9456394</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008953">Models, Anatomic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011237">Predictive Value of Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year>
<Month>4</Month>
<Day>1</Day>
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<Month>4</Month>
<Day>1</Day>
<Hour>0</Hour>
<Minute>1</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>1997</Year>
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<Minute>0</Minute>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">9159686</ArticleId>
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