[Sutureless scleral intraocular lens fixation: report of nine cases and literature review].
Identifieur interne : 000911 ( PubMed/Curation ); précédent : 000910; suivant : 000912[Sutureless scleral intraocular lens fixation: report of nine cases and literature review].
Auteurs : Y. Benayoun [France] ; S. Petitpas ; K. Turki ; J-P Adenis ; P-Y RobertSource :
- Journal français d'ophtalmologie [ 1773-0597 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Humans, Lens Implantation, Intraocular (adverse effects), Lens Implantation, Intraocular (methods), Lenses, Intraocular (adverse effects), Male, Middle Aged, Postoperative Complications, Retrospective Studies, Sclera (surgery), Suture Techniques (adverse effects), Sutures.
- MESH :
- adverse effects : Lens Implantation, Intraocular, Lenses, Intraocular, Suture Techniques.
- methods : Lens Implantation, Intraocular.
- surgery : Sclera.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Sutures.
Abstract
To report the results of a technique of sutureless intrascleral fixation of a three-piece foldable hydrophobic acrylic posterior chamber intraocular lens (PC IOL) in the absence of capsular support and to compare our results to those reported in the literature.
DOI: 10.1016/j.jfo.2012.09.009
PubMed: 23891322
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pubmed:23891322Le document en format XML
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<author><name sortKey="Benayoun, Y" sort="Benayoun, Y" uniqKey="Benayoun Y" first="Y" last="Benayoun">Y. Benayoun</name>
<affiliation wicri:level="1"><nlm:affiliation>Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex 1, France. Electronic address: yohanbenayoun@hotmail.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex 1</wicri:regionArea>
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<author><name sortKey="Petitpas, S" sort="Petitpas, S" uniqKey="Petitpas S" first="S" last="Petitpas">S. Petitpas</name>
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<author><name sortKey="Turki, K" sort="Turki, K" uniqKey="Turki K" first="K" last="Turki">K. Turki</name>
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<author><name sortKey="Adenis, J P" sort="Adenis, J P" uniqKey="Adenis J" first="J-P" last="Adenis">J-P Adenis</name>
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<author><name sortKey="Robert, P Y" sort="Robert, P Y" uniqKey="Robert P" first="P-Y" last="Robert">P-Y Robert</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Sutureless scleral intraocular lens fixation: report of nine cases and literature review].</title>
<author><name sortKey="Benayoun, Y" sort="Benayoun, Y" uniqKey="Benayoun Y" first="Y" last="Benayoun">Y. Benayoun</name>
<affiliation wicri:level="1"><nlm:affiliation>Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex 1, France. Electronic address: yohanbenayoun@hotmail.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex 1</wicri:regionArea>
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<author><name sortKey="Petitpas, S" sort="Petitpas, S" uniqKey="Petitpas S" first="S" last="Petitpas">S. Petitpas</name>
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<author><name sortKey="Turki, K" sort="Turki, K" uniqKey="Turki K" first="K" last="Turki">K. Turki</name>
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<author><name sortKey="Adenis, J P" sort="Adenis, J P" uniqKey="Adenis J" first="J-P" last="Adenis">J-P Adenis</name>
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<author><name sortKey="Robert, P Y" sort="Robert, P Y" uniqKey="Robert P" first="P-Y" last="Robert">P-Y Robert</name>
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<series><title level="j">Journal français d'ophtalmologie</title>
<idno type="eISSN">1773-0597</idno>
<imprint><date when="2013" type="published">2013</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Sclera (surgery)</term>
<term>Suture Techniques (adverse effects)</term>
<term>Sutures</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Suture Techniques</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>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>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
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<front><div type="abstract" xml:lang="en">To report the results of a technique of sutureless intrascleral fixation of a three-piece foldable hydrophobic acrylic posterior chamber intraocular lens (PC IOL) in the absence of capsular support and to compare our results to those reported in the literature.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23891322</PMID>
<DateCreated><Year>2013</Year>
<Month>10</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>07</Month>
<Day>01</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1773-0597</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>36</Volume>
<Issue>8</Issue>
<PubDate><Year>2013</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Journal français d'ophtalmologie</Title>
<ISOAbbreviation>J Fr Ophtalmol</ISOAbbreviation>
</Journal>
<ArticleTitle>[Sutureless scleral intraocular lens fixation: report of nine cases and literature review].</ArticleTitle>
<Pagination><MedlinePgn>658-68</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jfo.2012.09.009</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0181-5512(13)00103-4</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report the results of a technique of sutureless intrascleral fixation of a three-piece foldable hydrophobic acrylic posterior chamber intraocular lens (PC IOL) in the absence of capsular support and to compare our results to those reported in the literature.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We report a single-center (Limoges University Medical Center) retrospective series of nine patients with deficient posterior capsular support who underwent sutureless sulcus fixation of a hydrophobic acrylic Tecnis Aspheric(®) model ZA9003 (AMO, Inc.) PCIOL using permanent incarceration of the haptics in scleral tunnels parallel to the limbus, between November 2010 and November 2011. All patients were evaluated for surgical indications, pre- and postoperative refractive status (visual acuity and corneal cylinder), and intra- and postoperative complications.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We included six men and three women with post-traumatic subluxed IOL's in three cases and lack of iris and capsular support secondary to traumatic corneoscleral wounds in six cases. Mean age was 63.22 ± 18.79 years. Posterior vitrectomy was performed in all cases. Mean 3-month postoperative visual acuity was 0.42 ± 0.16 LogMAR, and mean corneal postoperative astigmatism was 1.39 ± 0.78 diopters. Complications included IOL decentration of 1.5mm in one case, haptic rupture requiring intraoperative IOL exchange in one case, and transitory postoperative macular edema in two cases.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Artificial intraocular lens implantation in the absence of capsular support is always a surgical challenge. Currently, the two most widely used approaches include fixation to the iris by suturing or iris claw, and fixation to the sclera with sutures. However, these techniques require wide corneal or scleral incisions resulting in significant postoperative astigmatism. Furthermore, iris fixation is impossible in cases of significant iris trauma, and scleral sutures are often technically difficult and expose the patient to late IOL dislocation or tilt. Sutureless intrascleral fixation of foldable hydrophobic acrylic three-piece IOL's inserted through a conventional sub-2.8mm clear corneal incision is a recent technique. This technique is compatible with cases of iris trauma and allows sutureless fixation of the haptics in scleral tunnels parallel to the limbus, while minimizing the risk of postoperative astigmatism. In addition, it allows the repositioning of IOL's dislocated into the vitreous without re-opening the corneal incision. Complications are mainly related to IOL manipulation and positioning.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Results obtained after sutureless intrascleral PCIOL implantation showed good visual outcomes with minimal complications in eyes with deficient capsular support.</AbstractText>
<CopyrightInformation>Copyright © 2013 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Benayoun</LastName>
<ForeName>Y</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex 1, France. Electronic address: yohanbenayoun@hotmail.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Petitpas</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Turki</LastName>
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<Author ValidYN="Y"><LastName>Adenis</LastName>
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<Initials>JP</Initials>
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<Author ValidYN="Y"><LastName>Robert</LastName>
<ForeName>P-Y</ForeName>
<Initials>PY</Initials>
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<Language>fre</Language>
<PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType>
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<VernacularTitle>Implants à fixation sclérale sans suture : série de neuf cas et revue de la littérature.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>07</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>France</Country>
<MedlineTA>J Fr Ophtalmol</MedlineTA>
<NlmUniqueID>7804128</NlmUniqueID>
<ISSNLinking>0181-5512</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
</MeshHeading>
<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="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="N" UI="Q000009">adverse effects</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName>
</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="D011183">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012590">Sclera</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013537">Sutures</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Aphakia</Keyword>
<Keyword MajorTopicYN="N">Aphakie</Keyword>
<Keyword MajorTopicYN="N">Implants oculaires à fixation sclérale</Keyword>
<Keyword MajorTopicYN="N">Intraocular lens fixation</Keyword>
<Keyword MajorTopicYN="N">Lens dislocation</Keyword>
<Keyword MajorTopicYN="N">Luxated IOL</Keyword>
<Keyword MajorTopicYN="N">Luxation cristallinienne</Keyword>
<Keyword MajorTopicYN="N">Luxation d’implant</Keyword>
</KeywordList>
</MedlineCitation>
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<PubMedPubDate PubStatus="revised"><Year>2012</Year>
<Month>9</Month>
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<PubMedPubDate PubStatus="accepted"><Year>2012</Year>
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