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Anatomic study of transsclerally sutured intraocular lens implantation.

Identifieur interne : 002257 ( PubMed/Curation ); précédent : 002256; suivant : 002258

Anatomic study of transsclerally sutured intraocular lens implantation.

Auteurs : R J Duffey ; E J Holland ; P J Agapitos ; R L Lindstrom

Source :

RBID : pubmed:2672820

English descriptors

Abstract

We used 21 cadaver eyes to study transsclerally sutured, ciliary sulcus-fixated intraocular lens implantation. Results showed that transscleral sutures should exit the sclera less than 1 mm posterior to the corneoscleral limbus for true ciliary sulcus fixation. The relationship of the ciliary sulcus to the overlying posterior surgical limbus differed in the vertical and horizontal meridians; needles that pierced the ciliary sulcus after being passed perpendicularly through the sclera entered the sclera 0.83 +/- 0.1 mm posterior to the posterior surgical limbus in the vertical meridians and 0.46 +/- 0.1 mm in the horizontal meridians. The major arterial circle of the iris (located in the ciliary body) was avoided as was the entire ciliary body during proper ciliary sulcus fixation. A one-piece, all polymethylmethacrylate, 10-degree vaulted, 13.5-mm haptic spread intraocular lens provides excellent optic centration and haptic stabilization when the haptic structure is placed at the greatest haptic spread and one transscleral suture pass per haptic is made.

PubMed: 2672820

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R J Duffey
<affiliation>
<nlm:affiliation>Department of Ophthalmology, University of Minnesota, Minneapolis 55455.</nlm:affiliation>
<wicri:noCountry code="subField">Minneapolis 55455</wicri:noCountry>
</affiliation>

Le document en format XML

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<name sortKey="Holland, E J" sort="Holland, E J" uniqKey="Holland E" first="E J" last="Holland">E J Holland</name>
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<name sortKey="Agapitos, P J" sort="Agapitos, P J" uniqKey="Agapitos P" first="P J" last="Agapitos">P J Agapitos</name>
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<term>Ciliary Body (surgery)</term>
<term>Cornea (anatomy & histology)</term>
<term>Cornea (surgery)</term>
<term>Equipment Design</term>
<term>Humans</term>
<term>Iris (blood supply)</term>
<term>Lenses, Intraocular</term>
<term>Needles</term>
<term>Sclera (anatomy & histology)</term>
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<term>Needles</term>
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<div type="abstract" xml:lang="en">We used 21 cadaver eyes to study transsclerally sutured, ciliary sulcus-fixated intraocular lens implantation. Results showed that transscleral sutures should exit the sclera less than 1 mm posterior to the corneoscleral limbus for true ciliary sulcus fixation. The relationship of the ciliary sulcus to the overlying posterior surgical limbus differed in the vertical and horizontal meridians; needles that pierced the ciliary sulcus after being passed perpendicularly through the sclera entered the sclera 0.83 +/- 0.1 mm posterior to the posterior surgical limbus in the vertical meridians and 0.46 +/- 0.1 mm in the horizontal meridians. The major arterial circle of the iris (located in the ciliary body) was avoided as was the entire ciliary body during proper ciliary sulcus fixation. A one-piece, all polymethylmethacrylate, 10-degree vaulted, 13.5-mm haptic spread intraocular lens provides excellent optic centration and haptic stabilization when the haptic structure is placed at the greatest haptic spread and one transscleral suture pass per haptic is made.</div>
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<Title>American journal of ophthalmology</Title>
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<AbstractText>We used 21 cadaver eyes to study transsclerally sutured, ciliary sulcus-fixated intraocular lens implantation. Results showed that transscleral sutures should exit the sclera less than 1 mm posterior to the corneoscleral limbus for true ciliary sulcus fixation. The relationship of the ciliary sulcus to the overlying posterior surgical limbus differed in the vertical and horizontal meridians; needles that pierced the ciliary sulcus after being passed perpendicularly through the sclera entered the sclera 0.83 +/- 0.1 mm posterior to the posterior surgical limbus in the vertical meridians and 0.46 +/- 0.1 mm in the horizontal meridians. The major arterial circle of the iris (located in the ciliary body) was avoided as was the entire ciliary body during proper ciliary sulcus fixation. A one-piece, all polymethylmethacrylate, 10-degree vaulted, 13.5-mm haptic spread intraocular lens provides excellent optic centration and haptic stabilization when the haptic structure is placed at the greatest haptic spread and one transscleral suture pass per haptic is made.</AbstractText>
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