Modified technique for transscleral fixation of posterior chamber intraocular lenses
Identifieur interne : 000730 ( Main/Exploration ); précédent : 000729; suivant : 000731Modified technique for transscleral fixation of posterior chamber intraocular lenses
Auteurs : Chongde Long ; Yantao Wei ; Zhaohui Yuan ; Zhiqing Zhang ; Xiaofeng Lin ; Bingqian LiuSource :
- BMC Ophthalmology [ 1471-2415 ] ; 2015.
Abstract
Suture exposure remains to be a potential problem of transscleral fixated posterior chamber intraocular lens (PCIOL). We report a modified technique to minimize the risk of suture exposure for the transscleral fixation of PCIOL.
The modified surgical technique is as following: at first, two 3 mm × 4 mm square scleral pockets were created from groove incisions at opposite positions. A straight needle attached to a 10–0 polypropylene suture was passed through one incision groove. Then, a 27-Gauge hollow needle passed through the opposite sclera incision bed was used to retrieve the straight fine needle via its barrel. The sutures were tied to themselves after one more bite on the scleral bed. At last, the suture ends were left long (about 4 mm) and laid flat into corresponding laminar scleral pockets. This modified technique of PCIOL was performed in 48 post-traumatic aphakic vitrectomized eyes from 48 patients (47 male, one female) with mean age of 34.8 ± 14.8 years. Main outcome measures included best corrective visual acuity (BCVA), IOL decentration, IOL tilt, and postoperative complications.
The mean follow-up was 32.3 ± 10.8 months (3–67 months). The LogMAR BCVA remained stable, from a preoperative value of 0.46 ± 0.34 to postoperative 0.44 ± 0.34 (
The modified technique allowed stable placement of PCIOLs in post-traumatic aphakic eyes with a wide range of follow-up. Our procedure might have the potential benefit to avoid suture exposure in scleral-fixated IOL implantation.
The online version of this article (doi:10.1186/s12886-015-0118-8) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12886-015-0118-8
PubMed: 26432550
PubMed Central: 4592543
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Modified technique for transscleral fixation of posterior chamber intraocular lenses</title><author><name sortKey="Long, Chongde" sort="Long, Chongde" uniqKey="Long C" first="Chongde" last="Long">Chongde Long</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Wei, Yantao" sort="Wei, Yantao" uniqKey="Wei Y" first="Yantao" last="Wei">Yantao Wei</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Yuan, Zhaohui" sort="Yuan, Zhaohui" uniqKey="Yuan Z" first="Zhaohui" last="Yuan">Zhaohui Yuan</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Zhang, Zhiqing" sort="Zhang, Zhiqing" uniqKey="Zhang Z" first="Zhiqing" last="Zhang">Zhiqing Zhang</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Lin, Xiaofeng" sort="Lin, Xiaofeng" uniqKey="Lin X" first="Xiaofeng" last="Lin">Xiaofeng Lin</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Liu, Bingqian" sort="Liu, Bingqian" uniqKey="Liu B" first="Bingqian" last="Liu">Bingqian Liu</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26432550</idno><idno type="pmc">4592543</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592543</idno><idno type="RBID">PMC:4592543</idno><idno type="doi">10.1186/s12886-015-0118-8</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000758</idno><idno type="wicri:Area/Pmc/Curation">000758</idno><idno type="wicri:Area/Pmc/Checkpoint">000455</idno><idno type="wicri:Area/Ncbi/Merge">003C65</idno><idno type="wicri:Area/Ncbi/Curation">003C65</idno><idno type="wicri:Area/Ncbi/Checkpoint">003C65</idno><idno type="wicri:Area/Main/Merge">000730</idno><idno type="wicri:Area/Main/Curation">000730</idno><idno type="wicri:Area/Main/Exploration">000730</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Modified technique for transscleral fixation of posterior chamber intraocular lenses</title><author><name sortKey="Long, Chongde" sort="Long, Chongde" uniqKey="Long C" first="Chongde" last="Long">Chongde Long</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Wei, Yantao" sort="Wei, Yantao" uniqKey="Wei Y" first="Yantao" last="Wei">Yantao Wei</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Yuan, Zhaohui" sort="Yuan, Zhaohui" uniqKey="Yuan Z" first="Zhaohui" last="Yuan">Zhaohui Yuan</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Zhang, Zhiqing" sort="Zhang, Zhiqing" uniqKey="Zhang Z" first="Zhiqing" last="Zhang">Zhiqing Zhang</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Lin, Xiaofeng" sort="Lin, Xiaofeng" uniqKey="Lin X" first="Xiaofeng" last="Lin">Xiaofeng Lin</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author><author><name sortKey="Liu, Bingqian" sort="Liu, Bingqian" uniqKey="Liu B" first="Bingqian" last="Liu">Bingqian Liu</name><affiliation><nlm:aff id="Aff1">From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060 Guangdong China</nlm:aff><wicri:noCountry code="subfield">510060 Guangdong China</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Ophthalmology</title><idno type="eISSN">1471-2415</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Suture exposure remains to be a potential problem of transscleral fixated posterior chamber intraocular lens (PCIOL). We report a modified technique to minimize the risk of suture exposure for the transscleral fixation of PCIOL.</p></sec><sec><title>Methods</title><p>The modified surgical technique is as following: at first, two 3 mm × 4 mm square scleral pockets were created from groove incisions at opposite positions. A straight needle attached to a 10–0 polypropylene suture was passed through one incision groove. Then, a 27-Gauge hollow needle passed through the opposite sclera incision bed was used to retrieve the straight fine needle via its barrel. The sutures were tied to themselves after one more bite on the scleral bed. At last, the suture ends were left long (about 4 mm) and laid flat into corresponding laminar scleral pockets. This modified technique of PCIOL was performed in 48 post-traumatic aphakic vitrectomized eyes from 48 patients (47 male, one female) with mean age of 34.8 ± 14.8 years. Main outcome measures included best corrective visual acuity (BCVA), IOL decentration, IOL tilt, and postoperative complications.</p></sec><sec><title>Results</title><p>The mean follow-up was 32.3 ± 10.8 months (3–67 months). The LogMAR BCVA remained stable, from a preoperative value of 0.46 ± 0.34 to postoperative 0.44 ± 0.34 (<italic>p</italic> = 0.69). Mild IOL tilt (5–10°) was observed in five eyes, and slight IOL decentration (0.5–1.0 mm) was seen in three cases. No case of suture exposure, suture breakage, IOL dislocation, or endophthalmitis was observed during the follow up period.</p></sec><sec><title>Conclusion</title><p>The modified technique allowed stable placement of PCIOLs in post-traumatic aphakic eyes with a wide range of follow-up. Our procedure might have the potential benefit to avoid suture exposure in scleral-fixated IOL implantation.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12886-015-0118-8) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Por, Ym" uniqKey="Por Y">YM Por</name></author><author><name sortKey="Lavin, Mj" uniqKey="Lavin M">MJ Lavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mittelviefhaus, H" uniqKey="Mittelviefhaus H">H Mittelviefhaus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schmidt, Jc" uniqKey="Schmidt J">JC Schmidt</name></author><author><name sortKey="Nietgen, Gw" uniqKey="Nietgen G">GW Nietgen</name></author><author><name sortKey="Freisberg, L" uniqKey="Freisberg L">L 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first="Yantao" last="Wei">Yantao Wei</name><name sortKey="Yuan, Zhaohui" sort="Yuan, Zhaohui" uniqKey="Yuan Z" first="Zhaohui" last="Yuan">Zhaohui Yuan</name><name sortKey="Zhang, Zhiqing" sort="Zhang, Zhiqing" uniqKey="Zhang Z" first="Zhiqing" last="Zhang">Zhiqing Zhang</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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