"Luggage-tag" suture fixation of partially dislocated intraocular lenses
Identifieur interne : 007B06 ( Main/Exploration ); précédent : 007B05; suivant : 007B07"Luggage-tag" suture fixation of partially dislocated intraocular lenses
Auteurs : Steven R. Virata [États-Unis] ; Nancy M. Holekamp [États-Unis] ; Travis A. Meredith [États-Unis]Source :
- Ophthalmic surgery and lasers [ 1082-3069 ] ; 2001.
Descripteurs français
- Pascal (Inist)
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Abstract
There are many techniques for sulcus-suturing dislocated or partially dislocated intraocular lenses. Many involve passing suture or a knot around the end of the haptic before securing the suture to the sclera. However, in some patients, the tip of the dislocated haptic cannot be visualized. We describe a suturing method using vitrectomy techniques that was used in two patients when the end of the haptic could not be visualized. The technique involves passing an untied loop of double-armed suture under the haptic so that it emerges upward between the haptic and the optic. The loop of suture is regrasped from above the haptic and externalized. The free ends are passed through the loop in a manner analogous to a luggage tag, and the knot is secured. This technique may be useful in patients where the tip of the haptic cannot be visualized, or in patients requiring minimal manipulation of the intraocular lens.
Affiliations:
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Holekamp</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Barnes Retina Institute and the Department of Ophthalmology and Visual Sciences, Washington University School of Medicine</s1><s2>St. Louis, Missouri</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author><author><name sortKey="Meredith, Travis A" sort="Meredith, Travis A" uniqKey="Meredith T" first="Travis A." last="Meredith">Travis A. Meredith</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Barnes Retina Institute and the Department of Ophthalmology and Visual Sciences, Washington University School of Medicine</s1><s2>St. Louis, Missouri</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">01-0388286</idno><date when="2001">2001</date><idno type="stanalyst">PASCAL 01-0388286 INIST</idno><idno type="RBID">Pascal:01-0388286</idno><idno type="wicri:Area/PascalFrancis/Corpus">001363</idno><idno type="wicri:Area/PascalFrancis/Curation">000149</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001178</idno><idno type="wicri:doubleKey">1082-3069:2001:Virata S:luggage:tag:suture</idno><idno type="wicri:Area/Main/Merge">008155</idno><idno type="wicri:Area/Main/Curation">007B06</idno><idno type="wicri:Area/Main/Exploration">007B06</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">"Luggage-tag" suture fixation of partially dislocated intraocular lenses</title><author><name sortKey="Virata, Steven R" sort="Virata, Steven R" uniqKey="Virata S" first="Steven R." last="Virata">Steven R. Virata</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Barnes Retina Institute and the Department of Ophthalmology and Visual Sciences, Washington University School of Medicine</s1><s2>St. Louis, Missouri</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author><author><name sortKey="Holekamp, Nancy M" sort="Holekamp, Nancy M" uniqKey="Holekamp N" first="Nancy M." last="Holekamp">Nancy M. Holekamp</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Barnes Retina Institute and the Department of Ophthalmology and Visual Sciences, Washington University School of Medicine</s1><s2>St. Louis, Missouri</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author><author><name sortKey="Meredith, Travis A" sort="Meredith, Travis A" uniqKey="Meredith T" first="Travis A." last="Meredith">Travis A. Meredith</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Barnes Retina Institute and the Department of Ophthalmology and Visual Sciences, Washington University School of Medicine</s1><s2>St. Louis, Missouri</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author></analytic><series><title level="j" type="main">Ophthalmic surgery and lasers</title><title level="j" type="abbreviated">Ophthalmic surg. lasers</title><idno type="ISSN">1082-3069</idno><imprint><date when="2001">2001</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Ophthalmic surgery and lasers</title><title level="j" type="abbreviated">Ophthalmic surg. lasers</title><idno type="ISSN">1082-3069</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case study</term><term>Elderly</term><term>Eye</term><term>Fixation</term><term>Intraocular lens</term><term>Luxation</term><term>Sclera</term><term>Suturation</term><term>Technique</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term><term>Luxation</term><term>Fixation</term><term>Sclérotique</term><term>Suture chirurgicale</term><term>Technique</term><term>Traitement</term><term>Etude cas</term><term>Personne âgée</term><term>Oeil</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are many techniques for sulcus-suturing dislocated or partially dislocated intraocular lenses. Many involve passing suture or a knot around the end of the haptic before securing the suture to the sclera. However, in some patients, the tip of the dislocated haptic cannot be visualized. We describe a suturing method using vitrectomy techniques that was used in two patients when the end of the haptic could not be visualized. The technique involves passing an untied loop of double-armed suture under the haptic so that it emerges upward between the haptic and the optic. The loop of suture is regrasped from above the haptic and externalized. The free ends are passed through the loop in a manner analogous to a luggage tag, and the knot is secured. This technique may be useful in patients where the tip of the haptic cannot be visualized, or in patients requiring minimal manipulation of the intraocular lens.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li></region><orgName><li>École de médecine (Université Washington de Saint-Louis)</li></orgName></list><tree><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Virata, Steven R" sort="Virata, Steven R" uniqKey="Virata S" first="Steven R." last="Virata">Steven R. Virata</name></region><name sortKey="Holekamp, Nancy M" sort="Holekamp, Nancy M" uniqKey="Holekamp N" first="Nancy M." last="Holekamp">Nancy M. Holekamp</name><name sortKey="Meredith, Travis A" sort="Meredith, Travis A" uniqKey="Meredith T" first="Travis A." last="Meredith">Travis A. Meredith</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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