The Balanced Two-String Technique for Sulcus Intraocular Lens Implantation in the Absence of Capsular Support
Identifieur interne : 000502 ( Main/Exploration ); précédent : 000501; suivant : 000503The Balanced Two-String Technique for Sulcus Intraocular Lens Implantation in the Absence of Capsular Support
Auteurs : Hesham A. Ibrahim [Égypte] ; Heba Nabil Sabry [Égypte]Source :
- Journal of Ophthalmology [ 2090-004X ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/153963
PubMed: 25722884
PubMed Central: 4333323
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Balanced Two-String Technique for Sulcus Intraocular Lens Implantation in the Absence of Capsular Support</title>
<author><name sortKey="Ibrahim, Hesham A" sort="Ibrahim, Hesham A" uniqKey="Ibrahim H" first="Hesham A." last="Ibrahim">Hesham A. Ibrahim</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Ophthalmology, Faculty of Medicine, Alexandria University, Raml Station, Alexandria, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
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<wicri:noRegion>Alexandria</wicri:noRegion>
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<author><name sortKey="Sabry, Heba Nabil" sort="Sabry, Heba Nabil" uniqKey="Sabry H" first="Heba Nabil" last="Sabry">Heba Nabil Sabry</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Ophthalmology, Faculty of Medicine, Alexandria University, Raml Station, Alexandria, Egypt</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Balanced Two-String Technique for Sulcus Intraocular Lens Implantation in the Absence of Capsular Support</title>
<author><name sortKey="Ibrahim, Hesham A" sort="Ibrahim, Hesham A" uniqKey="Ibrahim H" first="Hesham A." last="Ibrahim">Hesham A. Ibrahim</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Ophthalmology, Faculty of Medicine, Alexandria University, Raml Station, Alexandria, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Department of Ophthalmology, Faculty of Medicine, Alexandria University, Raml Station, Alexandria</wicri:regionArea>
<wicri:noRegion>Alexandria</wicri:noRegion>
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<author><name sortKey="Sabry, Heba Nabil" sort="Sabry, Heba Nabil" uniqKey="Sabry H" first="Heba Nabil" last="Sabry">Heba Nabil Sabry</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Ophthalmology, Faculty of Medicine, Alexandria University, Raml Station, Alexandria, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Department of Ophthalmology, Faculty of Medicine, Alexandria University, Raml Station, Alexandria</wicri:regionArea>
<wicri:noRegion>Alexandria</wicri:noRegion>
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<series><title level="j">Journal of Ophthalmology</title>
<idno type="ISSN">2090-004X</idno>
<idno type="eISSN">2090-0058</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>
. To describe and explore an alternative approach for sulcus intraocular lens (IOL) implantation in the absence of capsular support. <italic>Methods</italic>
. The commonly available one-piece poly(methyl methacrylate) (PMMA) lens is stabilized in the sulcus by two intraocular horizontal strings of 10/0 polypropylene suture passed through the lens dialing holes in opposite directions to achieve a mechanical balance. The horizontal strings of 10/0 polypropylene work as a rail track for the IOL optics, allowing some side to side lens adjustment even following wound closure. The stability of the IOL was tested in vitro. Six aphakic patients underwent in-sulcus IOL secondary implantation using the balanced two-string technique. Patients were followed up for a minimum of six months. Best spectacle corrected vision was assessed. Lens centration and lens tilt were measured by anterior segment optical coherence tomography (AS-OCT). <italic>Results</italic>
. All patients had successful lens insertion. Best spectacle corrected visual acuity (BSCVA) improved in all patients. Lens decentration ranged between 0.21 mm and 0.9 mm (average 0.53 mm). Lens tilt ranged between 1.2° and 2.8° (average 2.17°). <italic>Conclusion</italic>
. The mechanically balanced two-string technique is an alternative option for sulcus IOL implantation in absence of capsular support, allowing lens centration adjustment with no additional risks.</p>
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