Malik`s Technique of Single Loop Fixation of Posterior Chamber Intraocular Lens in Presence of Partial Capsular Support
Identifieur interne : 000746 ( Main/Exploration ); précédent : 000745; suivant : 000747Malik`s Technique of Single Loop Fixation of Posterior Chamber Intraocular Lens in Presence of Partial Capsular Support
Auteurs : Krishan Pal Singh Malik [Inde] ; Ruchi Goel [Inde] ; Divya Kishore [Inde] ; Smriti Nagpal [Inde]Source :
- The Open Ophthalmology Journal [ 1874-3641 ] ; 2015.
Abstract
Single loop fixation of posterior chamber intraocular lens in the presence of partial capsular support is usually performed by creation of additional scleral flap or tunnel. This extra port may expose the suture holding the intraocular lens or the tucked-in lens haptics to the outside environment thereby increasing the risk of endophthalmitis. We describe a technique of single loop fixation where the scleral tunnel is created adjacent to the site with the absent capsule, the leading haptic is placed on the capsular scaffold, the trailing haptic is tied to 9-0 polypropylene, and the suture is then secured to the inner edge of the scleral lip with enough tension to center the optics and the wound is then closed. The suture knot gets buried within the scleral tunnel with no external communication and does not require a separate port. It is an easy, safe, fast and reproducible technique with a lens tilt of less than 2°.
Url:
DOI: 10.2174/1874364101509010169
PubMed: 26962380
PubMed Central: 4763957
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Single loop fixation of posterior chamber intraocular lens in the presence of partial capsular support is usually
performed by creation of additional scleral flap or tunnel. This extra port may expose the suture holding the intraocular
lens or the tucked-in lens haptics to the outside environment thereby increasing the risk of endophthalmitis. We describe a
technique of single loop fixation where the scleral tunnel is created adjacent to the site with the absent capsule, the leading
haptic is placed on the capsular scaffold, the trailing haptic is tied to 9-0 polypropylene, and the suture is then secured to
the inner edge of the scleral lip with enough tension to center the optics and the wound is then closed. The suture knot gets
buried within the scleral tunnel with no external communication and does not require a separate port. It is an easy, safe,
fast and reproducible technique with a lens tilt of less than 2°.</p>
</div>
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