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Surgical techniques for repositioning a dislocated intraocular lens, repair of iridodialysis, and secondary intraocular lens implantation using innovative 25-gauge forceps

Identifieur interne : 009152 ( Main/Exploration ); précédent : 009151; suivant : 009153

Surgical techniques for repositioning a dislocated intraocular lens, repair of iridodialysis, and secondary intraocular lens implantation using innovative 25-gauge forceps

Auteurs : S. Chang [États-Unis] ; G. E. Coll

Source :

RBID : Pascal:95-0145401

Descripteurs français

English descriptors

Abstract

PURPOSE: We developed surgical techniques for the sulcus fixation of a posteriorly dislocated or secondarily implanted posterior chamber intraocular lens, repair of an iridodialysis, and the management of a decentered intraocular lens during vitreous surgery using innovative 25-gauge forceps. METHODS: The 25-gauge forceps have a curved shaft, a tip with a distal platform for grasping a suture, and a proximal groove for gripping a haptic. The forceps are inserted through a grooved scleral incision into the plane of the ciliary sulcus, facilitating manipulations such as fastening a suture loop around a haptic, repositing an intraocular lens at the ciliary sulcus, and grasping sutures during repair of a iridodialysis or implantation of a secondary intraocular lens. Seven patients underwent vitreous surgery using the new forceps. RESULTS: In all seven patients the surgical objectives were accomplished with the 25-gauge forceps without postoperative complications such as hemorrhage, hypotony, or lens decentration. CONCLUSIONS: The 25-gauge forceps are innovative instrumentation designed specifically for anterior segment applications during vitreous surgery


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Le document en format XML

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<title xml:lang="en" level="a">Surgical techniques for repositioning a dislocated intraocular lens, repair of iridodialysis, and secondary intraocular lens implantation using innovative 25-gauge forceps</title>
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<country>États-Unis</country>
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<term>Cataract Extraction</term>
<term>Eye Injuries, Penetrating (etiology)</term>
<term>Eye Injuries, Penetrating (surgery)</term>
<term>Female</term>
<term>Forceps</term>
<term>Human</term>
<term>Humans</term>
<term>Implanted</term>
<term>Intraocular lens</term>
<term>Iridodialysis</term>
<term>Iris (injuries)</term>
<term>Iris (surgery)</term>
<term>Iris Diseases (etiology)</term>
<term>Iris Diseases (surgery)</term>
<term>Lenses, Intraocular</term>
<term>Luxation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ophthalmology (instrumentation)</term>
<term>Posterior</term>
<term>Posterior chamber</term>
<term>Prosthesis Failure</term>
<term>Reoperation</term>
<term>Replantation</term>
<term>Suturation</term>
<term>Technical equipment</term>
<term>Technique</term>
<term>Treatment</term>
<term>Vitrectomy</term>
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<term>Iris</term>
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<term>Ophthalmology</term>
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<term>Iris</term>
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<term>Middle Aged</term>
<term>Prosthesis Failure</term>
<term>Reoperation</term>
<term>Vitrectomy</term>
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<term>Lentille intraoculaire</term>
<term>Implanté</term>
<term>Luxation</term>
<term>Postérieur</term>
<term>Suture chirurgicale</term>
<term>Réimplantation</term>
<term>Chambre postérieure</term>
<term>Iridodialyse</term>
<term>Forceps</term>
<term>Matériel technique</term>
<term>Technique</term>
<term>Traitement</term>
<term>Homme</term>
<term>Sillon ciliaire</term>
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<div type="abstract" xml:lang="en">PURPOSE: We developed surgical techniques for the sulcus fixation of a posteriorly dislocated or secondarily implanted posterior chamber intraocular lens, repair of an iridodialysis, and the management of a decentered intraocular lens during vitreous surgery using innovative 25-gauge forceps. METHODS: The 25-gauge forceps have a curved shaft, a tip with a distal platform for grasping a suture, and a proximal groove for gripping a haptic. The forceps are inserted through a grooved scleral incision into the plane of the ciliary sulcus, facilitating manipulations such as fastening a suture loop around a haptic, repositing an intraocular lens at the ciliary sulcus, and grasping sutures during repair of a iridodialysis or implantation of a secondary intraocular lens. Seven patients underwent vitreous surgery using the new forceps. RESULTS: In all seven patients the surgical objectives were accomplished with the 25-gauge forceps without postoperative complications such as hemorrhage, hypotony, or lens decentration. CONCLUSIONS: The 25-gauge forceps are innovative instrumentation designed specifically for anterior segment applications during vitreous surgery</div>
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