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 : 009153Surgical 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. CollSource :
- American journal of ophthalmology [ 0002-9394 ] ; 1995.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adolescent, Aged, Cataract Extraction, Eye Injuries, Penetrating (etiology), Eye Injuries, Penetrating (surgery), Female, Forceps, Human, Humans, Implanted, Intraocular lens, Iridodialysis, Iris (injuries), Iris (surgery), Iris Diseases (etiology), Iris Diseases (surgery), Lenses, Intraocular, Luxation, Male, Middle Aged, Ophthalmology (instrumentation), Posterior, Posterior chamber, Prosthesis Failure, Reoperation, Replantation, Suturation, Technical equipment, Technique, Treatment, Vitrectomy.
- MESH :
- etiology : Eye Injuries, Penetrating, Iris Diseases.
- injuries : Iris.
- instrumentation : Ophthalmology.
- surgery : Eye Injuries, Penetrating, Iris, Iris Diseases.
- Adolescent, Aged, Cataract Extraction, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Prosthesis Failure, Reoperation, Vitrectomy.
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
Affiliations:
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Le document en format XML
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<term>Aged</term>
<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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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Eye Injuries, Penetrating</term>
<term>Iris Diseases</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Ophthalmology</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Eye Injuries, Penetrating</term>
<term>Iris</term>
<term>Iris Diseases</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Aged</term>
<term>Cataract Extraction</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prosthesis Failure</term>
<term>Reoperation</term>
<term>Vitrectomy</term>
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<keywords scheme="Pascal" xml:lang="fr"><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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<front><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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