Glued intraocular lens scaffolding for Soemmerring ring removal in aphakia with posterior capsule defect.
Identifieur interne : 003812 ( Ncbi/Checkpoint ); précédent : 003811; suivant : 003813Glued intraocular lens scaffolding for Soemmerring ring removal in aphakia with posterior capsule defect.
Auteurs : Priya Narang [Inde] ; Amar Agarwal [Inde] ; Dhivya A. Kumar [Inde]Source :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Tissue Adhesives.
- methods : Lens Implantation, Intraocular, Phacoemulsification.
- surgery : Aphakia, Postcataract.
- Adult, Humans, Lenses, Intraocular, Male, Postoperative Complications, Sclerostomy, Surgical Flaps, Vitrectomy, Young Adult.
Abstract
We describe using the glued intraocular lens (IOL) scaffolding technique to remove Soemmerring ring during secondary IOL implantation in aphakic eyes with associated posterior capsule defect following previous pediatric cataract surgery. Vitrectomy is performed, and the remnants of the posterior capsule are removed from the visual axis. A 3-piece foldable IOL is injected below the Soemmerring ring, and glued transscleral haptic fixation of the IOL is performed. The Soemmerring ring is dislodged from the periphery with a Sinskey hook and brought into the center of the pupil over the surface of the IOL optic, where it is emulsified with the phacoemulsification probe. The optic of the preplaced IOL acts as a scaffold and prevents dislodgement of Soemmerring ring material into the vitreous cavity during emulsification. Placement of a secondary IOL can be successfully accomplished in selected patients.
DOI: 10.1016/j.jcrs.2015.02.020
PubMed: 25840294
Affiliations:
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pubmed:25840294Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai</wicri:regionArea>
<wicri:noRegion>Chennai</wicri:noRegion>
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<author><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name>
<affiliation wicri:level="1"><nlm:affiliation>From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai, India. Electronic address: dragarwal@vsnl.com.</nlm:affiliation>
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<affiliation wicri:level="1"><nlm:affiliation>From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai, India.</nlm:affiliation>
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<wicri:regionArea>From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai</wicri:regionArea>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Glued intraocular lens scaffolding for Soemmerring ring removal in aphakia with posterior capsule defect.</title>
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<wicri:regionArea>From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai</wicri:regionArea>
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<series><title level="j">Journal of cataract and refractive surgery</title>
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<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Phacoemulsification (methods)</term>
<term>Postoperative Complications</term>
<term>Sclerostomy</term>
<term>Surgical Flaps</term>
<term>Tissue Adhesives (therapeutic use)</term>
<term>Vitrectomy</term>
<term>Young Adult</term>
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<term>Phacoemulsification</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Postoperative Complications</term>
<term>Sclerostomy</term>
<term>Surgical Flaps</term>
<term>Vitrectomy</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">We describe using the glued intraocular lens (IOL) scaffolding technique to remove Soemmerring ring during secondary IOL implantation in aphakic eyes with associated posterior capsule defect following previous pediatric cataract surgery. Vitrectomy is performed, and the remnants of the posterior capsule are removed from the visual axis. A 3-piece foldable IOL is injected below the Soemmerring ring, and glued transscleral haptic fixation of the IOL is performed. The Soemmerring ring is dislodged from the periphery with a Sinskey hook and brought into the center of the pupil over the surface of the IOL optic, where it is emulsified with the phacoemulsification probe. The optic of the preplaced IOL acts as a scaffold and prevents dislodgement of Soemmerring ring material into the vitreous cavity during emulsification. Placement of a secondary IOL can be successfully accomplished in selected patients.</div>
</front>
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<name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name>
<name sortKey="Kumar, Dhivya A" sort="Kumar, Dhivya A" uniqKey="Kumar D" first="Dhivya A" last="Kumar">Dhivya A. Kumar</name>
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