Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation
Identifieur interne : 000452 ( PascalFrancis/Checkpoint ); précédent : 000451; suivant : 000453Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation
Auteurs : Gabor B. Scharioth [Allemagne, Hongrie] ; Som Prasad [Royaume-Uni] ; Ilias Georgalas [Grèce] ; Calin Tataru [Roumanie] ; Mitrofanis Pavlidis [Allemagne]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2010.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
PURPOSE: To report the intermediate multicenter results of a technique of sutureless intrascleral fixation of a standard 3-piece posterior chamber intraocular lens (PC IOL) in the ciliary sulcus. SETTING: Four European ophthalmology centers. METHODS: A technique for sutureless intrascleral fixation of the haptics of a standard 3-piece PC IOL was retrospectively evaluated. The technique uses standardized maneuvers to fixate the PC IOL without need for special haptic architecture or preparation or haptic suturing. All patients having IOL implantation by the technique were evaluated for preoperative status (visual acuity, refractive error, preexisting ocular conditions, optical biometry), postoperative status, complications, and need for further surgery. RESULTS: The study evaluated 63 consecutive patients from 4 institutions (4 surgeons). The median follow-up was 7 months. Two dislocated PC IOLs (3.6%) were decentered; the other 61 IOLs (96.8%) were stable and well centered. There were no cases of recurrent dislocation, endophthalmitis, retinal detachment, or glaucoma. CONCLUSION: Fixation of PC IOL haptics in a limbus-parallel scleral tunnel provided exact centration and axial stability of the IOL and prevented distortion and subluxation in most cases. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
Affiliations:
- Allemagne, Grèce, Hongrie, Roumanie, Royaume-Uni
- District de Münster, Rhénanie-du-Nord-Westphalie
- Recklinghausen (Ruhr)
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Scharioth</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Augenzentrum Recklinghausen</s1><s2>Recklinghausen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Recklinghausen (Ruhr)</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Szeged</s1><s2>Szeged</s2><s3>HUN</s3><sZ>1 aut.</sZ></inist:fA14><country>Hongrie</country><wicri:noRegion>University of Szeged</wicri:noRegion></affiliation></author><author><name sortKey="Prasad, Som" sort="Prasad, Som" uniqKey="Prasad S" first="Som" last="Prasad">Som Prasad</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Arrowe Park Hospital</s1><s2>Wirral</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Arrowe Park Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Georgalas, Ilias" sort="Georgalas, Ilias" uniqKey="Georgalas I" first="Ilias" last="Georgalas">Ilias Georgalas</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Ophthalmology (Georgalas), G. 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Scharioth</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Augenzentrum Recklinghausen</s1><s2>Recklinghausen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Recklinghausen (Ruhr)</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Szeged</s1><s2>Szeged</s2><s3>HUN</s3><sZ>1 aut.</sZ></inist:fA14><country>Hongrie</country><wicri:noRegion>University of Szeged</wicri:noRegion></affiliation></author><author><name sortKey="Prasad, Som" sort="Prasad, Som" uniqKey="Prasad S" first="Som" last="Prasad">Som Prasad</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Arrowe Park Hospital</s1><s2>Wirral</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Arrowe Park Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Georgalas, Ilias" sort="Georgalas, Ilias" uniqKey="Georgalas I" first="Ilias" last="Georgalas">Ilias Georgalas</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Ophthalmology (Georgalas), G. Gennimatas Hospital of Athens, National Health System</s1><s2>Athens</s2><s3>GRC</s3><sZ>3 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Athens</wicri:noRegion></affiliation></author><author><name sortKey="Tataru, Calin" sort="Tataru, Calin" uniqKey="Tataru C" first="Calin" last="Tataru">Calin Tataru</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Eyeclinic Arcor</s1><s2>Bucharest</s2><s3>ROU</s3><sZ>4 aut.</sZ></inist:fA14><country>Roumanie</country><wicri:noRegion>Eyeclinic Arcor</wicri:noRegion></affiliation></author><author><name sortKey="Pavlidis, Mitrofanis" sort="Pavlidis, Mitrofanis" uniqKey="Pavlidis M" first="Mitrofanis" last="Pavlidis">Mitrofanis Pavlidis</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Augenzentrum Recklinghausen</s1><s2>Recklinghausen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Recklinghausen (Ruhr)</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of cataract and refractive surgery</title><title level="j" type="abbreviated">J. cataract refractive surg.</title><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Fixation</term><term>Intraocular</term><term>Intraocular lens</term><term>Ophthalmology</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lentille intraoculaire</term><term>Intraoculaire</term><term>Fixation</term><term>Ophtalmologie</term><term>Chirurgie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">PURPOSE: To report the intermediate multicenter results of a technique of sutureless intrascleral fixation of a standard 3-piece posterior chamber intraocular lens (PC IOL) in the ciliary sulcus. SETTING: Four European ophthalmology centers. METHODS: A technique for sutureless intrascleral fixation of the haptics of a standard 3-piece PC IOL was retrospectively evaluated. The technique uses standardized maneuvers to fixate the PC IOL without need for special haptic architecture or preparation or haptic suturing. All patients having IOL implantation by the technique were evaluated for preoperative status (visual acuity, refractive error, preexisting ocular conditions, optical biometry), postoperative status, complications, and need for further surgery. RESULTS: The study evaluated 63 consecutive patients from 4 institutions (4 surgeons). The median follow-up was 7 months. Two dislocated PC IOLs (3.6%) were decentered; the other 61 IOLs (96.8%) were stable and well centered. There were no cases of recurrent dislocation, endophthalmitis, retinal detachment, or glaucoma. CONCLUSION: Fixation of PC IOL haptics in a limbus-parallel scleral tunnel provided exact centration and axial stability of the IOL and prevented distortion and subluxation in most cases. 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Scharioth</name></region><name sortKey="Pavlidis, Mitrofanis" sort="Pavlidis, Mitrofanis" uniqKey="Pavlidis M" first="Mitrofanis" last="Pavlidis">Mitrofanis Pavlidis</name></country><country name="Hongrie"><noRegion><name sortKey="Scharioth, Gabor B" sort="Scharioth, Gabor B" uniqKey="Scharioth G" first="Gabor B." last="Scharioth">Gabor B. Scharioth</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Prasad, Som" sort="Prasad, Som" uniqKey="Prasad S" first="Som" last="Prasad">Som Prasad</name></noRegion></country><country name="Grèce"><noRegion><name sortKey="Georgalas, Ilias" sort="Georgalas, Ilias" uniqKey="Georgalas I" first="Ilias" last="Georgalas">Ilias Georgalas</name></noRegion></country><country name="Roumanie"><noRegion><name sortKey="Tataru, Calin" sort="Tataru, Calin" uniqKey="Tataru C" first="Calin" last="Tataru">Calin Tataru</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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