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Luxated intraocular lens fixation using intravitreal cow hitch (Girth) knot

Identifieur interne : 001261 ( PascalFrancis/Corpus ); précédent : 001260; suivant : 001262

Luxated intraocular lens fixation using intravitreal cow hitch (Girth) knot

Auteurs : Tsukasa Hanemoto ; Hidenao Ideta ; Tsutomu Kawasaki

Source :

RBID : Pascal:02-0386104

Descripteurs français

English descriptors

Abstract

Objective: To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity to the ciliary sulcus using intraocular cow hitch (girth) knots without IOL extraction. Design: Noncomparative interventional case series. Participants: Five patients with a luxated IOL in the vitreous cavity. Intervention: All patients underwent surgery to fixate the IOL using this technique. Methods: A three-port vitrectomy was performed in all five cases. A needle with looped 10-0 polypropylene was introduced into the vitreous cavity through a sclerotomy incision, and only the needle was passed out of the eye, guided by a bent 27-gauge needle from the 3-o'clock position 1.5 mm from the limbus. A cow hitch (girth) knot at the end of the loop was made outside the globe, grasped with a straight intravitreal forceps, and introduced into the vitreous cavity. Hooking the cow hitch (girth) knot around the haptics of the IOL in the vitreous cavity, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. After the opposite haptic was brought into the anterior chamber, the 10-0 polypropylene was looped around the haptics of the IOL and manipulated with a push-and-pull hook in the anterior chamber through the two corneal side ports to make a cow hitch (girth) knot outside the anterior chamber. By pulling up the suture, the knot was brought back and tied in the anterior chamber. It was then fixated to the ciliary sulcus at the 9-o'clock position. Main Outcome Measures: Patients were evaluated for visual acuity, refraction, and surgical complications associated with the procedure. Results: In all five cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. Conclusions: This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0161-6420
A02 01      @0 OPHTDG
A03   1    @0 Ophthalmology : (Rochester MN)
A05       @2 109
A06       @2 6
A08 01  1  ENG  @1 Luxated intraocular lens fixation using intravitreal cow hitch (Girth) knot
A11 01  1    @1 HANEMOTO (Tsukasa)
A11 02  1    @1 IDETA (Hidenao)
A11 03  1    @1 KAWASAKI (Tsutomu)
A14 01      @1 Ideta Eye Hospital @2 Kumamoto @3 JPN @Z 1 aut. @Z 2 aut. @Z 3 aut.
A20       @1 1118-1122
A21       @1 2002
A23 01      @0 ENG
A43 01      @1 INIST @2 18914 @5 354000100714550170
A44       @0 0000 @1 © 2002 INIST-CNRS. All rights reserved.
A45       @0 17 ref.
A47 01  1    @0 02-0386104
A60       @1 P
A61       @0 A
A64 01  1    @0 Ophthalmology : (Rochester, MN)
A66 01      @0 USA
C01 01    ENG  @0 Objective: To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity to the ciliary sulcus using intraocular cow hitch (girth) knots without IOL extraction. Design: Noncomparative interventional case series. Participants: Five patients with a luxated IOL in the vitreous cavity. Intervention: All patients underwent surgery to fixate the IOL using this technique. Methods: A three-port vitrectomy was performed in all five cases. A needle with looped 10-0 polypropylene was introduced into the vitreous cavity through a sclerotomy incision, and only the needle was passed out of the eye, guided by a bent 27-gauge needle from the 3-o'clock position 1.5 mm from the limbus. A cow hitch (girth) knot at the end of the loop was made outside the globe, grasped with a straight intravitreal forceps, and introduced into the vitreous cavity. Hooking the cow hitch (girth) knot around the haptics of the IOL in the vitreous cavity, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. After the opposite haptic was brought into the anterior chamber, the 10-0 polypropylene was looped around the haptics of the IOL and manipulated with a push-and-pull hook in the anterior chamber through the two corneal side ports to make a cow hitch (girth) knot outside the anterior chamber. By pulling up the suture, the knot was brought back and tied in the anterior chamber. It was then fixated to the ciliary sulcus at the 9-o'clock position. Main Outcome Measures: Patients were evaluated for visual acuity, refraction, and surgical complications associated with the procedure. Results: In all five cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. Conclusions: This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.
C02 01  X    @0 002B25B
C02 02  X    @0 002B26B
C03 01  X  FRE  @0 Lentille intraoculaire @5 01
C03 01  X  ENG  @0 Intraocular lens @5 01
C03 01  X  SPA  @0 Lente intraocular @5 01
C03 02  X  FRE  @0 Complication @5 02
C03 02  X  ENG  @0 Complication @5 02
C03 02  X  SPA  @0 Complicación @5 02
C03 03  X  FRE  @0 Luxation @5 03
C03 03  X  ENG  @0 Luxation @5 03
C03 03  X  SPA  @0 Luxación @5 03
C03 04  X  FRE  @0 Corps vitré @5 04
C03 04  X  ENG  @0 Vitreous body @5 04
C03 04  X  SPA  @0 Cuerpo vidrioso @5 04
C03 05  X  FRE  @0 Corps ciliaire @5 05
C03 05  X  ENG  @0 Ciliary body @5 05
C03 05  X  SPA  @0 Cuerpo ciliar @5 05
C03 06  X  FRE  @0 Suture chirurgicale @5 06
C03 06  X  ENG  @0 Suturation @5 06
C03 06  X  SPA  @0 Sutura quirúrgica @5 06
C03 07  X  FRE  @0 Noeud @5 07
C03 07  X  ENG  @0 Node @5 07
C03 07  X  SPA  @0 Nudo @5 07
C03 08  X  FRE  @0 Technique @5 08
C03 08  X  ENG  @0 Technique @5 08
C03 08  X  SPA  @0 Técnica @5 08
C03 09  X  FRE  @0 Homme @5 09
C03 09  X  ENG  @0 Human @5 09
C03 09  X  SPA  @0 Hombre @5 09
C07 01  X  FRE  @0 Chirurgie @5 37
C07 01  X  ENG  @0 Surgery @5 37
C07 01  X  SPA  @0 Cirugía @5 37
N21       @1 217
N82       @1 PSI

Format Inist (serveur)

NO : PASCAL 02-0386104 INIST
ET : Luxated intraocular lens fixation using intravitreal cow hitch (Girth) knot
AU : HANEMOTO (Tsukasa); IDETA (Hidenao); KAWASAKI (Tsutomu)
AF : Ideta Eye Hospital/Kumamoto/Japon (1 aut., 2 aut., 3 aut.)
DT : Publication en série; Niveau analytique
SO : Ophthalmology : (Rochester, MN); ISSN 0161-6420; Coden OPHTDG; Etats-Unis; Da. 2002; Vol. 109; No. 6; Pp. 1118-1122; Bibl. 17 ref.
LA : Anglais
EA : Objective: To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity to the ciliary sulcus using intraocular cow hitch (girth) knots without IOL extraction. Design: Noncomparative interventional case series. Participants: Five patients with a luxated IOL in the vitreous cavity. Intervention: All patients underwent surgery to fixate the IOL using this technique. Methods: A three-port vitrectomy was performed in all five cases. A needle with looped 10-0 polypropylene was introduced into the vitreous cavity through a sclerotomy incision, and only the needle was passed out of the eye, guided by a bent 27-gauge needle from the 3-o'clock position 1.5 mm from the limbus. A cow hitch (girth) knot at the end of the loop was made outside the globe, grasped with a straight intravitreal forceps, and introduced into the vitreous cavity. Hooking the cow hitch (girth) knot around the haptics of the IOL in the vitreous cavity, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. After the opposite haptic was brought into the anterior chamber, the 10-0 polypropylene was looped around the haptics of the IOL and manipulated with a push-and-pull hook in the anterior chamber through the two corneal side ports to make a cow hitch (girth) knot outside the anterior chamber. By pulling up the suture, the knot was brought back and tied in the anterior chamber. It was then fixated to the ciliary sulcus at the 9-o'clock position. Main Outcome Measures: Patients were evaluated for visual acuity, refraction, and surgical complications associated with the procedure. Results: In all five cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. Conclusions: This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.
CC : 002B25B; 002B26B
FD : Lentille intraoculaire; Complication; Luxation; Corps vitré; Corps ciliaire; Suture chirurgicale; Noeud; Technique; Homme
FG : Chirurgie
ED : Intraocular lens; Complication; Luxation; Vitreous body; Ciliary body; Suturation; Node; Technique; Human
EG : Surgery
SD : Lente intraocular; Complicación; Luxación; Cuerpo vidrioso; Cuerpo ciliar; Sutura quirúrgica; Nudo; Técnica; Hombre
LO : INIST-18914.354000100714550170
ID : 02-0386104

Links to Exploration step

Pascal:02-0386104

Le document en format XML

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<div type="abstract" xml:lang="en">Objective: To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity to the ciliary sulcus using intraocular cow hitch (girth) knots without IOL extraction. Design: Noncomparative interventional case series. Participants: Five patients with a luxated IOL in the vitreous cavity. Intervention: All patients underwent surgery to fixate the IOL using this technique. Methods: A three-port vitrectomy was performed in all five cases. A needle with looped 10-0 polypropylene was introduced into the vitreous cavity through a sclerotomy incision, and only the needle was passed out of the eye, guided by a bent 27-gauge needle from the 3-o'clock position 1.5 mm from the limbus. A cow hitch (girth) knot at the end of the loop was made outside the globe, grasped with a straight intravitreal forceps, and introduced into the vitreous cavity. Hooking the cow hitch (girth) knot around the haptics of the IOL in the vitreous cavity, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. After the opposite haptic was brought into the anterior chamber, the 10-0 polypropylene was looped around the haptics of the IOL and manipulated with a push-and-pull hook in the anterior chamber through the two corneal side ports to make a cow hitch (girth) knot outside the anterior chamber. By pulling up the suture, the knot was brought back and tied in the anterior chamber. It was then fixated to the ciliary sulcus at the 9-o'clock position. Main Outcome Measures: Patients were evaluated for visual acuity, refraction, and surgical complications associated with the procedure. Results: In all five cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. Conclusions: This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.</div>
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<s5>37</s5>
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<NO>PASCAL 02-0386104 INIST</NO>
<ET>Luxated intraocular lens fixation using intravitreal cow hitch (Girth) knot</ET>
<AU>HANEMOTO (Tsukasa); IDETA (Hidenao); KAWASAKI (Tsutomu)</AU>
<AF>Ideta Eye Hospital/Kumamoto/Japon (1 aut., 2 aut., 3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Ophthalmology : (Rochester, MN); ISSN 0161-6420; Coden OPHTDG; Etats-Unis; Da. 2002; Vol. 109; No. 6; Pp. 1118-1122; Bibl. 17 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To describe a technique for suturing a luxated intraocular lens (IOL) in the vitreous cavity to the ciliary sulcus using intraocular cow hitch (girth) knots without IOL extraction. Design: Noncomparative interventional case series. Participants: Five patients with a luxated IOL in the vitreous cavity. Intervention: All patients underwent surgery to fixate the IOL using this technique. Methods: A three-port vitrectomy was performed in all five cases. A needle with looped 10-0 polypropylene was introduced into the vitreous cavity through a sclerotomy incision, and only the needle was passed out of the eye, guided by a bent 27-gauge needle from the 3-o'clock position 1.5 mm from the limbus. A cow hitch (girth) knot at the end of the loop was made outside the globe, grasped with a straight intravitreal forceps, and introduced into the vitreous cavity. Hooking the cow hitch (girth) knot around the haptics of the IOL in the vitreous cavity, the 10-0 polypropylene was pulled so that the IOL haptic was fixated onto the sulcus. After the opposite haptic was brought into the anterior chamber, the 10-0 polypropylene was looped around the haptics of the IOL and manipulated with a push-and-pull hook in the anterior chamber through the two corneal side ports to make a cow hitch (girth) knot outside the anterior chamber. By pulling up the suture, the knot was brought back and tied in the anterior chamber. It was then fixated to the ciliary sulcus at the 9-o'clock position. Main Outcome Measures: Patients were evaluated for visual acuity, refraction, and surgical complications associated with the procedure. Results: In all five cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred. Conclusions: This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.</EA>
<CC>002B25B; 002B26B</CC>
<FD>Lentille intraoculaire; Complication; Luxation; Corps vitré; Corps ciliaire; Suture chirurgicale; Noeud; Technique; Homme</FD>
<FG>Chirurgie</FG>
<ED>Intraocular lens; Complication; Luxation; Vitreous body; Ciliary body; Suturation; Node; Technique; Human</ED>
<EG>Surgery</EG>
<SD>Lente intraocular; Complicación; Luxación; Cuerpo vidrioso; Cuerpo ciliar; Sutura quirúrgica; Nudo; Técnica; Hombre</SD>
<LO>INIST-18914.354000100714550170</LO>
<ID>02-0386104</ID>
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