Glued capsular hook: technique for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses.
Identifieur interne : 000487 ( PubMed/Corpus ); précédent : 000486; suivant : 000488Glued capsular hook: technique for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses.
Auteurs : Soosan Jacob ; Amar Agarwal ; Athiya Agarwal ; Ashvin Agarwal ; Smita Narasimhan ; Dhivya Ashok KumarSource :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Aged, Artificial Lens Implant Migration (surgery), Female, Fibrin Tissue Adhesive (therapeutic use), Humans, Lens Capsule, Crystalline (drug effects), Lens Implantation, Intraocular, Lens Subluxation (surgery), Lenses, Intraocular, Male, Middle Aged, Phacoemulsification, Sclerostomy, Suture Techniques, Tissue Adhesives (therapeutic use).
- MESH :
- chemical , therapeutic use : Fibrin Tissue Adhesive, Tissue Adhesives.
- drug effects : Lens Capsule, Crystalline.
- surgery : Artificial Lens Implant Migration, Lens Subluxation.
- Adult, Aged, Female, Humans, Lens Implantation, Intraocular, Lenses, Intraocular, Male, Middle Aged, Phacoemulsification, Sclerostomy, Suture Techniques.
Abstract
We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked into a scleral tunnel for postoperative fixation. The scleral flap is closed with fibrin glue. The glued capsular hook is used for subluxated cataracts and IOLs. It anchors the capsular bag to the sclera, providing vertical and horizontal stability, and stabilizes the bag intraoperatively and postoperatively. The technique was used in 7 patients, who were followed for more than 4 months.
DOI: 10.1016/j.jcrs.2014.10.009
PubMed: 25465682
Links to Exploration step
pubmed:25465682Le document en format XML
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<author><name sortKey="Jacob, Soosan" sort="Jacob, Soosan" uniqKey="Jacob S" first="Soosan" last="Jacob">Soosan Jacob</name>
<affiliation><nlm:affiliation>From Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.</nlm:affiliation>
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<author><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name>
<affiliation><nlm:affiliation>From Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India. Electronic address: dragarwal@vsnl.com.</nlm:affiliation>
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<author><name sortKey="Agarwal, Athiya" sort="Agarwal, Athiya" uniqKey="Agarwal A" first="Athiya" last="Agarwal">Athiya Agarwal</name>
<affiliation><nlm:affiliation>From Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.</nlm:affiliation>
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<author><name sortKey="Agarwal, Ashvin" sort="Agarwal, Ashvin" uniqKey="Agarwal A" first="Ashvin" last="Agarwal">Ashvin Agarwal</name>
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<author><name sortKey="Narasimhan, Smita" sort="Narasimhan, Smita" uniqKey="Narasimhan S" first="Smita" last="Narasimhan">Smita Narasimhan</name>
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<author><name sortKey="Ashok Kumar, Dhivya" sort="Ashok Kumar, Dhivya" uniqKey="Ashok Kumar D" first="Dhivya" last="Ashok Kumar">Dhivya Ashok Kumar</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Glued capsular hook: technique for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses.</title>
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<author><name sortKey="Agarwal, Ashvin" sort="Agarwal, Ashvin" uniqKey="Agarwal A" first="Ashvin" last="Agarwal">Ashvin Agarwal</name>
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<author><name sortKey="Narasimhan, Smita" sort="Narasimhan, Smita" uniqKey="Narasimhan S" first="Smita" last="Narasimhan">Smita Narasimhan</name>
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<author><name sortKey="Ashok Kumar, Dhivya" sort="Ashok Kumar, Dhivya" uniqKey="Ashok Kumar D" first="Dhivya" last="Ashok Kumar">Dhivya Ashok Kumar</name>
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<series><title level="j">Journal of cataract and refractive surgery</title>
<idno type="eISSN">1873-4502</idno>
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<term>Fibrin Tissue Adhesive (therapeutic use)</term>
<term>Humans</term>
<term>Lens Capsule, Crystalline (drug effects)</term>
<term>Lens Implantation, Intraocular</term>
<term>Lens Subluxation (surgery)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Sclerostomy</term>
<term>Suture Techniques</term>
<term>Tissue Adhesives (therapeutic use)</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Fibrin Tissue Adhesive</term>
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<term>Lens Subluxation</term>
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked into a scleral tunnel for postoperative fixation. The scleral flap is closed with fibrin glue. The glued capsular hook is used for subluxated cataracts and IOLs. It anchors the capsular bag to the sclera, providing vertical and horizontal stability, and stabilizes the bag intraoperatively and postoperatively. The technique was used in 7 patients, who were followed for more than 4 months.</div>
</front>
</TEI>
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<Title>Journal of cataract and refractive surgery</Title>
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<Abstract><AbstractText>We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked into a scleral tunnel for postoperative fixation. The scleral flap is closed with fibrin glue. The glued capsular hook is used for subluxated cataracts and IOLs. It anchors the capsular bag to the sclera, providing vertical and horizontal stability, and stabilizes the bag intraoperatively and postoperatively. The technique was used in 7 patients, who were followed for more than 4 months.</AbstractText>
<CopyrightInformation>Copyright © 2014 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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