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Luxated intraocular lens fixation using intravitreal cow hitch (girth) knot.

Identifieur interne : 001C82 ( PubMed/Curation ); précédent : 001C81; suivant : 001C83

Luxated intraocular lens fixation using intravitreal cow hitch (girth) knot.

Auteurs : Tsukasa Hanemoto [Japon] ; Hidenao Ideta ; Tsutomu Kawasaki

Source :

RBID : pubmed:12045053

English descriptors

Abstract

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.

PubMed: 12045053

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pubmed:12045053

Le document en format XML

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<title xml:lang="en">Luxated intraocular lens fixation using intravitreal cow hitch (girth) knot.</title>
<author>
<name sortKey="Hanemoto, Tsukasa" sort="Hanemoto, Tsukasa" uniqKey="Hanemoto T" first="Tsukasa" last="Hanemoto">Tsukasa Hanemoto</name>
<affiliation wicri:level="1">
<nlm:affiliation>Ideta Eye Hospital, Gofukumachi, Kumamoto, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Ideta Eye Hospital, Gofukumachi, Kumamoto</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ideta, Hidenao" sort="Ideta, Hidenao" uniqKey="Ideta H" first="Hidenao" last="Ideta">Hidenao Ideta</name>
</author>
<author>
<name sortKey="Kawasaki, Tsutomu" sort="Kawasaki, Tsutomu" uniqKey="Kawasaki T" first="Tsutomu" last="Kawasaki">Tsutomu Kawasaki</name>
</author>
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<idno type="wicri:source">PubMed</idno>
<date when="2002">2002</date>
<idno type="RBID">pubmed:12045053</idno>
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<title xml:lang="en">Luxated intraocular lens fixation using intravitreal cow hitch (girth) knot.</title>
<author>
<name sortKey="Hanemoto, Tsukasa" sort="Hanemoto, Tsukasa" uniqKey="Hanemoto T" first="Tsukasa" last="Hanemoto">Tsukasa Hanemoto</name>
<affiliation wicri:level="1">
<nlm:affiliation>Ideta Eye Hospital, Gofukumachi, Kumamoto, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Ideta Eye Hospital, Gofukumachi, Kumamoto</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ideta, Hidenao" sort="Ideta, Hidenao" uniqKey="Ideta H" first="Hidenao" last="Ideta">Hidenao Ideta</name>
</author>
<author>
<name sortKey="Kawasaki, Tsutomu" sort="Kawasaki, Tsutomu" uniqKey="Kawasaki T" first="Tsutomu" last="Kawasaki">Tsutomu Kawasaki</name>
</author>
</analytic>
<series>
<title level="j">Ophthalmology</title>
<idno type="ISSN">0161-6420</idno>
<imprint>
<date when="2002" type="published">2002</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aged</term>
<term>Female</term>
<term>Foreign-Body Migration (surgery)</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polypropylenes</term>
<term>Postoperative Complications</term>
<term>Prosthesis Failure</term>
<term>Refraction, Ocular</term>
<term>Reoperation</term>
<term>Suture Techniques</term>
<term>Sutures</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
<term>Vitreous Body (surgery)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Polypropylenes</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Foreign-Body Migration</term>
<term>Vitreous Body</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Intraoperative Complications</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Prosthesis Failure</term>
<term>Refraction, Ocular</term>
<term>Reoperation</term>
<term>Suture Techniques</term>
<term>Sutures</term>
<term>Treatment Outcome</term>
<term>Visual Acuity</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">12045053</PMID>
<DateCreated>
<Year>2002</Year>
<Month>06</Month>
<Day>04</Day>
</DateCreated>
<DateCompleted>
<Year>2002</Year>
<Month>06</Month>
<Day>11</Day>
</DateCompleted>
<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0161-6420</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>109</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2002</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Ophthalmology</Title>
<ISOAbbreviation>Ophthalmology</ISOAbbreviation>
</Journal>
<ArticleTitle>Luxated intraocular lens fixation using intravitreal cow hitch (girth) knot.</ArticleTitle>
<Pagination>
<MedlinePgn>1118-22</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Non-comparative interventional case series.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Five patients with a luxated IOL in the vitreous cavity.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">All patients underwent surgery to fixate the IOL using this technique.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Patients were evaluated for visual acuity, refraction, and surgical complications associated with the procedure.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all five cases, the IOL fixated stably and remained well positioned. No significant intraoperative or postoperative complications occurred.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This technique enables secure fixation of the luxated IOL in the vitreous without extracting it.</AbstractText>
</Abstract>
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<LastName>Hanemoto</LastName>
<ForeName>Tsukasa</ForeName>
<Initials>T</Initials>
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<Affiliation>Ideta Eye Hospital, Gofukumachi, Kumamoto, Japan.</Affiliation>
</AffiliationInfo>
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<LastName>Ideta</LastName>
<ForeName>Hidenao</ForeName>
<Initials>H</Initials>
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<Author ValidYN="Y">
<LastName>Kawasaki</LastName>
<ForeName>Tsutomu</ForeName>
<Initials>T</Initials>
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</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D002363">Case Reports</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Ophthalmology</MedlineTA>
<NlmUniqueID>7802443</NlmUniqueID>
<ISSNLinking>0161-6420</ISSNLinking>
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<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D011126">Polypropylenes</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005548">Foreign-Body Migration</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D007431">Intraoperative Complications</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D011126">Polypropylenes</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011475">Prosthesis Failure</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012029">Refraction, Ocular</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D013537">Sutures</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D014822">Vitreous Body</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
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</MedlineCitation>
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