Journal Article10.1016/J.JCRS.2008.04.040
Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules.
Amar Agarwal,Dhivya Ashok Kumar,Soosan Jacob,Chandresh Baid,Athiya Agarwal,Sridhar Srinivasan +5 more
490
TL;DR: A new surgical technique that uses biological glue to implant a posterior chamber intraocular lens (PC IOL) in eyes with a deficient or absent posterior capsule, which provides good flap closure and IOL centration and stability without suture‐related complications.
read more
Abstract: We report a new surgical technique that uses biological glue to implant a posterior chamber intraocular lens (PC IOL) in eyes with a deficient or absent posterior capsule. Two partial-thickness limbal-based scleral flaps are made 180 degrees apart diagonally, and the haptics of the PC IOL are externalized to place them beneath the flaps. Fibrin glue is used to attach the haptics to the scleral bed, beneath the flap. This simple method of PC IOL implantation requires no specially designed haptics. It provides good flap closure and IOL centration and stability without suture-related complications.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Pars plana vitrectomy and artisan iris fixated intraocular lens for aphakia in complicated vitreoretinal referrals
TL;DR: Artisan iris fixated IOL's are a safe and effective option in eyes with concomitant poor capsular support and vitreoretinal complications requiring PPV and the postoperative visual acuity depends on the underlying pathological features present preoperatively.
3
Outcomes of flanged IOL fixation combined with microhook trabeculotomy.
TL;DR: In this article, the authors evaluated the outcomes of flanged intraocular lens fixation combined with micro-hook trabeculotomy for exfoliation glaucoma patients.
2
Effects of optical diameter of intraocular lenses with intrascleral fixation on higher-order aberrations
TL;DR: In this paper, three-piece acrylic IOLs with 60mm, 70mm and 70mm optical diameters were fixed at lengths of 13, 14, 15, 16, 17, or 17mm for intrascleral fixation.
Biomechanical testing of a modified knotless transscleral suture fixation technique: an ex vivo study
Pusheng Xu,Xuepei Li,Zongwen Ke,Charlotte Aimee Young,Zhangkai Lian,Guangming Jin,Danying Zheng +6 more
TL;DR: In this paper , the safety and effectiveness of a modified transscleral suture through ex vivo tests was investigated in full-thickness porcine scleral pieces using modified knotless transcleral zigzag-shaped suture (Z-suture) fixation technology.
2
A novel device for safe exteriorization of haptic in scleral fixation intraocular lens surgery.
Prabu Baskaran,Rengaraj Venkatesh,Seema Ramakrishnan,Ravilla Duraisami Sriram,Gautham Iyer,Rajiv Ramnath +5 more
TL;DR: The sharpness and angulation of the needle and the haptic holding ability of silicone stopper were found to be satisfactory and the X-NIT device may potentially improve the safety of SFIOL procedures by minimizing intraocular maneuvers.
2
References
Intraocular lens implantation in the absence of capsular support: a report by the American Academy of Ophthalmology.
TL;DR: The literature supports the safe and effective use of open-loop anterior chamber, scleral-sutured posterior chamber, and iris-sutanized posterior chamber IOLs for the correction of aphakia in eyes without adequate capsular support for placement of a posterior chamber lens in the capsular bag or ciliary sulcus.
506
Late dislocation of scleral-sutured posterior chamber intraocular lenses.
TL;DR: The use of larger diameter polypropylene suture material and placement of the haptic and sutures in the ciliary sulcus to promote attachment of scar tissue may enhance the long‐term stability of scleral‐fixated PCIOLs.
279
Late Endophthalmitis After Transscleral Fixation of a Posterior Chamber Intraocular Lens
TL;DR: In this article, a transscleral fixation of a posterior chamber intraocular lens (IOL) has been described as a method of repositioning posteriorly dislocated IOLs or implanting IOL in the absence of posterior capsular support.
204
Iris fixation of posterior chamber intraocular lenses.
William G Zeh,Francis W. Price +1 more
TL;DR: Iris fixation of posterior chamber silicone IOLs may decrease the possibility of late suture breakage and dislocation of the IOL, as well as the risk of endophthalmitis.
101
The torque and tilt gamble
TL;DR: Surgeons using scleral fixation of a posterior chamber IOL should be aware of the possibility of inducing tilt and should aim for symmetrical suture configurations at the two haptics.
74