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Net technique for intraocular lens support in aphakia without capsular support

BACKGROUND: This paper describes a modified surgical technique for intraocular lens implantation in aphakic eyes with no capsular support. METHODS: Retrospective case series. Seventeen eyes of 17 aphakic patients with no capsule support underwent intraocular lens (IOL) implantation using a standardi...

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Detalles Bibliográficos
Autores principales: De Novelli, Fernando José, Neto, Theodomiro Lourenço Garrido, de Sena Rabelo, Gabriel, Blumer, Marcel Eduardo, Suzuki, Ricardo, Ghanem, Ramon Coral
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572154/
https://www.ncbi.nlm.nih.gov/pubmed/28856011
http://dx.doi.org/10.1186/s40942-017-0085-8
Descripción
Sumario:BACKGROUND: This paper describes a modified surgical technique for intraocular lens implantation in aphakic eyes with no capsular support. METHODS: Retrospective case series. Seventeen eyes of 17 aphakic patients with no capsule support underwent intraocular lens (IOL) implantation using a standardized technique in which a net was created at the ciliary sulcus plane with two threads forming a net pattern. The net was used as support for the IOL. Follow-up ranged from 6 to 38 months, with an average of 23 months. RESULTS: In all cases, the IOL was safely implanted and remained stable during the follow-up. In 16 eyes, the IOL remained well centered; in one eye, slight decentration was observed. Distance-corrected visual acuity improved by a mean of 4 lines, from 1.13 (LogMAR) to 0.52 (P = 0.01). CONCLUSION: This technique might be especially useful in cases of insufficient capsular support associated with tissue loss or iris atrophy. In these cases, iris fixation is not feasible; thus, the only surgical alternative is IOL scleral fixation. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40942-017-0085-8) contains supplementary material, which is available to authorized users.