Cargando…
Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars
PURPOSE: To report a new technique for sutureless intrascleral fixation of three-piece foldable intraocular lenses (IOLs) using 25-gauge trocars. METHODS: We performed this technique on patients with insufficient posterior capsule support. Seventeen eyes from 15 patients with aphakia, dislocated IOL...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327285/ https://www.ncbi.nlm.nih.gov/pubmed/30687549 http://dx.doi.org/10.1155/2018/9250425 |
_version_ | 1783386440877473792 |
---|---|
author | Hu, Zhi-Xiang Lin, HaiShuang Ye, Lingying Lin, Zhong Chen, Tianyu Lin, Ke Wu, Rong-Han |
author_facet | Hu, Zhi-Xiang Lin, HaiShuang Ye, Lingying Lin, Zhong Chen, Tianyu Lin, Ke Wu, Rong-Han |
author_sort | Hu, Zhi-Xiang |
collection | PubMed |
description | PURPOSE: To report a new technique for sutureless intrascleral fixation of three-piece foldable intraocular lenses (IOLs) using 25-gauge trocars. METHODS: We performed this technique on patients with insufficient posterior capsule support. Seventeen eyes from 15 patients with aphakia, dislocated IOL, or subluxated crystalline lens undergoing posterior chamber sutureless implantation of an IOL were studied. The haptics of the IOL were externalized using two 25-gauge forceps. The haptics were bended back (hook-like) into the vitreous cavity through a scleral incision made by using a 25-gauge trocar. And, IOL tilt was determined by using a slit lamp and UBM, and complications were recorded. RESULTS: The IOLs were fixed with exact centration and axial stability. No wound leakage was reported even without the use of sutures. The mean best-corrected visual acuity (BCVA) was 0.82 logarithm of the minimum angle of resolution (logMAR) units preoperatively, and the mean BCVA was 0.44 logMAR units at the 6-month follow-up visit. No postoperative retinal detachment, endophthalmitis, IOL tilt or dislocation, or vitreous hemorrhage was noted. CONCLUSION: Sutureless intrascleral haptic-hook posterior chamber IOL implantation using 25-gauge trocars provides good IOL fixation with reliable wound closure without the use of sutures. This trial is registered with ChiCTR1800017436. |
format | Online Article Text |
id | pubmed-6327285 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-63272852019-01-27 Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars Hu, Zhi-Xiang Lin, HaiShuang Ye, Lingying Lin, Zhong Chen, Tianyu Lin, Ke Wu, Rong-Han J Ophthalmol Clinical Study PURPOSE: To report a new technique for sutureless intrascleral fixation of three-piece foldable intraocular lenses (IOLs) using 25-gauge trocars. METHODS: We performed this technique on patients with insufficient posterior capsule support. Seventeen eyes from 15 patients with aphakia, dislocated IOL, or subluxated crystalline lens undergoing posterior chamber sutureless implantation of an IOL were studied. The haptics of the IOL were externalized using two 25-gauge forceps. The haptics were bended back (hook-like) into the vitreous cavity through a scleral incision made by using a 25-gauge trocar. And, IOL tilt was determined by using a slit lamp and UBM, and complications were recorded. RESULTS: The IOLs were fixed with exact centration and axial stability. No wound leakage was reported even without the use of sutures. The mean best-corrected visual acuity (BCVA) was 0.82 logarithm of the minimum angle of resolution (logMAR) units preoperatively, and the mean BCVA was 0.44 logMAR units at the 6-month follow-up visit. No postoperative retinal detachment, endophthalmitis, IOL tilt or dislocation, or vitreous hemorrhage was noted. CONCLUSION: Sutureless intrascleral haptic-hook posterior chamber IOL implantation using 25-gauge trocars provides good IOL fixation with reliable wound closure without the use of sutures. This trial is registered with ChiCTR1800017436. Hindawi 2018-12-27 /pmc/articles/PMC6327285/ /pubmed/30687549 http://dx.doi.org/10.1155/2018/9250425 Text en Copyright © 2018 Zhi-Xiang Hu et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Hu, Zhi-Xiang Lin, HaiShuang Ye, Lingying Lin, Zhong Chen, Tianyu Lin, Ke Wu, Rong-Han Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars |
title | Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars |
title_full | Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars |
title_fullStr | Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars |
title_full_unstemmed | Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars |
title_short | Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars |
title_sort | sutureless intrascleral haptic-hook lens implantation using 25-gauge trocars |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327285/ https://www.ncbi.nlm.nih.gov/pubmed/30687549 http://dx.doi.org/10.1155/2018/9250425 |
work_keys_str_mv | AT huzhixiang suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars AT linhaishuang suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars AT yelingying suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars AT linzhong suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars AT chentianyu suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars AT linke suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars AT wuronghan suturelessintrascleralhaptichooklensimplantationusing25gaugetrocars |