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Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage

We report two cases of aphakia in whom an intraocular lens (IOL) was intrasclerally fixated through the pars plana to minimize further corneal endothelial damage. A modified lock-and-lead technique was used. A sclerotomy and scleral incision were made 2.5 mm from the limbus. A 24-G catheter needle w...

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Autores principales: Miyamoto, Naomi, Yamakawa, Momoko, Akimoto, Masayuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489085/
https://www.ncbi.nlm.nih.gov/pubmed/31097945
http://dx.doi.org/10.1159/000496534
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author Miyamoto, Naomi
Yamakawa, Momoko
Akimoto, Masayuki
author_facet Miyamoto, Naomi
Yamakawa, Momoko
Akimoto, Masayuki
author_sort Miyamoto, Naomi
collection PubMed
description We report two cases of aphakia in whom an intraocular lens (IOL) was intrasclerally fixated through the pars plana to minimize further corneal endothelial damage. A modified lock-and-lead technique was used. A sclerotomy and scleral incision were made 2.5 mm from the limbus. A 24-G catheter needle was used for penetration of the leading haptic, and two ultrathin 30-G needles were used to bury the ends of the haptics. The scleral incision was sutured with 8-0 nylon. Corneal endothelial cells were preserved after surgery. Neither intra- nor postoperative complications were observed. Intrascleral fixation of an IOL through the pars plana effectively minimizes further damage to corneal endothelial cells in select cases.
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spelling pubmed-64890852019-05-16 Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage Miyamoto, Naomi Yamakawa, Momoko Akimoto, Masayuki Case Rep Ophthalmol Case Report We report two cases of aphakia in whom an intraocular lens (IOL) was intrasclerally fixated through the pars plana to minimize further corneal endothelial damage. A modified lock-and-lead technique was used. A sclerotomy and scleral incision were made 2.5 mm from the limbus. A 24-G catheter needle was used for penetration of the leading haptic, and two ultrathin 30-G needles were used to bury the ends of the haptics. The scleral incision was sutured with 8-0 nylon. Corneal endothelial cells were preserved after surgery. Neither intra- nor postoperative complications were observed. Intrascleral fixation of an IOL through the pars plana effectively minimizes further damage to corneal endothelial cells in select cases. S. Karger AG 2019-02-04 /pmc/articles/PMC6489085/ /pubmed/31097945 http://dx.doi.org/10.1159/000496534 Text en Copyright © 2019 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Miyamoto, Naomi
Yamakawa, Momoko
Akimoto, Masayuki
Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage
title Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage
title_full Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage
title_fullStr Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage
title_full_unstemmed Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage
title_short Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage
title_sort intrascleral fixation of an intraocular lens through the pars plana prevents corneal endothelial damage
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489085/
https://www.ncbi.nlm.nih.gov/pubmed/31097945
http://dx.doi.org/10.1159/000496534
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