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Autologous blood-assisted scleral fixation of intraocular lens
In this technique, the lamellar scleral tunnel is fashioned to cover IOL haptics and autologous blood is used to close the conjunctiva, which alleviates the need for fibrin glue. The cornea is marked at four and 10'O clock meridian, and 2 mm incision is made on the conjunctiva. A lamellar scler...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774126/ https://www.ncbi.nlm.nih.gov/pubmed/33120646 http://dx.doi.org/10.4103/ijo.IJO_129_20 |
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author | Oli, Avadhesh Balakrishnan, Divya |
author_facet | Oli, Avadhesh Balakrishnan, Divya |
author_sort | Oli, Avadhesh |
collection | PubMed |
description | In this technique, the lamellar scleral tunnel is fashioned to cover IOL haptics and autologous blood is used to close the conjunctiva, which alleviates the need for fibrin glue. The cornea is marked at four and 10'O clock meridian, and 2 mm incision is made on the conjunctiva. A lamellar scleral tunnel is fashioned 2 mm superior on one side and 2 mm inferior on the other side of this mark. The IOL is inserted into the anterior chamber and the haptics are exteriorized using bent 26-gauge hypodermic needle, flanged, and buried in the tunnel. A visible conjunctival blood vessel is punctured, allowing the blood to pool underneath the conjunctiva. The conjunctiva is approximated with the help of blood coagulum and allowed to remain dry for 3 min. Lamellar scleral tunnels give adequate cover to haptics, and autologous blood can be used to glue the conjunctival flaps instead of fibrin glue. |
format | Online Article Text |
id | pubmed-7774126 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-77741262021-01-07 Autologous blood-assisted scleral fixation of intraocular lens Oli, Avadhesh Balakrishnan, Divya Indian J Ophthalmol Surgical Technique In this technique, the lamellar scleral tunnel is fashioned to cover IOL haptics and autologous blood is used to close the conjunctiva, which alleviates the need for fibrin glue. The cornea is marked at four and 10'O clock meridian, and 2 mm incision is made on the conjunctiva. A lamellar scleral tunnel is fashioned 2 mm superior on one side and 2 mm inferior on the other side of this mark. The IOL is inserted into the anterior chamber and the haptics are exteriorized using bent 26-gauge hypodermic needle, flanged, and buried in the tunnel. A visible conjunctival blood vessel is punctured, allowing the blood to pool underneath the conjunctiva. The conjunctiva is approximated with the help of blood coagulum and allowed to remain dry for 3 min. Lamellar scleral tunnels give adequate cover to haptics, and autologous blood can be used to glue the conjunctival flaps instead of fibrin glue. Wolters Kluwer - Medknow 2020-11 2020-10-26 /pmc/articles/PMC7774126/ /pubmed/33120646 http://dx.doi.org/10.4103/ijo.IJO_129_20 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Surgical Technique Oli, Avadhesh Balakrishnan, Divya Autologous blood-assisted scleral fixation of intraocular lens |
title | Autologous blood-assisted scleral fixation of intraocular lens |
title_full | Autologous blood-assisted scleral fixation of intraocular lens |
title_fullStr | Autologous blood-assisted scleral fixation of intraocular lens |
title_full_unstemmed | Autologous blood-assisted scleral fixation of intraocular lens |
title_short | Autologous blood-assisted scleral fixation of intraocular lens |
title_sort | autologous blood-assisted scleral fixation of intraocular lens |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774126/ https://www.ncbi.nlm.nih.gov/pubmed/33120646 http://dx.doi.org/10.4103/ijo.IJO_129_20 |
work_keys_str_mv | AT oliavadhesh autologousbloodassistedscleralfixationofintraocularlens AT balakrishnandivya autologousbloodassistedscleralfixationofintraocularlens |