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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...

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Autores principales: Oli, Avadhesh, Balakrishnan, Divya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
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.
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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
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