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Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique

The procedure involved an ab-externo scleral fixation technique using a double-armed 10-0 polypropylene suture with straight needles that require no scleral flaps. The IOLs are sutured to the sclera, the free suture ends are tied to the suture loops, and they are buried together under the sclera. Fo...

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Detalles Bibliográficos
Autores principales: Altinkurt, Emre, Sayar Bilgin, Gizem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302312/
https://www.ncbi.nlm.nih.gov/pubmed/34011750
http://dx.doi.org/10.4103/ijo.IJO_3151_20
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author Altinkurt, Emre
Sayar Bilgin, Gizem
author_facet Altinkurt, Emre
Sayar Bilgin, Gizem
author_sort Altinkurt, Emre
collection PubMed
description The procedure involved an ab-externo scleral fixation technique using a double-armed 10-0 polypropylene suture with straight needles that require no scleral flaps. The IOLs are sutured to the sclera, the free suture ends are tied to the suture loops, and they are buried together under the sclera. Forty eyes of 37 patients were included. Postoperative complications are IOL capture in five eyes (12.5%), a significant IOL tilt in one eye (2.5%), recurrent UGH (uveitis-glaucoma-hyphema) syndrome in two eyes (5%), glaucoma in three eyes (7.5%), suture exposure in two eyes (5%) and IOL drop due to haptic breakage in one eye (2.5%). The technique can be effectively used for the refixation of dislocated hydrophobic acrylic IOLs by temporary haptic externalization through a corneal incision and for the treatment of aphakia with or without penetrating keratoplasty. Surgeons should be aware of the possibility of UGH syndrome due to IOL capture, especially in young eyes.
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spelling pubmed-83023122021-08-02 Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique Altinkurt, Emre Sayar Bilgin, Gizem Indian J Ophthalmol Surgical Technique The procedure involved an ab-externo scleral fixation technique using a double-armed 10-0 polypropylene suture with straight needles that require no scleral flaps. The IOLs are sutured to the sclera, the free suture ends are tied to the suture loops, and they are buried together under the sclera. Forty eyes of 37 patients were included. Postoperative complications are IOL capture in five eyes (12.5%), a significant IOL tilt in one eye (2.5%), recurrent UGH (uveitis-glaucoma-hyphema) syndrome in two eyes (5%), glaucoma in three eyes (7.5%), suture exposure in two eyes (5%) and IOL drop due to haptic breakage in one eye (2.5%). The technique can be effectively used for the refixation of dislocated hydrophobic acrylic IOLs by temporary haptic externalization through a corneal incision and for the treatment of aphakia with or without penetrating keratoplasty. Surgeons should be aware of the possibility of UGH syndrome due to IOL capture, especially in young eyes. Wolters Kluwer - Medknow 2021-06 2021-05-21 /pmc/articles/PMC8302312/ /pubmed/34011750 http://dx.doi.org/10.4103/ijo.IJO_3151_20 Text en Copyright: © 2021 Indian Journal of Ophthalmology https://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
Altinkurt, Emre
Sayar Bilgin, Gizem
Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
title Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
title_full Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
title_fullStr Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
title_full_unstemmed Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
title_short Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
title_sort scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302312/
https://www.ncbi.nlm.nih.gov/pubmed/34011750
http://dx.doi.org/10.4103/ijo.IJO_3151_20
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