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Sutureless intrascleral fixation of intraocular lens through self-sealing sclerotomy wounds using haptic externalization and reinternalization technique.

Abstract：

:In eyes with absent or insufficient capsule support, three-piece posterior chamber intraocular lens (PC IOL) may be fixed to the sclera. Previous techniques involve the use of sutures, flaps, glue, needles, trocars, or intrascleral tunnels to fixate the distal tips of the haptics intrasclerally. Herein we describe a modified technique for the sutureless scleral fixation of a standard 3-piece PC IOL using self-sealing sclerotomies created with a crescent blade and a 20-gauge microvitreoretinal blade, and then reinserting the haptics to leave the tips inside the vitreous cavity. We believe the relative simplicity of this technique makes it widely applicable for the placement of an IOL with insufficient capsule support.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Janse van Rensburg E,Ryu CL,Vila N,Chen JC

doi

10.1016/j.jcrs.2019.06.019

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

1367-1371

issue

10

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(19)30493-6

journal_volume

45

pub_type

杂志文章

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