Tips and Tricks of Intrascleral Fixation of Single-Piece and Toric Intraocular Lens
نویسندگان
چکیده
Various techniques for scleral fixation of IOL in cases of poor capsular support have been described in past. Sutured scleral fixation of IOLs has been attempted for single piece and toric IOLs also. But this predisposes to various suture releated complications. Sutureless fixation of three piece IOLs with or without glue has gained popularity worldwide. However, odd power lenses and high astigmatism cannot be countered with three piece lenses. Our technique of sutureless, glueless scleral fixation of IOL using single piece and toric IOLs has shown favourable results and a potential option in such scenarios.
منابع مشابه
Sutureless, Glueless, Scleral Fixation of Single-Piece and Toric Intraocular Lens: A Novel Technique
Sutureless, glueless, scleral fixation of an intraocular lens is a known technique of fixing a lens in the scleral pockets. However, this technique is applied to single-piece and toric lenses instead of 3-piece lenses, allowing the advantage of the use of premium lenses in patients with poor capsular support. Favourable results without complications of pigment dispersion, iris transillumination...
متن کاملScleral fixation of a one-piece toric intraocular lens.
PURPOSE To describe a novel technique for toric intraocular lens (IOL) repositioning and fixation in the absence of adequate capsular support. METHODS Case report and literature review. RESULTS Two cases are presented with scleral fixation of a one-piece toric IOL (SN6AT series; Alcon Laboratories, Inc., Fort Worth, TX). In both cases, toric IOLs initially placed within the capsular bag bec...
متن کاملSurgical Outcome of Simultaneous Intraocular Lens Rescue and Sutureless Intrascleral Tunnel Fixation of Dislocated Intraocular Lenses.
PURPOSE To report short-term surgical outcomes of single-stage simultaneous rescue and sutureless intrascleral fixation of dislocated intraocular lens (IOLs). METHODS Sixteen eyes of 16 patients who underwent simultaneous rescue and intrascleral fixation of dislocated 3-piece IOLs were retrospectively evaluated. Partial thickness limbal-based scleral flaps (2.0 × 2.0 mm) were created, and a 2...
متن کاملNeedle-guided intrascleral fixation of posterior chamber intraocular lens for aphakia correction.
We present a technique for the surgical correction of aphakia that allows intrascleral fixation of a posterior chamber intraocular lens (IOL) without sutures. The technique is useful in situations in which one haptic has to be fixated and capsule support is adequate for fixation of the second haptic. The haptic is externalized with a 25-gauge needle; no surgical instrumentation other than that ...
متن کاملEffects of optical diameter of intraocular lenses with intrascleral fixation on higher-order aberrations
BACKGROUND Intrascleral fixation of an intraocular lens (IOL) is used in eyes that lack capsular support. The aim of the study is to determine whether a larger optical diameter IOL will decrease the higher-order aberrations (HOAs) when the haptics are extended for intrascleral fixation than a smaller diameter IOL. METHODS Three-piece acrylic IOLs with 6.0 mm optics (X-60, VA-60BBR) and 7.0 mm...
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