Exposure of haptic of posterior chamber intraocular lens after sutureless intrascleral fixation
نویسندگان
چکیده
BACKGROUND A technique of sutureless intrascleral fixation of an intraocular lens (IOL) in an eye that lacks a posterior capsular support has been reported. The advantage of this technique was that the suture-related complications did not develop. However, the long-term complications of a sutureless IOL implantation have not been reported. CASE PRESENTATION A 75-years-old man had a sutureless intrascleral fixation (Y-fixation) of an IOL 4 months before our examination. The nasal haptic became exposed and the temporal haptic was seen in the subconjunctiva. The tilted IOL was removed and replaced by a posterior chamber IOL that was sutured to the sclera. At the 6 months examination, the eye was quiet and the IOL was stable. CONCLUSION We suggest that the exposure of the nasal haptic of an IOL that was implanted by sutureless intrascleral fixation (Y-fixation) was due to poor surgical technique and/or the erosion of a fragile sclera. Thus, eyes should be carefully and frequently monitored after sutureless intrascleral posterior chamber IOL implantation.
منابع مشابه
[Sulcus fixation of an intraocular lens by means of haptic insertions in scleral tunnels: results at one year].
METHODS We included seven eyes in which sutureless intrascleral posterior chamber intraocular lens (IOL) fixation was performed. Pre- and post-surgical best-corrected visual acuity (LogMAR) and refraction changes were analyzed. There was a one year follow-up period. CONCLUSIONS Sutureless intrascleral posterior chamber intraocular lens fixation is, in our experience, a safe technique that all...
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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 کاملVisual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia
BACKGROUND Several techniques for fixation of the posterior chamber intraocular lens (IOL) have been developed. We evaluate long-term functional outcomes and safety of posterior chamber IOL implantation using Hoffman scleral haptic fixation and sutureless Sharioth technique in patients with posttraumatic and postoperative aphakia. METHODS This retrospective case-series included 42 eyes operat...
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...
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عنوان ژورنال:
دوره 15 شماره
صفحات -
تاریخ انتشار 2015