Non-trans-scleral Suture Fixation of Posterior Chamber Intraocular Lenses in the Absence of Posterior Capsular Support

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作者
Zhende Lin Shaozhen Li Huaming LI Yuping ZouZhongshan Ophthalmic Center Sun Yatsen University of Medical Sciences Guangzhou China [510060 ]
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关键词
cataract; intraocular lens; suture fixation; secondary implantation;
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R779.6 [眼外科手术学];
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摘要
<正> Purpose: To develop a new technique for fixation of posterior chamber intraocular lens (IOL) in the absence of posterior capsule support.Materials and Methods: We performed non-trans-scleral fixation of intraocular lenses on 24 cases (24 eyes) without posterior capsule support. Two scleral flaps with limbal incisions and two peripheral iridectomies were made at 1 o' clock and 7 o' clock positions respectively. A suture-leading needle was used to lead the prolene suture from the limbal incision and iridectomy on one side through the iridectomy and limbal incision on the other side. Intraocular lens (IOL) was then fixed in the ciliary sulcus. Results: After a mean follow-up of 6. 6 months (range from 3 to 14 months), corrected visual acuity of 16 cases (16 eyes,66. 7% ) got 0.5 or better. Postoperative complications included discoria (4 eyes) , surface membrane formation ( 1 eye ), choroidal detachment (1 eye) and tilt of IOL (1 eyes),but all were not severe. Conclusion: In some situations such as low int
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页码:46 / 48+45 +45
页数:4
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[1]  
Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction[J] . Enrique S. Malbran,Enrique Malbran,Ignacio Negri.International Ophthalmology . 1986 (2)