Sutureless transscleral fixation of secondary intraocular lenses

被引:16
作者
Nudleman, Eric [1 ,2 ]
Yonekawa, Yoshihiro [3 ]
Prenner, Jonathan L. [4 ,5 ]
机构
[1] Univ Calif San Diego, Dept Ophthalmol, Shiley Eye Inst, La Jolla, CA 92093 USA
[2] Univ Calif San Diego, Jacobs Retina Ctr, La Jolla, CA 92093 USA
[3] Harvard Med Sch, Dept Ophthalmol, Mass Eye & Ear & Boston Childrens Hosp, Boston, MA USA
[4] Rutgers Robert Wood Johnson Med Sch, Dept Ophthalmol, New Brunswick, NJ 08901 USA
[5] NJ Retina, New Brunswick, NJ USA
关键词
secondary intraocular lens; subluxed intraocular lens; sutureless transscleral fixation; PARS-PLANA VITRECTOMY; SCLERAL FIXATION; INTRASCLERAL FIXATION; OUTCOMES; IMPLANTATION; RESCUE; PSEUDOEXFOLIATION; COMPLICATIONS; DISLOCATION; PLACEMENT;
D O I
10.1097/ICU.0000000000000474
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of reviewThe surgical approach to eyes needing a secondary intraocular lens have evolved rapidly in recent years. Here, we will focus on techniques for scleral-fixation of intraocular lenses (IOLs), and will review the evidence for their safety and efficacy.Recent findingsTransscleral fixation of IOLs refers the placement of lens haptics within scleral tunnels to stabilize the lens in eyes that lack adequate capsular support. Various surgical techniques have been reported recently to accomplish this goal. These include the use of a trocar, microvitreoretinal blade, or hypodermic needle to create the scleral tunnels, as well as several methods for placing the haptics through the tunnels. Although long-term data is lacking, each technique has been shown to have good visual outcomes without significant side effects.SummarySurgical approaches for the transscleral fixation of secondary IOLs provide a safe and effective technique for the management of eyes with insufficient capsular support.
引用
收藏
页码:210 / 216
页数:7
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