In-and-out technique for intraocular lens scleral fixation

Jung Yeol Choi,1 Young Keun Han2,3 1Department of Ophthalmology, Jeju National University Hospital, Jeju, South Korea; 2Department of Ophthalmology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea; 3Department of Ophthalmology, Seoul National Unive...

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Autores principales:	Choi JY, Han YK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	modified technique intraocular lens scleral fixation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1976b1f70bc149c19068479b9c895a8f
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spelling	oai:doaj.org-article:1976b1f70bc149c19068479b9c895a8f2021-12-02T00:18:16ZIn-and-out technique for intraocular lens scleral fixation1177-5483https://doaj.org/article/1976b1f70bc149c19068479b9c895a8f2018-07-01T00:00:00Zhttps://www.dovepress.com/in-and-out-technique-for-intraocular-lens-scleral-fixation-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jung Yeol Choi,1 Young Keun Han2,3 1Department of Ophthalmology, Jeju National University Hospital, Jeju, South Korea; 2Department of Ophthalmology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea; 3Department of Ophthalmology, Seoul National University College of Medicine, Seoul, South Korea Abstract: We describe a modified scleral fixation method to facilitate the good centration and adequate tension of sutures at both ends with addition of an internal fixation knot that reduces decentering of the IOL in a patient with postsurgical aphakia. Using an ab externo suture technique to fixate the haptics to the scleral wall, an additional loop knot is tied 1 mm next to the fixation knot at the haptic. In the technique, an internalized suture and an additional suture knot is tied while holding it close to the fixation knot at the haptic using a needle holder or McPherson forceps. The externalized sutures are secured by taking a bite of transclera and tying the suture to itself. This technique is simple and easy, and adds an internal check valve to prevent excessive pull and decentering of the intraocular lens at one side. The internal check valve also serves as a criterion for the point of fixation at each end. Keywords: modified technique, intraocular lens scleral fixation, postsurgical aphakiaChoi JYHan YKDove Medical Pressarticlemodified techniqueintraocular lens scleral fixationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1279-1284 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	modified technique intraocular lens scleral fixation Ophthalmology RE1-994
spellingShingle	modified technique intraocular lens scleral fixation Ophthalmology RE1-994 Choi JY Han YK In-and-out technique for intraocular lens scleral fixation
description	Jung Yeol Choi,1 Young Keun Han2,3 1Department of Ophthalmology, Jeju National University Hospital, Jeju, South Korea; 2Department of Ophthalmology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea; 3Department of Ophthalmology, Seoul National University College of Medicine, Seoul, South Korea Abstract: We describe a modified scleral fixation method to facilitate the good centration and adequate tension of sutures at both ends with addition of an internal fixation knot that reduces decentering of the IOL in a patient with postsurgical aphakia. Using an ab externo suture technique to fixate the haptics to the scleral wall, an additional loop knot is tied 1 mm next to the fixation knot at the haptic. In the technique, an internalized suture and an additional suture knot is tied while holding it close to the fixation knot at the haptic using a needle holder or McPherson forceps. The externalized sutures are secured by taking a bite of transclera and tying the suture to itself. This technique is simple and easy, and adds an internal check valve to prevent excessive pull and decentering of the intraocular lens at one side. The internal check valve also serves as a criterion for the point of fixation at each end. Keywords: modified technique, intraocular lens scleral fixation, postsurgical aphakia
format	article
author	Choi JY Han YK
author_facet	Choi JY Han YK
author_sort	Choi JY
title	In-and-out technique for intraocular lens scleral fixation
title_short	In-and-out technique for intraocular lens scleral fixation
title_full	In-and-out technique for intraocular lens scleral fixation
title_fullStr	In-and-out technique for intraocular lens scleral fixation
title_full_unstemmed	In-and-out technique for intraocular lens scleral fixation
title_sort	in-and-out technique for intraocular lens scleral fixation
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/1976b1f70bc149c19068479b9c895a8f
work_keys_str_mv	AT choijy inandouttechniqueforintraocularlensscleralfixation AT hanyk inandouttechniqueforintraocularlensscleralfixation
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In-and-out technique for intraocular lens scleral fixation

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