Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel

Takahiro Kawaji,1,2 Tomoki Sato,2 Hidenobu Tanihara11Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, 2Sato Eye & Internal Medicine Clinic, Kumamoto, JapanPurpose: To report the results of sutureless scleral fixation of a posterior chamber intraocular lens...

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Autores principales:	Kawaji T, Sato T, Tanihara H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Intraocular lenses ophthalmologic surgical procedures intrascleral fixation sutureless fixation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/21e4804e70ee4acda6f956fc30c8912f
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spelling	oai:doaj.org-article:21e4804e70ee4acda6f956fc30c8912f2021-12-02T00:33:50ZSutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel1177-5483https://doaj.org/article/21e4804e70ee4acda6f956fc30c8912f2016-01-01T00:00:00Zhttps://www.dovepress.com/sutureless-intrascleral-intraocular-lens-fixation-with-lamellar-dissec-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Takahiro Kawaji,1,2 Tomoki Sato,2 Hidenobu Tanihara11Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, 2Sato Eye & Internal Medicine Clinic, Kumamoto, JapanPurpose: To report the results of sutureless scleral fixation of a posterior chamber intraocular lens (IOL) by using our developed simple technique.Methods: We retrospectively reviewed the medical records of 48 eyes of 47 patients who underwent sutureless intrascleral IOL fixation by using our modified technique. A 25-gauge microvitreoretinal knife was used to perform sclerotomies and create limbus-parallel scleral tunnels with lamellar dissection in which the haptics were fixed.Results: The IOLs were fixed and centered well. The mean follow-up period was 26.7 months. Postoperative complications included smooth vitreous hemorrhage in four eyes (8.3%), cystoid macular edema in two eyes (4.2%), and iris capture of the IOL in two eyes (4.2%). No other complications, such as breakage of the IOL, spontaneous IOL dislocation, or retinal detachment, were detected during the follow-up period.Conclusion: The lamellar dissection of the limbus-parallel scleral tunnel can simplify the forceps-assisted introduction of the haptics into the scleral tunnel, and this technique seemed to be safe.Keywords: intraocular lenses, ophthalmologic surgical procedures, intrascleral fixation, sutureless fixationKawaji TSato TTanihara HDove Medical PressarticleIntraocular lensesophthalmologic surgical proceduresintrascleral fixationsutureless fixationOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 227-231 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intraocular lenses ophthalmologic surgical procedures intrascleral fixation sutureless fixation Ophthalmology RE1-994
spellingShingle	Intraocular lenses ophthalmologic surgical procedures intrascleral fixation sutureless fixation Ophthalmology RE1-994 Kawaji T Sato T Tanihara H Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
description	Takahiro Kawaji,1,2 Tomoki Sato,2 Hidenobu Tanihara11Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, 2Sato Eye & Internal Medicine Clinic, Kumamoto, JapanPurpose: To report the results of sutureless scleral fixation of a posterior chamber intraocular lens (IOL) by using our developed simple technique.Methods: We retrospectively reviewed the medical records of 48 eyes of 47 patients who underwent sutureless intrascleral IOL fixation by using our modified technique. A 25-gauge microvitreoretinal knife was used to perform sclerotomies and create limbus-parallel scleral tunnels with lamellar dissection in which the haptics were fixed.Results: The IOLs were fixed and centered well. The mean follow-up period was 26.7 months. Postoperative complications included smooth vitreous hemorrhage in four eyes (8.3%), cystoid macular edema in two eyes (4.2%), and iris capture of the IOL in two eyes (4.2%). No other complications, such as breakage of the IOL, spontaneous IOL dislocation, or retinal detachment, were detected during the follow-up period.Conclusion: The lamellar dissection of the limbus-parallel scleral tunnel can simplify the forceps-assisted introduction of the haptics into the scleral tunnel, and this technique seemed to be safe.Keywords: intraocular lenses, ophthalmologic surgical procedures, intrascleral fixation, sutureless fixation
format	article
author	Kawaji T Sato T Tanihara H
author_facet	Kawaji T Sato T Tanihara H
author_sort	Kawaji T
title	Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
title_short	Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
title_full	Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
title_fullStr	Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
title_full_unstemmed	Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
title_sort	sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/21e4804e70ee4acda6f956fc30c8912f
work_keys_str_mv	AT kawajit suturelessintrascleralintraocularlensfixationwithlamellardissectionofscleraltunnel AT satot suturelessintrascleralintraocularlensfixationwithlamellardissectionofscleraltunnel AT taniharah suturelessintrascleralintraocularlensfixationwithlamellardissectionofscleraltunnel
_version_	1718403602703187968

Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel

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