Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks

Rajvi Mehta, Ahmad A Aref Illinois Eye and Ear Infirmary, Chicago, IL, USACorrespondence: Ahmad A ArefIllinois Eye and Ear Infirmary, 1855 W. Taylor Street, M/C 648, Chicago, IL 60612, USATel +1312-996-7030Fax +1312-413-8574Email aaref@uic.eduPurpose: This article reviews the current literature on t...

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Autores principales:	Mehta R, Aref AA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	ciliary sulcus capsule rupture intraocular lens complications surgical technique Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/26777e10526b4f5b9c4e5e54b0703db9
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spelling	oai:doaj.org-article:26777e10526b4f5b9c4e5e54b0703db92021-12-02T09:15:39ZIntraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks1177-5483https://doaj.org/article/26777e10526b4f5b9c4e5e54b0703db92019-11-01T00:00:00Zhttps://www.dovepress.com/intraocular-lens-implantation-in-the-ciliary-sulcus-challenges-and-ris-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Rajvi Mehta, Ahmad A Aref Illinois Eye and Ear Infirmary, Chicago, IL, USACorrespondence: Ahmad A ArefIllinois Eye and Ear Infirmary, 1855 W. Taylor Street, M/C 648, Chicago, IL 60612, USATel +1312-996-7030Fax +1312-413-8574Email aaref@uic.eduPurpose: This article reviews the current literature on the risks and challenges associated with intraocular lens (IOL) implantation in the ciliary sulcus.Recent findings: The development of IOLs designed specifically for placement in the ciliary sulcus continues to be an area of interest for the ophthalmic industry. Currently the one-piece PMMA (polymethylmethacrylate) lens or a three-piece IOL are the best available options for IOL placement in the ciliary sulcus space. Single piece acrylic (SPA) IOLs are not designed for sulcus placement and there is growing evidence of chronic complications related to their use in the ciliary sulcus. Many of these eyes ultimately require surgical intervention, including lens exchange. Endoscopic imaging and ultrasound biomicroscopy (UBM) have enabled a better understanding of ciliary sulcus anatomy and measurements in the living eye.Summary: When the capsular bag is compromised, IOL placement in the ciliary sulcus is a reasonable option. In these circumstances, appropriate choice of IOL, knowledge of the sulcus anatomy, and correct technique can improve results and reduce postoperative complications.Keywords: ciliary sulcus, capsule rupture, intraocular lens, complications, surgical techniqueMehta RAref AADove Medical Pressarticleciliary sulcuscapsule ruptureintraocular lenscomplicationssurgical techniqueOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2317-2323 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	ciliary sulcus capsule rupture intraocular lens complications surgical technique Ophthalmology RE1-994
spellingShingle	ciliary sulcus capsule rupture intraocular lens complications surgical technique Ophthalmology RE1-994 Mehta R Aref AA Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
description	Rajvi Mehta, Ahmad A Aref Illinois Eye and Ear Infirmary, Chicago, IL, USACorrespondence: Ahmad A ArefIllinois Eye and Ear Infirmary, 1855 W. Taylor Street, M/C 648, Chicago, IL 60612, USATel +1312-996-7030Fax +1312-413-8574Email aaref@uic.eduPurpose: This article reviews the current literature on the risks and challenges associated with intraocular lens (IOL) implantation in the ciliary sulcus.Recent findings: The development of IOLs designed specifically for placement in the ciliary sulcus continues to be an area of interest for the ophthalmic industry. Currently the one-piece PMMA (polymethylmethacrylate) lens or a three-piece IOL are the best available options for IOL placement in the ciliary sulcus space. Single piece acrylic (SPA) IOLs are not designed for sulcus placement and there is growing evidence of chronic complications related to their use in the ciliary sulcus. Many of these eyes ultimately require surgical intervention, including lens exchange. Endoscopic imaging and ultrasound biomicroscopy (UBM) have enabled a better understanding of ciliary sulcus anatomy and measurements in the living eye.Summary: When the capsular bag is compromised, IOL placement in the ciliary sulcus is a reasonable option. In these circumstances, appropriate choice of IOL, knowledge of the sulcus anatomy, and correct technique can improve results and reduce postoperative complications.Keywords: ciliary sulcus, capsule rupture, intraocular lens, complications, surgical technique
format	article
author	Mehta R Aref AA
author_facet	Mehta R Aref AA
author_sort	Mehta R
title	Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
title_short	Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
title_full	Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
title_fullStr	Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
title_full_unstemmed	Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
title_sort	intraocular lens implantation in the ciliary sulcus: challenges and risks
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/26777e10526b4f5b9c4e5e54b0703db9
work_keys_str_mv	AT mehtar intraocularlensimplantationintheciliarysulcuschallengesandrisks AT arefaa intraocularlensimplantationintheciliarysulcuschallengesandrisks
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Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks

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