Double-Flanged polypropylene Suture for Scleral Fixation of Cionni Capsule Tension Ring

Ahmed Samir, Ayman M Abdelrahman Elsayed, Ahmed Alyan, Ayman Lotfy Ophthalmology Department, Zagazig University, Zagazig, EgyptCorrespondence: Ahmed SamirOphthalmology Department, Zagazig University, Zagazig, EgyptEmail ahmedsamir74@gmail.comPurpose: To describe a new technique for transconjunctival...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Samir A, Abdelrahman Elsayed AM, Alyan A, Lotfy A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
Acceso en línea:https://doaj.org/article/670036fe751b4a4dbd2e076b0eb27047
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
Descripción
Sumario:Ahmed Samir, Ayman M Abdelrahman Elsayed, Ahmed Alyan, Ayman Lotfy Ophthalmology Department, Zagazig University, Zagazig, EgyptCorrespondence: Ahmed SamirOphthalmology Department, Zagazig University, Zagazig, EgyptEmail ahmedsamir74@gmail.comPurpose: To describe a new technique for transconjunctival intrascleral fixation of Cionni CTR using double-flanged polypropylens suture.Methods: This is a prospective interventional case series which included 7 cases with severe (more than 180 degrees) zonular dialysis. Three cases were hereditary lens subluxation (Marfan syndrome), 2 cases with traumatic subluxation and 2 cases with pseudo-exfoliation syndrome.Results: All cases achieved a good postoperative stable and centered IOL with good visual results. No postoperative complications were recorded apart from PCO in 3 cases and mild bleeding during needle passage in one case.Conclusion: This described technique is a simple, time sparing and minimally invasive method for achieving good bag centration. It eliminates the need of conjunctival peritomy, subconjunctival vessels cautery and scleral fashioning of a flap, pocket or a groove. The use of 6/0 polypropylene theoretically can achieve better longevity.Keywords: Cionni ring, lens subluxation, polypropylene suture, scleral fixation