A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking

Cristos Ifantides,1,2 Steven M Naids,3 Danson V Muttuvelu,4 Shahzad I Mian,5 Karen L Christopher1,6 1Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO, USA; 2Department of Surgery, Denver Health Medical Center, Denver, CO, USA; 3Advan...

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Autores principales: Ifantides C, Naids SM, Muttuvelu DV, Mian SI, Christopher KL
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:ad08b0dcfbd6425c9bf00029d4a68d012021-12-02T17:16:49ZA Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking1177-5483https://doaj.org/article/ad08b0dcfbd6425c9bf00029d4a68d012021-05-01T00:00:00Zhttps://www.dovepress.com/a-modified-flanged-intrascleral-intraocular-lens-fixation-technique-us-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Cristos Ifantides,1,2 Steven M Naids,3 Danson V Muttuvelu,4 Shahzad I Mian,5 Karen L Christopher1,6 1Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO, USA; 2Department of Surgery, Denver Health Medical Center, Denver, CO, USA; 3Advanced Vision Care, Los Angeles, CA, USA; 4Aarhus University Hospital, Aarhus, Denmark; 5Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA; 6Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, USACorrespondence: Cristos IfantidesDepartment of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado, 1675 Aurora Court, F731, Aurora, CO, 80045, USAEmail cristosMD@gmail.comAbstract: The Yamane intrascleral flanged haptic fixation technique has obviated the need for resources such as suture or glue. However, intraocular maneuvers to properly dock haptics into the needles for externalization can be difficult for even adept eye surgeons and is especially difficult when visualization through the cornea is poor. Additionally, one traditional resource, intraocular forceps, has been critical in both the original technique and proposed modifications since its inception. We describe a modified flanged intrascleral intraocular lens fixation technique by docking the second haptic externally at the main corneal incision. This technique does not require the use of microforceps, which is advantageous to surgeons who lack access to specialized instrumentation. Additionally, this technique may provide added safety, visibility, and ease for surgeons by docking the haptic externally at the corneal incision rather than within the eye.Keywords: secondary lens, secondary IOL, Yamane, haptic fixation, scleral fixation, cataract surgery, aphakiaIfantides CNaids SMMuttuvelu DVMian SIChristopher KLDove Medical Pressarticlesecondary lenssecondary iolyamanehaptic fixationscleral fixationcataract surgeryaphakiaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 2047-2050 (2021)
institution DOAJ
collection DOAJ
language EN
topic secondary lens
secondary iol
yamane
haptic fixation
scleral fixation
cataract surgery
aphakia
Ophthalmology
RE1-994
spellingShingle secondary lens
secondary iol
yamane
haptic fixation
scleral fixation
cataract surgery
aphakia
Ophthalmology
RE1-994
Ifantides C
Naids SM
Muttuvelu DV
Mian SI
Christopher KL
A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
description Cristos Ifantides,1,2 Steven M Naids,3 Danson V Muttuvelu,4 Shahzad I Mian,5 Karen L Christopher1,6 1Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO, USA; 2Department of Surgery, Denver Health Medical Center, Denver, CO, USA; 3Advanced Vision Care, Los Angeles, CA, USA; 4Aarhus University Hospital, Aarhus, Denmark; 5Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA; 6Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, USACorrespondence: Cristos IfantidesDepartment of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado, 1675 Aurora Court, F731, Aurora, CO, 80045, USAEmail cristosMD@gmail.comAbstract: The Yamane intrascleral flanged haptic fixation technique has obviated the need for resources such as suture or glue. However, intraocular maneuvers to properly dock haptics into the needles for externalization can be difficult for even adept eye surgeons and is especially difficult when visualization through the cornea is poor. Additionally, one traditional resource, intraocular forceps, has been critical in both the original technique and proposed modifications since its inception. We describe a modified flanged intrascleral intraocular lens fixation technique by docking the second haptic externally at the main corneal incision. This technique does not require the use of microforceps, which is advantageous to surgeons who lack access to specialized instrumentation. Additionally, this technique may provide added safety, visibility, and ease for surgeons by docking the haptic externally at the corneal incision rather than within the eye.Keywords: secondary lens, secondary IOL, Yamane, haptic fixation, scleral fixation, cataract surgery, aphakia
format article
author Ifantides C
Naids SM
Muttuvelu DV
Mian SI
Christopher KL
author_facet Ifantides C
Naids SM
Muttuvelu DV
Mian SI
Christopher KL
author_sort Ifantides C
title A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
title_short A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
title_full A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
title_fullStr A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
title_full_unstemmed A Modified Flanged Intrascleral Intraocular Lens Fixation Technique Using an Externalized Needle for Haptic Docking
title_sort modified flanged intrascleral intraocular lens fixation technique using an externalized needle for haptic docking
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/ad08b0dcfbd6425c9bf00029d4a68d01
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