scholarly journals Use of the techniques of scleral and iris fixation in the secondary implantation of intraocular lenses

Author(s):  
Gabriel Bezerra Castaldelli ◽  
Giulia de Carvalho Firmino ◽  
Volney Anderson Castaldelli ◽  
Rafael de Souza Costa ◽  
João Crispim Moraes Lima Ribeiro
Ophthalmology ◽  
1989 ◽  
Vol 96 (8) ◽  
pp. 1241-1247 ◽  
Author(s):  
David J. Apple ◽  
Francis W. Price ◽  
Todd Gwin ◽  
Elke Imkamp ◽  
Michael Daun ◽  
...  

2019 ◽  
Vol 30 (3) ◽  
pp. 538-542
Author(s):  
Amir Faramarzi ◽  
Sepehr Feizi ◽  
Shahin Yazdani

Purpose: The aim of this article is to describe the safety and efficacy of trans-iris suture fixation for the management of late dislocation of in-the-capsular-bag intraocular lenses following uncomplicated cataract surgery. Patients and methods: Eleven eyes of 11 patients with late in-the-capsular-bag intraocular lens dislocation following uneventful phacoemulsification cataract surgery were recruited in the study. The dislocated intraocular lens–capsular bag complex was sutured to the iris at two points 180° apart using 9-0 polypropylene sutures on long needles. Results: Mean patient age was 67 ± 6 years. Seven eyes had pseudoexfoliation syndrome, one eye had Marfan syndrome, and another eye had a traumatic cataract; no risk factor was identified for intraocular lens dislocation in two eyes. A capsular tension ring had been implanted during cataract surgery in four eyes. In six eyes, the posterior chamber intraocular lenses were one-piece foldable while the remaining were three-piece intraocular lenses. Compared to the preoperative value, corrected distance visual acuity was significantly improved postoperatively ( p < 0.005). Intraoperative hyphema occurred in two eyes. Pupil ovalization was observed in all eyes. Mean endothelial cell count decreased by 4 ± 1.7% after intraocular lens fixation. The capsular bag–intraocular lens complex was stable and well-centered in the pupillary area in all eyes at the final follow-up examination which was performed 16 ± 4 months postoperatively. Conclusion: Trans-iris fixation is a simple and effective procedure for management of late intraocular lenses–capsular bag complex dislocation, without major complications.


2013 ◽  
Vol 4 (1) ◽  
pp. 33-36
Author(s):  
Tatyana Nikolayevna Nikitina

25 patients 5–17 years old after primary and secondary implantation of intraocular lenses were examined. The least reactive course of the postoperative period, in combination with the best functional result, was received using intraocular lenses AcrySof (Alcon). The best functional results (visual acuity and binocularity) were received at secondary implantation of the intraocular lenses, executed to children over 7 years old with aphakia who received active pleoptic treatment before and after operation.


2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Ahmad M. Mansour ◽  
Shady T. Awwad

We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Also certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and hence the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate.


2000 ◽  
Vol 26 (7) ◽  
pp. 1028-1034 ◽  
Author(s):  
William G. Zeh ◽  
Francis W. Price

2014 ◽  
Vol 21 (1) ◽  
pp. 44 ◽  
Author(s):  
Zuleyha Yalniz-Akkaya ◽  
Iskan Abay ◽  
MehmetAkif Acar ◽  
Ayse Burcu ◽  
Umit Eksioglu ◽  
...  

Ophthalmology ◽  
2007 ◽  
Vol 114 (7) ◽  
pp. 1311-1318 ◽  
Author(s):  
Garry P. Condon ◽  
Samuel Masket ◽  
Christoph Kranemann ◽  
Alan S. Crandall ◽  
Iqbal Ike K. Ahmed

Ophthalmology ◽  
1981 ◽  
Vol 88 (5) ◽  
pp. 407-409 ◽  
Author(s):  
Guy E. Knolle ◽  
Johnny Justice ◽  
William D. Spears

Sign in / Sign up

Export Citation Format

Share Document