Outcome of Iris Fixation of Posterior Chamber Intraocular Lenses Using Siepser Sliding Knot Technique

2018 ◽  
Vol 70 (1) ◽  
pp. 39-41
Author(s):  
Abdulrahman A. Kaki ◽  
Maan A. Al-Barry ◽  
Ammar M. Al-Mahmood
Keyword(s):  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Iris Fixation

Trans-iris fixation of dislocated in-the-bag intraocular lenses

2019 ◽  
Vol 30 (3) ◽  
pp. 538-542
Author(s):  
Amir Faramarzi ◽  
Sepehr Feizi ◽  
Shahin Yazdani
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Lens Dislocation ◽  
Capsular Tension Ring ◽  
Intraocular Lens Dislocation ◽  
Late Dislocation ◽  
Iris Fixation ◽  
Capsular Bag

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.

scholarly journals Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Ahmad M. Mansour ◽  
Shady T. Awwad
Keyword(s):  
Intraocular Lens ◽  
Anterior Segment ◽  
Inflammatory Cells ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Suture Fixation ◽  
Anterior Compartment ◽  
Posterior Chamber Intraocular Lens ◽  
Iris Fixation ◽  
Gain Access

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.

Iris fixation of posterior chamber intraocular lenses

2000 ◽  
Vol 26 (7) ◽  
pp. 1028-1034 ◽  
Author(s):  
William G. Zeh ◽  
Francis W. Price
Keyword(s):  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Iris Fixation

Iris fixation of posterior chamber intraocular lenses

2016 ◽  
Vol 42 (12) ◽  
pp. 1707-1712 ◽  
Author(s):  
Alireza Yazdani-Abyaneh ◽  
Ali R. Djalilian ◽  
Masoud Aghsaei Fard
Keyword(s):  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Iris Fixation

scholarly journals Atomic force microscopy comparative analysis of the surface roughness of two posterior chamber phakic intraocular lens models: ICL versus IPCL

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan Gros-Otero ◽  
Samira Ketabi ◽  
Rafael Cañones-Zafra ◽  
Montserrat Garcia-Gonzalez ◽  
Cesar Villa-Collar ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Atomic Force Microscopy ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Anterior Surface ◽  
Contact Mode ◽  
Force Microscopy ◽  
Atomic Force ◽  
Phakic Intraocular Lenses ◽  
Roughness Measurements

Abstract Background To compare the anterior surface roughness of two commercially available posterior chamber phakic intraocular lenses (IOLs) using atomic force microscopy (AFM). Methods Four phakic IOLs were used for this prospective, experimental study: two Visian ICL EVO+ V5 lenses and two iPCL 2.0 lenses. All of them were brand new, were not previously implanted in humans, were monofocal and had a dioptric power of − 12 diopters (D). The anterior surface roughness was assessed using a JPK NanoWizard II® atomic force microscope in contact mode immersed in liquid. Olympus OMCL-RC800PSA commercial silicon nitride cantilever tips were used. Anterior surface roughness measurements were made in 7 areas of 10 × 10 μm at 512 × 512 point resolution. The roughness was measured using the root-mean-square (RMS) value within the given regions. Results The mean of all anterior surface roughness measurements was 6.09 ± 1.33 nm (nm) in the Visian ICL EVO+ V5 and 3.49 ± 0.41 nm in the iPCL 2.0 (p = 0.001). Conclusion In the current study, we found a statistically significant smoother anterior surface in the iPCL 2.0 phakic intraocular lenses compared with the VISIAN ICL EVO+ V5 lenses when studied with atomic force microscopy.

Safety of posterior chamber phakic intraocular lenses for the correction of high myopia

Ophthalmology ◽  
2001 ◽  
Vol 108 (1) ◽  
pp. 90-99 ◽  
Author(s):  
Ignacio Jiménez-Alfaro ◽  
José M Benı́tez del Castillo ◽  
Julian Garcı́a-Feijoó ◽  
Javier G Gil de Bernabé ◽  
José M Serrano de la Iglesia
Keyword(s):  
High Myopia ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Phakic Intraocular Lenses

Posterior Chamber Phakic Intraocular Lenses to Correct High Myopia: A Comparative Study Between Staar and Adatomed Models

2001 ◽  
Vol 17 (1) ◽  
pp. 32-42 ◽  
Author(s):  
José L Menezo ◽  
Cristina Peris-Martínez ◽  
Angel Cisneros ◽  
Rafael Martínez-Costa
Keyword(s):  
Comparative Study ◽  
High Myopia ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Phakic Intraocular Lenses
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