scholarly journals Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

2021 ◽  
Vol Volume 15 ◽  
pp. 2473-2479
Author(s):  
Olav Kristianslund ◽  
Gunhild F Sandvik ◽  
Liv Drolsum
Keyword(s):  
Scleral Fixation ◽  
Capsular Tension Ring

Long-Term Stability of Sutured Scleral Fixation of a Posterior Chamber Intraocular Lens With 10-0 Polypropylene for More Than 30 Years

2021 ◽  
pp. 247412642097887
Author(s):  
Gregg T. Kokame ◽  
Tarin T. Tanji ◽  
Jase N. Omizo
Keyword(s):  
Intraocular Lens ◽  
Posterior Chamber ◽  
Scleral Flap ◽  
Scleral Fixation ◽  
Polypropylene Suture ◽  
Long Term Stability ◽  
Posterior Chamber Intraocular Lens ◽  
Polypropylene Sutures

Purpose: We report the longest follow-up to our knowledge of stable scleral fixation of a posterior chamber intraocular lens (PC IOL) with 10-0 polypropylene sutures. Methods: A retrospective review is presented of a case with more than 30 years’ follow-up after performing sutured scleral fixation with 10-0 polypropylene suture using 2 sutures tied together under a scleral flap. One suture was a cow-hitch looped around the haptic, and the other suture was passed through the sclera to create the scleral fixation. Results: The scleral fixation with 10-0 polypropylene suture knots for both haptics of the PC IOL allowed central optic positioning with excellent vision for more than 30 years without suture breakage. Conclusions: Polypropylene sutures for scleral fixation of PC IOLs remained stable for more than 30 years with central positioning of the PC IOL, without exposure of the fixation suture knots through the conjunctiva, and without suture breakage.

Long-term Outcomes and Complications of the New Carlevale Sutureless Scleral Fixation Posterior Chamber IOL

2021 ◽  
Vol 37 (2) ◽  
pp. 126-132
Author(s):  
Agostino S. Vaiano ◽  
Kenneth J. Hoffer ◽  
Antonio Greco ◽  
Andrea Greco ◽  
Giovanni D'Amico ◽  
...  
Keyword(s):  
Posterior Chamber ◽  
Long Term Outcomes ◽  
Scleral Fixation ◽  
Posterior Chamber Iol

Long-Term Analysis of IOL Stability of the Lewis Technique for Scleral Fixation

2015 ◽  
Vol 25 (6) ◽  
pp. 525-528 ◽  
Author(s):  
Gian Maria Cavallini ◽  
Veronica Volante ◽  
Michele De Maria ◽  
Giulio Torlai ◽  
Matteo Forlini ◽  
...  
Keyword(s):  
Scleral Fixation ◽  
Term Analysis

scholarly journals Novel Technique to Overcome the Nonavailability of a Long Needle 9-0 Polypropylene Suture for Sutured Scleral Fixation of the Posterior Chamber Intraocular Lens Using a Single Fisherman’s Knot

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Yong Un Shin ◽  
Mincheol Seong ◽  
Hee Yoon Cho ◽  
Min Ho Kang
Keyword(s):  
Intraocular Lens ◽  
Posterior Chamber ◽  
Intraoperative Complication ◽  
Scleral Fixation ◽  
Polypropylene Suture ◽  
Endothelial Cell Count ◽  
Intraocular Hemorrhage ◽  
Posterior Chamber Intraocular Lens ◽  
Iol Dislocation

Purpose. To describe a method to overcome the nonavailability of a long needle 9-0 polypropylene suture for sutured scleral fixation of the posterior chamber intraocular lens (PC-IOL) using a single fisherman’s knot (SFK). Methods. First, a 10-0 polypropylene suture was passed from the sclera to the ciliary sulcus using a long needle. A 9-0 suture was tied to the unpassed portion of the 10-0 suture with an SFK. We pulled the 10-0 suture to pass the SFK through the sclera, and then we cut the knot and removed the 10-0 suture. IOL fixation with 9-0 sutures used the conventional techniques used for sutured scleral-fixated IOL. Preoperative and postoperative visual acuity, corneal astigmatism, and endothelial cell count and intraoperative/postoperative complications were evaluated. Results. An SFK joining the two sutures was passed through the sclera without breakage or slippage. A total of 35 eyes from 35 patients who underwent sutured scleral fixation of the IOL. An intraoperative complication (minor intraocular hemorrhage) was recorded in four cases. Knot exposure, IOL dislocation, subluxation, and retinal detachment were not observed. Conclusions. The SFK offers the opportunity to use 9-0 sutures for the long-term safety and may not require the surgeon to learn any new technique.

Scleral fixation of a capsular tension ring for severe ectopia lentis

2000 ◽  
Vol 26 (4) ◽  
pp. 609-612 ◽  
Author(s):  
Dennis S.C. Lam ◽  
Alvin L. Young ◽  
Alfred T.S. Leung ◽  
Srinivas K. Rao ◽  
Dorothy S.P. Fan ◽  
...  
Keyword(s):  
Ectopia Lentis ◽  
Scleral Fixation ◽  
Capsular Tension Ring

scholarly journals Assessment of the Capsular Tension Ring Implantation Effect on the IOL Position in the Long Term Period after Uncomplicated Phacoemulsification

2021 ◽  
Vol 18 (4) ◽  
pp. 827-832
Author(s):  
A. N. Kulikov ◽  
E. V. Danilenko ◽  
A. A. Dzilikhov
Keyword(s):  
Anterior Chamber ◽  
Anterior Segment ◽  
Anterior Chamber Depth ◽  
Vertical Direction ◽  
Ultrasound Biomicroscopy ◽  
Position Change ◽  
Small Shift ◽  
Capsular Tension Ring ◽  
Observation Period

Purpose: To assess the capsular tension ring implantation effect on the IOL position according to different devices in the long term period after uncomplicated phacoemulsification.Patients and methods. The study enrolled 234 patients (273 eyes) with cataract without zonular weakness. A standard examination, optical biometry and Sheimpflug imaging were performed preoperatively. In all cases phacoemulsification with IOL implantation, supported by CTR in 11 % of cases (30 eyes) was performed in 1, 3, and 6 months after surgery autorefractometry, visual acuity, biometry, OCT of anterior segment and ultrasound biomicroscopy were provided.Results. By the 3rd month a small shift of IOL towards the retina was revealed without any refraction changes. In cases with CTR implantation the anterior chamber depth was stable. According to OCT data the angle of IOL tilt in the horizontal meridian gradually decreased, the dynamics was significant from 3 months (p = 0.032). There were no changes in the vertical direction. After CTR implantation IOL position did not significantly change. There was no difference between the groups (p > 0.05) by 6 month. The phenomenon of IOL “deflection” according to OCT data was observed in 20.87 % of cases was in 1 month after operation. In the presence of CTR its frequency decreased to 15.00 %, and in the absence, it increased to 21.63 %. In every fifth case of deformation the measurements did not give us a definite reason to further consider it a “deflection” by 6 months after the operation. In 4.24 % of cases fact of IOL “deflection” was absent at the first month but appeared by the 6 month. There was not any case of CTR implantation among described cases of IOL position change.Conclusion. Fluctuation of anterior chamber depth is observed up to 3 months after uncomplicated phacoemulsification. Changes in IOL tilt angle occur throughout the observation period with a significant decrease in the horizontal plane by 6 month. Implantation of the CTR should stabilize anterior chamber depth, block the IOL tilt and also reduce the percentage of IOL deflection cases in the defined group.

Long-term results of aphakia management by scleral fixation intraocular lens placement with knotless transscleral Z-suture method

2020 ◽  
Vol 40 (6) ◽  
pp. 1449-1454
Author(s):  
Nilay Kandemir Beşek ◽  
Nese Alagoz ◽  
Gulsah Gumus ◽  
Burcin Kepez Yildiz ◽  
Ahmet Kirgiz ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Long Term Results ◽  
Scleral Fixation

LONG-TERM STABILITY AND VISUAL OUTCOMES OF A SINGLE-PIECE, FOLDABLE, ACRYLIC INTRAOCULAR LENS FOR SCLERAL FIXATION

Retina ◽  
2009 ◽  
Vol 29 (1) ◽  
pp. 91-97 ◽  
Author(s):  
STEPHEN JAE KIM ◽  
SUNG JIN LEE ◽  
CHANG HYUN PARK ◽  
GI YONG JUNG ◽  
SONG HEE PARK
Keyword(s):  
Intraocular Lens ◽  
Scleral Fixation ◽  
Term Stability ◽  
Visual Outcomes ◽  
Long Term Stability ◽  
Single Piece
Sign in / Sign up

Export Citation Format

Share Document