A novel technique for 27-gauge forceps assisted transcleral refixation of dislocated CZ70BD intraocular lens
| Autor: | Angie Fong, Chi Wai Tsang, Lai Ting Yip |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pars plana
medicine.medical_specialty genetic structures business.industry medicine.medical_treatment Forceps Retinal detachment Intraocular lens Vitrectomy General Medicine medicine.disease eye diseases Ophthalmology medicine.anatomical_structure Refixation medicine sense organs business Sclerostomy Prolene |
| Zdroj: | Retina. |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000003225 |
| Popis: | PURPOSE To report a novel technique for refixation of dislocated CZ70BD intraocular lens (IOL). METHODS Posterior vitrectomy is performed with 23 or 25-gauge pars plana vitrectomy system with chandelier illumination. One needle of a double-arm 9-O prolene needle is passed through the sclera 1.5mm post-limbus. The needle is retrieved through the corneal paracentesis using a 27G needle and the suture is then cut. The suture end is passed through the eyelet of the dislocated CZ70BD IOL inside the vitreous cavity. This is aided with a pair of 27G MaxGrip forceps, which is inserted through a 27G sclerostomy site at the intended scleral outlet. After passing suture through the eyelet, the suture is pulled out at the 27G sclerostomy site and knot is tied and rotated. Similar procedure is performed for the second haptic if necessary. RESULTS Seven eyes were successfully operated on using this technique with a mean follow up of 12.4 months. There was significant improvement in best corrected visual acuity (BCVA) after the operation (p=0.016). Postoperative IOL centration and alignment were satisfactory. One patient developed macula-on retinal detachment one month after the operation, which was successfully repaired without loss in BCVA. CONCLUSION The described novel technique is effective for refixation of dislocated CZ70BD IOL. |
| Databáze: | OpenAIRE |
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