Early Experience with Two Techniques of Intrascleral Intraocular Lens Fixation
| Autor: | Kunishige, Tomoyuki, Takahashi, Hiroshi, Tomoyuki, Kunishige, Hiroshi, Takahashi |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty genetic structures medicine.medical_treatment Operative Time Cell Count Intraocular lens 03 medical and health sciences Fixation (surgical) Postoperative Complications 0302 clinical medicine Lens Implantation Intraocular Patient age Ophthalmology medicine Humans Operation time Intraoperative Complications Aged Retrospective Studies Aged 80 and over Lenses Intraocular Rate reduction business.industry Suture Techniques Reduction rate Retinal detachment General Medicine medicine.disease eye diseases Treatment Outcome 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology sense organs Corneal endothelial cell density business Sclera |
| Zdroj: | Journal of Nippon Medical School. 87:138-141 |
| ISSN: | 1347-3409 1345-4676 |
| Popis: | Background We compared our early experience of visual outcomes, operation time, and complications for two techniques of intrascleral intraocular lens (IOL) fixation: T-fixation and flanged IOL fixation. Methods Data from patients who underwent scleral fixation of an IOL between October 2017 and December 2018 were analyzed retrospectively. Intraoperative time for fixation steps, corneal endothelial cell density (ECD) rate reduction, and intraoperative/postoperative complications were compared between T-fixation (Group T, n = 4) and flanged IOL fixation (Group F, n = 6). Results Mean patient age was 73.7 ± 13.0 years. Intraoperative time was significantly longer for Group T (27.5 ± 9.7 min) than for Group F (13.0 ± 3.8 min; P=0.03, Mann-Whitney U-test). Intraoperative complications included iris damage from the 30-G needle in 2 eyes in Group F. Postoperative complications included iris capture by the IOL in 1 eye in Group F. No incidents of postoperative retinal detachment or IOL dislocation were identified. The ECD reduction rate did not significantly differ between groups. Conclusions Both techniques yielded favorable surgical outcomes. Flanged IOL fixation might be superior because of its shorter intraoperative time but could initially be technically difficult because of the need to perform angled sclerotomy with a 30-G needle to avoid iris injury. |
| Databáze: | OpenAIRE |
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