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Scleral-fixated intraocular lens implantation techniques

Year 2019, Volume: 3 Issue: 1, 93 - 101, 25.04.2019

Ömer Faruk Recep

https://doi.org/10.30565/medalanya.547659

Abstract

The ideal location of intraocular lens implantation is the posterior chamber. The capsular bag is left during the cataract operations in order to implant the intraocular lens in the position of the crystalline lens and the artificial lens is applied inside this bag. When the capsular bag is not protected we think fixating the intraocular lens into the iridocorneal angle, iris or sclera. The scleral-fixated intraocular lens implantations have developed very much since the day the technique has been invented. Today there are a lot of scleral fixation techniques, sutured or sutureless, and they are used for a lot of different indications. In this review I will describe these techniques concisely. 

Keywords

Cataract surgery scleral fixation intraocular lens implantation

References

  • 1. Gerstmeyer K, Scholtz SK, Auffarth GU. Sutured posterior chamber IOL fixation in the absence of capsular support, first described in 1954. Klin Monatsbl Augenheilkd 2015; 232: 962-965. PMID: 25959008
  • 2. Stem MS. Todorich B, Woodward MA, Hsu J, Wolfe JD. Scleral-fixated intraocular lenses: Past and Present. J Vitreoretin Dis. 2017; 1 (2): 144-152. PMID: 29104957
  • 3. Azar DT, Cruz J, Clamen L, Flikier P. Secondary intraocular lens implantation. In. Albert DM, Miller J, Azar D, Blodi B. Albert & Jakobiec’s Principles and Practice of Ophthalmology. 3.Ed. Saunders Elsevier 2008: 1493-1516.
  • 4. Omulecki W, Synder A. Pars plana vitrectomy and transscleral fixation of black diaphragm intraocular lens for the management of traumatic aniridia. Ophthalmic Surg Lasers 2002; 33: 357-361. PMID: 12358287
  • 5. Beltrame G, Salvetat ML, Chizzolini M. Implantation of a black diaphragm intraocular lens in ten cases of post-traumatic aniridia. Eur J Ophthalmol 2003; 13: 62-68. PMID: 12635676
  • 6. Synder A, Nawrocki J, Omulecki W. Implantation of black diaphragm intraocular lenses in congenital and traumatic aniridia. Klinika Oczna 2000; 102: 119-124. PMID: 10932893
  • 7. Soba DÖ, Çıtırık M, Demircan E, Yılmazbaş P. Vitreus kavitesine göz içi lens düşen olgularda vitreoretinal cerrahi. Turk J Ophthalmol 2015; 45: 56-59. DOI: 10.4274/tjo.67984
  • 8. Kawaji T, Sato T, Tanihara H. Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel. Clinical Ophthalmology 2016; 10: 227-231. PMID: 26869757
  • 9. Kumar DA, Agarwal A, Agarwal A, Prakash G, Jacob S. Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome. Saudi J Ophthalmol 2011; 25: 245-254. PMID: 23960932
  • 10. Friedman NJ, Khater TT, Koch DD. Secondary intraocular lens implantation. In. Tasman W. Duane’s Ophthalmology on CD-ROM. 2006.
  • 11. Recep ÖF. Göz Cerrahisi Katarakt. Anadolu Kitabevi Ankara, 2019.
  • 12. Ng J, Behshad S, Farid M. Review of surgical techniques for posterior chamber intraocular lens fixation in the absence of capsular lens support. US Ophthalmic Review 2015; 8: 86-91. DOİ: 10.17925/USOR.2015.08.02.86
  • 13. Arbisser LB. Dislocation and decentration of intraocular lenses. In. Roy FH, Arzabe CW. Master Techniques in Cataract and Refractive Surgery. Slack Incorporated 2004: 73-83.
  • 14. Liu H, Jiang Z, Tao L. New two-point scleral-fixation technique for foldable intraocular lenses with four hollow haptics. Int J Ophthalmol 2015; 9: 469-471. PMID: 27158623
  • 15. Mete A, Kimyon S, Saygılı O, Koçluk Y, Kaçarlar İY ve ark. A new surgical technique for scleral fixation using a “knot ball” for scleral-fixated intraocular lenses: impact on clinical outcomes. Arq Bras Oftalmol 2018; 81: 302-9. DOİ: 10.5935/0004-2749.20180060.
  • 16. Öner Ö, Zengin MÖ, Çınar E, Küçükerdönmez FC. Katarakt cerrahisinde nukleus veya göz içi lens dislokasyonu gelişen hastalarda vitrektomi ile birlikte skleral fiksasyon tekniği sonuçları. Ret-Vit 2015; 23: 237-240.
  • 17. Hoffman RS, Fine IH, Packer M, Rozenberg I. Scleral fixation using suture retrieval through a scleral tunnel. J Cataract Refract Surg 2006; 32: 1259-1263. PMID: 16863958
  • 18. Khan MA, Gupta OP, Hsu J. Scleral fixation of a four-haptic intraocular lens using Gore-Tex suture. Retina Today; 2015: 35-37.
  • 19. Aydın E. A novel scleral fixation technique via the 23-gauge trocar system with “Z” suturation. EC Ophthalmology 2016; 4: 594-599.
  • 20. Szurman P, Petermeier K, Aisenbrey S, Spitzer MS, Jaissle GB. Z-suture: A new knotless technique for transscleral suture fixation of intraocular implants. Br J Ophthalmol 2010; 94: 167-169. PMID: 20139289
  • 21. Khatri A, Singh S, Rijal R, Khatri BK, Kharel M. 27-gauge needle-assisted externalization and haptic securing technique for sutureless scleral fixation of the intraocular lens-moving toward simplicity. Clinical Ophthalmology 2018; 12: 1441-1447. PMID: 30147296
  • 22. Scharioth GB, Ortueta D. Sutureless intrascleral posterior chamber IOL fixation. Cataract&Refractive Surgery Today 2009; 32-34.
  • 23. Totan Y, Karadağ R. Trocar-assisted sutureless intrascleral posterior chamber foldable intra-ocular lens fixation. Eye 2012; 26: 788-791. PMID: 22388599
  • 24. Nadal J, Kudsieh B, Casaroli-Marano RP. Scleral fixation of posteriorly dislocated intraocular lenses by 23-gauge vitrectomy without anterior segment approach. J Ophthalmol 2015; 2015: 391619. PMID: 26294964
  • 25. Hoffman RS, Fine IH, Packer M. Scleral fixation without conjunctival dissection. J Cataract Refract Surg 2006; 32: 1907-1912. PMID: 17081894
  • 26. Jacob S, Prakash G, Ashok Kumar D, Nair V, Agarwal A, Agarwal A. Eye contact lens 2010; 36: 130-6. PMID: 20093940
  • 27. Althaus C, Sundmacher R. Endoscopically controlled optimization of trans-scleral suture fixation of posterior chamber lenses in the ciliary sulcus. Der Ophthalmologe 1993: 317-324. PMID: 8374225
  • 28. Jürgens I, Lillo J, Buil JA, Castilla M. Endoscope-assisted transscleral suture fixation of intraocular lenses. J Cataract Refract Surg 1996; 22: 879-881. PMID: 9041077
  • 29. Gendy HA, Khalil HE, Haroun HE, Deeb MW. Endoscopic-assisted scleral fixated IOL in the management of secondary aphakia in children. J Ophthalmol 2016; 8501842. PMID: 27595016

Skleraya sabitlenen göz içi lensi uygulama teknikleri

Year 2019, Volume: 3 Issue: 1, 93 - 101, 25.04.2019

Ömer Faruk Recep

https://doi.org/10.30565/medalanya.547659

Abstract

Göz içi lens uygulamalarında en uygun konum arka kamaradır. İnsanın kendi lensinin bulunduğu konuma uygulama yapılabilmesi için katarakt cerrahilerinde lensin kapsülü uygun şekilde korunur ve içine yapay lens yerleştirilir. Kapsülün korunamadığı olgularda göz açısına, irise veya skleraya sabitlenen lens uygulamaları gündeme gelir. Skleraya sabitlenen göz içi lens uygulamaları ilk ortaya atıldığı günden itibaren büyük bir gelişme göstermiştir. Günümüzde dikişli ve dikişsiz olmak üzere çok sayıda ve çok değişik endikasyonlarla kullanılan skleraya sabitleme teknikleri bulunmaktadır. Bu derlemede özet olarak bu tekniklere yer verilecektir. 

Keywords

Katarakt cerrahisi skleraya sabitleme göz içi lens implantasyon

References

  • 1. Gerstmeyer K, Scholtz SK, Auffarth GU. Sutured posterior chamber IOL fixation in the absence of capsular support, first described in 1954. Klin Monatsbl Augenheilkd 2015; 232: 962-965. PMID: 25959008
  • 2. Stem MS. Todorich B, Woodward MA, Hsu J, Wolfe JD. Scleral-fixated intraocular lenses: Past and Present. J Vitreoretin Dis. 2017; 1 (2): 144-152. PMID: 29104957
  • 3. Azar DT, Cruz J, Clamen L, Flikier P. Secondary intraocular lens implantation. In. Albert DM, Miller J, Azar D, Blodi B. Albert & Jakobiec’s Principles and Practice of Ophthalmology. 3.Ed. Saunders Elsevier 2008: 1493-1516.
  • 4. Omulecki W, Synder A. Pars plana vitrectomy and transscleral fixation of black diaphragm intraocular lens for the management of traumatic aniridia. Ophthalmic Surg Lasers 2002; 33: 357-361. PMID: 12358287
  • 5. Beltrame G, Salvetat ML, Chizzolini M. Implantation of a black diaphragm intraocular lens in ten cases of post-traumatic aniridia. Eur J Ophthalmol 2003; 13: 62-68. PMID: 12635676
  • 6. Synder A, Nawrocki J, Omulecki W. Implantation of black diaphragm intraocular lenses in congenital and traumatic aniridia. Klinika Oczna 2000; 102: 119-124. PMID: 10932893
  • 7. Soba DÖ, Çıtırık M, Demircan E, Yılmazbaş P. Vitreus kavitesine göz içi lens düşen olgularda vitreoretinal cerrahi. Turk J Ophthalmol 2015; 45: 56-59. DOI: 10.4274/tjo.67984
  • 8. Kawaji T, Sato T, Tanihara H. Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel. Clinical Ophthalmology 2016; 10: 227-231. PMID: 26869757
  • 9. Kumar DA, Agarwal A, Agarwal A, Prakash G, Jacob S. Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome. Saudi J Ophthalmol 2011; 25: 245-254. PMID: 23960932
  • 10. Friedman NJ, Khater TT, Koch DD. Secondary intraocular lens implantation. In. Tasman W. Duane’s Ophthalmology on CD-ROM. 2006.
  • 11. Recep ÖF. Göz Cerrahisi Katarakt. Anadolu Kitabevi Ankara, 2019.
  • 12. Ng J, Behshad S, Farid M. Review of surgical techniques for posterior chamber intraocular lens fixation in the absence of capsular lens support. US Ophthalmic Review 2015; 8: 86-91. DOİ: 10.17925/USOR.2015.08.02.86
  • 13. Arbisser LB. Dislocation and decentration of intraocular lenses. In. Roy FH, Arzabe CW. Master Techniques in Cataract and Refractive Surgery. Slack Incorporated 2004: 73-83.
  • 14. Liu H, Jiang Z, Tao L. New two-point scleral-fixation technique for foldable intraocular lenses with four hollow haptics. Int J Ophthalmol 2015; 9: 469-471. PMID: 27158623
  • 15. Mete A, Kimyon S, Saygılı O, Koçluk Y, Kaçarlar İY ve ark. A new surgical technique for scleral fixation using a “knot ball” for scleral-fixated intraocular lenses: impact on clinical outcomes. Arq Bras Oftalmol 2018; 81: 302-9. DOİ: 10.5935/0004-2749.20180060.
  • 16. Öner Ö, Zengin MÖ, Çınar E, Küçükerdönmez FC. Katarakt cerrahisinde nukleus veya göz içi lens dislokasyonu gelişen hastalarda vitrektomi ile birlikte skleral fiksasyon tekniği sonuçları. Ret-Vit 2015; 23: 237-240.
  • 17. Hoffman RS, Fine IH, Packer M, Rozenberg I. Scleral fixation using suture retrieval through a scleral tunnel. J Cataract Refract Surg 2006; 32: 1259-1263. PMID: 16863958
  • 18. Khan MA, Gupta OP, Hsu J. Scleral fixation of a four-haptic intraocular lens using Gore-Tex suture. Retina Today; 2015: 35-37.
  • 19. Aydın E. A novel scleral fixation technique via the 23-gauge trocar system with “Z” suturation. EC Ophthalmology 2016; 4: 594-599.
  • 20. Szurman P, Petermeier K, Aisenbrey S, Spitzer MS, Jaissle GB. Z-suture: A new knotless technique for transscleral suture fixation of intraocular implants. Br J Ophthalmol 2010; 94: 167-169. PMID: 20139289
  • 21. Khatri A, Singh S, Rijal R, Khatri BK, Kharel M. 27-gauge needle-assisted externalization and haptic securing technique for sutureless scleral fixation of the intraocular lens-moving toward simplicity. Clinical Ophthalmology 2018; 12: 1441-1447. PMID: 30147296
  • 22. Scharioth GB, Ortueta D. Sutureless intrascleral posterior chamber IOL fixation. Cataract&Refractive Surgery Today 2009; 32-34.
  • 23. Totan Y, Karadağ R. Trocar-assisted sutureless intrascleral posterior chamber foldable intra-ocular lens fixation. Eye 2012; 26: 788-791. PMID: 22388599
  • 24. Nadal J, Kudsieh B, Casaroli-Marano RP. Scleral fixation of posteriorly dislocated intraocular lenses by 23-gauge vitrectomy without anterior segment approach. J Ophthalmol 2015; 2015: 391619. PMID: 26294964
  • 25. Hoffman RS, Fine IH, Packer M. Scleral fixation without conjunctival dissection. J Cataract Refract Surg 2006; 32: 1907-1912. PMID: 17081894
  • 26. Jacob S, Prakash G, Ashok Kumar D, Nair V, Agarwal A, Agarwal A. Eye contact lens 2010; 36: 130-6. PMID: 20093940
  • 27. Althaus C, Sundmacher R. Endoscopically controlled optimization of trans-scleral suture fixation of posterior chamber lenses in the ciliary sulcus. Der Ophthalmologe 1993: 317-324. PMID: 8374225
  • 28. Jürgens I, Lillo J, Buil JA, Castilla M. Endoscope-assisted transscleral suture fixation of intraocular lenses. J Cataract Refract Surg 1996; 22: 879-881. PMID: 9041077
  • 29. Gendy HA, Khalil HE, Haroun HE, Deeb MW. Endoscopic-assisted scleral fixated IOL in the management of secondary aphakia in children. J Ophthalmol 2016; 8501842. PMID: 27595016
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Review
Authors

Ömer Faruk Recep 0000-0003-3203-2552

Publication Date April 25, 2019
Submission Date April 1, 2019
Acceptance Date April 13, 2019
Published in Issue Year 2019 Volume: 3 Issue: 1

Cite

Vancouver Recep ÖF. Skleraya sabitlenen göz içi lensi uygulama teknikleri. Acta Med. Alanya. 2019;3(1):93-101.
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