Call Me Mildred

Walter, Keith A.; Wood, Terry D.; Ford, Jerry G.; Winnicki, Joan; Tyler, Marshal E.; Reed, John W.

doi:10.1097/00003226-199805000-00002

Cited by 4 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several techniques have been described to avoid suture erosion as there is a potential risk to develop endophthalmitis and IOL dislocation, including rotation the suture knots into the eye [ 8 , 19 ], suturing within a scleral groove [ 20 ], burying the suture ends into scleral tunnel [ 21 ], covering the suture ends with fascia lata [ 6 ], tenon’s capsule [ 22 ], scleral flap [ 10 , 23 – 27 ] or scleral pocket [ 28 ]. The aim of this study was to assess the long-term safety and efficacy of a variation of the sclera-covering technique for suture fixation of PCIOLs in a series of post-traumatic aphakic eyes, in which the suture ends were left long and laid flat in laminar scleral pockets, minimizing the risk for suture exposure.…”

Section: Introductionmentioning

confidence: 99%

Modified technique for transscleral fixation of posterior chamber intraocular lenses

et al. 2015

View full text Add to dashboard Cite

BackgroundSuture exposure remains to be a potential problem of transscleral fixated posterior chamber intraocular lens (PCIOL). We report a modified technique to minimize the risk of suture exposure for the transscleral fixation of PCIOL.MethodsThe modified surgical technique is as following: at first, two 3 mm × 4 mm square scleral pockets were created from groove incisions at opposite positions. A straight needle attached to a 10–0 polypropylene suture was passed through one incision groove. Then, a 27-Gauge hollow needle passed through the opposite sclera incision bed was used to retrieve the straight fine needle via its barrel. The sutures were tied to themselves after one more bite on the scleral bed. At last, the suture ends were left long (about 4 mm) and laid flat into corresponding laminar scleral pockets. This modified technique of PCIOL was performed in 48 post-traumatic aphakic vitrectomized eyes from 48 patients (47 male, one female) with mean age of 34.8 ± 14.8 years. Main outcome measures included best corrective visual acuity (BCVA), IOL decentration, IOL tilt, and postoperative complications.ResultsThe mean follow-up was 32.3 ± 10.8 months (3–67 months). The LogMAR BCVA remained stable, from a preoperative value of 0.46 ± 0.34 to postoperative 0.44 ± 0.34 (p = 0.69). Mild IOL tilt (5–10°) was observed in five eyes, and slight IOL decentration (0.5–1.0 mm) was seen in three cases. No case of suture exposure, suture breakage, IOL dislocation, or endophthalmitis was observed during the follow up period.ConclusionThe modified technique allowed stable placement of PCIOLs in post-traumatic aphakic eyes with a wide range of follow-up. Our procedure might have the potential benefit to avoid suture exposure in scleral-fixated IOL implantation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12886-015-0118-8) contains supplementary material, which is available to authorized users.

show abstract

Section: Introductionmentioning

confidence: 99%

Modified technique for transscleral fixation of posterior chamber intraocular lenses

et al. 2015

View full text Add to dashboard Cite

show abstract

Suturing an Intraocular Lens

Tsai

Holland²

Ophthalmic Microsurgical Suturing Techniques

View full text Add to dashboard Cite

Sutured posterior chamber intraocular lenses: indications and procedure

Hannush

2000

Current Opinion in Ophthalmology

View full text Add to dashboard Cite

Intraocular lens (IOL) implantation is the standard of care for treating aphakia when spectacle or contact lens correction is not viable. There is considerable controversy about the relative efficacy and safety of the different IOL implantation approaches, as well as their indications. Since the development of the modern, open-loop anterior chamber IOL (ACIOL) and the re-emergence of the iris-fixated claw IOL, ACIOL implantation for aphakia has regained popularity. However, the posterior chamber IOL (PCIOL)--namely, the capsular-supported PCIOL and, in the absence of capsular support, the iris-sutured or transsclerally sutured PCIOL--offers numerous advantages for certain patients. By virtue of their anatomic location in the eye, capsular-supported or sutured PCIOLs are appropriate for patients with glaucoma, diabetes, cornea guttata or low endothelial cell count, peripheral anterior synechiae, or known or suspected cystoid macular edema. They may also be appropriate when the patient with aphakia is young and has a relatively long life expectancy. The sutured PCIOL procedure--specifically, the transsclerally sutured PCIOL procedure--is far from benign, however, and surgical expertise is an important consideration. Recent surgical and technological advances, including the technique of burying the suture knot in sclera, use of an ab externo suturing approach in the normotonic eye, and the use of intraoperative endoscopy, have improved the accuracy of the transsclerally sutured PCIOL technique. Additional advances, including diagnostic ultrasound biomicroscopy and small-incision surgery with foldable, transsclerally sutured IOLs, may further improve patient management and clinical outcomes.

show abstract

Call Me Mildred

Abstract: This transscleral fixation technique provides a straightforward alternative to previously described techniques. Suture erosion, IOL dislocation, and posterior-segment complications occurred at relatively low rates compared with other pcIOL implantation techniques.

Cited by 4 publications

References 0 publications

Modified technique for transscleral fixation of posterior chamber intraocular lenses

Modified technique for transscleral fixation of posterior chamber intraocular lenses

Suturing an Intraocular Lens

Sutured posterior chamber intraocular lenses: indications and procedure

Contact Info

Product

Resources

About