Haptic placement of posterior chamber intraocular lens in fibrin glue–assisted intrascleral fixation

Sinha, Rajesh; Shekhar, Himanshu; Gantyala, Shiva Prasad; Titiyal, Jeewan S

doi:10.1016/j.jcrs.2013.08.037

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…25 However, in our technique, the main difference was an externalization of the haptics through a scleral tunnel and fixating them in an adjacent scleral pocket rather than a scleral tunnel. 26 This has an advantage over the scleral tunnel as the tunnel may sometimes not be recognized after externalization of the haptic and may have to be marked with a pen or even recreated. The tunnel is around 0.4 mm 2 in area, and manipulation of the haptic into the tunnel requires an experienced surgeon.…”

Section: Discussionmentioning

confidence: 99%

Long-term Outcomes of Fibrin Glue–Assisted Intrascleral Haptic Fixation of Posterior Chamber Intraocular Lenses in Children

Sinha

Asif²,

Kalra³

et al. 2021

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Objectives: To evaluate the long-term outcomes of intrascleral haptic fixation of posterior chamber intraocular lens (PCIOL) with fibrin glue in children. Methods: This is a retrospective case study conducted in a tertiary eye institute in North India. A total of 118 eyes of 82 children who underwent glued intrascleral haptic fixation of PCIOLs were retrospectively analyzed. Detailed analysis of the indication for surgery and ocular and systemic associations was performed. The outcome measures included intraoperative complications, final visual and refractive outcomes, and postoperative complications.Results: The mean age of the patients was 10.1663.94 years. Fifty-one patients (62.2%) were male and 31 (37.8%) were female. The mean followup period was 31.28613.22 months. The mean preoperative corrected distance visual acuity was 1.1860.63 Logarithm of Mean angle of resolution (logMAR) which improved to 0.6060.58 logMAR postoperatively at 6 weeks (P,0.001). The mean preoperative and 6 weeks postoperative endothelial cell density were 3,176.086318.6 and 2,9366289.9 cells/mm 2 , respectively (P¼0.23). In the immediate postoperative period, corneal edema (19 eyes; 16.1%), decentered IOL/tilt (3 eyes; 2.54%), vitreous hemorrhage (3 eyes; 2.54%), optic capture (4 eyes; 3.38%), and hypotony (2 eyes; 1.69%) were seen. In the late postoperative period (.6 weeks), retinal detachment was observed in two eyes that had associated Marfan syndrome. Cystoid macular edema was seen in four eyes (3.38%), and glaucoma was seen in five eyes (4.23%). Conclusions: Fibrin glue-assisted intrascleral haptic fixation of a PCIOL is a safe and effective method to manage aphakia with inadequate capsular support in children.

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Section: Discussionmentioning

confidence: 99%

Long-term Outcomes of Fibrin Glue–Assisted Intrascleral Haptic Fixation of Posterior Chamber Intraocular Lenses in Children

Sinha

Asif²,

Kalra³

et al. 2021

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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“…On both sides, lamellar scleral flaps were created using a crescent blade, followed by sclerotomies under the flaps. 3 A viscodispersive agent (Viscoat; Alcon Laboratries) was injected in the area of absent lens to tamponade the anterior vitreous. Then, 0.1 mL of trypan blue 0.06% (Visiblue) was injected under air with a sideways sweeping motion of the tip over the lens to prevent the dye from seeping into the vitreous and obstructing the red glow.…”

Section: Descriptionmentioning

confidence: 99%

Modified intralenticular lens aspiration for novice surgeons

et al. 2021

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Novel implantable composite biomaterial by fibrin glue and amniotic membrane for ocular surface reconstruction

Cai

Zhang

Guan

et al. 2015

J Mater Sci: Mater Med

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Amniotic membrane transplantation (AMT) is considered a substantial treatment option in the management of ocular surface disorders. However, several inherent drawbacks still remain. The present study devised a novel implantable composite biomaterial of fibrin glue-double layer Amniotic membrane (AM) and evaluated the biomechanical properties and effects on corneal surface reconstruction in alkali-burned rabbit model. Biomechanic parameters were calculated by an electronic universal testing machine. Corneal alkali burning was done in the right eyes of thirty rabbits, which were randomized into three groups of ten animals each. The eyes in group 1 underwent fibrin glue-double layer AMT, the eyes in group 2 underwent ordinary single layer AMT, and the eyes in group 3 (control group) did not undergo any surgical procedure. Healing of corneal epithelial defect, extent of corneal vascularization and corneal clarity were assessed and compared at two time points. One month after surgery, animals were killed and the eyes were processed for histopathology. The fibrin glue-double layer AM composites had more ideal biomechanical properties. In fibrin glue-double layer AM group, the rate of epithelial healing, vascularization inhibition and corneal clarity was significantly better than the other two groups. Novel fibrin glue-double layer AMT with corneal alkali burns is more effective and useful for ocular surface reconstruction and has great potential applications.

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Haptic placement of posterior chamber intraocular lens in fibrin glue–assisted intrascleral fixation

Cited by 4 publications

References 4 publications

Long-term Outcomes of Fibrin Glue–Assisted Intrascleral Haptic Fixation of Posterior Chamber Intraocular Lenses in Children

Long-term Outcomes of Fibrin Glue–Assisted Intrascleral Haptic Fixation of Posterior Chamber Intraocular Lenses in Children

Modified intralenticular lens aspiration for novice surgeons

Novel implantable composite biomaterial by fibrin glue and amniotic membrane for ocular surface reconstruction

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