Phacoemulsification using iris hooks and scleral fixation of the intraocular lens in patients with secondary glaucoma associated with lens subluxation

T, K; Lee, H K; Seong, Gong Je; Kim, Chan Yun

doi:10.1038/sj.eye.6702909

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…In these cases, surgeons have to deal with structural damage of both anterior and posterior segments of the eye, dealing with aphakic state after removing subluxated/dislocated lens. In such cases, the surgery has to be planned according to grade of cataract and degree of subluxation with consideration for use of iris hooks and scleral fixation (Ma et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal

Shrestha,

Sharma,

Suwal

et al. 2023

Nep J Oph

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Introduction: Many ocular or systemic conditions can cause weakening of the zonules, leading to subluxation or complete dislocation of lens into the anterior chamber or vitreous cavity. Objectives: To evaluate the outcome of surgery in cases with subluxated and dislocated lens. Materials and methods: Retrospective chart review of all cases with subluxated and dislocated lens who underwent surgery in a one-year period from 2019 January to 2019 December was conducted. Demographic profile, systemic comorbidities, initial and final best corrected visual acuity (BCVA), surgical procedure were recorded along with all the intraoperative and post-operative complications. Results: A total of 62 eyes of 60 patients with mean age of 50.18 ± 15.18 years (18 to 87 years) were included with the modal duration of presentation of one week. Among these, trauma was found to be the most common etiology. Subluxation was present in 55 eyes and seven eyes had dislocation. Intracapsular Cataract Extraction (ICCE) was performed in 41 while 21 underwent Extracapsular Cataract Extraction (ECCE); and surgical intervention elicited a statistically significant (p < 0.05) improvement in the visual acuity. The BCVA was statistically better among the pseudophakic patient. Most common complication encountered intraoperatively was vitreous loss and post operatively was significant corneal edema. Conclusion: Cataract extraction in cases with subluxated and dislocated lens due to different etiology results in the improvement in the visual acuity of the patient. In cases where ECCE cannot be performed, ICCE also results in comparable visual improvement.

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Section: Discussionmentioning

confidence: 99%

Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal

Shrestha,

Sharma,

Suwal

et al. 2023

Nep J Oph

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show abstract

Current World Literature

2010

Current Opinion in Ophthalmology

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Scleral Fixation of Standard Capsular Tension Ring and In-the-Bag Intraocular Lens Implantation in Patients With Severe Lens Subluxation

Tak¹,

Kim²,

Kim³

et al. 2012

Ophthalmic Surg Lasers Imaging

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The authors introduce a new technique for scleral fixation using a standard capsular tension ring for in-the-bag use in patients with a lens dislocated by more than 180°. Three patients with zonulysis and phacodonesis underwent surgery with this technique, and all of the patients showed stable maintenance in visual acuity after an average of 22.7 months (range: 14 to 30 months) of follow-up. None of them showed any serious postoperative complications. This technique appears to be safe and effective in terms of lens stability and visual rehabilitation.

show abstract

Phacoemulsification using iris hooks and scleral fixation of the intraocular lens in patients with secondary glaucoma associated with lens subluxation

Cited by 3 publications

References 14 publications

Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal

Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal

Current World Literature

Scleral Fixation of Standard Capsular Tension Ring and In-the-Bag Intraocular Lens Implantation in Patients With Severe Lens Subluxation

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