Scleral Fixation Re-examined by Ultrasound Biomicroscopy

Bellucci, Roberto; Marchini, Giorgio; Morselli, Simonetta; Pagliarusco, A.; Pucci, Vincenzo

doi:10.1016/s0955-3681(13)80387-5

Cited by 14 publications

(1 citation statement)

References 9 publications

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“…Clinical studies have concluded that locating the ciliary sulcus using the external method frequently fails. Bellucci et al 18 conducted ultrasonic biomicroscopy in 16 eyes of 12 patients after scleral lens fixation and found that 16 of the 18 haptics sutured 2.0 to 3.0 mm behind the posterior surgical limbus were posterior to the ciliary sulcus. When that distance was reduced to 1.5 to 2.0 mm, 6 haptics were in the ciliary sulcus, 6 in the pars plana, and 2 in the iris Root.…”

Section: Discussionmentioning

confidence: 99%

Scleral fixation in eyes with loss of capsule or zonule support

Monteiro

Marinho²,

Borges³

et al. 2007

Journal of Cataract and Refractive Surgery

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We describe a new scleral fixation technique for posterior chamber intraocular lens (IOL) implantation in eyes with partial or total loss of the posterior capsule or zonule support. This technique uses a scleral incision that can be completed in less time than a conventional scleral flap and prevents unnecessary trauma to the eye. A double-thread, 10-0 polypropylene suture loop is introduced once through a scleral layer pathway inside the eye. The free ends of the polypropylene suture are buried between the 2 edges of the scleral incision. This technique was used in 15 eyes, with a follow-up of 6 to 30 months. Complications included iris capture, irregular pupil, hyphema, vitreous hemorrhage, choroidal hemorrhage, localized peripheral anterior synechias, and retinal detachment. The mean postoperative visual acuity was 20/40 at the last follow-up. This modified technique is an easy and effective way to achieve scleral fixation of the IOL.

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Section: Discussionmentioning

confidence: 99%