Sutureless technique for repositioning and scleral fixation of the capsular bag–intraocular lens complex with permanent use of iris retractors

Krix-Jachym, Karolina; Błagun, Natalia; Kicińska, Aleksandra K; Dyda, Wojciech; Rękas, Marek

doi:10.1097/j.jcrs.0000000000000838

Cited by 5 publications

(7 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, Krix-Jachym et al have also described a new method using a CTR and a flanged iris hook. 13 In their research, a CTR was used for internal horizontal capsular support, while flanged iris hooks were used for external support. Nonetheless, they attached the iris hooks directly to the capsular rim.…”

Section: Discussionmentioning

confidence: 99%

Flanged iris hook for capsular bag stabilization

Söyler¹,

Sabur²,

Ünsal³

2022

J Cataract Refract Surg

View full text Add to dashboard Cite

A new surgical technique was demonstrated for fixating the capsular bag to the sclera using a capsular tension segment (CTS) and a flanged iris hook. In a patient with a 180-degree zonular dialysis, a capsular tension ring was implanted into the capsular bag, and a CTS was placed into the zonular dialysis area after cataract removal. Then, an iris hook was directed to the anterior chamber through a side port opposite the zonular dialysis area. After the hook tip was placed into the eyelet of the CTS, a 30-gauge injector was used to guide the hook tip out. Tension was adjusted to ensure the capsular centralization, and a flange was created using cautery. Finally, the procedure was completed by embedding the flange into the sclera. This method is simple, minimally invasive, and time-saving by eliminating the scleral suturing, scleral flaps, or large conjunctival dissections.

show abstract

Section: Discussionmentioning

confidence: 99%

Flanged iris hook for capsular bag stabilization

Söyler¹,

Sabur²,

Ünsal³

2022

J Cataract Refract Surg

View full text Add to dashboard Cite

show abstract

“…Do tej pory retraktory tęczówkowe używane były do tymczasowej stabilizacji torebki soczewki podczas operacji zaćmy [21][22][23]. W opisywanej, nowej metodzie, końcówki retraktorów tęczówkowych wyprowadzane są przez twardówkę, a następnie kauteryzowane, co pozwala uniknąć stosowania szwów [24].…”

Section: Powikłania Urazów Gałki Ocznejunclassified

Surgical treatment of traumatic lens subluxation

Rękas¹,

Mazurek²,

Krix-Jachym³

et al. 2022

View full text Add to dashboard Cite

Urazy oczu stanowią 10-15% wszystkich schorzeń narządu wzroku. Do ich standaryzacji służy klasyfikacja <i>The Birmingham Eye Trauma Terminology</i>. Wskutek urazu może dojść do uszkodzenia rogówki, twardówki, tęczówki, soczewki lub nawet całej gałki ocznej. Jednocześnie uraz jest najczęstszą przyczyną podwichnięcia soczewki, które wymaga zaopatrzenia chirurgicznego. W takim przypadku konieczne jest wybranie odpowiedniej, skutecznej metody leczenia. W Klinice Okulistyki WIM – PIB stosowana jest autorska metoda bezszwowej fiksacji kompleksu torebka-soczewka wewnątrzgałkowa z zastosowaniem pierścienia napinającego torebkę oraz retraktorów tęczówkowych.

show abstract

“…5 Moreover, Krix-Jachym et al described a sutureless surgical technique in which iris retractors were permanently fixed to the sclera to stabilize the capsular bag-IOL complex. 6 The present study aims to describe a new surgical approach that could represent an innovative technique in assisting surgeons with patients with cataract subluxation.…”

Section: Introductionmentioning

confidence: 99%

“…5 Moreover, Krix-Jachym et al described a sutureless surgical technique in which iris retractors were permanently fixed to the sclera to stabilize the capsular bag-IOL complex. 6…”

Section: Introductionmentioning

confidence: 99%

Retrolental cohesive ophthalmic viscoelastic injection in severely subluxated cataracts: The “Viscolift technique”

Iannetta,

Romano,

Valsecchi

et al. 2023

European Journal of Ophthalmology

View full text Add to dashboard Cite

Introduction To describe a novel surgical approach in the management of subluxated cataracts. Methods A 70-year-old Caucasian male with a subluxated cataract in the left eye was referred to our clinic at the Azienda Ospedaliero-Universitaria di Bologna- Ophthalmology Unit. The ophthalmic examination revealed a best-corrected visual acuity (BCVA) of 20/200 in the left eye with monocular diplopia and a severely subluxated NO6/NC6 cataract and the fundus examination did not reveal any vitreoretinal abnormalities. The right eye had 20/20 BCVA and was pseudophakic. After a 300° conjunctival peritomy, a single 25-gauge valved trocar 4 mm was inserted from the limbus in the inferotemporal quadrant, where the cataract was mainly dislocated and a corneal paracentesis to reduce the anterior chamber intraocular pressure was performed. Subsequently cohesive viscoelastic was progressively injected in the retrolental space through the trocar, to recenter and elevate the subluxated cataract. Thereafter, a complete centered capsulorhexis was performed, four capsular hooks were inserted to stabilize the bag, and complete phacoemulsification was performed with intact posterior capsular support. In the end, given the lack of capsular support elements such as the Cionni ring or Ahmed segment, a sutureless scleral fixated intraocular lens was implanted. Results One week after surgery, the BCVA was 20/25, and the final BCVA at 6 months was 20/20, without any complications. Conclusions Retrolental cohesive ophthalmic viscoelastic injection could represent a novel effective surgical approach in recentering and elevating subluxated cataracts, facilitating the capsulorhexis, and reducing the risk of a pars plana approach.

show abstract

Sutureless technique for repositioning and scleral fixation of the capsular bag–intraocular lens complex with permanent use of iris retractors

Cited by 5 publications

References 22 publications

Flanged iris hook for capsular bag stabilization

Flanged iris hook for capsular bag stabilization

Surgical treatment of traumatic lens subluxation

Retrolental cohesive ophthalmic viscoelastic injection in severely subluxated cataracts: The “Viscolift technique”

Contact Info

Product

Resources

About