Safety Barricade Suture for Preventing Pupillary Capture of Intraocular Lens With Scleral Fixation

Yoo, Yung Ju; Kim, Ei Tae; Heo, Junyoung

doi:10.1097/iae.0000000000000821

Cited by 9 publications

(17 citation statements)

References 15 publications

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“…Yoo et al [ 9 ] reported that pupillary capture of an IOL was effectively prevented using the H-technique (safety barricade suture) similar to our technique in 40 eyes. They underwent barricade suture and IOL scleral fixation simultaneously.…”

Section: Discussionmentioning

confidence: 84%

Tram-Track Suture Technique for Pupillary Capture of a Scleral Fixated Intraocular Lens

Kim

2016

Case Rep Ophthalmol

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Purpose: To report a new technique using tram-track suture for pupillary capture of a scleral fixated posterior chamber intraocular lens (PC-IOL) to reposition the tilted IOL. Methods: In this prospective interventional case series, we describe a tram-track suture for pupillary capture of a scleral fixated PC-IOL. A long straight needle with double-armed 10-0 polypropylene is passed behind the iris and just above the optic portion (tilted forward) of the IOL. The other straight needle with double-armed 10-0 polypropylene is passed just below the optic portion (tilted backward) of the IOL. After the IOL is repositioned properly, the polypropylene sutures are gently pulled and tied. Results: Four eyes of 4 patients underwent tram-track suture for pupillary capture of a scleral fixated PC-IOL. No intra- or postoperative complications were noted, and no pupillary captures were detected during the follow-up period. Conclusions: The tram-track suture technique provides good centration and stability of a PC-IOL. This technique is an easy and effective way to reposition pupillary capture of an IOL. Further, it is also minimally invasive as it maintains a closed system.

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Section: Discussionmentioning

confidence: 84%

Tram-Track Suture Technique for Pupillary Capture of a Scleral Fixated Intraocular Lens

Kim

2016

Case Rep Ophthalmol

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“…Repairing cyclodialysis is often technically difficult due to softness and flexibility of the iris and the narrow space between the cornea and lens. Several techniques for preventing pupillary capture of the IOL have been reported [ 5 , 6 , 7 ].…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…Mydriatic or miotic eye drops and laser iridotomy are useful for pupillary capture. In addition, surgery, such as barricading by suturing [ 5 , 6 ] or pupilloplasty [ 7 ], is indicated if these treatments were ineffective. However, none of these reported methods for preventing pupillary capture could repair any of the primary causes of iris retraction.…”

Section: Introductionmentioning

confidence: 99%

Repairing Cyclodialysis by Riveting: A Flanged Polypropylene Suture

Tamiya

Akimoto²

2021

Case Rep Ophthalmol

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Cyclodialysis causes intraocular lens (IOL) pupillary capture. It requires surgical repair to prevent this risk of IOL pupillary capture. However, since repairing cyclodialysis is often technically difficult, other methods such as barricading by suturing, pupilloplasty, and pars plana fixation of the IOL were preferred. We applied a double-flanged (riveting) technique for repairing cyclodialysis to prevent IOL pupillary capture following intrascleral fixation of the IOL. Cyclodialysis was surgically repaired by riveting with double-flanged 6-0 polypropylene sutures in 3 cases with no recurrence of pupillary capture during at least 12 months of follow-up. When pupillary capture is related to cyclodialysis, repairing cyclodialysis may help prevent pupillary capture after intrascleral fixation of the IOL. Riveting using a double-flanged 6-0 polypropylene suture could possibly make the procedure simpler and more efficient.

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“…IOL exchange is not commonly used because of the resulting large injuries. Yoo et al reported a new IOL transscleral suture fixation technique, which they named the H technique [15]. The suture forms a barrier between the lens and the iris to avoid postoperative iris capture, the incidence of which was 2.5%.…”

Section: Discussionmentioning

confidence: 99%

Rectangular loop suture to correct iris capture of the posterior chamber intraocular lens

Lin

Zhong

et al. 2020

BMC Ophthalmol

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Background To report a new technique for iris capture of the posterior chamber intraocular lens (IOL) implanted in patients with a posterior capsule defect. Methods In this retrospective case series, a rectangular loop ciliary body suture technique was performed to rectify iris capture. The suture passes between the IOL and iris in a direction perpendicular to the iris edge capturing the IOL. Results A total of three IOLs with iris capture underwent a rectangular loop suture technique. No recapture was observed postoperatively. In one case, large astigmatism appeared after the surgery but recovered at 1 month post operation. No further complications were found. Conclusions The rectangular loop suture technique is an effective, convenient, and minimally invasive method for iris capture of the IOL.

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Safety Barricade Suture for Preventing Pupillary Capture of Intraocular Lens With Scleral Fixation

Cited by 9 publications

References 15 publications

Tram-Track Suture Technique for Pupillary Capture of a Scleral Fixated Intraocular Lens

Tram-Track Suture Technique for Pupillary Capture of a Scleral Fixated Intraocular Lens

Repairing Cyclodialysis by Riveting: A Flanged Polypropylene Suture

Rectangular loop suture to correct iris capture of the posterior chamber intraocular lens

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