Sutureless 27-Gauge Needle–Guided Intrascleral Intraocular Lens Implantation with Lamellar Scleral Dissection

Yamane, Shin; Inoue, Maiko; Arakawa, Akira; Kadonosono, Kazuaki

doi:10.1016/j.ophtha.2013.08.043

Cited by 275 publications

(239 citation statements)

References 14 publications

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“…Temporary IOH at 1-3 weeks and CME at 6 months completely resolved during the study period. These pos toperative complications have also been reported in similar previously-reported studies (13,(16)(17)(18)(19) . No significant difference in VA change was observed between groups in the present study (P=0.79) While there was no difference in preoperative VA, a statistical difference between postoperative VA values was observed between groups (P=0.003).…”

Section: Discussionsupporting

confidence: 86%

“…Two major methods of suture-free intrascleral IOL implantation have been reported in previous literature. In this technique, the haptics are fixated under scleral flaps using tissue adhesive glue (20)(21)(22) or into a narrow scleral tunnel parallel to the limbus (12)(13)(14)(15)(16)(17)(18)(19) . Fixation into the scleral tunnel has advantages, such as removing the requirement need for an additional tissue adherent or the use of scleral flaps.…”

Section: Discussionmentioning

confidence: 99%

“…During PPV, the iatrogenic removal of the lens capsule may be required depending on the etiology and severity of the vitreoretinal disease. Posterior chamber IOL implantation may be performed via posterior chamber transscleral fixation (1)(2)(3)(4)(5)(6)(7) , iris fixation (8)(9)(10)(11) , intrascleral fixation (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) , angle supported anterior chamber IOL (23,24) , or iris claw IOL implantation (25,26) . Advantages of PCIOL fixation include the distant position from anterior segment structures, such as the corneal endothelium, and proximity to the focal point of the eye where the lens is naturally si tuated.…”

Section: Introductionmentioning

confidence: 99%

“…In cases with no capsular support, the implantation of a foldable IOL can be performed through a small corneal incision into the posterior chamber with suture fixation to the sclera or iris (4)(5)(6)(7)(8)(9)(10)(11) . Alternatively, IOL implantation can be performed through a small incision to the posterior chamber with sutureless intrascleral fixation (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) . In the present study, we evaluated three separate groups of patients with vitrectomized aphakic eyes lacking capsular support in whom foldable IOL were implanted through a small corneal incision using either transscleral fixation, iris fixation, or intrascleral fixation.…”

Section: Introductionmentioning

confidence: 99%

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Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Erdoğan¹,

Ünlü²,

Günay³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Purpose: To evaluate the outcomes of three different surgical techniques for foldable posterior chamber intraocular lens (PCIOL) implantation in vitrectomized eyes without capsular support. Methods: A total of 60 patients with aphakic and vitrectomized eyes without capsular support were enrolled. All patients underwent three-piece foldable PCIOL implantation into the posterior chamber through a small corneal incision. Transscleral fixation (TSF), iris fixation (IF), and intrascleral tunnel fixation (ISF) surgical techniques were performed. Results: Postoperative PCIOL subluxation or dislocation occurred in one case in the TSF group and two cases in the ISF group. Intraoperative PCIOL dislocation occurred in two patients in the IF group. The incidence of temporary postoperative complications, such as mild intraocular hemorrhage and cystoid macular edema, was higher in the ISF group. No statistically significant difference in PCIOL-related astigmatism was observed between groups. Visual acuity improved in all groups. Conclusions: Postoperative outcomes were comparable between TSF, IF, and ISF for PCIOL in vitrectomized eyes without capsular support.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Erdoğan¹,

Ünlü²,

Günay³

et al. 2016

Arquivos Brasileiros De Oftalmologia

View full text Add to dashboard Cite

show abstract

“…In his technique limbal based sclera flap was created to cover the sclerotomy along with the externalized haptics and fibrin glue was used to close the flaps. Yamane et al (2014) reported the technique of Sutureless 27G NeedleGuided Intrascleral IOL Fixation in 2014. In the same year came the Y fixation technique of SFIOL by Ohta et al (2014).…”

Section: Discussionmentioning

confidence: 99%

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Agarwal

Gurung

et al. 2016

Nep J Oph

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Introduction: In the absence of capsular support, anterior chamber intraocular lens (IOL), iris fixated IOL and sutured scleral fixated intraocular lens (SFIOL) implantation have been performed for many years. Recently sutureless glued SFIOL have been used as a primary or secondary procedure to correct aphakia. In this study we have used sutureless and glueless technique of SFIOL implantation. Methodology: An interventional case series was conducted. Aphakic patients without capsular support, sub-luxated lens (>180˚), dislocated lens and dislocated IOL were the inclusion criteria. The patients with hazy cornea, non-dilating pupil, macular scar and glaucoma were not enrolled in the study. Results: Of 62 eyes who completed 1 month followup, 48 were men and 14 women. There was a significant improvement in uncorrected distance visual acuity after surgery (p<0.001). One month postoperative best corrected distance visual acuity was 6/18 or better in 45 eyes (72.6%). The common early postoperative complications were hypotony, corneal edema. No serious complications such as endophthalmitis and retinal detachment were seen. Conclusion: Our technique of sutureless and glueless SFIOL implantation showed good visual outcome in the absence of serious complications. SFIOL will be the only choice in eyes that have anatomic contraindications like non constricting pupil, large sectoral iridectomy and peripheral anterior synechia in which other types of lens are not suitable.

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Outcomes Associated With Concurrent Iris-Sutured Intraocular Lens Placement and Subluxated Crystalline Lens Extraction

et al. 2015

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IMPORTANCE We have developed a novel surgical technique, to our knowledge, for the management of subluxated crystalline lenses involving preplacement of an iris-sutured posterior chamber intraocular lens (PCIOL) before pars plana vitrectomy and lensectomy. OBJECTIVE To investigate the outcomes of eyes with subluxated crystalline lenses, predominantly a result of Marfan syndrome (14 eyes [58%]) or trauma (5 eyes [21%]), that underwent pars plana vitrectomy and lensectomy with placement of an iris-sutured PCIOL. DESIGN, SETTING, AND PARTICIPANTS We performed a retrospective, noncomparative case series of 24 eyes from 17 consecutive adult patients with surgically treated subluxated crystalline lenses presenting to the Wilmer Eye Institute at

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Sutureless 27-Gauge Needle–Guided Intrascleral Intraocular Lens Implantation with Lamellar Scleral Dissection

Cited by 275 publications

References 14 publications

Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Outcomes Associated With Concurrent Iris-Sutured Intraocular Lens Placement and Subluxated Crystalline Lens Extraction

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