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SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김민 | - |
dc.date.accessioned | 2017-10-26T08:31:58Z | - |
dc.date.available | 2017-10-26T08:31:58Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0275-004X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/153278 | - |
dc.description.abstract | PURPOSE: To report short-term surgical outcomes of single-stage simultaneous rescue and sutureless intrascleral fixation of dislocated intraocular lens (IOLs). METHODS: Sixteen eyes of 16 patients who underwent simultaneous rescue and intrascleral fixation of dislocated 3-piece IOLs were retrospectively evaluated. Partial thickness limbal-based scleral flaps (2.0 × 2.0 mm) were created, and a 22-gauge round needle was used to create a sclerotomy at 1.5 mm from the limbus under the previously created scleral flap, and a 23-gauge trans pars plana vitrectomy was performed. Bimanual maneuvers using two 23-gauge end-grasping forceps under chandelier illumination and a wide-angle viewing system enabled 1 step rescue of IOLs from the posterior vitreous cavity with 1 hand and simultaneous haptic externalization through sclerotomy with the other hand. An externalized haptic was placed into the 3-mm intrascleral tunnel created using a bent 26-gauge needle. Fibrin glue was used to fixate haptics and close the scleral flaps. RESULTS: Intraocular lenses were successfully rescued and sclera-fixated through intrascleral tunnels in all 16 eyes (mean age, 56.56 ± 19.89 years). The mean preoperative logarithm of the minimum angle of resolution best-corrected visual acuity was 0.92 ± 0.68, and this significantly improved at 6 months to 0.289 ± 0.36 (P = 0.003). During the follow-up period (10.1 ± 3.21 months), no significant change of endothelial cell count or central foveal thickness was noted postoperatively (P = 0.203 and P = 0.979, respectively). There were no significant postoperative complications such as IOL dislocation, IOL decentration, retinal detachment, endophthalmitis, or postoperative hypotony. CONCLUSION: Simultaneous rescue and sutureless intrascleral haptic fixation of dislocated 3-piece IOLs using bimanual maneuvers is an effective, safe, and minimally invasive surgical method to rescue and fixate the dislocated IOL without further explant. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Artificial Lens Implant Migration/surgery* | - |
dc.subject.MESH | Cell Count | - |
dc.subject.MESH | Endothelium, Corneal/pathology | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fibrin Tissue Adhesive/therapeutic use | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lenses, Intraocular* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Reoperation | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sclera/surgery* | - |
dc.subject.MESH | Sclerostomy | - |
dc.subject.MESH | Surgical Flaps* | - |
dc.subject.MESH | Suture Techniques* | - |
dc.subject.MESH | Tissue Adhesives/therapeutic use | - |
dc.subject.MESH | Tomography, Optical Coherence | - |
dc.subject.MESH | Visual Acuity/physiology | - |
dc.subject.MESH | Vitrectomy | - |
dc.title | SURGICAL OUTCOME OF SIMULTANEOUS INTRAOCULAR LENS RESCUE AND SUTURELESS INTRASCLERAL TUNNEL FIXATION OF DISLOCATED INTRAOCULAR LENSES | - |
dc.type | Article | - |
dc.publisher.location | United States | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Ophthalmology | - |
dc.contributor.googleauthor | Kim, Min | - |
dc.contributor.googleauthor | Lee, Dong H. | - |
dc.contributor.googleauthor | Koh, Hyoung J. | - |
dc.contributor.googleauthor | Lee, Sung C. | - |
dc.contributor.googleauthor | Kim, Sung S | - |
dc.identifier.doi | 10.1097/IAE.0000000000000484 | - |
dc.contributor.localId | A00455 | - |
dc.relation.journalcode | J02621 | - |
dc.identifier.eissn | 1539-2864 | - |
dc.identifier.pmid | 26102441 | - |
dc.identifier.url | https://oce.ovid.com/article/00006982-201507000-00022/HTML | - |
dc.subject.keyword | dislocated IOL | - |
dc.subject.keyword | IOL rescue | - |
dc.subject.keyword | scleral fixation | - |
dc.subject.keyword | sutureless fixation | - |
dc.contributor.alternativeName | Kim, Min | - |
dc.contributor.affiliatedAuthor | Kim, Min | - |
dc.citation.title | Retina- the Journal of Retinal and Vitreous Diseases | - |
dc.citation.volume | 35 | - |
dc.citation.number | 7 | - |
dc.citation.date | 2015 | - |
dc.citation.startPage | 1450 | - |
dc.citation.endPage | 1457 | - |
dc.identifier.bibliographicCitation | RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, Vol.35(7) : 1450-1457, 2015 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 41546 | - |
dc.type.rims | ART | - |
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