Scleral IOL fixation using limbal mini-pockets: description of the method and clinical cases

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Abstract

The search for new techniques of fixation intraocular lenses (IOL) cases of its dislocation or inadequate capsular support continues to be an actual problem. The most physiological is the IOL position in the posterior chamber. In this article, a new method for scleral IOL fixation using limbal mini-pockets proposed by the authors will be presented.

About the authors

Vitaly V. Potemkin

Pavlov First Saint Petersburg State Medical University; City Multi-Field Hospital No. 2

Author for correspondence.
Email: potem@inbox.ru

PhD, Assistant Professor. Department of Ophthalmology

Russian Federation, Saint Petersburg

Elena V. Goltsman

City Multi-Field Hospital No. 2

Email: ageeva_elena@inbox.ru

ophthalmologist

Russian Federation, Saint Petersburg

Dmitriy A. Yarovoy

City Multi-Field Hospital No. 2

Email: abducens@gmail.com

ophthalmologist

Russian Federation, Saint Petersburg

Syao Yuan Van

Pavlov First Saint Petersburg State Medical University

Email: wangxiaoyuan20121017@gmail.com

Department of Ophthalmo­logy

Russian Federation, Saint Petersburg

References

  1. Gabric N, Henc-Petrinovic L, Dekaris I. Complications following two methods of posterior chamber intraocular lens suturing. Doc Ophthalmol. 1996;92(2):107-16.
  2. Kjeka O, Bohnstedt J, Meberg K, Seland JH. Implantation of scleral-fixated posterior chamber intraocular lenses in adults. Acta Ophthalmol (Copenh). 2008;86(5):537-42. https://doi.org/10.1111/j.1600-0420.2007.01095.x.
  3. Lindquist TD, Agapitos PJ, Lindstrom RL, et al. Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support. Ophthalmic Surg. 1989;20(11):769-75.
  4. Küchle M, Viestenz A, Martus P, et al. Anterior chamber depth and complications during cataract surgery in eyes with pseudoexfoliation syndrome. Am J Ophthalmol. 2000;129:281-285.
  5. Mimura T, Amano S, Sugiura T, et al. 10-year follow-up study of secondary transscleral ciliary sulcus fixated posterior chamber intraocular lenses. Am J Ophthalmol. 2003;136(5):931-3.
  6. S olomon K, Gussler JR, Gussler C, Van Meter WS. Incidence and management of complications of transsclerally sutured posterior chamber lenses. J Cataract Refract Surg. 1993;19(4):488-93.
  7. McCluskey P, Harrisberg B. Long-term results using scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg. 1994;20(1):34-9.
  8. Sundmacher R, Althaus C, Wester R. Experience with transscleral fixation of posterior chamber lenses. Graefes ArchClin Exp Ophthalmol. 1991;229(6):512-6.
  9. Uthoff D, Teichmann KD. Secondary implantation of scleral-fixated intraocular lenses. J Cataract Refract Surg. 1998;24(7):945-50.
  10. Szurman P, Petermeier K, Aisenbrey S, et al. Z-suture: a new knotless technique for transscleral suture fixation of intraocular implants. Br J Ophthalmol. 2010;94(2):167-169. https://doi.org/10.1136/bjo.2009.162180.
  11. Hoffman RS, Fine IH, Packer M. Scleral fixation without conjunctival dissection. J Cataract Refract Surg. 2006;32(11):1907-1912.

Supplementary files

Supplementary Files
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2. Fig. 1. Triangular pocket formation

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3. Fig. 2. Example of ab interno IOL fixation

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4. Fig. 3. Example of ab externo IOL fixation

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5. Fig. 4. Intrascleral needle passage, externalisation from limbal mini pocket

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6. Fig. 5. Example of knot formation

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7. Fig. 6. Anterior eye segment before (a), 1(b) and 3(c) month after operation: limbal mini pockets can not be visible 1 month after operation

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8. Fig. 7. OCT of anterior eye segment (SS-1000, Casia, Tomey, Japan) before (a), 1(b) and 3(c) month after

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9. Fig. 8. Anterior eye segment before (a), 1(b) and 3(c) month after operation: arrows indicate limbal mini pockets

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10. Fig. 9. OCT of anterior eye segment (SS-1000, Casia, Tomey, Japan) before (a), 1(b) and 3(c) month after

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Copyright (c) 2019 Potemkin V.V., Goltsman E.V., Yarovoy D.A., Van S.Y.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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