Indian Journal of Ophthalmology (Jan 2012)
A truly knotless technique for scleral fixation of intraocular lenses: Two-year results
- Naresh K Yadav,
- Vasudha Kemmanu,
- Mayuri Bhargava,
- Bhujanga Shetty
Affiliations
- Naresh K Yadav
- Vasudha Kemmanu
- Mayuri Bhargava
- Bhujanga Shetty
- DOI
- https://doi.org/10.4103/0301-4738.90493
- Journal volume & issue
-
Vol. 60,
no. 2
pp. 147 – 148
Abstract
Scleral fixated intraocular lens (SFIOL) is a safe and effective option for managing optical aphakia. Suture related complications like suture erosion, suture breakage, endophthalmitis, etc. are unique to SFIOL. The knots can be covered by partial thickness flaps or they can be rotated into scleral tissues without flaps to reduce the complications. We performed a recently described novel technique which obviates the need for knot and scleral flaps in securing the SFIOL. This novel 2-point Ab externo knotless technique may reduce the knot related problems. Twenty-three eyes undergoing this knotless SFIOL procedure were analyzed for intraoperative and postoperative complications. Twenty-two eyes either maintained or improved on their preoperative vision. All patients had a minimum follow-up of 24 months.
Keywords
- Orbit
- proptosis
- thyroid
- Hyperhomocysteinemia
- retinal arterial occlusions
- systemic associations
- young age
- Illumination
- letter charts
- visual acuity
- Dacryocystorhinostomy
- intraocular pressure
- systemic effects
- timolol maleate
- Accommodation
- dynamic retinoscopy
- ophthalmoscopy
- photorefraction
- photoretinoscopy
- Apoptosis
- corneal epithelium
- formulation
- sphingosine-1 phosphate
- Digital camera
- external photograph
- photography
- Android
- eye handbook
- iPhone
- smart phone
- testing tools
- Anterior chamber intraocular lens
- gyrate atrophy
- posterior dislocation of intraocular lens
- psuedophakia
- Conjunctival ulcer
- conjunctivitis
- Stenotrophomonas maltophilia
- Adrenergic blocker
- imipramine
- intraoperative floppy iris syndrome
- iris hooks
- phacoemulsification
- Corneal ectasia
- deep anterior lamellar keratoplasty
- hexagonal keratotomy
- hyperopia
- Intravitreal triamcinolone acetonide
- retinochoroiditis
- toxoplasmosis
- Capsulorrhexis
- completion rates
- pediatric cataract surgery
- Complications
- knotless scleral fixated intraocular lens
- technique