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    JR - KBR - Scleral Fixation of Single Pieces Foldable IOL Using Double Flanged Technique - Karina Adistiarini

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    Karina Adistiarini Budijanto
    This document describes a technique for scleral fixation of single-piece foldable intraocular lenses (IOLs) using a double-flanged suture. The technique was performed in 17 aphakic eyes that lacked sufficient capsular support for posterior chamber IOL implantation. Both hydrophilic and hydrophobic IOLs were used. Results showed significantly improved visual acuity after surgery and well-centered, stable IOL placement in most cases. No significant complications occurred. The conclusion is that transconjunctival intrascleral fixation of foldable IOLs is a safe and effective method for correcting aphakia.

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    JR - KBR - Scleral Fixation of Single Pieces Foldable IOL Using Double Flanged Technique - Karina Adistiarini

    Uploaded by

    Karina Adistiarini Budijanto
    29 views23 pages
    This document describes a technique for scleral fixation of single-piece foldable intraocular lenses (IOLs) using a double-flanged suture. The technique was performed in 17 aphakic eyes that lacked sufficient capsular support for posterior chamber IOL implantation. Both hydrophilic and hydrophobic IOLs were used. Results showed significantly improved visual acuity after surgery and well-centered, stable IOL placement in most cases. No significant complications occurred. The conclusion is that transconjunctival intrascleral fixation of foldable IOLs is a safe and effective method for correcting aphakia.

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    JR_KBR_Scleral Fixation of Single Pieces Foldable IOL Using Double Flanged Technique_Karina Adistiarini

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    This document describes a technique for scleral fixation of single-piece foldable intraocular lenses (IOLs) using a double-flanged suture. The technique was performed in 17 aphakic eyes that lacked sufficient capsular support for posterior chamber IOL implantation. Both hydrophilic and hydrophobic IOLs were used. Results showed significantly improved visual acuity after surgery and well-centered, stable IOL placement in most cases. No significant complications occurred. The conclusion is that transconjunctival intrascleral fixation of foldable IOLs is a safe and effective method for correcting aphakia.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views23 pages

    JR - KBR - Scleral Fixation of Single Pieces Foldable IOL Using Double Flanged Technique - Karina Adistiarini

    Uploaded by

    Karina Adistiarini Budijanto
    This document describes a technique for scleral fixation of single-piece foldable intraocular lenses (IOLs) using a double-flanged suture. The technique was performed in 17 aphakic eyes that lacked sufficient capsular support for posterior chamber IOL implantation. Both hydrophilic and hydrophobic IOLs were used. Results showed significantly improved visual acuity after surgery and well-centered, stable IOL placement in most cases. No significant complications occurred. The conclusion is that transconjunctival intrascleral fixation of foldable IOLs is a safe and effective method for correcting aphakia.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 23

    Scleral Fixation of Single-Piece Foldable IOL

    Using Double-Flanged Technique

    PRESENTER : dr. Karina Adistiarini


    SUPERVISOR : Prof. dr. Suhardjo., SU., Sp.M(K)

    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID


    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID
    BACKGROUNDS
    1. Trans-scleral suturing of IOLs is an
    effective and well-established
    2. The technique for IOL implantations in
    aphakic eyes with insufficient capsular
    support

    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID


    BACKGROUNDS

    The Sclera can vary between


    Different IOLs were used 2 and 4 points to minimize
    which minimize incision size IOL tilt and maximize stability
    and centration

    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID


    BACKGROUNDS

    On this study we describe the method of trans-conjunctival


    intra-scleral fixation of single-piece foldable IOL using double-
    flanged 6/0 prolene suture.

    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID


    Materials and Methods
    Materials and methods
    This technique was performed in 17 aphakic eyes in which
    the capsular support was not enough to implant posterior
    chamber IOL

    All cases were operated during the period from July 2019
    up to February 2020

    This work was done in compliance with the Declaration of


    Helsinki and was approved by the institutional research
    ethics committee of Alpha vision center, Zagazig, Egypt.
    Exclude caracteristic

    glaucoma

    posterior
    corneal segment
    opacity
    pathology
    Ancillary test
    Uncorrected visual acuity

    Best-corrected visual acuity

    Tonometry

    Anterior segment slitlamp biomicroscopy

    Fundus examination
    OPERATING SCHEME
    OPERATING SCHEME
    RESULTS
    RESULT
    This technique was performed in 17 aphakic eyes after
    complicated phacoemulsification

    10 cases we 7 cases we used


    used hydrophilic hydrophobic
    IOLs IOLs.

    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID


    RESULT
    There is clear statistically significant difference between Pre-
    UCVA and Post-UCVA

    There is no statistically significant difference between pre-


    BCVA and post-UCVA

    All cases achieved well-centered stable IOL except one case


    which showed IOL tilt with capture of upper part of the optic
    that was treated by IOL repositioning after one week.

    LOCALLY ROOTED, GLOBALY RESPECTED UGM.AC.ID


    RESULT
    All corneas were clear from the 1st postoperative day except two
    cases with mild corneal edema that resolved with frequent topical
    steroid eye drops
    There was no significant difference in endothelial cell count before
    and after 3 months.

    There was no significant difference in regard to the IOP before


    and after 3 months

    No cases of cystoid macular edema, endophthalmitis, vitreous


    hemorrhage or retinal detachment
    DISCUSSION
    Discussion
    The IOL is placed
    close to the
    The use of the intra- anatomically desired
    scleral fixated IOL position.

    Aphakia eyes with


    inadequate capsular
    support
    DISCUSSION
    The technique of glue IOLs The use of 5/0 prolene suture
    in which the exteriorized Scleral fixated flanged IOL
    with suture-less prolene with flanges to fixate a
    haptic is secured under a nonfoldable PMMA IOL with
    partial thickness scleral haptic
    eyelets in the haptics
    flaps using fibrin glue

    Gabor and Agarwal et al Yamane et al Canabravo et al


    DISCUSSION

    The most common postoperative complications of scleral


    fixated IOL are vitreous hemorrhage and cystoid macular
    edema ( Stem., et. al)

    There were no cases of vitreous hemorrhage, cystoid


    macular edema or endophthalmitis
    CONCLUSSION
    CONCLUSSION

    Transconjunctival intrascleral fixation of


    foldable singlepiece IOLs is a safe
    efficient method for correcting aphakia.

    It is a simple technique that avoids


    haptic manipulation, slippage and
    breakage
    THANK YOU
    ADVICE AND SUGGESTION ARE WELCOME

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