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Journals / Glokom Katarakt / 2014 / Cilt: 9 - Sayı: 4

Two Different Techniques of the Posterior Chamber Iris-Claw Intraocular Lens Implantation: Scleral Tunnel and Corneal Incision

Arka Kamara İris Kıskaçlı Göz İçi Lens İmplantasyonunda İki Farklı Teknik: Skleral Tünel ve Korneal İnsizyon

Can KOCASARAÇ
Hasan ALTINKAYNAK
Hüseyin DÜNDAR
NİHAT SAYIN
Ercüment BOZKURT
Pages
253–258
DOI
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⚡ TL;DR(Too Long; Didn't Read)

There was no statistically significant difference in the BCVA and cylindrical value between the scleral tunnel and corneal incision techniques at the last postoperative control

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To evaluate anatomical and functional results, early and late complications and scleral tunnel and corneal incision techniques in cases with posterior chamber iris-claw lens (ICL) implantation.Materials and Methods: Thirty-nine eyes of 37 patients who underwent posterior chamber ICL implantation due to aphakia at Beyoğlu Eye Research and Training Hospital between February 2009 and January 2012 were analyzed retrospectively.
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Key Findings & Data:Postoperative visual acuity and early and late complications were recorded.Results: The postoperative best-corrected visual acuity (BCVA) increased in 30 eyes in comparison with preoperative BCVA and remained unchanged in 9 eyes.
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Conclusion & Impact:There was no statistically significant difference in the BCVA and cylindrical value between the scleral tunnel and corneal incision techniques at the last postoperative control
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Purpose: To evaluate anatomical and functional results, early and late complications and scleral tunnel and corneal incision techniques in cases with posterior chamber iris-claw lens (ICL) implantation.Materials and Methods: Thirty-nine eyes of 37 patients who underwent posterior chamber ICL implantation due to aphakia at Beyoğlu Eye Research and Training Hospital between February 2009 and January 2012 were analyzed retrospectively. Postoperative visual acuity and early and late complications were recorded.Results: The postoperative best-corrected visual acuity (BCVA) increased in 30 eyes in comparison with preoperative BCVA and remained unchanged in 9 eyes. The most common complications in the early postoperative period were anterior chamber reaction (in 5 eyes) and mild-to-moderate transient corneal edema (in 3 eyes). Elevated intraocular pressure (in 2 eyes), cystoid macular edema (in 1 eye) and epiretinal membrane (in 2 eye) were detected. Four eyes which developed intraocular lens dislocation were treated surgically.Conclusion: Posterior chamber ICL have been widely used in the treatment of aphakic cases with capsular/ zonular deficiency and anatomic and functional results were found successful. There was no statistically significant difference in the BCVA and cylindrical value between the scleral tunnel and corneal incision techniques at the last postoperative control

Özet

Amaç: Arka kamara iris kıskaçlı göz içi lens (İKGİL) implantasyonu yapılan olgularda anatomik ve fonksiyonel sonuçları, erken ve geç dönem komplikasyonları, skleral tünel ve korneal insizyon tekniklerini değerlendirmek. Gereç ve Yöntem: Şubat 2009-Ocak 2012 tarihleri arasında Beyoğlu Göz Eğitim ve Araştırma Hastanesi'nde afaki nedeniyle arka kamara İKGİL implantasyonu yapılmış olan 37 olgunun 39 gözü retrospektif olarak incelendi. Gözlerin postoperatif görsel sonuçları, erken ve geç dönem komplikasyonları kaydedildi.Bulgular: Ameliyat sonrası düzeltilmiş en iyi görme keskinliği (DEİGK), ameliyat öncesi DEİGK'ne göre 30 gözde artmış, 9 gözde ise aynı kalmıştır. Ameliyat sonrası erken dönemde görülen en sık komplikasyon 5 gözde hafif-orta derecede görülen ön kamara reaksiyonu ve 3 gözde geçici korneal ödemdi. 2 gözde göz içi basınç yüksekliği, 1 gözde kistoid makuler ödem ve 1 gözde de epiretinal membran tespit edildi. Göz içi lens dislokasyonu gelişen 4 göz cerrahi olarak tedavi edildi. Sonuç: Kapsül/zonül yetersizliği bulunan afakik olguların tedavisinde arka kamara İKGİL'ler geniş bir endikasyon aralığında kullanılmış, anatomik ve fonksiyonel sonuçları başarılı bulunmuştur. Skleral tünel ve korneal insizyon teknikleri arasında ise postoperatif en son kontrolde DEİGK ve silindirik değerler açısından anlamlı bir farklılık görülmemiştir

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Cite This Article

KOCASARAÇ, C., ALTINKAYNAK, H., DÜNDAR, H., SAYIN, N., BOZKURT, E. (2014). Two Different Techniques of the Posterior Chamber Iris-Claw Intraocular Lens Implantation: Scleral Tunnel and Corneal Incision. Glokom Katarakt, Cilt: 9 - Sayı: 4, 253–258. https://ajindex.com/articles/209788

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