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Journals / Glokom Katarakt / 2013 / Cilt: 8 - Sayı: 1

Scleral fixation of existing lens in subluxated ıntraocular lenses

Sublukse göz içi lenslerde mevcut lensin skleraya fiksasyonu

Sevda ERTEKİN
Ayça YILMAZ
Pages
57–60
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In selected patients, with this technique for preserving the existing IOLs, visu- ally successful results can be obtained.

📌 3 Key Takeaways

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Objective & Hypothesis:We planned to evaluate the results of scleral fixation with modified Siepser method in the treatment of subluxated poste- rior chamber intraocular lenses (IOL).
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Key Findings & Data:Four patients who were referred to our clinic for decreased vision some time after cataract surgery and diagnosed as IOL subluxation were included in this study.
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Conclusion & Impact:In selected patients, with this technique for preserving the existing IOLs, visu- ally successful results can be obtained.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We planned to evaluate the results of scleral fixation with modified Siepser method in the treatment of subluxated poste- rior chamber intraocular lenses (IOL). Four patients who were referred to our clinic for decreased vision some time after cataract surgery and diagnosed as IOL subluxation were included in this study. Existing IOLs were hanged on to sclera from one of their haptics with 10-0 polyprolein pc 9 suture. Preoperative and postoperative visual acuities were measured and patients were followed up for the sustained centralization of IOLs. Mean age of the patients were 41.25±21.69 years (range:15-69 years), and they were followed up for 5.75±3.30 months (range: 2-9 months). The best corrected visual acuities according to Snellen chart were 0.14±0.08 rows (range: 0.05-0.2 rows) preoperatively and 0.53±0.15 rows (range: 0.4-0.7 rows) postoperatively. There were no intraoperative complications. Three of four patients (75%) have maintained central- ized IOLs, but one with nystagmus have again developed decentralized IOL in the postoperative period. In decentralized posterior chamber IOLs; hanging on from one haptic of subluxated IOL to sclera is an alternative surgery to IOL exchange and scleral or iris fixated IOL implantation. In selected patients, with this technique for preserving the existing IOLs, visu- ally successful results can be obtained.

Özet

Sublukse olmuş arka kamara göz içi lenslerin (GİL) tedavisinde modifiye Siepser tekniği ile skleral fiksasyonun sonuçla- rının değerlendirilmesi planlanmıştır. Kliniğimize, geçirilmiş katarakt cerrahisinden bir süre sonra gelişen görme azlığı ile başvurup, GİL subluksasyonu tanısı alan 4 hasta çalışmaya dahil edilmiştir. Hastaların mevcut GİL’leri, skleraya 10-0 poliprolen pc 9 sütürü ile bir haptiğinden asılmıştır. Hastaların cerrahi öncesi ve sonrası görme keskinliklerine bakılmış; GİL santralizasyonu açısından takipleri yapılmıştır. Yaş ortalaması 41.25±22.69 yıl (sınırlar: 15-69 yıl) olan hastalar orta- lama 5.75±3.30 ay (sınırlar: 2-9 ay) süresince takip edildiler. Cerrahi öncesi ortalama en iyi düzeltilmiş görme keskinlikleri Snellen eşeline göre 0.14±0.08 sıra (sınırlar: 0.05-0.2 sıra) olan hastaların, cerrahi sonrası ortalama görme keskinlikleri 0.53±0.15 sıra (sınırlar: 0.4-0.7 sıra) düzeyine çıktı. Hastalarda ameliyat sırasında herhangi bir komplikasyon izlenmedi. Hastalardan üçünün (%75) ameliyat sonrası takibinde GİL santralizasyonu devam ederken, nistagmusu bulunan bir ol- guda GİL’in tekrar desantralize olduğu izlendi. Arka kamara GİL esantralizasyonlarında; GİL değişimi ve skleral ya da iris fiksasyonlu GİL implantasyonu dışında, sublukse GİL’in skleraya sütüre edilerek santralize edilmesi de tedavi yön- temlerinden birisidir. Bu tekniğin uygulandığı seçilmiş hastalarda, mevcut GİL korunarak görsel açıdan başarılı sonuçlar alınabilmektedir.

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Cite This Article

ERTEKİN, S., YILMAZ, A. (2013). Scleral fixation of existing lens in subluxated ıntraocular lenses. Glokom Katarakt, Cilt: 8 - Sayı: 1, 57–60. https://ajindex.com/articles/213141

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