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

To evaluate the outcome of scleral fixated ıntraocular lens ımplantation by knotless z suture technique

Düğümsüz z sütür yöntemi ile skleral fiksasyonlu göz içi lens implantasyonu

Feyzahan EKİCİ
Esra Emine KARACA
Zeynep AKTAŞ
Şengül ÖZDEK
Pages
12–16
DOI
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AI Summary & Key Takeaways

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

Conclusion: Scleral fixated IOL implantation by knotless Z suture technique is a safe and easy method with no risk of conjunctival erosion.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: We aimed to evaluate the outcome of scleral fixated intraocular lens (IOL) implantation by knotless Z suture technique.
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Key Findings & Data:Materials and Methods: A retrospective case series of 23 eyes who had underwent scleral fixated IOL implantation by knotless Z suture technique were examined for demographic findings, pre and post operative best corrected visual acuity (BCVA), IOL santralization and suture related complications.
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Conclusion & Impact:Conclusion: Scleral fixated IOL implantation by knotless Z suture technique is a safe and easy method with no risk of conjunctival erosion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: We aimed to evaluate the outcome of scleral fixated intraocular lens (IOL) implantation by knotless Z suture technique. Materials and Methods: A retrospective case series of 23 eyes who had underwent scleral fixated IOL implantation by knotless Z suture technique were examined for demographic findings, pre and post operative best corrected visual acuity (BCVA), IOL santralization and suture related complications. Results: Twenty three eyes of 21 patients (13 men and 8 women) with surgical indications of lens subluxation/luxation due to trauma, Marfan Syndrome or homosystinuria and post surgical aphakia, were included in this study. Mean age and follow-up was 50.86±17.8 (18-73) years and 8.82±5.44 (4-24) months respectively. The mean final BCVA showed significant improvement from preoperative levels (0.92±0.34 logMAR vs. 0.45±0.31 logMAR, respectively; p<0.01). During early post- operative period 3 eyes showed mild hypotonia only as a complication. Durind follow-up time none of the eyes show IOL desantralization, conjunctival erosion due to scleral sutures or endophthalmia. Conclusion: Scleral fixated IOL implantation by knotless Z suture technique is a safe and easy method with no risk of conjunctival erosion.

Özet

Amaç: Düğümsüz Z sütür yöntemi ile skleral fiksasyonlu göz içi lens (GİL) implantasyonu sonuçlarımızı değerlendirmektir. Gereç ve Yöntem: Düğümsüz, skleral flepsiz Z sütür yöntemi ile skleral fiksasyonlu GİL implantasyonu yapılan olguların kayıtları geriye dönük olarak demografik özellikler, ameliyat öncesi ve sonrası görme keskinlikleri, lens santralizasyonu ve sütür komplikasyonları açısından incelendi. Bulgular: Travma, Marfan Sendromu veya homosistinüriye bağlı lens subluksasyonu veya luksasyonu ve ameliyat sonrası afaki gibi nedenlerle opere edilen 21 hastanın (13E, 8K) 23 gözü çalışmaya dahil edildi. Hastaların ortalama yaşı 50.86±17.8 (18-73) idi. Ortalama takip süresi 8.82±5.44 (4-24) aydı. Ameliyat öncesi afak tashihi ile en iyi düzeltilmiş görme keskinliği (EİDGK) ortalaması 0.92±0.34 logMAR iken ameliyat sonrası EİDGK istatistiksel olarak anlamlı olarak değişerek orta- lamanın 0.45±0.31 logMAR olduğu izlendi. (p<0.01) Ameliyat sonrası erken dönemde 3 gözde erken hafif hipotoni dışında patoloji izlenmedi. Takip süresince hiçbir olguda GİL desantralizasyonu, skleral sütüre bağlı konjonktival erozyon veya endoftalmi gibi komplikasyonlar gelişmedi. Sonuç: Düğümsüz Z sütür yöntemi ile skleral fiksasyonlu GİL implantasyonu tekniği özellikle konjonktival erozyon riski olmaması bakımından güvenli ve kolay bir tekniktir.

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Cite This Article

EKİCİ, F., KARACA, E. E., AKTAŞ, Z., ÖZDEK, Ş. (2013). To evaluate the outcome of scleral fixated ıntraocular lens ımplantation by knotless z suture technique. Glokom Katarakt, Cilt: 8 - Sayı: 1, 12–16. https://ajindex.com/articles/214227

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