| Modified Scleral Fixation of Dislocated Posterior Chamber Intraocular Lenses. |
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Deok Goo Lee, Ki Yup Nam, Jung Yeul Kim |
1Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea. kimjy@cnu.ac.kr
2Chungnam National University Research Institute for Medical Sciences, Daejeon, Korea. |
| 탈구된 후방인공수정체의 변형된 공막고정술 |
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이덕구1ㆍ남기엽1ㆍ김정열1,2 |
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Department of Ophthalmology, College of Medicine, Chungnam National University1, Daejeon, Korea / Chungnam National University Research Institute for Medical Sciences2, Daejeon, Korea |
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| Abstract |
PURPOSE
To report the results of managing dislocated posterior chamber intraocular lenses (PC IOLs) by externalizing both haptics alternately through a single clear corneal incision. METHODS: The study included 10 eyes of 10 patients in which a dislocated PC IOL was managed with pars plana vitrectomy. With our modified method, both haptics were alternately externalized through a single clear corneal incision for suture knot placement and then reinserted. RESULTS: The dislocated PC IOLs were repositioned successfully in all 10 eyes, and the corrected visual acuity improved postoperatively in 9 eyes at a minimum follow-up of six months. Abnormal IOL position, IOL capture by the iris, or posterior synechia was not observed. Hypotony maculopathy occurred in one eye, but the macular folding disappeared and the visual acuity improved after adding one-bite suture. CONCLUSIONS: The technique we describe in this study is a simple and effective procedure for repositioning posteriorly dislocated PC IOLs with minimal intraocular manipulations and complications. |
| Key Words:
Dislocation;Posterior chamber intraocular lenses;Sclearal fixation |
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