Glued endocapsular hemi-ring segment for fibrin glue¨Cassisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses
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- 作者：Soosan Jacob ; MS ; FRCS ; DNB ; [Author Vitae] ; Amar Agarwal ; MS ; FRCS ; FRCO ; dragarwal@vsnl.com ; Athiya Agarwal ; MD ; DO ; Kaladevi Sathish ; MS ; Gaurav Prakash ; MD ; Dhivya Ashok Kumar ; MD
- 刊名：Journal of Cataract and Refractive Surgery
- 出版年：2012
- 出版时间：February 2012
- 年：2012
- 卷：38
- 期：2
- 页码：193-201
- 全文大小：1730 K
文摘
| Figures/TablesFigures/Tables | ReferencesReferencesSurgical expertise, prolonged surgical time, suture-related problems, and delayed intraocular lens (IOL) subluxation or dislocation due to broken sutures are limitations of suture fixation of the capsular bag to the scleral wall. We describe a new device made of IOL haptic material (polyvinylidene fluoride) that allows sutureless fibrin glue¨Cassisted transscleral fixation of the capsular bag to address these issues. The device has a hemi-ring portion that lies in the capsular fornix and a double scroll mechanism that engages the capsulorhexis rim. The scroll extends forward as a haptic that is exteriorized through a sclerotomy under a lamellar scleral flap and tucked into a scleral tunnel. The flap is closed with fibrin glue. The device is used for subluxated cataracts and IOLs. It anchors the capsular bag to the sclera, giving vertical and horizontal stability, while providing fornix expansion and allowing stabilization of the bag intraoperatively and postoperatively. The device has been used in 4 patients who had good intraoperative and postoperative courses over a 5-week period.
Financial Disclosure
No author has a financial or proprietary interest in any material or method mentioned.