Abstract
Sutureless Scleral Fixated Posterior Chamber Intraocular Implantation
Highlights
Nowadays sutureless intrascleral fixation of a Posterior Chamber Intraocular Lens (PC-IOL) becomes popular in patients suffering insufficient capsular support, as postoperative complications of transscleral suture fixation are difficult to avoid, such as suture exposure, suture degradation, suture-induced inflammation and suture hypotony [1,2,3,4]
New material suture method improved the problem of suture degradation and a number of surgeons advanced the suture method to decrease suture exposure rate [7,8], the other postoperative complications still persist [9,10]
Several ophthalmologists figured out various techniques to simplify the procedure of sutureless intrascleral fixation of IOLs, in which advantages and drawbacks coexisted
Summary
Nowadays sutureless intrascleral fixation of a Posterior Chamber Intraocular Lens (PC-IOL) becomes popular in patients suffering insufficient capsular support, as postoperative complications of transscleral suture fixation are difficult to avoid, such as suture exposure, suture degradation, suture-induced inflammation and suture hypotony [1,2,3,4]. Maggi and Maggi [14] first described sutureless scleral fixation of IOLs in 1997, it is a little bit complicated to perform. Scharioth et al [15] reported a technique of sutureless intrascleral fixation of a 3-piece IOL in 2007. After the IOL inserted and the trailing haptic left outside temporarily, the haptics were grasped and pulled out through the sclerotomies by a 25-gauge forceps.
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