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      Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation

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      Journal of Cataract & Refractive Surgery
      Elsevier BV

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          Abstract

          To report the intermediate multicenter results of a technique of sutureless intrascleral fixation of a standard 3-piece posterior chamber intraocular lens (PC IOL) in the ciliary sulcus. Four European ophthalmology centers. A technique for sutureless intrascleral fixation of the haptics of a standard 3-piece PC IOL was retrospectively evaluated. The technique uses standardized maneuvers to fixate the PC IOL without need for special haptic architecture or preparation or haptic suturing. All patients having IOL implantation by the technique were evaluated for preoperative status (visual acuity, refractive error, preexisting ocular conditions, optical biometry), postoperative status, complications, and need for further surgery. The study evaluated 63 consecutive patients from 4 institutions (4 surgeons). The median follow-up was 7 months. Two dislocated PC IOLs (3.6%) were decentered; the other 61 IOLs (96.8%) were stable and well centered. There were no cases of recurrent dislocation, endophthalmitis, retinal detachment, or glaucoma. Fixation of PC IOL haptics in a limbus-parallel scleral tunnel provided exact centration and axial stability of the IOL and prevented distortion and subluxation in most cases. Copyright 2010 ASCRS and ESCRS. All rights reserved.

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          Author and article information

          Journal
          Journal of Cataract & Refractive Surgery
          Journal of Cataract & Refractive Surgery
          Elsevier BV
          08863350
          February 2010
          February 2010
          : 36
          : 2
          : 254-259
          Article
          10.1016/j.jcrs.2009.09.024
          20152606
          e56a3589-ac62-4f1d-abda-e4c97b7ebd97
          © 2010

          https://www.elsevier.com/tdm/userlicense/1.0/

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