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A new surgical technique for scleral fixation using a "knot ball" for scleral-fixated intraocular lenses: impact on clinical outcomes.
Mete, Alper; Kimyon, Sabit; Saygili, Oguzhan; Koçluk, Yusuf; Kaçarlar, Iffet Yarimaga; Güngör, Kivanç; Temizer, Mithat.
Afiliación
  • Mete A; Department of Ophthalmology, School of Medicine, Gaziantep University, Gaziantep, Turkey.
  • Kimyon S; Department of Ophthalmology, School of Medicine, Gaziantep University, Gaziantep, Turkey.
  • Saygili O; Department of Ophthalmology, School of Medicine, Gaziantep University, Gaziantep, Turkey.
  • Koçluk Y; Department of Ophthalmology, Adana Numune Training and Research Hospital, Adana, Turkey.
  • Kaçarlar IY; Department of Ophthalmology, School of Medicine, Gaziantep University, Gaziantep, Turkey.
  • Güngör K; Department of Ophthalmology, School of Medicine, Gaziantep University, Gaziantep, Turkey.
  • Temizer M; Turkish Public Health Institute, Public Health Center, Gaziantep, Turkey.
Arq Bras Oftalmol ; 81(4): 302-309, 2018.
Article en En | MEDLINE | ID: mdl-29995122
PURPOSE: Scleral fixation surgery is a pivotal procedure that depends on the availability of robust and innovative surgical fixation methods. There continues to be a need for innovation in suture fixation techniques, particularly for intraocular lens implantation. METHODS: We conceived and designed a "knot ball" scleral fixation technique for suture burial in a retrospective sample of 108 patients with primary (n=40) or secondary (n=68) scleral-fixated intraocular lens. Importantly, our technique did not require additional scleral flap or tunnel procedures. We evaluated pre- and postoperative best-corrected visual aquity (BCVA) and postoperative complications. All data were analyzed and compared between groups. RESULTS: The preoperative mean BCVA improved significantly in both groups using the "knot ball" fixation technique (p<0.01). The extent of the improvement in the best-corrected visual acuity and late complications one month post-surgery were not significantly different between the groups (p>0.05). These clinical outcomes were consistent with those described in the ophthalmology literature. CONCLUSION: A "knot ball" scleral fixation technique is reported; to the best of our knowledge, this is the first report of such a technique, which offers a less invasive and simplified surgical procedure for transscleral fixation of scleral-fixated intraocular lenses. Moreover, the technique appears to display similar effectiveness and safety compared with existing scleral fixation techniques. We suggest that the "knot ball" technique warrants further research focus and clinical evaluation in future studies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Esclerótica / Técnicas de Sutura / Implantación de Lentes Intraoculares Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Male / Middle aged Idioma: En Revista: Arq Bras Oftalmol Año: 2018 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Esclerótica / Técnicas de Sutura / Implantación de Lentes Intraoculares Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Male / Middle aged Idioma: En Revista: Arq Bras Oftalmol Año: 2018 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil