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Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability.
Canabrava, Sergio; Bernardino, Leticia; Batisteli, Thais; Lopes, Gabriella; Diniz-Filho, Alberto.
Afiliação
  • Canabrava S; Cataract Department, Santa Casa of Belo Horizonte, 197, 1704 - Claudio Manoel Av., Belo Horizonte, Minas Gerais, Brazil. sergiocanabrava@hotmail.com.
  • Bernardino L; Santa Casa of Belo Horizonte, 28, 102 Caraça, Belo Horizonte, Minas Gerais, 30220-260, Brazil.
  • Batisteli T; Santa Casa of Belo Horizonte, 383, 1203 Padre Rolim, Belo Horizonte, Minas Gerais, 30220-260, Brazil.
  • Lopes G; Santa Casa of Belo Horizonte, 302, 916 Rio Grande do Norte, Belo Horizonte, Minas Gerais, 30130-131, Brazil.
  • Diniz-Filho A; Department of Ophthalmology and Otorhinolaryngology, Federal University of Minas Gerais, 190, Prof. Alfredo Balena Av., Belo Horizonte, Minas Gerais, 30130-100, Brazil.
Int Ophthalmol ; 38(6): 2653-2662, 2018 Dec.
Article em En | MEDLINE | ID: mdl-29067533
PURPOSE: This paper introduces a surgical technique for the sutureless management of zonular dialysis greater than 120° using a capsular tension segment (CTS) or a modified capsular tension ring (m-CTR; CTR with suturing eyelets) and a haptic removed from a 3-piece polypropylene IOL. METHODS: A CTR is used as normal. Cataract removal is followed by connection of the CTS or m-CTR to the single haptic and created using heat to make a flange in one haptic's extremity. The other extremity is placed in the CTS or m-CTR's central hole. The CTS or m-CTR/flanged-haptic complex is introduced into the capsular bag and aligned with the weakest zonular quadrant. A 30-gauge needle guides the externalization of the free haptic extremity through the adjacent pars plana and creates a flange on the second haptic tip permitting intrascleral fixation of the CTS or m-CTR. RESULTS: The result is a successful IOL implantation with a sutureless technique. CONCLUSIONS: This double-flanged m-CTR/CTS technique allows suture-free option for managing zonular weakness or dialysis while performing cataract surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próteses e Implantes / Implante de Lente Intraocular / Cápsula do Cristalino Limite: Humans / Male / Middle aged Idioma: En Revista: Int Ophthalmol Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próteses e Implantes / Implante de Lente Intraocular / Cápsula do Cristalino Limite: Humans / Male / Middle aged Idioma: En Revista: Int Ophthalmol Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda