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Sutureless 25-Gauge Pars Plana Vitrectomy Combined with Retropupillary Fixation of an Iris-Claw Intraocular Lens

Chalkiadakis, SE, Parikakis, EA and Taylor, Simon (2016) Sutureless 25-Gauge Pars Plana Vitrectomy Combined with Retropupillary Fixation of an Iris-Claw Intraocular Lens Case Reports in Ophthalmology, 7. pp. 155-161.

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Abstract

Background: The surgical case of a dropped intraocular lens inside the vitreous cavity constitutes a real challenge for the operating surgeon. Herein, we describe a case series where an alternative optical rehabilitation technique for late intraocular lens-bag complex dislocation has been used. Methods: A modern vitrectomy device was used to remove the capsule with the dropped intraocular lens using sutureless 25-gauge pars plana vitrectomy. To ensure a better aesthetic result, with faster patient recovery and a reduced number of operations, the whole procedure was performed during the same operating session; an iris-claw intraocular lens for aphakia was selected for implantation. The implant was passed behind the constricted iris with the concave surface facing it. The lens was grasped with the manufacturer’s holding forceps and fixed onto the posterior surface of the iris using the special enclavation needles. Results: We have operated 12 eyes in two different clinical centres successfully, with minimal intra- and/or postoperative complications. Conclusion: We believe that this is a viable solution for the visual rehabilitation of patients, who would otherwise need more than one operation for a lens exchange

Item Type: Article
Subjects : Biosciences and Medicine
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Chalkiadakis, SEUNSPECIFIEDUNSPECIFIED
Parikakis, EAUNSPECIFIEDUNSPECIFIED
Taylor, Simons.r.taylor@surrey.ac.ukUNSPECIFIED
Date : 16 September 2016
Identification Number : 10.1159/000448943
Copyright Disclaimer : © 2016 The Author(s) Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
Uncontrolled Keywords : Pars plana vitrectomy · Retropupillary fixation · Iris-claw intraocular lens · Combined operation
Depositing User : Symplectic Elements
Date Deposited : 20 Sep 2016 13:14
Last Modified : 31 Oct 2017 18:44
URI: http://epubs.surrey.ac.uk/id/eprint/812243

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