Simplified and safe method of sutureless intrascleral posterior chamber intraocular lens fixation: Y-fixation technique

Journal of Cataract and Refractive Surgery
Toshihiko OhtaAkira Murakami

Abstract

We report a new surgical technique that allows intrascleral fixation of a posterior chamber intraocular lens (IOL) without sutures. The Y-fixation technique does not involve complicated intraocular manipulation and achieves safe sutureless fixation. A Y-shaped incision is made in the sclera and a 24-gauge microvitreoretinal (MVR) knife is used to create the sclerotomy instead of a needle. The Y-shaped incision eliminates the need to raise a large lamellar scleral flap and to use fibrin glue because the haptic can be fixed both inside the tunnel and in the groove, and performing the sclerotomy with the 24-gauge MVR knife simplifies extraction of the haptic and improves wound closure. There is no risk of infection from exposure of the haptic on the sclera and no use of fibrin glue. There was significantly less IOL decentration and tilt than with suture fixation.

References

Oct 1, 1989·Archives of Ophthalmology·T HeilskovG W Blankenship
Jul 1, 1993·Journal of Cataract and Refractive Surgery·K SolomonW S Van Meter
Apr 1, 1997·Journal of Cataract and Refractive Surgery·K D Teichmann, I A Teichmann
Jan 10, 1998·Journal of Cataract and Refractive Surgery·R Maggi, C Maggi
Sep 6, 2005·Survey of Ophthalmology·Y M Por, M J Lavin
Oct 30, 2007·Journal of Cataract and Refractive Surgery·Scharioth G B Gabor, Mitrofanis M Pavlidis
Aug 30, 2008·Journal of Cataract and Refractive Surgery·Amar AgarwalSridhar Srinivasan
Dec 9, 2009·Journal of Cataract and Refractive Surgery·Iñaki Rodríguez-AgirretxeMarta Ubeda-Erviti
Feb 16, 2010·Journal of Cataract and Refractive Surgery·Gabor B SchariothMitrofanis Pavlidis
Jun 28, 2011·Journal of Cataract and Refractive Surgery·Andrew S McAllister, Lawrence W Hirst
Oct 25, 2011·Journal of Cataract and Refractive Surgery·Dhivya Ashok KumarSom Prasad
Jan 24, 2012·American Journal of Ophthalmology·Dhivya Ashok KumarAthiya Agarwal
Mar 20, 2013·Journal of Cataract and Refractive Surgery·Amar AgarwalAthiya Agarwal
Mar 20, 2013·Journal of Cataract and Refractive Surgery·George Beiko, Roger Steinert

❮ Previous
Next ❯

Citations

Apr 29, 2014·Journal of Cataract and Refractive Surgery·Remzi KaradagUnsal Sari
Mar 10, 2016·Indian Journal of Ophthalmology·Sezer HelvaciHuseyin Oksuz
Oct 7, 2015·International Ophthalmology·Ertuğrul CanHakkı Birinci
Oct 4, 2015·BMC Ophthalmology·Chongde LongBingqian Liu
Aug 20, 2015·Journal of Cataract and Refractive Surgery·Nicole Shu-Wen ChanSoon-Phaik Chee
Feb 12, 2015·Journal of Cataract and Refractive Surgery·Pertti Oskala
Feb 11, 2015·Journal of Cataract and Refractive Surgery·Masayuki AkimotoKano Hiroi
Sep 1, 2015·The British Journal of Ophthalmology·M Ali KhanMarc J Spirn
Apr 4, 2017·Journal of Cataract and Refractive Surgery·Yu ZhangZhiliang Wang
Sep 7, 2016·Journal of Refractive Surgery·Remzi KaradagChristopher J Rapuano
Dec 7, 2017·Indian Journal of Ophthalmology·Priya Narang, Amar Agarwal
Jul 30, 2019·European Journal of Ophthalmology·Maurizio PostorinoPasquale Aragona
Aug 9, 2019·Vestnik oftalmologii·Yu N YusefL Alkharki
Aug 9, 2019·Seminars in Ophthalmology·Vinay KansalNigel Rawlings
Mar 6, 2018·Journal of Cataract and Refractive Surgery·Norihiko YoshidaKazuo Ichikawa
Mar 19, 2019·Journal of Cataract and Refractive Surgery·Takeshi SugiuraYoshikazu Tanaka
Oct 1, 2019·Journal of Cataract and Refractive Surgery·Takehiro MatsumuraMasaru Inatani
Jan 7, 2020·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Tomoyuki Kunishige, Hiroshi Takahashi
Sep 1, 2017·International Journal of Retina and Vitreous·Fernando José De NovelliRamon Coral Ghanem
Mar 4, 2017·The Kaohsiung Journal of Medical Sciences·Jia-Horung HungSheng-Min Hsu
Nov 15, 2018·Japanese Journal of Ophthalmology·Sumihiro KawanoKoji Kawakami
Feb 14, 2020·Journal of Ophthalmology·Yusaku MiuraYoshiaki Kiuchi
Jan 29, 2019·Journal of Ophthalmology·Zhi-Xiang HuRong-Han Wu
Jul 18, 2020·Journal of Cataract and Refractive Surgery·Michael AmonGuenal Kahraman
Jan 21, 2021·Clinical Ophthalmology·Ciro Tamburrelli, Anna Clara Tamburrelli
Jan 8, 2021·BMC Ophthalmology·Tatsuya JujoHitoshi Takagi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.