[Iris suture fixation of posterior chamber lenses. New perspectives for an old technique]. / Irisnahtfixierte Hinterkammerlinse. Neue Perspektiven für eine bekannte Technik.
Ophthalmologe
; 111(3): 210-6, 2014 Mar.
Article
de De
| MEDLINE
| ID: mdl-24633459
ABSTRACT
BACKGROUND:
Intraocular approaches to correct aphakia in cases of inadequate capsular support include an anterior chamber intraocular lens, fixation of a posterior chamber lens to the sclera or iris by suturing or iris claw, respectively.OBJECTIVES:
This article reviews the indications and contraindications for iris fixation with sutures and gives an overview of surgical techniques, potential complications and outcomes.METHODS:
Based on a selective search of pertinent literature in PubMed the information from original articles and reviews are analyzed, summarized and discussed.RESULTS:
New surgical techniques have imparted an impetus to iris suture fixation with encouraging functional and morphological results offering a new promising alternative to the established options. Improved aspects arise for repositioning of a decentered intraocular lens and for a minimally invasive method for repair of late in-the-bag lens dislocation as seen more frequently by cataract surgeons.CONCLUSION:
A final evaluation of the proposed techniques is not possible because none has clearly emerged as the optimal method. Precise determination of small differences in visual outcome or complication rates requires a large prospective, randomized clinical trial.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Aphakie
/
Iris
/
Techniques de suture
/
Pose d'implant intraoculaire
/
Ancres de suture
/
Lentilles intraoculaires phaques
Type d'étude:
Clinical_trials
Limites:
Humans
Langue:
De
Journal:
Ophthalmologe
Sujet du journal:
OFTALMOLOGIA
Année:
2014
Type de document:
Article