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The use of the scleral "B"-shaped embedding method for intraocular lens suspension surgery |
AN Xiao-ju,YE Jian,TAN Wei,CHEN Kai-jian |
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Abstract Objective To explore the use of the scleral "B"-shaped embedding method for intraocular lens suspension surgery.Methods Twenty-five patients (27 eyes) with aphakia or lens subluxation were selected for this prospective case series study.Intraocular lens suspension surgery was performed on all eyes.The "B"-shaped embedding method was used to fixate the loop of the intraocular lens instead of using the traditional intraocular lens loop fixation under the scleral flap.The intraocular lenses included the suspension type (23 eyes) and the iris diaphragm suspension type.The eyes with pupil deformation and iris disarticulation were handled during the surgery.Results Visual acuity and photophobia symptoms improved after surgery.Visual acuity after surgery was between 0.05 and 0.6.Ciliary body bleeding during surgery occurred in 1 eye.The bleeding was resolved by increasing intraocular pressure,replacing the incision and vitreous cavity lavage hemorrhage.All patients were followed up for 6-12 months.There was no infection or uncomfortable symptoms caused by exposure of the scleral line knot and conjunctival hyperemia during the follow-up period.The position of the intraocular lens was normal without ectopic or oblique placement.Conclusion The traditional intraocular lens loop fixation under the scleral flap was improved.The use of the scleral "B"-shaped embedding method is worth promoting to widen its acceptance.
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Received: 29 November 2011
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