TY - JOUR
T1 - Net technique for intraocular lens support in aphakia without capsular support
AU - De Novelli, Fernando José
AU - Neto, Theodomiro Lourenço Garrido
AU - Rabelo, Gabriel de Sena
AU - Blumer, Marcel Eduardo
AU - Suzuki, Ricardo
AU - Ghanem, Ramon Coral
N1 - Publisher Copyright:
© The Author(s) 2017.
PY - 2017
Y1 - 2017
N2 - Background: This paper describes a modified surgical technique for intraocular lens implantation in aphakic eyes with no capsular support. Methods: Retrospective case series. Seventeen eyes of 17 aphakic patients with no capsule support underwent intraocular lens (IOL) implantation using a standardized technique in which a net was created at the ciliary sulcus plane with two threads forming a net pattern. The net was used as support for the IOL. Follow-up ranged from 6 to 38 months, with an average of 23 months. Results: In all cases, the IOL was safely implanted and remained stable during the follow-up. In 16 eyes, the IOL remained well centered; in one eye, slight decentration was observed. Distance-corrected visual acuity improved by a mean of 4 lines, from 1.13 (LogMAR) to 0.52 (P = 0.01). Conclusion: This technique might be especially useful in cases of insufficient capsular support associated with tissue loss or iris atrophy. In these cases, iris fixation is not feasible; thus, the only surgical alternative is IOL scleral fixation.
AB - Background: This paper describes a modified surgical technique for intraocular lens implantation in aphakic eyes with no capsular support. Methods: Retrospective case series. Seventeen eyes of 17 aphakic patients with no capsule support underwent intraocular lens (IOL) implantation using a standardized technique in which a net was created at the ciliary sulcus plane with two threads forming a net pattern. The net was used as support for the IOL. Follow-up ranged from 6 to 38 months, with an average of 23 months. Results: In all cases, the IOL was safely implanted and remained stable during the follow-up. In 16 eyes, the IOL remained well centered; in one eye, slight decentration was observed. Distance-corrected visual acuity improved by a mean of 4 lines, from 1.13 (LogMAR) to 0.52 (P = 0.01). Conclusion: This technique might be especially useful in cases of insufficient capsular support associated with tissue loss or iris atrophy. In these cases, iris fixation is not feasible; thus, the only surgical alternative is IOL scleral fixation.
KW - Aphakia
KW - Intraocular lenses
KW - Lens implantation
KW - Postcataract
UR - http://www.scopus.com/inward/record.url?scp=85046780395&partnerID=8YFLogxK
U2 - 10.1186/s40942-017-0085-8
DO - 10.1186/s40942-017-0085-8
M3 - Artículo
AN - SCOPUS:85046780395
SN - 2056-9920
VL - 3
JO - International Journal of Retina and Vitreous
JF - International Journal of Retina and Vitreous
IS - 1
M1 - 32
ER -