gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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Fibrin glue to secure a scleral tunnel incision after phakic anterior chamber intraocular lens implantation

Meeting Abstract

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  • corresponding author D. Schöpfer - Johann-Wolfgang-Goethe-Universität Frankfurt am Main, Department of Ophthalmology
  • T. Kohnen - Johann-Wolfgang-Goethe-Universität Frankfurt am Main, Department of Ophthalmology

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 062

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog553.shtml

Published: September 22, 2004

© 2004 Schöpfer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective

A leaky tunnel incision is a rare complication after anterior chamber phakic intraocular lens implantation (pIOL). The early application of fibrin glue may help if a leckage of the incision in combination with low intraocular pressure, reduced visual acuity and a higher risk of infection may occur.

Methods

Three patients with high myopia underwent implantaion of a phakic anterior chamber intraocular lens (Verisyse) with a sutured scleral tunnel incision. Postoperativ treatment consisted of steroid and antibiotic eyedrops. After an uneventful early postoperative period, they presented with reduced visual acuity, significant loss of intraocular pressure and choroidal detachement. The anterior chamber depth was normal and the pIOL was not dislocated. Even after a reduced steroid therapy there was no adaptation of the tunnel incision.

Results

After the treatment with fibrin glue (Tissucol Duo® Baxter) the intraocular pressure increased to normal conditions and a fast improvement of the visual acuity was recorded.

Conclusions

In case of leaky tunnel incisions after phakic anterior chamber lens implantation the use of fibrin glue might be a efficient and successful treatment to prevent further complications.