gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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A new transscleral suture-fixation method for foldable lens implantation through a 3.0-mm clear cornea incision using injector technique

Meeting Abstract

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  • corresponding author P. Szurman - University Eye Hospital Tübingen, Tübingen
  • U. Schneider - University Eye Hospital Tübingen, Tübingen
  • G. B. Jaissle - University Eye Hospital Tübingen, Tübingen
  • S. Grisanti - University Eye Hospital Tübingen, Tübingen
  • K. U. Bartz-Schmidt - University Eye Hospital Tübingen, Tübingen

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.06.06

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog471.shtml

Published: September 22, 2004

© 2004 Szurman 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 new minimal-invasive technique is presented for clear cornea implantation of one-piece acrylic posterior chamber lenses for transscleral suture fixation in aphakic eyes.

Methods

Implantation was performed in 19 aphakic eyes. Additional steps included ppV (n=2), silicone oil release (n=1), anterior vitrectomy (n=8), capsular bag removal (n=4), and iris suture (n=2). Based on the main steps of modern small-incision cataract surgery, implantation was performed through a self-sealing, 3.0-mm, temporal clear cornea incision using injector technique. After the transscleral suture pass a modified insertion of the lens into the cartridge with the haptics both extended was performed. The leading haptic was sutured before, the trailing haptic after secure implantation in the sulcus.

Results

In 18 eyes the lens centered well. No lens tilt was observed and the self-sealing tunnel incision remained water tight without any suture. The eyes were followed for up to 13 months and visual acuity improved in all eyes.

Conclusions

By using a self-sealing tunnel incision and injector technique, secure lens stability without tilt was achieved with significant visual improvement.