Sulcus Fixation of an IOL Using Scleral Tunnels
by Gabor B. Scharioth MD, Som Prasad MS FRCSEd
Drs. Som Prasad and Gabor Scharioth present a strategy to achieve secure sutureless intrascleral haptic fixation. A standard three-piece IOL with a haptic size of 13.5 mm is inserted into the anterior chamber, the haptics are externalized and secured within the scleral tunnel to support the lens in the posterior chamber.
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Comments (14)
Get-Flv can help to download videos from here. the address is: http://www.superlogix.net/eyetube-downloader/index.htm hope you like it!!!
Nice surgery and good idea!
may i ask,,after put the haptis in the scleral,, how do you keep haptics in the place,,? do you need to suture the horizontal tunnel you made ? or just close the conjunctiva,,?
Hi Sami, I don't think you can download videos from eyetube. If you email me, I can send you a clip of the technique - sprasad@rcsed.ac.uk
very nice, i want to present ur technique in our journal club, but i could not download the video. can it be downloaded?
Fascinating.
Zico, no haven't had endophthalmitis or hypotony. Our medium term follw up was published in JCRS - February 2010 (Vol. 36, Issue 2, Pages 254-259), this may be of interest to you.
excellent technique, have you experienced hypotony or endophthalmitis?
Dr Mario, yes you are right. This technique works best with a 3 piece IOL. Best Wihses, Som
Excelent technique but could not do it with a single piece LIO, keeps breaking.
Thanks for the comments.
Excellent idea . I tried that already in four patients. This is a very promising technique . I feel more secure with it than with suturing the IOL.But it needs a learning curve. .
EXCELLENT VIDEO, BUT IN CASES WITH NO IRIS DEFECTS A IRIS SUTURED IOL IS ALSO A GOOD OPTION AND HAS NO POTENTIAL COMPLICATIONS RELATED TO THE IOL'S HAPTICS CONNECTING THE INTRA-EXTRAOCULAR ENVIRONMENTS
Excelent!!!!!!