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.
10,776 video views and 75,366 series views since 2/17/2010
-
Extreme Buckling
-
Silicone Sandwich
-
Overview of the Alcon CONSTELLATION® Vision System
-
B+L Stellaris®PC
-
DORC Associate: a first look
-
Trans-Scleral Surgery
-
Clear Corneal Silicone Oil Removal and Iris Fixated IOL Placement
-
Siepser-Slip Knot
-
Sulcus Fixation of an IOL Using Scleral Tunnels
-
23-gauge Surgery for Persistent Fetal Vasculature
-
Dr. Wykoff & Dr. Smiddy Perform SBP with #240 Band
-
Editing Surgical Videos with iMovie
-
25G Pseudophakic Retinal Detachment Repair without a Surgical Assistant
-
Pars Plana Vitrectomy and Lensectomy with the 23-gauge Vitrectomy System
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!!!!!!