Replay
Cancel

Your 25-second video preview has ended.

to continue watching, please Log In or Register:


Log in / Register

Sulcus Fixation of an IOL Using Scleral Tunnels

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.

Comments (16)

Hi Som, Have you had erosion of the scleral cover with subconj haptics and a loss of memory of the haptic with some phacodonesis as reported by some surgeons

Bhushan (87 months ago)

Dear Mr. Prasad, what forceps do you use to grasp the end of the haptic to externalise it??

Vignesh Raja (95 months ago)

Get-Flv can help to download videos from here. the address is: http://www.superlogix.net/eyetube-downloader/index.htm hope you like it!!!

wyldut (105 months ago)

Nice surgery and good idea!

icima (116 months ago)

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,,?

wujake814 (119 months ago)

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

Som Prasad (126 months ago)

very nice, i want to present ur technique in our journal club, but i could not download the video. can it be downloaded?

(126 months ago)

Fascinating.

musaa1 (126 months ago)

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.

Som Prasad (126 months ago)

excellent technique, have you experienced hypotony or endophthalmitis?

kemal örnek (126 months ago)

Dr Mario, yes you are right. This technique works best with a 3 piece IOL. Best Wihses, Som

Som Prasad (127 months ago)

Excelent technique but could not do it with a single piece LIO, keeps breaking.

ZMario (127 months ago)

Thanks for the comments.

Som Prasad (127 months ago)

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. .

yhabrawi (127 months ago)

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

DR. AGUILERA (129 months ago)

Excelent!!!!!!

EMERIC (129 months ago)