무봉합 후방인공수정체 공막고정술의 단기 임상결과 다섯 예 분석

• 영문명: Knotless External Fixation Technique for Posterior Chamber Intraocular Lens Transscleral Fixation: A 5-Case Analysis
• 발행기관: 대한안과학회
• 저자명: 마대중 김미금 위원량,Dae Joong Ma, MD, Mee Kum Kim, MD, PhD,, Won Ryang Wee, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number11, 1609~1614쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.11.15

영문 초록

terior chamber intraocular lens transscleral fixation when a scleral flap cannot be made. Methods: Five patients underwent the knotless technique for posterior chamber intraocular lens transscleral fixation when a scleral flap could not be made. Partial thickness scleral anchoring sutures were repeated three times near the transscleral penetration site in both ends. The end of the anchoring suture was passed under the exposed part of the partial thickness scleral anchoring suture and pulled to adjust the position of the intraocular lens. Then, anchoring sutures were covered with a conjunctival flap. Complications and change of intraocular lens astigmatism were evaluated. Results: During the 8-month postoperative follow-up period, one case of ciliary body hemorrhage due to intraoperative transscleral penetration and one case of mild intraocular lens tilting owing to the improper tension of the string were observed. Except for one case with a concurrent penetrating keratoplasty, intraocular lens astigmatism showed no significant change during the postoperative follow-up period and no significant difference compared to transscleral fixation with a scleral flap. Conclusions: Knotless technique for external fixation of posterior chamber intraocular lens transscleral fixation is a safe and easy technique and may be a good alternative for the scleral flap-making technique in posterior chamber intraocular lens transscleral fixation when a scleral flap cannot be made.

키워드

Decentration, Intraocular lens astigmatism, Knotless, Tilting, Transscleral fixation