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KMID : 0390320080180020450
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Chungbuk Medical Journal
2008 Volume.18 No. 2 p.450 ~ p.457
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Scleral Fixation of Dislocated Single-Piece Foldable Intraocular Lens (C-FlexTM) Using Temporary Externalization of the Haptics
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Kim Sang-Kook
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Abstract
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Purpose : To describe a new modified technique of externalization of the haptic of a dislocated the C-flex intraocular lens (IOL) through a small corneal incision.
Materials and Methods : In my 3 surgical cases, dislocated IOLs were managed by pars plana vitrectomy, stabilization of the IOL in the anterior chamber, and temporary externalization of the haptic through a clear corneal incision. The 10-0 polypropylene suture was tied to the externalized haptic and the IOL was repositioned into the posterior chamber.
Results : The IOL remained in the stable central position in all eyes. Best corrected visual acuity was improved and the mean postoperative change of refractive error in spherical equivalent was -0.5 diopters. There were no intraoperative and postoperative complications, and no patient required further surgical intervention.
Conclusion : This modified scleral fixation technique is a simple and effective alternative to other methods for repositioning posteriorly dislocated IOLs in these cases.
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KEYWORD
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Intraocular lens dislocation, Scleral fixation
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