| 접힘 인공수정체를 이용한 공막 고정술의 향상된 수술방법 |
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김미금, 이재림, 황상원, 기창원 |
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1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, 2Valued Eye Center, 3Department of Ophthalmology, Dongguk University College of Medicine, 4Samsung Medical Center, Seoul, Korea |
| A Newly Improved Technique for Transscleral Fixation of a Foldable Posterior Chamber Intraocular Lens |
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Mee Kum Kim, Jaelim Lee, Sangwon Hwang, Changwon Kee |
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| Abstract |
Purpose
The authors present a newly improved technique for scleral fixation of a foldable posterior chamber intraocular lens. Methods: Intraocular lenses (IOLs) were fixed into sclrera in three patients. The both Prolene needles entered into the external sclera beneath flap 1.5 mm away from the limbus, passing through the pupil, and out through the peripheral clear cornea (ab externo approach) Two loops of sutures were externalized through the clear corneal incision, and anchored to the both haptics. IOL were folded and then inserted. Results: All three patients showed stable position of IOL to final follow-up. Best corrected visual acuities were more than 20/40 in all patients. Conclusions: This approach is easily acquired even by the inexperienced surgeon, reduces operative time and places the lens more precisely in the sulcus. This procedure is considered promising for postoperative early visual rehabilitation. (Korean J Optom Vis Sci 2007;6(1):59-62) |
| Key Words:
ab externo, Cornea, Intraocular lens, Scleral fixation |
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