Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules.
We report a new surgical technique that uses biological glue to implant a posterior chamber intraocular lens (PC IOL) in eyes with a deficient or absent posterior capsule. Two partial-thickness limbal-based scleral flaps are made 180 degrees apart diagonally, and the haptics of the PC IOL are externalized to place them beneath the flaps. Fibrin glue is used to attach the haptics to the scleral bed, beneath the flap. This simple method of PC IOL implantation requires no specially designed haptics. It provides good flap closure and IOL centration and stability without suture-related complications.
Agarwal
Amar
A
Dr. Agarwal's Eye Hospital and Eye Research Centre, 19 Cathedral Road, Tamil Nadu, India. dragarwal@vsnl.com
Kumar
Dhivya Ashok
DA
Jacob
Soosan
S
Baid
Chandresh
C
Agarwal
Athiya
A
Srinivasan
Sridhar
S
D000368:Aged; D002675:Child, Preschool; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007431:Intraoperative Complications; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D014014:Tissue Adhesives / Q000627:therapeutic use*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives