Glued endocapsular hemi-ring segment for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses.
Surgical expertise, prolonged surgical time, suture-related problems, and delayed intraocular lens (IOL) subluxation or dislocation due to broken sutures are limitations of suture fixation of the capsular bag to the scleral wall. We describe a new device made of IOL haptic material (polyvinylidene fluoride) that allows sutureless fibrin glue-assisted transscleral fixation of the capsular bag to address these issues. The device has a hemi-ring portion that lies in the capsular fornix and a double scroll mechanism that engages the capsulorhexis rim. The scroll extends forward as a haptic that is exteriorized through a sclerotomy under a lamellar scleral flap and tucked into a scleral tunnel. The flap is closed with fibrin glue. The device is used for subluxated cataracts and IOLs. It anchors the capsular bag to the sclera, giving vertical and horizontal stability, while providing fornix expansion and allowing stabilization of the bag intraoperatively and postoperatively. The device has been used in 4 patients who had good intraoperative and postoperative courses over a 5-week period.
Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
Soosan
S
Jacob
Amar
A
Agarwal
Athiya
A
Agarwal
Kaladevi
K
Sathish
Gaurav
G
Prakash
Dhivya Ashok
DA
Kumar
D060437:Artificial Lens Implant Migration / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000187:drug effects*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007906:Lens Subluxation / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012590:Sclera / Q000187:drug effects; D013524:Surgical Flaps; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014792:Visual Acuity / Q000502:physiology
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives