title: Transconjunctival sutureless intrascleral intraocular lens fixation using intrascleral tunnels guided with catheter and 30-gauge needles.
abstract: We invented a new method for fixing an intraocular lens (IOL) in the scleral tunnel without using a wide conjunctival incision. Modified bent catheter needles were used to penetrate the IOL haptics through the sclerotomy sites. The IOL haptics were inserted into 30-guage (G) scleral tunnels guided by double 30-G needles piercing the sclera. All procedures were performed through the conjunctiva without wide incision. The procedure does not require special forceps, trocars or fibrin glue, only catheter and 30-G needles. The aid of an assistant was not required to support the IOL haptic. The procedures were easily learnt based on our previous method. As with other transconjunctival sutureless surgeries, patients feel less discomfort and the conjunctiva can be conserved for future glaucoma surgery. Complications included two cases of vitreous haemorrhage (16.7%), and one case each of postoperative hypotony, and iris capture (8.3%). Astigmatism induced by intraocular aberration was the same as we reported previously. Our method for fixing the IOL into the scleral tunnel is innovative, less expensive, less invasive and quick. This modified method is a good alternative for fixing IOL haptics into the sclera.
authors: Osaka Red Cross Hospital, Osaka, Japan.
authors: Kohei
authors: K
authors: Takayama
authors: Osaka Red Cross Hospital, Osaka, Japan.
authors: Masayuki
authors: M
authors: Akimoto
authors: Osaka Red Cross Hospital, Osaka, Japan.
authors: Hogara
authors: H
authors: Taguchi
authors: Osaka Red Cross Hospital, Osaka, Japan.
authors: Satoko
authors: S
authors: Nakagawa
authors: Osaka Red Cross Hospital, Osaka, Japan.
authors: Kano
authors: K
authors: Hiroi
mesh_terms: D002404:Catheterization / Q000295:instrumentation*; D003228:Conjunctiva / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008866:Microsurgery / Q000295:instrumentation; D009339:Needles; D012590:Sclera / Q000601:surgery*; D012599:Sclerostomy; D013524:Surgical Flaps; D013536:Suture Techniques; D014821:Vitrectomy
keywords: Treatment Surgery