Sekundo W, Bertelmann T, Schulze S
Augenklinik, Philipps-Universität Marburg sowie Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldinger Str., 35043, Marburg, Deutschland,
Ophthalmologe. 2014 Apr;111(4):365-8. doi: 10.1007/s00347-013-2854-6.
The four fundamental techniques of secondary intraocular lens (IOL) fixation, namely sulcus placement, scleral or iris suture fixation and scleral haptic fixation can be combined in special situations.
When is a combination of different techniques advisable?
This article describes our experiences and gives an example of combined technique use.
These situations arise in cases when neighboring ocular structures are only partially preserved or show particular distinctive defects that can be repaired at the time of secondary IOL anchoring. This article presents a case of IOL-induced iris chafing and traumatic iridodialysis which was closed by a combined technique of iris suture and scleral suture fixation.
A combination of different anchoring techniques for secondary IOL implantation can achieve a simultaneous repair of perilenticular structures and reduce the amount of suture material used.
人工晶状体（IOL）二期固定的四种基本技术，即沟内植入、巩膜或虹膜缝合固定以及巩膜襻固定，在特殊情况下可以联合使用。
何时适合联合使用不同技术？
本文描述了我们的经验，并给出联合技术应用的一个实例。
当相邻眼结构仅部分保留或存在可在二期IOL固定时修复的特殊明显缺陷的情况下会出现这些情况。本文介绍了一例人工晶状体引起的虹膜擦伤和外伤性虹膜根部离断病例，通过虹膜缝合和巩膜缝合固定联合技术进行了闭合。
二期人工晶状体植入的不同固定技术联合使用可同时修复晶状体周围结构并减少缝线材料的用量。
