Narang Priya, Agarwal Amar, Kumar Dhivya A
From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai, India.
From the Narang Eye Care and Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital and Eye Research Centre (Agarwal, Kumar), Chennai, India.
J Cataract Refract Surg. 2015 Apr;41(4):708-13. doi: 10.1016/j.jcrs.2015.02.020.
We describe using the glued intraocular lens (IOL) scaffolding technique to remove Soemmerring ring during secondary IOL implantation in aphakic eyes with associated posterior capsule defect following previous pediatric cataract surgery. Vitrectomy is performed, and the remnants of the posterior capsule are removed from the visual axis. A 3-piece foldable IOL is injected below the Soemmerring ring, and glued transscleral haptic fixation of the IOL is performed. The Soemmerring ring is dislodged from the periphery with a Sinskey hook and brought into the center of the pupil over the surface of the IOL optic, where it is emulsified with the phacoemulsification probe. The optic of the preplaced IOL acts as a scaffold and prevents dislodgement of Soemmerring ring material into the vitreous cavity during emulsification. Placement of a secondary IOL can be successfully accomplished in selected patients.
No author has a financial or proprietary interest in any material or method mentioned.
我们描述了在先前小儿白内障手术后伴有后囊缺损的无晶状体眼中,在二期人工晶状体植入过程中使用粘贴式人工晶状体支架技术来移除索默林环。进行玻璃体切割术,并从视轴移除后囊残余物。将一片式可折叠人工晶状体注入索默林环下方,并进行人工晶状体经巩膜触觉粘贴固定。用辛斯基钩将索默林环从周边脱位,并将其带到人工晶状体光学部表面上方的瞳孔中心,在此处用超声乳化探针将其乳化。预先放置的人工晶状体的光学部起到支架作用,可防止索默林环物质在乳化过程中掉入玻璃体腔。在选定的患者中可以成功完成二期人工晶状体植入。
没有作者对文中提及的任何材料或方法拥有财务或专利权益。