Triple procedure for coexistent aphakia, squint, and iris defect: single-stage strabismus correction, glued IOL, and single-pass 4-throw pupilloplasty.


Journal

Journal of cataract and refractive surgery
ISSN: 1873-4502
Titre abrégé: J Cataract Refract Surg
Pays: United States
ID NLM: 8604171

Informations de publication

Date de publication:
12 2020
Historique:
pubmed: 22 10 2020
medline: 13 7 2021
entrez: 21 10 2020
Statut: ppublish

Résumé

Posttraumatic aphakia is a serious deterrent to visual rehabilitation that usually follows sensory exotropia, thereby mandating urgent surgical intervention. In addition, abnormal iris configuration and iris defects postocular trauma can lead to amblyopia and glare and require surgical correction. However, in individuals where such multiple posttraumatic extraocular and intraocular abnormalities coexist, confusion remains about whether to perform sequential or concomitant surgeries. In these situations, an unusual triple technique consisting of strabismus correction, glued scleral fixation of intraocular lens, and single-pass 4-throw pupilloplasty is a useful cost-effective method of single-stage visual and cosmetic rehabilitation. However, it requires collaboration of experienced surgeons form multiple ophthalmic subspecialties.

Identifiants

pubmed: 33086289
doi: 10.1097/j.jcrs.0000000000000453
pii: 02158034-202012000-00049
doi:

Substances chimiques

Adhesives 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e57-e60

Références

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Jung EH, Kim SJ. Surgical results and factors affecting outcome in adult patients with sensory exotropia. Eye (Lond) 2018;32:1851–1857
Agarwal A, Kumar DA, Jacob S, Baid C, Agarwal A, Srinivasan S. Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refract Surg 2008;34:1433–1438
Agarwal A, Jacob S, Kumar DA, Agarwal A, Narasimhan S, Agarwal A. Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens. J Cataract Refract Surg 2013;39:317–322
Narang P, Agarwal A. Single-pass four-throw technique for pupilloplasty. Eur J Ophthalmol 2017;27:506–508
Narang P, Agarwal A. Pupilloplasty for pupil size attenuation to prevent pupillary capture: theory of quintet in glued IOL. J Cataract Refract Surg 2017;43:3–7
Ticho BH, Ticho KE, Kaufman LM. Combined strabismus and lens surgery. J AAPOS 2006;10:430–434
Mikhail M, Verran R, Farrokhyar F, Sabri K. Choice of conjunctival incisions for horizontal rectus muscle surgery: a survey of American Association for Pediatric Ophthalmology and Strabismus members. J AAPOS 2013;17:184–187
Lajmi H, Ben Yakhlef A, Bouazzeoui EOA, El Fekih L. Outcomes of surgery in patients with sensory exotropia. J Fr Ophtalmol 2020;43:128–132
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Yamane S, Inoue M, Arakawa A, Kadonosono K. Sutureless 27-gauge needle-guided intrascleral intraocular lens implantation with lamellar scleral dissection. Ophthalmology 2014;121:61–66
Yang MB, Melia M, Lambert SR, Chiang MF, Simpson JL, Buffenn AN. Fibrin glue for closure of conjunctival incision in strabismus surgery: a report by the American Academy of Ophthalmology. Ophthalmology 2013;120:1935–1941
Narang P, Agarwal A, Ashok Kumar D, Agarwal A. Pinhole pupilloplasty: small-aperture optics for higher-order corneal aberrations. J Cataract Refract Surg 2019;45:539–543

Auteurs

Rinky Agarwal (R)

From the Cataract, Cornea and Refractive Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

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