Inferior Removal of Dislocated Polymethyl Methacrylate Intraocular Lens and Scleral Refixation in Glaucomatous Eyes.

Dislocated intraocular lens Filtering bleb Glaucoma Polymethyl methacrylate Sutureless intrascleral fixation

Journal

Ophthalmology and therapy
ISSN: 2193-8245
Titre abrégé: Ophthalmol Ther
Pays: England
ID NLM: 101634502

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 16 12 2021
accepted: 01 02 2022
pubmed: 23 2 2022
medline: 23 2 2022
entrez: 22 2 2022
Statut: ppublish

Résumé

The aim of this study was to report a technique for the removal of dislocated polymethyl methacrylate (PMMA) intraocular lenses (IOLs) in glaucomatous eyes. Dislocated PMMA IOLs were removed from the inferior sclerocorneal incision, and sutureless intrascleral fixation of each IOL was performed to preserve the intact superior conjunctiva and sclera for future trabeculectomy or to maintain a functional filtering bleb of trabeculectomy. In two cases, the condition of the bleb did not change, while the intraocular pressure improved or did not change after the procedures. IOL fixation was stable with no complications, such as tilt, decentration, or extrication of the IOL haptics. This procedure of preserving the superior conjunctiva and sclera can maintain the function of the bleb, superior cornea and sclera and may contribute to the success of future trabeculectomy.

Identifiants

pubmed: 35190966
doi: 10.1007/s40123-022-00477-z
pii: 10.1007/s40123-022-00477-z
pmc: PMC8927515
doi:

Types de publication

Journal Article

Langues

eng

Pagination

881-886

Informations de copyright

© 2022. The Author(s).

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Auteurs

Akihiko Shiraki (A)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.

Susumu Sakimoto (S)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan. susumu.sakimoto@ophthal.med.osaka-u.ac.jp.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives (OTRI), Osaka University, Suita, Japan. susumu.sakimoto@ophthal.med.osaka-u.ac.jp.

Yoshinori Oie (Y)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.

Takeshi Soma (T)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.

Atsuya Miki (A)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.
Department of Innovative Visual Science, Osaka University Graduate School of Medicine, Yamadaoka, Suita, Japan.

Shinichi Usui (S)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.

Shigeru Sato (S)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.

Kenji Matsushita (K)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.

Hirokazu Sakaguchi (H)

Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, Japan.

Kohji Nishida (K)

Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 E7 Yamadaoka, Suita, Japan.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives (OTRI), Osaka University, Suita, Japan.

Classifications MeSH