دورية أكاديمية
Modified adaptation of the twist-and-out technique for intraocular lens exchange.
| العنوان: | Modified adaptation of the twist-and-out technique for intraocular lens exchange. |
|---|---|
| المؤلفون: | Duncan NB; From the Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin (Duncan); Berkeley Eye Center, Houston, Texas (Micheletti)., Micheletti JM |
| المصدر: | Journal of cataract and refractive surgery [J Cataract Refract Surg] 2022 Dec 01; Vol. 48 (12), pp. 1469-1471. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer on behalf of ASCRS and ESCRS Country of Publication: United States NLM ID: 8604171 Publication Model: Print Cited Medium: Internet ISSN: 1873-4502 (Electronic) Linking ISSN: 08863350 NLM ISO Abbreviation: J Cataract Refract Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986- |
| مواضيع طبية MeSH: | Lenses, Intraocular* , Cataract Extraction*, Humans ; Reoperation ; Anterior Chamber ; Endothelium, Corneal |
| مستخلص: | Many methods can be used to explant an intraocular lens (IOL) after prior cataract surgery. Here, we describe a modified approach to the twist-and-out technique for IOL removal. The IOL is dissected and brought into the anterior chamber (AC), where 1 haptic is externalized. The adaptation in this technique occurs next; an additional paracentesis is made 180 degrees away from an adjacent side port, and the shaft of a 25-gauge cannula is threaded across the AC to connect these incisions. This maneuver frees both hands to use forceps within the incision, grasp the IOL, and rotate it around the forceps. The use of both hands allows for a smaller, more controlled movement than the original 1-handed pronation. The cannula shaft aids in twisting the IOL tightly around the forceps while protecting the corneal endothelium. The forceps-lens complex is then withdrawn, extracting the IOL whole with 1 efficient movement. (Copyright © 2022 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.) |
| References: | Patel NA, Gangasani N, Yannuzzi NA, Melo G, Flynn HW, Smiddy WE. Indications and outcomes for the removal of intraocular lens implants in a retinal surgery practice. Ophthalmic Surg Lasers Imaging Retina 2019;50:504–508. Abdalla Elsayed M, Ahmad K, Al-Abdullah AA, Malik R, Khandekar R, Martinez-Osorio H, Mura M, Schatz P. Incidence of intraocular lens exchange after cataract surgery. Sci Rep 2019;9:12877. Moshirfar M, Milner D, Patel BC. Cataract surgery [updated 2021 Nov 2]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2022. Available at: https://www.ncbi.nlm.nih.gov/books/NBK559253/ . Accessed April 6, 2022. Chai F, Ma B, Yang XG, Li J, Chu MF. A pilot study of intraocular lens explantation in 69 eyes in Chinese patients. Int J Ophthalmol 2017;10:579–585. Ernst P. Intraocular refolding. Video J Cataract Refract Surg 1996;12. Lee MH, Webster DL. Intraocular lens exchange-removing the optic intact. Int J Ophthalmol 2016;9:925–928. Bhaumik A, Mitra S. A simple technique of intraocular lenses explantation for single-piece foldable lenses. Indian J Ophthalmol 2017;65:1428–1430. Fukuoka S, Kinoshita T, Morita S, Sakurai T. Intraocular lens extraction using the cartridge pull-through technique. J Cataract Refract Surg 2021;47:e70–e74. Henderson BA, Yang EB. Intraocular lens explantation technique for one-piece acrylic lenses. J Refract Surg 2012;28:499–502. Koo EY, Lindsey PS, Soukiasian SH. Bisecting a foldable acrylic intraocular lens for explantation. J Cataract Refract Surg 1996;22(suppl 2):1381–1382. Mehta JS, Wilkins MR, Gartry DS. Explantation of an acrylic Acrysof intraocular lens without wound enlargement. Acta Ophthalmol Scand 2005;83:262–263. Geggel HS. Simplified technique for acrylic intraocular lens explantation. Ophthalmic Surg Lasers 2000;31:506–507. Pandit RT, Devgan U, Chapman JM Jr. Twist and out intraocular lens removal. J Cataract Refract Surg 2020;46:1072–1074. Fernández-Buenaga R, Alió JL. Intraocular lens explantation after cataract surgery: indications, results, and explantation techniques. Asia Pac J Ophthalmol 2017;6:372–380. |
| تواريخ الأحداث: | Date Created: 20220826 Date Completed: 20221202 Latest Revision: 20221202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/j.jcrs.0000000000001047 |
| PMID: | 36026711 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1873-4502 |
|---|---|
| DOI: | 10.1097/j.jcrs.0000000000001047 |