期刊
CURRENT OPINION IN OPHTHALMOLOGY
卷 23, 期 1, 页码 62-67出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ICU.0b013e32834cd5e5
关键词
intraocular lens complication; intraocular lens fixation; lens dislocation
资金
- NEI NIH HHS [R01 EY017182, P30 EY014800, R01 EY017950-05, R01 EY017182-05, R01 EY017950] Funding Source: Medline
Purpose of review To review the recent literature addressing the surgical approaches to intraocular lens (IOL) fixation in the setting of inadequate capsular support. Recent findings Lack of capsular support is a commonly encountered problem facing the anterior segment surgeon. Recent reports suggest that visual outcomes are generally good with modern IOLs and surgical approaches. More recently described techniques include sutureless scleral fixation and intraocular endoscopy-guided suture placement. Summary Many clinical circumstances require extracapsular IOL fixation and multiple options exist in the setting of inadequate capsular support. Ultimately, there are many factors that must be considered in selecting an appropriate surgical approach. These include ocular history as well as the skill, experience, and comfort level of the individual surgeon. The myriad of options that now exist for IOL fixation increases the likelihood that patients with a wide variety of pathologic states will attain their best possible visual outcome.
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