TY - CHAP
T1 - IOL Implantation in the Absence of Capsular Support
AU - De Faber, J Tjeerd H N
AU - Tjon Fo Sang, Martha
PY - 2020
Y1 - 2020
N2 - For correction of aphakia, the ophthalmologist has several options. Classically in bilateral cases aphakic glasses can prove useful when contact lenses are not tolerated or impractical for individual circumstances. In unilateral cases, aphakic correction with glasses is rarely tolerated due to aniseikonia. Ideally an intraocular lens (IOL) gives better correction of aphakia due to its location adjacent to the nodal point of the eye. This chapter deals with patients who need aphakia correction but are missing adequate capsular support of the bag or the sulcus. In some cases reshaping the capsular remnants of the Soemmering’s ring is needed to safely place the IOL in the sulcus. In other cases no capsular remnants are present and the situation calls for different surgical strategies. ArtisanⓇ (Ophtec, Groningen, the Netherlands) iris-fixated IOL techniques of both anterior and posterior enclavation are described. Posterior chamber (PC) IOLs can also be used but with scleral sutures, glued haptics, or using flanged haptics. The pros and cons of these techniques are discussed.
AB - For correction of aphakia, the ophthalmologist has several options. Classically in bilateral cases aphakic glasses can prove useful when contact lenses are not tolerated or impractical for individual circumstances. In unilateral cases, aphakic correction with glasses is rarely tolerated due to aniseikonia. Ideally an intraocular lens (IOL) gives better correction of aphakia due to its location adjacent to the nodal point of the eye. This chapter deals with patients who need aphakia correction but are missing adequate capsular support of the bag or the sulcus. In some cases reshaping the capsular remnants of the Soemmering’s ring is needed to safely place the IOL in the sulcus. In other cases no capsular remnants are present and the situation calls for different surgical strategies. ArtisanⓇ (Ophtec, Groningen, the Netherlands) iris-fixated IOL techniques of both anterior and posterior enclavation are described. Posterior chamber (PC) IOLs can also be used but with scleral sutures, glued haptics, or using flanged haptics. The pros and cons of these techniques are discussed.
UR - https://www.mendeley.com/catalogue/de2e4b08-9fa2-341d-83ab-ab58c5a8c769/
U2 - 10.1007/978-3-030-38938-3_19
DO - 10.1007/978-3-030-38938-3_19
M3 - Chapter
SN - 978-3-030-38937-6
T3 - Pediatric Cataract Surgery and IOL Implantation
SP - 193
EP - 204
BT - Pediatric Cataract Surgery and IOL Implantation
A2 - Kraus, C
ER -