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VOLUME 14 , ISSUE 2 ( 2021, 2021 ) > List of Articles

Tips en Fijación Escleral sin Sutura deLente Intraocular

Dr. Mario Gutiérrez Paz, Dr. Carlos Estrada-Reyes

Citation Information : Paz DM, Estrada-Reyes DC. Tips en Fijación Escleral sin Sutura deLente Intraocular. 2021; 14 (2):4-11.

DOI: 10.5005/hov-14-2-4

Published Online: 01-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Ante los diferentes escenarios de afaquia y/o luxación de lente intraocular o cristalino, las diferentes técnicas quirúrgicas buscan igualar los resultados visuales y refractivos en comparación con el implante de lente intraocular en la bolsa capsular. La técnica de fijación de lente intraocular transescleral sin sutura se ha popularizado, ya que permite la pronta rehabilitación visual y post operatoria a pacientes que sufren de afaquia o luxación de cristalino y/o lente intraocular. A continuación, se describe la técnica de fijación escleral sin sutura, descrita por Yamane et al., (14) la cual consiste en fijar las hápticas del lente intraocular de 3 piezas a la esclera, a través de la construcción de dos túneles esclerales a 180º vía transconjuntival con aguja 27G.

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  1. Banaee T, Sagheb S. Scleral fixation of intraocular lens in eyes with history of open globe injury. J Pediatr Ophthalmol Strabismus. 2011;48(5):292–297.
  2. Sadiq MA, Vanderveen D. Genetics of ectopia lentis. Semin Ophthalmol. 2013;28(5–6):313–320.
  3. Karger RA, Jeng SM, Johnson DH, Hodge DO, Good MS. Estimated incidence of pseudoexfoliation syndrome and pseudoexfoliation glaucoma in Olmsted County, Minnesota. J Glaucoma. 2003 Jun;12(3):193-7.
  4. Ascaso FJ, Huerva V, Grzybowski A. Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature. J Ophthal- mol. 2015;2015:805706.
  5. Cataract complications. Community Eye Health. 2008;21(65):1–3.
  6. Foster A. Vision 2020: the cataract challenge. Community Eye Health 2000;13:17– 9
  7. Leyla Hazar, MD; Necip Kara, MD; Ercument Bozkurt, MD; Engin Bilge Ozgurhan, MD; Ahmet Demirok, MD Intraocular Lens Implantation Procedures in Aphakic Eyes with Insufficient Capsular Support Associated with Previous Cataract Sur- gery. Journal of Refractive Surgery • Vol. 29, No. 10, 2013.
  8. Kwong YY, Yuen HK, Lam RF, Lee VY, Rao SK, Lam DS. Comparison of outcomes of primary scleral-fixated versus primary anterior chamber intraocular lens implan- tation in complicated cataract surgeries. Ophthalmology. 2007 Jan;114(1):80-5.
  9. Downing JE. Ten-year follow up comparing anterior and posterior chamber intrao- cular lens implants. Ophthalmic Surg. 1992 May;23(5):308-15.
  10. Biro, Z. (1993). Results and complications of secondary intraocular lens implanta- tion. Journal of Cataract & Refractive Surgery, 19(1), 64–67.
  11. Melamud A, Topilow JS, Cai L, He X. Pars Plana Vitrectomy Combined with Either Secondary Scleral-Fixated or Anterior Chamber Intraocular Lens Implantation. Am J Ophthalmol. 2016 Aug;168:177-182.
  12. Jacob S, Kumar DA, Rao NK. Scleral fixation of intraocular lenses. Curr Opin Ophthalmol. 2020 Jan;31(1):50-60.
  13. Kymionis G, Petrelli M, Schmutz L, Petrovic A. New Sutureless, Scleral-Fixated Intraocular Lens (Carlevale, Soleko) Implantation Combined with Descemet Strip- ping Automated Endothelial Keratoplasty: An Innovative Surgical Approach. Cor- nea. 2020 Nov;39(11):1460-1462.
  14. Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique. Ophthalmology. 2017 Aug;124(8):1136-1142.
  15. Sergio Canabrava, MD, Ana Carolina Canêdo Domingos Lima, MD, and Guilher- me Ribeiro, MD† Four-Flanged Intrascleral Intraocular Lens Fixation Technique: No Flaps, No Knots, No Glue. Cornea 2019;00:1–2.
  16. Benjamin W. Botsford, MD1, Andrew M. Williams, MD1, Ian P. Conner, MD, PhD1, Joseph N. Martel, MD1, and Andrew W. Eller, MD Scleral fixation of intraocular lenses with Gore-Tex suture: refractive outcomes and comparison of lens power formulas. Ophthalmol Retina. 2019 June; 3(6): 468–472.
  17. Banaee T, Sagheb S. Scleral fixation of intraocular lens in eyes with history of open globe injury. J Pediatr Ophthalmol Strabismus. 2011;48(5):292–297.
  18. Yamane S, Maruyama-Inoue M, Kadonosono K. Needle Stabilizer for Flanged In- traocular Lens Fixation. Retina. 2019 Apr;39(4):801.
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