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목적 : To report clinical results of a new technique of intrascleral pocket procedure of transscleral fixation (TF) of intraocular lens (IOL) in post-vitrectomized eye.
방법 : Ten patients underwent the TSF of IOL as follows: A 2 mm-sized intrascleral pocket was created by lamellar dissection 2 mm behind the limbus without conjunctival dissection. A 2.8 mm clear corneal incision (CCI) was made anterior limbus. Prolene sutures were exteriorized through the CCI pocket. A IOL was injected via CCI and the ends of the haptics were exteriorized through the CCI, and then prolene sutures for each haptics were tied. After achieving well-centration of IOL, ends of prolene were sutured at the intrascleral pocket bed. Knots were buried under scleral flaps to prevent exposure.
결과 : All patients had no complaints like conjunctival irritation and their uncorrected visual acuity was almost identical to preoperative best-corrected visual acuity at 1 day postoperatively. IOLs were well placed without tilting or subluxation. They had no wound dehiscence or endophthalmitis postoperatively
결론 : The technique of intrascleral pocket procedure of TSF without the need for conjunctival dissection is a successful method of sulcus fixation, thus helping in salvaging the conjunctiva for any future trabeculectomy in post-vitrectomized eyes predisposed to developing glaucoma
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