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J Cataract Refract Surg. 2003 May;29(5):949-54.

Suture fixation of a posterior chamber intraocular lens in anticoagulated patients.

Author information

1
Eye Care Specialists, Cape Girardeau, Missouri, USA.

Abstract

PURPOSE:

To describe a technique of suture fixating posterior chamber silicone intraocular lenses (PC IOLs) to the iris through a limbal incision and to evaluate its effectiveness in preventing intraocular hemorrhages.

SETTING:

Price Vision Group, Indianapolis, Indiana, USA.

METHODS:

This retrospective single-center study comprised 7 eyes (5 patients) that had suture fixation of a silicone PC IOL from a limbal approach to the midperipheral iris using 9-0 polypropylene (Prolene(R)) suture. All patients were taking warfarin sodium (Coumadin(R)) preoperatively and postoperatively. At each follow-up examination, visual acuity and intraocular pressure were measured, the stability of the PC IOL was assessed, and the anterior chamber and posterior segment were evaluated for blood.

RESULTS:

There was no incidence of intraocular hemorrhage during surgery in any eye. In 6 eyes, there was no blood in the anterior chamber or posterior segment at any postoperative examination. A nonlayering hyphema that resolved within 1 week without sequelae was noted in 1 patient 6 weeks postoperatively. The mean follow-up was 10.7 months (range 6 to 25 months).

CONCLUSION:

Suture fixating a PC IOL to the iris through a limbal approach was an effective means of placing an IOL in anticoagulated patients without capsule support.

PMID:
12781281
[Indexed for MEDLINE]

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