Cataract extraction with severe lens capsule complications
In an eye without sufficient zonular or capsular support, intraocular lens (IOL) implantation can be challenging. The solutions include anterior chamber (AC) IOLs, iris-fixated IOLs, and scleral-fixated IOLs. The scleral-fixated IOL implantation is an important method, especially for patients with compromised corneal endothelium, iris defects, or uveitis history. The topic of our SNQ is according to a novel technique developed by the director of Yangming Branch, Taipei City Hospital. The scleral-fixated IOLs can be performed on almost any kind of single-piece acrylic IOLs under the assistance of microforceps. This technique can fix posteriorly dislocated single-piece acrylic IOLs without taking out the IOLs or fix IOLs in aphakic eyes through small incisions. In addition, this technique secures an IOL with a very low incidence of IOL tilt and a low complication rate.
This technique is developed independently in Taipei City Hospital Yangming Branch.
Rescue for severe complication during cataract extraction.
Micro-incision surgery: incision less than 2.2mm with 23-27G instruments to avoid surgical induced astigmatism
Suitable not only for ordinary IOL, but also multifocal IOL, toric IOL, after PKP patients, combining with trabeculectomy.
Yangming Branch 18 cases
Zhongxing Branch 15 cases
Kinmeng Hospital 1 case
Success rate：100%
Post operative complication：5.9%
Admission days：0.75
Payment of patients：almost all covered by National health insurance
100% obeyance of SOP
Adverse events rate: 5.9%
Vision improving and stability: 100 % bare vision improved，94.1% stable or improving in correct vision
Less post operative complications: re-operation rate 0%
Customization: 2 cases use toric IOLs, 3 cases used multifocal IOLs
Published in international Journal: Retina
Orally presented in American Society of Cataract and Refractive Surgery
Orally presented in meetings of The Ophthalmological Society of Taiwan, and Taiwan Society of Cataract and Refractive Surgery
This technique is developed independently in Taipei City Hospital Yangming Branch.
Avoidance of medical disputes.
Suitable for almost all kinds of lens capsule complications, and almost all kinds of IOL.
