Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation

Purpose. To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PCIOL) using ultrasound biomicroscopy (UBM). Methods. Randomized patients underwent ab externo or ab interno scleral fixation of a PCIOL. Ultrasound biomicroscopy was performed 3 to 6 months posto...

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Main Authors: Lie Horiguchi, Patricia Novita Garcia, Gustavo Ricci Malavazzi, Norma Allemann, Rachel L. R. Gomes
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/9375091
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author Lie Horiguchi
Patricia Novita Garcia
Gustavo Ricci Malavazzi
Norma Allemann
Rachel L. R. Gomes
author_facet Lie Horiguchi
Patricia Novita Garcia
Gustavo Ricci Malavazzi
Norma Allemann
Rachel L. R. Gomes
author_sort Lie Horiguchi
collection DOAJ
description Purpose. To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PCIOL) using ultrasound biomicroscopy (UBM). Methods. Randomized patients underwent ab externo or ab interno scleral fixation of a PCIOL. Ultrasound biomicroscopy was performed 3 to 6 months postoperatively, to determine PCIOL centration, IOL distance to the iris at 12, 3, 6, and 9 hours, and haptics placement in relation to the ciliary sulcus. Results. Fifteen patients were enrolled in the study. The ab externo technique was used in 7 eyes (46.6%) and the ab interno in 8 eyes (53.3%). In the ab externo technique, 14 haptics were located: 4 (28.57%) in the ciliary sulcus; 2 (14.28%) anterior to the sulcus; and 8 (57.14%) posterior to the sulcus, 6 in the ciliary body and 2 posterior to the ciliary body. In the ab interno group, 4 haptics (25.0%) were in the ciliary sulcus, 2 (12.50%) anterior to the sulcus, and 10 (75.0%) posterior to the sulcus, 4 in the ciliary body and 6 posterior to the ciliary body. Conclusions. Ab externo and ab interno scleral fixation techniques presented similar results in haptic placement. Ab externo technique presented higher vertical tilt when compared to the ab interno.
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spelling doaj-art-cfa3b4c2e5834e22a1dc8c22cd9721b02025-08-20T02:20:07ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/93750919375091Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral FixationLie Horiguchi0Patricia Novita Garcia1Gustavo Ricci Malavazzi2Norma Allemann3Rachel L. R. Gomes4Department of Ophthalmology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, BrazilDepartment of Ophthalmology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, BrazilDepartment of Ophthalmology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, BrazilDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, SP, BrazilDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, SP, BrazilPurpose. To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PCIOL) using ultrasound biomicroscopy (UBM). Methods. Randomized patients underwent ab externo or ab interno scleral fixation of a PCIOL. Ultrasound biomicroscopy was performed 3 to 6 months postoperatively, to determine PCIOL centration, IOL distance to the iris at 12, 3, 6, and 9 hours, and haptics placement in relation to the ciliary sulcus. Results. Fifteen patients were enrolled in the study. The ab externo technique was used in 7 eyes (46.6%) and the ab interno in 8 eyes (53.3%). In the ab externo technique, 14 haptics were located: 4 (28.57%) in the ciliary sulcus; 2 (14.28%) anterior to the sulcus; and 8 (57.14%) posterior to the sulcus, 6 in the ciliary body and 2 posterior to the ciliary body. In the ab interno group, 4 haptics (25.0%) were in the ciliary sulcus, 2 (12.50%) anterior to the sulcus, and 10 (75.0%) posterior to the sulcus, 4 in the ciliary body and 6 posterior to the ciliary body. Conclusions. Ab externo and ab interno scleral fixation techniques presented similar results in haptic placement. Ab externo technique presented higher vertical tilt when compared to the ab interno.http://dx.doi.org/10.1155/2016/9375091
spellingShingle Lie Horiguchi
Patricia Novita Garcia
Gustavo Ricci Malavazzi
Norma Allemann
Rachel L. R. Gomes
Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation
Journal of Ophthalmology
title Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation
title_full Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation
title_fullStr Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation
title_full_unstemmed Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation
title_short Ultrasound Biomicroscopy Comparison of Ab Interno and Ab Externo Intraocular Lens Scleral Fixation
title_sort ultrasound biomicroscopy comparison of ab interno and ab externo intraocular lens scleral fixation
url http://dx.doi.org/10.1155/2016/9375091
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