UT Southwestern ophthalmologist Kishan G. Patel and his colleagues connection respective techniques for secondary intraocular lens placement successful a precocious published article. (Photo credit: Getty Images)
DALLAS – Jan. 23, 2023 – Patients undergoing cataract country typically person their earthy lens replaced with an artificial intraocular lens (IOL). But complications occasionally originate that necessitate the placement of a much surgically challenging secondary IOL.
Kishan G. Patel, M.D.
Several techniques are disposable for secondary IOL placement, and each has its advantages and disadvantages, according to UT Southwestern ophthalmologist Kishan G. Patel, M.D., Assistant Professor successful the Department of Ophthalmology.
Dr. Patel, who specializes successful retinal country and analyzable secondary IOL placement, outlined 4 surgical techniques for the process successful a caller contented of Retina Today.
“There is nary statement connected the champion technique. The surgeon volition determine the preferred attack for a fixed diligent based connected their peculiar situation,” said Dr. Patel, pb writer of the reappraisal article.
UTSW’s Ophthalmology Department is simply a apical supplier of secondary IOLs successful North Texas and beyond. The section stands retired arsenic a determination and nationalist assets successful secondary IOL placement and akin surgeries with highly trained surgeons, precocious equipment, and the capableness for surgeons to enactment unneurotic successful analyzable combined cases erstwhile necessary.
Cataracts, a clouding of the usually wide lens successful the eye, typically make successful older adults and yet pb to impaired vision. Cataracts are treated with removal of the cataract followed by IOL placement. If determination is not capable enactment successful the oculus for a accepted IOL, however, a secondary IOL placement whitethorn beryllium necessary.
Secondary IOL surgeries successful patients who nary longer person their earthy lens, oregon successful patients with aphakia, a information successful which nary lens exists, contiguous challenges. In the article, Dr. Patel and 3 colleagues supply a operation of written descriptions and imagery to item surgical tips for surgeons to assistance them win successful taking attraction of these patients.
For anterior enclosure IOLs, oregon those placed successful the beforehand enclosure of the eye, the survey offers penetration connected surgical methods to trim the hazard of ocular impairment caused by surgery, the latest IOL models, and more. The sutureless intrascleral fixation method involves placing an IOL wrong the sclera, oregon achromatic furniture of the eye, without the usage of stitches. For this technique, the authors urge utilizing IOLs made of a peculiar worldly and minimizing surgical manipulation to debar dislocation oregon question of the IOL.
For IOLs that are fixed with stitches connected the sclera, Dr. Patel and colleagues picture strategies to forestall the IOL from tilting and debar post-surgery complications arsenic good arsenic springiness guidance connected preferred types of stitches and different techniques to amended outcomes. The last method for IOL placement involves fixing the IOL to the iris, the colored portion of the eye. For this procedure, the authors urge utilizing a definite benignant of stitch and knot and outline the maneuver to usage to stabilize the IOL.
“Our reappraisal provides unsocial techniques for tackling these challenging problems,” Dr. Patel said.
About UT Southwestern Medical Center
UT Southwestern, 1 of the nation’s premier world aesculapian centers, integrates pioneering biomedical probe with exceptional objective attraction and education. The institution’s module has received six Nobel Prizes, and includes 24 members of the National Academy of Sciences, 18 members of the National Academy of Medicine, and 14 Howard Hughes Medical Institute Investigators. The full-time module of much than 2,900 is liable for groundbreaking aesculapian advances and is committed to translating science-driven probe rapidly to caller objective treatments. UT Southwestern physicians supply attraction successful much than 80 specialties to much than 100,000 hospitalized patients, much than 360,000 exigency country cases, and oversee astir 4 cardinal outpatient visits a year.
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