.: OLGU SUNUMU
Intraocular Lens Implantation with 'Flattened Flanged Scleral Fixation Technique' in a 16-month-old Baby
16 Aylık Bebekte 'Flattened Flanged Skleral Fiksasyon Tekniği' ile Göz İçi Lens İmplantasyonu
Turkiye Klinikleri J Ophthalmol. 2021;30(4):275-8
doi: 10.5336/ophthal.2021-81634
Makale Dili: EN
Tam Metin
ABSTRACT
A 16-month-old male patient, who had a trauma in his left eye three months ago, was brought to our hospital. It was observed that the patient was aphakic on the left eye. It was decided to perform scleral fixation on the patient's eye with the 'flattened flanged intrascleral intraocular lens fixation technique' described in adults previously. No other complications such as post-operative intraocular lens decentration, tilt, intraocular pressure increase, choroidal effusion, cystoid macular edema, and retinal detachment were observed. The operation time was 20 minutes. The Yamane technique provides significant advantages over other suture-free techniques. However, as the sclera is more flexible in children, the flange state of the haptics in the sclera is not sufficient for complete stabilization. The flattened flanged haptics provides stronger stability also.
Keywords: Aphakia; amblyopia; intraocular lens implantation
A 16-month-old male patient, who had a trauma in his left eye three months ago, was brought to our hospital. It was observed that the patient was aphakic on the left eye. It was decided to perform scleral fixation on the patient's eye with the 'flattened flanged intrascleral intraocular lens fixation technique' described in adults previously. No other complications such as post-operative intraocular lens decentration, tilt, intraocular pressure increase, choroidal effusion, cystoid macular edema, and retinal detachment were observed. The operation time was 20 minutes. The Yamane technique provides significant advantages over other suture-free techniques. However, as the sclera is more flexible in children, the flange state of the haptics in the sclera is not sufficient for complete stabilization. The flattened flanged haptics provides stronger stability also.
Keywords: Aphakia; amblyopia; intraocular lens implantation
ÖZET
İki ay önce sol gözünden travma geçiren 16 aylık erkek hasta hastanemize getirildi. Hastanın sol gözde afakik olduğu görüldü. Daha önce erişkinlerde tarif ettiğimiz 'flattened flanged intraskleral göz içi lens fiksasyonu tekniği' ile hastaya skleral fiksasyon uygulandı. Postoperatif göz içi lens desantralizasyonu, tilt, göz içi basınç artışı, koroid efüzyonu, kistoid makula ödemi ve retina dekolmanı gibi hiçbir bir komplikasyon izlenmedi. Ameliyat süresi, 20 dk idi. Yamane tekniği, dikişsiz diğer tekniklere göre önemli avantajlar sağlar. Ancak çocuklarda sklera daha esnek olduğu için skleradaki haptiklerin topuz durumu, tam stabilizasyon için yeterli değildir. Topuzlaştırılmış haptiklerin yassılaştırılması ile daha güçlü stabilite elde edilir.
Anahtar Kelimeler: Afaki; ambliyopi; göz içi lens implantasyonu
İki ay önce sol gözünden travma geçiren 16 aylık erkek hasta hastanemize getirildi. Hastanın sol gözde afakik olduğu görüldü. Daha önce erişkinlerde tarif ettiğimiz 'flattened flanged intraskleral göz içi lens fiksasyonu tekniği' ile hastaya skleral fiksasyon uygulandı. Postoperatif göz içi lens desantralizasyonu, tilt, göz içi basınç artışı, koroid efüzyonu, kistoid makula ödemi ve retina dekolmanı gibi hiçbir bir komplikasyon izlenmedi. Ameliyat süresi, 20 dk idi. Yamane tekniği, dikişsiz diğer tekniklere göre önemli avantajlar sağlar. Ancak çocuklarda sklera daha esnek olduğu için skleradaki haptiklerin topuz durumu, tam stabilizasyon için yeterli değildir. Topuzlaştırılmış haptiklerin yassılaştırılması ile daha güçlü stabilite elde edilir.
Anahtar Kelimeler: Afaki; ambliyopi; göz içi lens implantasyonu
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