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Chapter-11 Glued Intraocular Lens

BOOK TITLE: Pre-Descemet’s Endothelial Keratoplasty (PDEK)

Author
1. Agarwal Amar
2. Agarwal Athiya
ISBN
9789352703036
DOI
10.5005/jp/books/14154_12
Edition
1/e
Publishing Year
2018
Pages
26
Author Affiliations
1. Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai 600 086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road, Chennai-600086, Tamil Nadu (India), Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road Chennai-600086, Tamil Nadu (India), Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road, Chennai-600086, Tamil Nadu (India), Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal's Eye Hospital, 13 Cathedral Road, Chennai, India, Eye Research Center and Dr Agarwal’s Group of Eye Hospitals, Chennai, Bengaluru, Trichy, India, and Dubai, United Arab Emirates, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, Cathedral Road Chennai, India, Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600 086, India, Dr Agarwal’s Group of Eye, Hospitals and Eye Research Centre, Chennai, Bangalore, Jaipur, Trichy, Salem, Calicut (India), 19 Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, Chennai, Bangalore, Jaipur, Trichy, Salem, Calicut (India), 19 Cathedral Road, Chennai, India, Eye Research Center and Dr Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, India and Dubai, United Arab Emirates, Dr Agarwal’s Group of Eye Hospitals, 19, Cathedral Road, Chennai, India 15, Eagle Street, Langford Town Bangalore, India, Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Jaipur, Trichy, Salem , 19 Cathedral Road, Chennai, India and Eye Research Centre, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, Tamilnadu, India, Dr Agarwal’s Eye Institute, 19, Cathedral Road, Chennai, Tamil Nadu, India, Dr. Agarwal’s group of Eye Hospitals, Chennai, India, Dr Agarwal’s Eye Hospital Pvt Ltd, 19, Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai-600 086, Tamil Nadu, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 9, Cathedral Road, C,hennai, India, Dr Agarwal’s Eye Institute, 13 Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB 9168, Dubai, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB, Dubai, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, Chennai, India., Dr. Agarwal’s group of eye hospitals at Chennai, Bangalore, Jaipur, Salem and Trichy, India, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre 19, Cathedral Road, Chennai - 600 086, India, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, 19 Cathedral Road, Chennai, India, Eye Research Centre and Dr. Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, Jaipur, Salem, Kerala, India, Dr. Agarwal’s Group of Eye Hospitals Chennai, India, Agarwal Eye Institute, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, Chennai, Tamil Nadu, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India; Indian Intraocular Implant and Refractive Society (IIRSI), Dr Agarwal's Group of Eye Hospitals, Chennai, Tamil Nadu, India, Dr Agarwal's Group of Eye Hospitals, Chennai, Tamil Nadu, India; Sri Ramachandra Medical College, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 19-Cathedral Road, Chennai-600086, India, Dr Agarwal's Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, 15 Eagle Street, Langford Town, Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl, Road, Dubai PB 9168, Dubai
2. Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai 600 086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road, Chennai-600086, Tamil Nadu (India), Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road, Chennai-600086, Tamil Nadu (India), Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600 086, India, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, Dr Agarwal’s Group of Eye, Hospitals and Eye Research Centre, Chennai, Bangalore, Jaipur, Trichy, Salem, Calicut (India), 19 Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, Chennai, Bangalore, Jaipur, Trichy, Salem, Calicut (India), 19 Cathedral Road, Chennai, India, Eye Research Center and Dr Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, India and Dubai, United Arab Emirates, Dr Agarwal’s Group of Eye Hospitals, 19, Cathedral Road, Chennai, India 15, Eagle Street, Langford Town Bangalore, India, Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Jaipur, Trichy, Salem , 19 Cathedral Road, Chennai, India and Eye Research Centre, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, Tamilnadu, India, Dr. Agarwal’s group of Eye Hospitals, Chennai, India, Dr Agarwal’s Eye Hospital Pvt Ltd, 19, Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai-600 086, Tamil Nadu, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Institute, 13 Cathedral Road, Chennai, India, Dr Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB, Dubai, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, Chennai, India., Dr. Agarwal's Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai 600086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre 19, Cathedral Road, Chennai - 600 086, India, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, 19 Cathedral Road, Chennai, India, Eye Research Centre and Dr. Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, Jaipur, Salem, Kerala, India, Dr. Agarwal’s Group of Eye Hospitals Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, 15 Eagle Street, Langford Town, Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl, Road, Dubai PB 9168, Dubai
Chapter keywords
Intraocular lens, IOL, white-to-white measurement, conjunctival peritomy, scleral marking, scleral flap preparation, trocar cannula, anterior chamber maintainer, vitrectomy, haptic externalization

Abstract

This chapter seeks to familiarize the readers with glued intraocular lens (IOL). Posterior capsular rupture (PCR) can occur in the early learning curve in phacoemulsification. Intraoperative dialysis or a large PCR will prevent IOL implantation in the capsular bag. The first glued posterior chamber IOL (PCIOL) implantation in an eye with a deficient capsule was done on 14th December, 2007. In eyes with inadequate anterior capsular rim and deficient posterior capsule, the new technique of IOL implantation is the fibrin glue (FG)-assisted sutureless IOL implantation with scleral tuck. One should always measure the corneal white-to-white (WTW) diameter. If the horizontal WTW is about 11 mm then one can do a horizontal glued IOL. This means the flaps can be made at 3 and 9 O’clock positions. One should prepare the conjunctival peritomy in the areas where the scleral flaps are to be made. It is imperative that the scleral flaps are 180° apart, if not the IOL will be decentered. For this reason, it is better to use a scleral marker which creates marks on the cornea to see that the sclera flaps created are diagonally opposite. Scleral flap preparation, infusion with a trocar cannula, infusion with an anterior chamber maintainer, trocar cannula versus anterior chamber maintainer, vitrectomy, intraocular lens types, etc. are the important topics which are discussed throughout this chapter.

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