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GLUED IOL: Glued Intrascleral Haptic Fixation of a PC IOL Amar Agarwal

SECTION 1: BASICS
1:History of Glued IOL: Glued Intrascleral Haptic Fixation of a PC IOL
- Inauguration of a State Conference in India
- Message of Glued IOL
- Concept of Using Glue
- Subluxated Non-foldable One Piece IOL
- Plan of Surgery
- First Glued IOL Surgery
- Subsequent Days
- Maggi's Pioneering Work
- Gabor Scharioth
- Scharioth Tuck in Glued IOL Surgery
- Live Surgery
- Three Piece IOL
- Scleral Markers and AC Maintainer
- White to White
- Terminology
- Publication
- Pediatric Glued IOL
- Personal: Mother-in-Law
- Conclusion
2:Posterior Capsular Rupture
- Introduction
- Common Risk Factors for Posterior Capsular Rupture (PCR)
- Steps for Management of PCR
- Deficient Posterior Capsule
- Sequelae after Posterior Capsular Rupture
- Conclusion
3:Tissue Adhesives in Ophthalmology: Current Scenario and Future Prospects
- Introduction
- Classification
- Synthetic Tissue Adhesives
  - Cyanoacrylate and Acrylic-based Tissue Adhesives
    - Characteristics
- Bioadhesives: Fibrin Glue Characteristics
- Commercially Available Fibrin Glue
- Application Techniques
- Safety of Fibrin Glue
- Potential Adhesives in Future
- Laser Welding and Soldering
- Current Uses of Tissue Adhesives in Ophthalmic Surgery
4:Preoperative Evaluation of a Patient for Glued IOL
- Introduction
- Vision
- Intraocular Pressure
- Slit Lamp Examination (SLE)
- Lens
- White to White (WTW)
- Specular Microscopy
- Gonioscopy
- Ophthalmoscopy
  - Ultrascan
- Optical Coherence Tomography (OCT)
- Systemic Illness
SECTION 2: SURGICAL TECHNIQUE
5:Vitrectomy and its Importance in Scleral Fixated IOLs
- Introduction
- Indications
- Vitrectomy
  - Cut Rate in Vitrectomy
- Anterior Vitrectomy through a Limbal or Clear Corneal Approach
  - Pars Plana Approach to Anterior Vitrectomy
  - Steps of Surgery
- Three Port Posterior Vitrectomy for Dislocated IOL
  - Endophthalmitis
- Finishing Steps and Postoperative Care
6:Sutureless Intrascleral PC IOL Fixation
- Introduction
- Scleral Location
- Alternate Techniques
- Hoffmann's Scleral Pocket Technique
- Problems with Alternate Techniques
- Sutureless Intrascleral Posterior Chamber IOL Fixation
- Surgical Technique
- Results
- Discussion
- Conclusion
7:Surgical Technique of Glued IOL
- Introduction
- White to White Measurement
- Conjunctival Peritomy
- Scleral Marking
- Scleral Flap Preparation
- Infusion with a Trocar Cannula
- Infusion with an AC Maintainer
- Trocar Cannula vs AC Maintainer
- Scleral Flaps or Infusion—Which Comes First?
- Sclerotomies Under the Flap
- Vitrectomy
- IOL Types
- Foldable IOL Injectors
- Leading Haptic Externalization
- Trailing Haptic Externalization
- Vitrectomy Around the Sclerotomy
- Scharioth Scleral Pocket and Intrascleral Haptic Tuck
- Air in the AC
- Fibrin Glue
- Role of Fibrin Glue
- Postoperative Regimen
- Stability of the IOL Haptic
- Advantages
  - No Special IOLs
  - No Tilt
  - Less Pseudophacodonesis
  - Less UGH Syndrome
  - No Suture Related Complications
  - Rapidity and Ease of Surgery
8:Handshake Technique for Glued IOL
- Introduction
- Leading Haptic Externalization
- Trailing Haptic Externalization
- Scharioth Tuck and Glue
- Injector
- Handshake Technique for Foldable Glued IOL
- Conclusion
9:IOL Scaffold Technique
- IOL Scaffold
- Introduction
- Scaffold
- Surgical Technique
- Posterior Capsular Rupture
- IOL Scaffold Technique
- Conclusion
10:Creating an Artificial Posterior Capsule: Combining Glued IOL and IOL Scaffold in Cases of Posterior Capsular Rupture
- Introduction
- Concept and Indications
- Surgical Technique
- Problems
- Conclusion
11:Sutureless Three Port Vitrectomy and Management of Dislocated IOLs
- Introduction
- Sutureless 20G Vitrectomy
- Chandelier Illumination
- Perfluorocarbon Liquids
- Subluxated Three Piece IOL
- One Piece Nonfoldable PMMA Subluxated IOL
- Subluxated Capsular Bag-IOL Complex
- One Piece Foldable IOL
- Discussion
- Conclusion
12:Modifications in the Glued IOL Technique
- Introduction
- No Assistant Technique
- Vertical Glued IOL
- Needle-guided Intrascleral Fixation of Posterior Chamber Intraocular Lens for Aphakia Correction
- Beiko's Modification
- Toshihiko Ohta's Y-fixation Technique
- Problems with the Glued IOL Technique and their Solutions
- Conclusion
SECTION 3: SPECIAL CONDITIONS
13:Sutureless Intrascleral Fixation of a Multifocal IOL
- Introduction
- Multifocal IOL in Eyes with Deficient Capsules
- Results
- Conclusion
14:Angle Kappa and Multifocal Glued IOL
- Introduction
- Angle Kappa
- Angle Kappa and Multifocal IOLs
- Multifocal Glued IOL
- Discussion
- Conclusion
15:Glued IOL with Corneal Procedures
- Introduction
- IOL Implantation
- Indications
- Preoperative Evaluation
- DSAEK with Glued IOL
- Penetrating Keratoplasty (PKP) with Glued IOL
- Postoperative Regime, Evaluation and Follow-up
- Advantages
- Complications
- Conclusion
16:Penetrating Keratoplasty with Glued IOL
- Introduction
- Penetrating Keratoplasty with Glued IOL
- Femto-assisted Keratoplasty with Glued IOL
- Discussion
- Conclusion
17:Endothelial Keratoplasty with Glued IOL
- Introduction
- DSAEK with AC IOL vs Glued IOL
- Surgical Technique of DSAEK with Glued IOL
- DMEK with Glued IOL
- Surgical Technique of DMEK with Glued IOL
- Discussion
- Conclusion
18:Anterior Segment Transplantation
- Introduction
- Anterior Segment Transplantation
- Surgical Technique
- Postoperative Follow-up
- Conclusion
19:Combined Surgical Management of Capsular and Iris Deficiency with Glued IOL: Glued Iris Prosthesis and Glued IOL with Pupilloplasty
- Introduction
- Aniridia
- Iris Prosthesis
- Glued Iris Prosthesis
- Surgical Technique of Glued Iris Prosthesis
- Sutured Aniridia IOL vs Aniridia Glued IOL
- IOL Power Calculation
- Glued IOL with Pupilloplasty
- Conclusion
20:Pediatric Glued IOL
- Introduction
- IOL Implantation
  - AC IOL
- Sutured Scleral Fixated IOL
- Glued IOL
- Pediatric Eyes
- Conclusion
SECTION 4: MISCELLANEOUS
21:Complications of Glued IOL Surgery
- Introduction
- Intraoperative Complications
- Postoperative Complications
  - Vitritis
- Hypotony
- Conclusion
22:IOL Tilt
- Introduction
- Iol Tilt Assessment with the Anterior Segment Oct
- Technique of Anterior Segment Oct for Iol Tilt Assessment
- IOL Tilt Assessment with UBM
- Discussion
- Conclusion
23:Results of Glued IOL
- Introduction
- IOL Stability in Glued IOL Surgery
- Results
- Complications
- Conclusion
24:High-Speed Imaging of the Glued IOL
- Introduction
- Mechanism of Pseudophacodonesis
- Studying Pseudophacodonesis
- High-speed Imaging—Technique
- Eliciting Pseudophacodonesis
- Image Analysis
- Observations
- Discussion
- Conclusion
25:Glued IOL and its Comparison with Sutured IOLs and AC IOLs
- Introduction
- Sutured IOLs
- AC IOLs
- Conclusion
26:Complications of Transscleral Sutured Posterior Chamber Intraocular Lenses
- Introduction
- Surgical Technique
- Visual Outcomes
- Complications
- Conclusion
27:Glued Endocapsular Hemi-Ring Segment for Sutureless Transscleral Fixation of the Capsular Bag
- Introduction
- Glued Endocapsular Hemi-Ring Segment
- Surgical Technique
- Conclusion

INDEX

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Index

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Chapter Notes