About this Medicine article
Novel double-flanged technique for managing Marfan syndrome and microspherophakia by Canabrava, Sergio; Canedo Domingos Lima, Ana Carolina; Arancibia, Ana Elisa Loyola; Bicalho Dornelas, Luiza Filgueiras; Ribeiro, Guilherme is a Medicine article available to read on EtoBox.
A new technique for fixating the capsular bag in patients with ectopia lentis is presented. In this technique, the capsulorhexis is performed using a femtosecond laser, followed by the insertion of a standard capsular tension ring to redistribute capsular forces. The nucleus is hydroprolapsed into the anterior chamber and nuclear disassembly is performed above the iris plane to reduce zonular stress. Finally, a 5-0 polypropylene monofilament is used to fixate a capsular tension segment and subluxated capsular bag. This novel double-flanged method, achieved with cautery, does not require direct suturing of the monofilament on the sclera. This article describes the use of this new technique in 3 eyes, 2 in patients with Marfan syndrome and 1 in a patient with microspherophakia.
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- Author
- Canabrava, Sergio; Canedo Domingos Lima, Ana Carolina; Arancibia, Ana Elisa Loyola; Bicalho Dornelas, Luiza Filgueiras; Ribeiro, Guilherme
- Publisher
- Elsevier Science; Elsevier ; Elsevier BV; Ovid Technologies (Wolters Kluwer Health) (ISSN 0886-3350)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)