J Korean Ophthalmol Soc > Volume 52(11); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(11):1370-1376.
DOI: https://doi.org/10.3341/jkos.2011.52.11.1370    Published online November 15, 2011.
Transscleral Fixation of Intraocular Lens Using the Triple Cow-Hitch Method.
Jongsoo Joo, You Kyung Lee, Chang Rae Rho, Yong Soo Byun, Choun Ki Joo
Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. ckjoo@catholic.ac.kr
트리플 카우-히치 방법을 이용한 인공수정체의 공막고정술
주종수⋅이유경⋅노창래⋅변용수⋅주천기
Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
PURPOSE
To report the results of scleral suture fixation using a hydrophilic acrylic intraocular lens (IOL) with 3 hollow haptics through a small corneal incision, the Triple Cow-Hitch Method. CASE SUMMARY: Three-point suture fixation of a XL Stabi ZO IOL was performed in 5 eyes of 5 patients with aphakia after penetrating keratoplasty (PKP), vitrectomy and subluxated lens extraction. Postoperatively, the corrected distance visual acuity and spherical equivalent improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). CONCLUSIONS: In this preliminary study, the triple cow-hitch method of suturing a hydrophilic acrylic IOL is an alternative to the conventional 2-point scleral fixation of sutured IOLs.
Key Words: Aphakia;Intraocular lens;Scleral fixation;Triple cow-hitch method;XL Stabi ZO


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