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Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

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Related Experiment Video

Updated: Jun 17, 2026

Scleral Cross-linking Using Riboflavin and Ultraviolet-A Radiation for Prevention of Axial Myopia in a Rabbit Model
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Needle-Guided Scleral Fixation: A New Single-Suture Approach.

Laura De Luca1, Giovanni William Oliverio1, Maura Mancini1

  • 1Ophthalmology Clinic, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy.

Journal of Clinical Medicine
|January 10, 2026
PubMed
Summary

Meduri's needle-guided single-suture technique offers a safe and reproducible method for scleral fixation of intraocular lenses (IOLs) in patients with insufficient capsular support. This approach simplifies surgery and achieves stable IOL placement with excellent visual outcomes.

Keywords:
IOL malpositionaphakianeedle-guided scleral fixationscleral fixation

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Intraocular Lens Implantation

Background:

  • Scleral fixation of intraocular lenses (IOLs) is crucial for aphakia or inadequate capsular support.
  • Conventional methods present technical challenges and risks.
  • The needle-guided technique simplifies fixation with a single suture.

Purpose of the Study:

  • To evaluate the safety and efficacy of Meduri's needle-guided single-suture technique for IOL fixation.
  • To assess visual acuity, IOL centration, IOP, and complications over 24 months.

Main Methods:

  • Retrospective interventional case series of 30 eyes with insufficient capsular support.
  • Utilized Meduri's needle-guided single-suture technique with a 24-gauge needle and 10-0 polypropylene suture.
  • Monitored outcomes including BCVA, IOL centration, IOP, and complications.

Main Results:

  • Significant improvement in mean BCVA from X to Y LogMAR at two years (p < 0.05).
  • All IOLs demonstrated excellent centration without tilt or decentration.
  • Mild conjunctival hyperemia (70%) resolved spontaneously; no major complications like suture erosion or retinal detachment occurred.

Conclusions:

  • The needle-guided single-suture technique is a stable, efficient, and reproducible method for posterior chamber IOL fixation.
  • It offers a reduced learning curve and surgical complexity compared to traditional and sutureless methods.
  • This technique is particularly suitable for centers lacking specialized vitreoretinal expertise.