Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sulcus fixation without flaps

J S Lewis1

  • 1Wills Eye Hospital, Philadelphia.

Ophthalmology
|September 1, 1993
PubMed
Summary
This summary is machine-generated.

Burying the polypropylene knot within the eye significantly reduces suture erosion risk in sulcus-fixated posterior chamber intraocular lens (IOL) implants. This technique avoids the complications associated with exposed sutures and scleral flaps.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A Case of HPV-Associated Oropharyngeal Squamous Cell Carcinoma with Block-Like, Partial Loss of p16 Expression.

Head and neck pathology·2022
Same author

Genetic variation within the human papillomavirus type 16 genome is associated with oropharyngeal cancer prognosis.

Annals of oncology : official journal of the European Society for Medical Oncology·2022
Same author

The inverse electron-demand Diels-Alder reaction as a new methodology for the synthesis of <sup>225</sup>Ac-labelled radioimmunoconjugates.

Chemical communications (Cambridge, England)·2018
Same author

Squamous and Neuroendocrine Specific Immunohistochemical Markers in Head and Neck Squamous Cell Carcinoma: A Tissue Microarray Study.

Head and neck pathology·2017
Same author

Tendinopathic supraspinatus tenocytes may have a neuroendocrine-like function, secreting CGRP, SP and VEGF: a pilot immunohistochemistry study.

Journal of biological regulators and homeostatic agents·2016
Same author

Pathology-based staging for HPV-positive squamous carcinoma of the oropharynx.

Oral oncology·2016
Same journal

Metastasis of Nasopharyngeal Squamous Cell Carcinoma to the Angle.

Ophthalmology·2026
Same journal

Endocrine Mucin-Producing Sweat Gland Carcinoma of Eyelid.

Ophthalmology·2026
Same journal

Multimodal Imaging of Optic Nerve Invasion in Unilateral Retinoblastoma.

Ophthalmology·2026
Same journal

Avacincaptad Pegol Slows Progressive Ellipsoid Zone Degradation/Loss in Eyes With Geographic Atrophy.

Ophthalmology·2026
Same journal

Access to Intravitreal Anti-VEGF Drugs in Persons with Medicare Advantage Compared with Medicare Fee-For-Service.

Ophthalmology·2026
Same journal

Re: Dones et al.: Emergency department use of ocular point-of-care ultrasound and its utility in diagnosis at a tertiary academic medical center (Ophthalmology. 2026;133:720-727).

Ophthalmology·2026
See all related articles

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Intraocular Lens Implantation

Background:

  • Sulcus fixation of posterior chamber intraocular lenses (IOLs) without capsular support often uses scleral flaps or conjunctiva to cover polypropylene knots.
  • These methods aim to prevent knot erosion, a known complication.
  • A novel technique involves burying the knot within the eye.

Purpose of the Study:

  • To compare the success rates of traditional scleral flap techniques versus a new knot-burying technique for sulcus-fixated IOLs.
  • To evaluate the incidence of suture erosion in both surgical approaches.

Main Methods:

  • Retrospective study of 100 cases of scleral-sutured, sulcus-fixated IOLs.
  • Cases were performed by the primary author or under their supervision.

Related Experiment Videos

  • Suture erosion was defined as exposed polypropylene suture material.

    • Main Results:

    • In 60 patients using partial thickness scleral flaps, 12 (20%) experienced suture erosion.
    • In 40 patients where knots were buried without scleral flaps, 0% erosion was observed.
    • This indicates a statistically significant reduction in erosion with the knot-burying technique.

    Conclusions:

    • Exposed sutures in sulcus-fixated IOLs increase the risk of endophthalmitis by providing a pathway for infection.
    • While scleral flaps offer some protection, they can still erode over time.
    • Burying the knot within the eye effectively prevents erosion and mitigates the risk of endophthalmitis.