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Modified dagger-tip Sheets glide to facilitate 2-point fixation across the anterior chamber in aniridic aphakic eyes
Journal article   Open access   Peer reviewed

Modified dagger-tip Sheets glide to facilitate 2-point fixation across the anterior chamber in aniridic aphakic eyes

Shaily D Shah, Stephen Tse, Thanos D Papakostas and Christopher S Sales
Journal of cataract and refractive surgery, Vol.47(6), pp.815-817
06/01/2021
DOI: 10.1097/j.jcrs.0000000000000394
PMID: 32815863
url
https://doi.org/10.1097/j.jcrs.0000000000000394View
Published (Version of record) Open Access

Abstract

Presented is a modified technique for removing a failed endothelial allograft in an aniridic aphakic eye that reduces the risk of posterior dislocation. This technique involves the creation of an artificial iris plane using a Sheets glide by trimming it into the shape of a dagger so that it can be pulled through the anterior chamber and fixated by both its passage through a paracentesis incision and the main incision. The Sheets glide then acts as a physical barrier, or scaffold, to allow safe removal of the failed endothelial allograft and subsequent repeat endothelial keratoplasty while avoiding posterior dislocation of the tissue into the vitreous cavity.

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