Modified Scleral Suture Fixation Technique for Foldable IOL with Fenestrations in the Proximal Part of the Haptics

Kałużny, Bartłomiej J.; Laudencka, Adriana; Malukiewicz, Grażyna

doi:10.5301/ejo.5000538

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…[ 21 ] Some SPA IOLs have closed haptics or eyelets and spaces that facilitate suturing and make the surgery safer. [ 3 16 21 25 26 27 ] Using a cow-hitch knot with those kinds of IOLs may be less likely to irritate the iris.…”

Section: Discussionmentioning

confidence: 99%

“…[ 35 ] Many studies have described scleral fixation of different SPA acrylic IOLs with different techniques. [ 3 4 5 16 21 25 26 27 28 ] None of these eyes showed any complications, such as chronic low-grade inflammation, iris chafing, pigment dispersion, UGH syndrome, IOL decentration, or IOL tilt. Only CME was observed in three eyes,[ 3 16 ] and one of them[ 16 ] was resolved with intravitreal triamcinolone acetonide injections.…”

Section: Discussionmentioning

confidence: 99%

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Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique

Altınkurt

Bilgin

2021

Indian Journal of Ophthalmology

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The procedure involved an ab-externo scleral fixation technique using a double-armed 10-0 polypropylene suture with straight needles that require no scleral flaps. The IOLs are sutured to the sclera, the free suture ends are tied to the suture loops, and they are buried together under the sclera. Forty eyes of 37 patients were included. Postoperative complications are IOL capture in five eyes (12.5%), a significant IOL tilt in one eye (2.5%), recurrent UGH (uveitis-glaucoma-hyphema) syndrome in two eyes (5%), glaucoma in three eyes (7.5%), suture exposure in two eyes (5%) and IOL drop due to haptic breakage in one eye (2.5%). The technique can be effectively used for the refixation of dislocated hydrophobic acrylic IOLs by temporary haptic externalization through a corneal incision and for the treatment of aphakia with or without penetrating keratoplasty. Surgeons should be aware of the possibility of UGH syndrome due to IOL capture, especially in young eyes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique

Altınkurt

Bilgin

2021

Indian Journal of Ophthalmology

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“…This avoids slippage of the suture and easy placement of the needle. Other techniques described in literature for sclera fixation of IOLs are the Lewis technique [12], Kaluzny modification of scleral fixation of IOL [13] and the technique introduced by Seki et al [14].…”

Section: Discussionmentioning

confidence: 99%

Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique

Ram¹,

Singh²,

Hemanth³

et al. 2017

J Clin Exp Ophthalmol

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Treatment options for symptomatic subluxated or dislocated IOLs include observation; and repositioning, removal, or exchange of the IOL. We describe a surgical technique of trans-scleral suture fixation for subluxated bag-IOL complex. A 29 year old male; known case of bilateral recurrent tubercular panuveitis underwent left eye phacoemulsification with three piece hydrophobic acrylic IOL implantation a decade ago. He presented with decreased vision and monocular diplopia since one week. A diagnosis of subluxated bag-IOL complex was made. A 9-0 polypropylene suture was passed beneath the opposite scleral flaps and was taken out through superior stab incision. After exteriorizing both the haptics, they were sutured with prolene. Bag-IOL complex was centered and was fixated trans-sclerally under the scleral flaps. The bag-IOL complex remained stable and well centered 12 months following trans-scleral suture fixation with good visual outcome. This technique can be used in any case of postoperative bag-IOL complex subluxation or dislocation to achieve stabilization.

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Modified Scleral Suture Fixation Technique for Foldable IOL with Fenestrations in the Proximal Part of the Haptics

Cited by 2 publications

References 7 publications

Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique

Scleral fixation of hydrophobic acrylic intraocular lenses using a suture burial technique

Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique

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