Modified transscleral fixation technique for refixation of dislocated intraocular lenses

Abstract

Scleral fixation of dislocated PC IOLs using temporary haptic externalization through a clear corneal incision minimized the need for complicated intraocular maneuvers, had a low incidence of complications, and provided an easy and effective way to reposition dislocated PC IOLs.

Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation

“…They include repositioning the IOL in the sulcus or anterior chamber using a pars plana approach, 8,30,40,41 replacing the IOL, 3,30,35,37,42,43 and securing the IOL to the ciliary sulcus [44][45][46][47]48 or the iris. 38,49,50 The placement of sutures around the haptics of a dislocated IOL via an internal approach often requires complex intraocular maneuvers.…”

Técnica de refixação escleral via pars plana de háptica luxada para o vítreo em paciente com transplante de córnea

“…Several studies have described closed-eye techniques for trans-scleral fixation to correct IOL dislocation (1,(5)(6)(7)(8)(9)(14)(15)(16)(17)(18) . However, many of these methods are technically complex, require special instruments, and may even increase the risk of complications (1) .…”

“…However, many of these methods are technically complex, require special instruments, and may even increase the risk of complications (1) . Insler, Manie and Peyman (14) ; Kokame, Yamamoto and Mandel (15) ; and Nikeghbali and Falavarjani (16) described closedeye fixation techniques involving haptic externalisation -the former through the pars plana, and the latter two using clear cornea incisions. Most authors describe fixation in the scleral wall (8,9) or the ciliary sulcus (18) .…”

Modified Siepser sliding knot technique for scleral fixation of subluxated posterior chamber intraocular lens

“…These methods can be divided into 2 groups. [4][5][6][7][8][9] One involves bringing the haptic outside the eye temporarily and, after making a knot, replacing the haptic inside the eye; the other involves making a suture loop around the haptic ab externo. However, removing the haptic from the eye can cause complications while the IOL is rotated with vitreous in the anterior chamber.…”