Retropupillary fixation of subluxated flexible intraocular lens by suturing through the optical part of the lens and iris

Abstract

An 81-year-old patient with pseudophakia and pseudoexfoliation syndrome experienced subluxation of an acrylic foldable intraocular lens (IOL) 10 months after extracapsular cataract surgery and IOL implantation in the posterior chamber. Reoperation was performed by extracting the IOL and fixating it to the iris with sutures through the IOL optic; retropupillary reimplantation was then performed by securing the IOL to the iris. This is a new technique of fixating the acrylic IOL by suturing through the peripheral part of the optic. The IOL was stabilized and at the 3-month examination, the corrected visual acuity was 1.0 (20/20) and the intraocular pressure was 13.0 mm Hg. This IOL fixation method is an alternative to scleral and other types of IOL fixation in patients with a ruptured posterior lens capsule and ruptured zonular fibers.