Modified Method of Sutureless Intrascleral Posterior Chamber Intraocular Lens Fixation without Capsular Support

2013 ◽  
Vol 23 (5) ◽  
pp. 732-737 ◽  
Author(s):  
Siwei Liu ◽  
Shaoli Cheng
2016 ◽  
Vol 79 (3) ◽  
pp. 159-162 ◽  
Author(s):  
Gurkan Erdogan ◽  
Cihan Unlu ◽  
Betul Onal Gunay ◽  
Esra Kardes ◽  
Ahmet Ergin

2015 ◽  
Vol 9 (1) ◽  
pp. 169-171
Author(s):  
Krishan Pal Singh Malik ◽  
Ruchi Goel ◽  
Divya Kishore ◽  
Smriti Nagpal

Single loop fixation of posterior chamber intraocular lens in the presence of partial capsular support is usually performed by creation of additional scleral flap or tunnel. This extra port may expose the suture holding the intraocular lens or the tucked-in lens haptics to the outside environment thereby increasing the risk of endophthalmitis. We describe a technique of single loop fixation where the scleral tunnel is created adjacent to the site with the absent capsule, the leading haptic is placed on the capsular scaffold, the trailing haptic is tied to 9-0 polypropylene, and the suture is then secured to the inner edge of the scleral lip with enough tension to center the optics and the wound is then closed. The suture knot gets buried within the scleral tunnel with no external communication and does not require a separate port. It is an easy, safe, fast and reproducible technique with a lens tilt of less than 2°.


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