Article

A new surgical technique using steel suture for trans-scleral fixation of posterior chamber intraocular lenses

Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian Journal of Ophthalmology (Impact Factor: 0.9). 04/2013; 61(12). DOI: 10.4103/0301-4738.111217
Source: PubMed

ABSTRACT

Background:
A new emerging complication of trans-scleral fixation of posterior chamber (PC) intraocular lens (IOL) with polypropylene suture is high rates of spontaneous dislocation of the IOL due to disintegration or breakage of suture.

Materials:
We report a new surgical technique of trans-scleral fixation of posterior chamber intraocular lens (SF PCIOL) with steel suture to eliminate the complication of dislocation of IOL fixed with polypropylene suture in one adult and a child.

Results:
We successfully achieved stable fixation and good centration of IOL after SF PCIOL with steel suture in these patient having inadequate posterior capsular support. Both eyes achieved best corrected visual acuity 20/40 at 18 months follow-up.

Conclusions:
Steel suture is a viable option for trans-scleral fixation of posterior chamber intraocular lens.

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Available from: Jagat Ram, Jan 24, 2015