Euretina Logo, Links to homepage.
Euretina Logo, Links to homepage.

Salvaging and Re-Scleral fixating a partially posteriorly dislocated SF-IOL

Author: Chekitaan Singh (India)

Co-authors: Reena Gupta, Ishwar Singh, Prajjwal Kumar

Purpose

To describe a safe , simple, tissue and time friendly approach of scleral fixation of a post traumatic partially posteriorly dislocated SF-IOL with one broken suture

Setting/Venue

Ishwar eye centre , a tertiary eye care centre in Northern India

Methods

The patient underwent 3port pars plans vitrectomy, the posteriorly dislocated IOL was lifted with a forceps and its haptic brought into the anterior chamber, made to rest on the peripheral iris. A 3mm x 3mm paralimbal partial thickness scleral flap was made diagonally opposite the point where the other haptic of the lens was already scleral fixated. A straight 10-0 proline needle was passed through the scleral flap base and subsequentlythrough the haptic fenestration of the IOL and brought out through a clear corneal incision diagonally opposite the scleral flap on a bent 26 g needle and then passed in the exact opposite fashion encircling the haptic and brought out under the scleral flap. The lens was now pushed behind the iris. On sequential tightening and tying the suture the Intra ocular lens was stable and well centered in the ciliary sulcus. Post operatively the patient was satisfied with the quick and stable recovery of vision.

Results

The patients vision improved from uncorrected visual acuity of counting fingers vision to 6/9 snellen visual acuity in the operated eye. The eye was quiet , with clear cornea and healthy retina in the post operative period.

Conlusions

This procedure describes a simple , safe and elegant method for re-scleral fixating a foldable posteriorly dislocated intra ocular lens. It avoids a longer surgery and concurrently more tissue / corneal trauma of making large incisions to remove these lenses and replacing them with a new scleral fixated lens with resulting prolonged post operative recovery and higher astigmatism induction. It results in a stable lens and a happy patient

Financial Disclosure

NO FINANCIAL RELATIONS

Comments

-

IMPORTANT INFORMATION

Beware of fraudulent websites, emails and hotel booking offers

www.euretina.org is the only official website of the European Society of Retina Specialists.
 
Please be wary of websites, emails from third-party agencies using similar names, addresses or branding and purporting to represent Euretina.
 
This includes websites or companies offering Congress registration, hotel accommodation or travel services while claiming to be affiliated with Euretina.

Should you use any website other than www.euretina.org, or book accommodation through an unauthorised third-party site, you may be charged significantly more than the official registration fee, your hotel booking may not be valid, and you may not be registered for the event at all.
 
If you have any questions in relation to registration or accommodation for the Congress, these should only be directed to [email protected].