title: Direct scleral fixation of posterior chamber intraocular lenses using a special needle-holder.
abstract: We report a modified technique of direct scleral fixation of a posterior chamber intraocular lens (PC-IOL) using a specially designed intraocular needle-holder. The procedure was carried out in three eyes with posttraumatic subluxated cataracts; one with aphakic bullous keratopathy and with an accidental posterior capsular rent, and one with a superior zonulodialysis. The needle-holder greatly facilitated the procedure, enabling us to place the PC-IOL precisely in the ciliary sulcus with no subsequent decentration. This method avoids iris fixation and provides more secure scleral fixation of the PC-IOL.
authors.affiliation: Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
authors.forename: R B
authors.initials: RB
authors.lastname: Vajpayee
authors.forename: S K
authors.initials: SK
authors.lastname: Angra
authors.forename: S
authors.initials: S
authors.lastname: Sandramouli
authors.forename: R
authors.initials: R
authors.lastname: Rewari
mesh_terms: D000328:Adult; D000368:Aged; D002387:Cataract Extraction / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009339:Needles; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity