Direct scleral fixation of posterior chamber intraocular lenses using a special needle-holder.
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.
Vajpayee
R B
RB
Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Angra
S K
SK
Sandramouli
S
S
Rewari
R
R
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