Scleral loop fixation for posteriorly dislocated intraocular lenses. Operative technique and long-term results.
Surgical management of a posteriorly dislocated intraocular lens requires vitrectomy techniques to remove adherent vitreous and prevent traction on the retina. The lens implant may be repositioned in the posterior chamber by ciliary sulcus fixation or by transscleral or iris suture fixation. Previous suture fixation techniques require multiple needle penetrations through the sclera, cornea, or both. We described a simplified technique for repositioning a posteriorly dislocated intraocular lens in which sclerotomy incisions are utilized for fixation. Six patients are described, with long-term follow-up demonstrating stable anatomic status and favorable visual outcome.
Maguire
A M
AM
Beaumont Research Institute, William Beaumont Hospital, Royal Oak, MI.
Blumenkranz
M S
MS
Ward
T G
TG
Winkelman
J Z
JZ
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014821:Vitrectomy; D014822:Vitreous Body