Transscleral suture fixation of a subluxated posterior chamber lens within the capsular bag.
A 48-year-old man with cataract had uncomplicated phacoemulsification and implantation of a posterior chamber intraocular lens (IOL) into the continuous capsulorhexis. Three years later, part of the capsular bag and a haptic subluxated into the anterior chamber. At the time of repositioning surgery, partial zonular dehiscence and iridocapsular synechias were found. The IOL was repositioned behind the iris; however, subluxation of the lens recurred 1 year later. The IOL and capsular bag were successfully sutured to the sclera by introducing a double-armed polypropylene suture through a limbal stab incision.
Oshika
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D000867:Anterior Chamber / Q000473:pathology; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012008:Recurrence; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques