Surgical technique for repositioning subluxated previously scleral-fixated intraocular lenses.
OBJECTIVE
To describe a repositioning technique of a subluxated scleral-fixated rigid intraocular lens (IOL) with haptic holes in eyes with complete or anterior vitrectomy.


METHODS
Interventional case series.


METHODS
Using a two-port pars plana vitrectomy, a 10-0 polypropylene suture with the free end fixated to a haptic hole cut from another artificial IOL is passed through a paracentesis, then through the hole of the haptic luxated in the vitreous cavity. It is then reanchored at the sclera, repositioning the IOL.


RESULTS
In the two eyes, visual acuity was restored to pre-subluxation levels. During 6-month follow-up, anatomic and functional results were stable, and there were no complications.


CONCLUSIONS
This technique enables repositioning of a subluxated, previously sutured rigid IOL without externalization of the lens or haptics and with good results.
Department of Ophthalmology, Bucharest Eye Hospital and Clinic, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. fbalta@xnet.ro <fbalta@xnet.ro>
Florian N
FN
Balta
D000368:Aged; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity; D014821:Vitrectomy
D011126:Polypropylenes