Two-string technique to manage dislocated posterior chamber plate-haptic intraocular lens.
We describe a technique for repositioning and transscleral fixation of a dislocated plate-haptic foldable collamer posterior chamber intraocular lens (PC IOL). The displaced IOL was positioned in the anterior chamber, and a double-armed suture on a curved needle was fixed to the sclera at 10:30 o'clock. The needle then entered the globe and passed through the superior haptic eyelet of the IOL. Both were withdrawn through the scleral wound on the opposite side. The inferior haptic was fixed at 4:30 and 7:30 o'clock and provided the mirror reflection of the suture path of the upper fixed haptic. This technique may be a useful alternative to lens removal or exchange.
Rahim
Mohammad Fayez
MF
Department of Cataract and Implant Surgery, S. Fyodorov Eye Microsurgery Complex Federal State Institution, Moscow, Russia. faizrh@yahoo.com
Malyugin
Boris
B
D000867:Anterior Chamber / Q000601:surgery; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D007910:Lenses, Intraocular; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques