Modified transscleral fixation using combined temporary haptic externalization and injector intraocular lens implantation.
Several transscleral suturing techniques require intricate surgical maneuvers and are associated with an increased risk for surgical trauma. We describe a new scleral fixation method that combines the advantages of temporary haptic externalization and injector implantation of an intraocular lens (IOL). After IOL insertion with the injector, each haptic is externalized through 2 adjacent corneal incisions. A 10-0 polypropylene suture loop is made at each exposed haptic and transscleral IOL fixation performed. This modified technique is a safe and effective way to fixate the IOL in eyes with insufficient capsule support.
Kim
Dong Hyun
DH
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Hospital Clinical Research Institute, Seoul, Korea.
Heo
Jang Won
JW
Hwang
Sang Won
SW
Lee
Jin Hak
JH
Chung
Hum
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D001036:Aphakia, Postcataract / Q000601:surgery; D002452:Cell Count; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007906:Lens Subluxation / Q000601:surgery; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011475:Prosthesis Failure; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
D011126:Polypropylenes