title: Scleral fixation of a subluxated intraocular lens-capsular bag complex through a fibrotic continuous curvilinear capsulorhexis.
abstract: Several strategies have been devised to manage in-the-bag intraocular lens (IOL) subluxation. We describe a method of fixating the IOL-capsular bag complex to the sclera using the fibrotic ring that develops around the continuous curvilinear capsulorhexis (CCC). Two, preferably 3, double-armed 10-0 polypropylene sutures are passed around the fibrotic CCC rim of the capsule and out the Hoffman scleral pockets and then tied in the scleral tunnels to center the IOL-bag complex. This technique provides an alternative approach to repositioning and fixating the IOL-bag complex that is especially useful in cases in which removal and replacement of the IOL would be difficult. It also provides more than 2-point fixation to achieve perfect IOL centration.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Gimbel Eye Centre, Calgary, Alberta, Canada. hvgimbel@gimbel.com
authors.forename: Howard V
authors.initials: HV
authors.lastname: Gimbel
authors.forename: Matthew
authors.initials: M
authors.lastname: Brucks
authors.forename: Albena A
authors.initials: AA
authors.lastname: Dardzhikova
authors.forename: Gerardo D
authors.initials: GD
authors.lastname: Camoriano
mesh_terms: D000369:Aged, 80 and over; D019923:Capsulorhexis / Q000379:methods*; D005260:Female; D005355:Fibrosis; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D018918:Phacoemulsification; D011126:Polypropylenes; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures
chemical_list: D011126:Polypropylenes