title: Single-suture scleral fixation of subluxated foldable intraocular lenses.
abstract: OBJECTIVE
  To evaluate the results of single-suture scleral fixation of subluxated foldable intraocular lenses (IOL) in eyes with sufficient residual capsular support.
  
  
  METHODS
  The results of IOL repositioning by single-suture scleral fixation in 6 eyes of 6 patients with IOL subluxation were included. All subluxated IOLs were single-piece hydrophilic acrylic. Subluxation resulted from posterior capsule tears in 3 eyes, zonular dialyses in 2 eyes, and zonular dialysis with a capsulorhexis tear in 1 eye. A similar technique was used in all eyes in which one haptic was externalized through a superior clear corneal incision and tied with a Pair-PAK 10-0 polypropylene suture, and was finally retracted and fixated behind the iris close to the ciliary sulcus at the 12:00 meridian. All patients were followed up for at least 6 months.
  
  
  RESULTS
  Best-corrected visual acuities ranged between finger counting and 20/70 (mean logMAR 1.02±0.64) preoperatively, and between 20/100 and 20/20 (mean logMAR 0.22±0.26) at the final postoperative visit. All IOLs remained centered and no significant postoperative complications were encountered except for an IOL tilt which resulted in a considerable oblique astigmatism in one eye.
  
  
  CONCLUSIONS
  Subluxated foldable IOLs may safely be repositioned and secured with a single scleral fixation suture in selected cases with adequate amount of capsular remnants.
authors.affiliation: Department of Ophthalmology, Ankara Numune Training and Research Hospital, Ankara, Turkey. alperyarangumeli@yahoo.com
authors.forename: Alper
authors.initials: A
authors.lastname: Yarangumeli
authors.forename: Mehmet Numan
authors.initials: MN
authors.lastname: Alp
authors.forename: Gulcan
authors.initials: G
authors.lastname: Kural
mesh_terms: D000328:Adult; D000368:Aged; D060437:Artificial Lens Implant Migration / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology
chemical_list: D011126:Polypropylenes