Capsule membrane suture fixation of decentered sulcus intraocular lenses.
Different surgical methods are used to fixate the subluxated sulcus intraocular lens (IOL) in the absence of in-bag fixation, ranging from iris and scleral suturing to optic capture of the IOL. A new technique, which we have termed capsule membrane suture fixation, provides an additional method for securing a subluxated or decentered sulcus-based IOL to the remnant capsule or a capsular membrane. This method can also be used in secondary surgery for fixation, repositioning, or removal and replacement of IOLs. In this technique, the IOL haptics are sutured to the fibrotic elements of the capsular membrane to center and secure the IOL to the capsular membrane and prevent complications associated with uveal touch.
Gimbel Eye Centre, Calgary, AB, Canada. hvgimbel@gimbel.com
Howard V
HV
Gimbel
Gerardo D
GD
Camoriano
Chirag R
CR
Shah
Albena A
AA
Dardzhikova
D000368:Aged; D060437:Artificial Lens Implant Migration / Q000601:surgery*; D002387:Cataract Extraction; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology