Iris Fixation of Unstable Anterior Chamber Intraocular Lenses.
OBJECTIVE
To present a surgical approach for the treatment of unstable anterior chamber intraocular lenses (ACIOLs).


METHODS
We present a series of 8 patients who underwent iris fixation of an unstable open-looped ACIOL associated with progressive corneal damage. The loops of the intraocular lens were firmly fixated to the iris using 9-0 or 10-0 polypropylene sutures. In 2 cases, iris fixation was associated with penetrating keratoplasty. The other cases were performed using a relatively closed-system technique.


RESULTS
All procedures were uneventful, with no intraoperative or postoperative complications. Suture fixation effectively prevented anterior-posterior or propelling movement. The ACIOLs in all cases were stable and well centered at the end of follow-up.


CONCLUSIONS
Fixation of an existing unstable angle-supported ACIOL to the iris is an effective and simple alternative to intraocular lens exchange and posterior chamber fixation.
*Department of Ophthalmology, Meir Medical Center, Kfar Saba, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; †Ein Tal Eye Center, Tel Aviv, Israel; and ‡Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.
Avner
A
Belkin
Shay
S
Ofir
Guy
G
Kleinmann
Ehud
E
Assia
Fani
F
Segev
D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011126:Polypropylenes; D011183:Postoperative Complications; D013536:Suture Techniques; D013537:Sutures
D011126:Polypropylenes