Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research,
Sector 12, Chandigarh 160012
India
Case Report
Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique
Author(s): Jagat Ram, Rishiraj Singh, Varshitha Hemanth, Parul Chawla Gupta, Rohit Gupta and Simar Rajan Singh
Jagat Ram, Rishiraj Singh, Varshitha Hemanth, Parul Chawla Gupta, Rohit Gupta and Simar Rajan Singh
Treatment options for symptomatic subluxated or dislocated IOLs include observation; and repositioning, removal, or exchange of the IOL. We describe a surgical technique of trans-scleral suture fixation for subluxated bag-IOL complex. A 29 year old male; known case of bilateral recurrent tubercular panuveitis underwent left eye phacoemulsification with three piece hydrophobic acrylic IOL implantation a decade ago. He presented with decreased vision and monocular diplopia since one week. A diagnosis of subluxated bag-IOL complex was made. A 9-0 polypropylene suture was passed beneath the opposite scleral flaps and was taken out through superior stab incision. After exteriorizing both the haptics, they were sutured with prolene. Bag-IOL complex was centered and was fixated trans-sclerally under the scleral flaps. The bag-IOL complex remained stable and well centered 12 months following .. View More»
DOI:
10.4172/2155-9570.1000633