In-situ flanged intrascleral fixation of dislocated foldable intraocular lens

Purpose The aim of this study was to investigate the efficacy of in-situ transconjunctival scleral fixation of dislocated one-piece foldable intraocular lens (IOL) with flanged prolene 6/0 suture. Patients and methods The study included seven eyes of seven patients with dislocated IOL. A 6/0 prolene...

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Main Authors: Ayman M.A Elsayed, Ahmed Samir, Ayman Lotfy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Delta Journal of Ophthalmology
Subjects:
Online Access:http://www.djo.eg.net/article.asp?issn=1110-9173;year=2023;volume=24;issue=2;spage=105;epage=108;aulast=Elsayed
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author Ayman M.A Elsayed
Ahmed Samir
Ayman Lotfy
author_facet Ayman M.A Elsayed
Ahmed Samir
Ayman Lotfy
author_sort Ayman M.A Elsayed
collection DOAJ
description Purpose The aim of this study was to investigate the efficacy of in-situ transconjunctival scleral fixation of dislocated one-piece foldable intraocular lens (IOL) with flanged prolene 6/0 suture. Patients and methods The study included seven eyes of seven patients with dislocated IOL. A 6/0 prolene suture was threaded into a 30-G needle that was then passed transconjunctively. The needle was passed through the optic–haptic junction of the luxated IOL. The prolene was then retrieved through the corneal tunnel. Two central and two scleral bulbs (flanges) were created by heating the ends of the prolene suture. Results The best-corrected visual acuity was significantly improved from 0.16±0.05 preoperatively to 0.62±0.08 3 months postoperatively (P=0.006). There were nonsignificant IOP elevation and endothelial cell loss (P>0.05). All cases had well-centered IOL. No postoperative complications such as vitreous hemorrhage, macular edema, retinal detachment, or endophthalmitis were recorded. Conclusion In-situ transconjunctival scleral fixation of foldable one-piece IOLs is a safe effective technique for fixing dislocated IOLs.
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spelling doaj.art-1e0ce6ba1c3b488b9a0ba7cd4302bf8f2023-10-26T06:18:56ZengWolters Kluwer Medknow PublicationsDelta Journal of Ophthalmology1110-91732090-48352023-01-0124210510810.4103/djo.djo_82_22In-situ flanged intrascleral fixation of dislocated foldable intraocular lensAyman M.A ElsayedAhmed SamirAyman LotfyPurpose The aim of this study was to investigate the efficacy of in-situ transconjunctival scleral fixation of dislocated one-piece foldable intraocular lens (IOL) with flanged prolene 6/0 suture. Patients and methods The study included seven eyes of seven patients with dislocated IOL. A 6/0 prolene suture was threaded into a 30-G needle that was then passed transconjunctively. The needle was passed through the optic–haptic junction of the luxated IOL. The prolene was then retrieved through the corneal tunnel. Two central and two scleral bulbs (flanges) were created by heating the ends of the prolene suture. Results The best-corrected visual acuity was significantly improved from 0.16±0.05 preoperatively to 0.62±0.08 3 months postoperatively (P=0.006). There were nonsignificant IOP elevation and endothelial cell loss (P>0.05). All cases had well-centered IOL. No postoperative complications such as vitreous hemorrhage, macular edema, retinal detachment, or endophthalmitis were recorded. Conclusion In-situ transconjunctival scleral fixation of foldable one-piece IOLs is a safe effective technique for fixing dislocated IOLs.http://www.djo.eg.net/article.asp?issn=1110-9173;year=2023;volume=24;issue=2;spage=105;epage=108;aulast=Elsayeddislocatedflangedintraocular lensprolenescleral fixation
spellingShingle Ayman M.A Elsayed
Ahmed Samir
Ayman Lotfy
In-situ flanged intrascleral fixation of dislocated foldable intraocular lens
Delta Journal of Ophthalmology
dislocated
flanged
intraocular lens
prolene
scleral fixation
title In-situ flanged intrascleral fixation of dislocated foldable intraocular lens
title_full In-situ flanged intrascleral fixation of dislocated foldable intraocular lens
title_fullStr In-situ flanged intrascleral fixation of dislocated foldable intraocular lens
title_full_unstemmed In-situ flanged intrascleral fixation of dislocated foldable intraocular lens
title_short In-situ flanged intrascleral fixation of dislocated foldable intraocular lens
title_sort in situ flanged intrascleral fixation of dislocated foldable intraocular lens
topic dislocated
flanged
intraocular lens
prolene
scleral fixation
url http://www.djo.eg.net/article.asp?issn=1110-9173;year=2023;volume=24;issue=2;spage=105;epage=108;aulast=Elsayed
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