| Summary: | Raffaele Nuzzi, Francesca Monteu Department of Surgical Sciences, University Eye Clinic, Molinette Hospital, Torino, ItaliaCorrespondence: Francesca MonteuClinica Oculistica Universitaria, Dipartimento di Scienze Chirurgiche, Città della Salute e della Scienza, presidio Molinette, via Cherasco 23, Torino 10126, ItaliaTel +39 347 9949826Fax +39 011 2485708Email francesca.monteu@gmail.comPurpose: The aim of this study is to report our experience in the surgical management of over 180° luxation/subluxation of the intraocular lens (IOL). Special cases are high myopic eyes, whose tissues are constitutionally more fragile, and consequently, surgery is more dangerous.Patients and Methods: The authors propose the use of the Big Bag, three loops, IOL (Zeiss), to be implanted with the scleral fixation technique, with a double-armed needle. This technique seems to improve IOL stability and visual outcome of these patients.Results: Big Bag IOL implantation with the scleral fixation technique in eyes with subluxation (over 180°) of the cataractous lens, high myopia and subluxation/dislocation of the IOL seems to suggest a possible and optimal management, with good long-term results and it is well tolerated by the patient.Conclusion: This specific ocular surgical technique can be used/standardized in all surgical “converted” complicated cases and especially in high myopic eyes.Keywords: Big Bag IOL, high myopia, scleral fixation, subluxation/luxation lens/IOL
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