Related Experiment Video
Updated: Feb 24, 2026
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
1.9K
Scleral suture fixation technique for dislocated plate haptic toric IOL
Remzi Karadag1, Bahar Gunes2, Veysel Aykut2
1Department of Ophthalmology, School of Medicine, Istanbul Medeniyet University, Goztepe, Istanbul, Turkey. drrkaradag@yahoo.com.
International Ophthalmology
|August 13, 2017
Summary
This study presents a novel scleral suture fixation technique for dislocated toric intraocular lenses (IOLs). The method ensures excellent visual acuity and stability, offering an alternative for correcting astigmatism.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Optics
Background:
- Dislocation of plate haptic toric intraocular lenses (IOLs) can lead to visual impairment and astigmatism.
- Existing methods for managing dislocated IOLs may have limitations.
- Accurate IOL placement is crucial for refractive outcomes.
Observation:
- A novel scleral suture fixation technique using a double-armed 10-0 polypropylene suture was developed.
- The technique involves passing the suture through the IOL plate haptic and securing it to the sclera with a Z suture.
- The procedure was performed without complications.
Findings:
- The described scleral fixation technique demonstrated excellent axial, sagittal, and rotational stability for the dislocated toric IOL.
- Patients achieved an uncorrected decimal visual acuity of 0.8 post-operatively.
- No intraoperative or postoperative complications were reported.
Implications:
- This technique offers a viable surgical alternative for managing dislocated plate haptic toric IOLs.
- It effectively addresses astigmatic refractive errors caused by IOL malposition.
- The method contributes to improved patient outcomes in complex cataract surgery cases.
