Modified bean-shaped ring segments for suture fixation of the bag-in-the-lens intraocular implant
Sorcha Ní Dhubhghaill1, Anca Cristina Dogaroiu1, Nadia Zakaria1
1From the Department of Ophthalmology (Ní Dhubhghaill, Zakaria, Tassignon), Antwerp University Hospital, Edegem, and the Department of Medicine (Ní Dhubhghaill, Zakaria, Tassignon), University of Antwerp, Wilrijk, Belgium; Alcor Ophthalmology Clinic (Dogaroiu), Bucharest, Romania.
Abstract:
We describe a surgical technique for secondary stabilization of a bag-in-the-lens intraocular lens (BIL IOL) using 2 modified bean-shaped ring segments in cases of zonular dehiscence associated with pseudophakodonesis. The first modified bean segment is anchored in the sulcus with a suture to the sclera in the area of maximum zonular dehiscence, and the second segment is implanted in the opposite sulcus area. Both segments are placed in the BIL IOL interhaptic groove. The segments stabilize and center the BIL IOL by creating an artificial zonule that provides the necessary extra support for the IOL.
