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Scleral Fixation of Single-Piece Foldable IOL Using Double-Flanged Technique
Ahmed Samir1, Yasser G ElHag2, Ayman M Abdelrahman Elsayed1
1Assistant Professor of Ophthalmology, Ophthalmology Department, Zagazig University, Zagazig, Egypt.
Purpose:
To describe the efficiency and visual results of a new method of transconjunctival intrascleral fixation of single-piece foldable IOL using double-flanged 6/0 prolene suture.
Materials And Methods:
Seventeen aphakic eyes of 17 patients without adequate capsular support were involved in this study. Lens was prepared by passing the 6/0 prolene suture in a track in the haptic of single-piece foldable IOL created by 31 g needle. The 6/0 prolene suture was retrieved through a 30 g needle transconjunctivally to outside the globe; then, IOL was implanted and a terminal bulb was created at the outer end of the prolene suture.
Results:
All cases were aphakic after complicated phacoemulsification. In 10 cases hydrophilic IOLs were used and in 7 cases hydrophobic IOLs were used. There is clear statistically significant difference between pre-UCVA and post- UCVA. Complications included suture slippage in 2 cases and prolene bulb exposure in one case. There was no significant difference in endothelial cell count and IOP before and after 3 months.
Conclusion:
Transconjunctival intrascleral fixation of foldable single-piece IOLs is a safe efficient method for correcting aphakia.
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