Trocar blade-assisted scleral fixation for an incomplete dislocated intraocular lens
Laura Liu1, Nan-Kai Wang, Yen-Po Chen
1From the Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan (L. Liu, Y-P. Chen, K-J. Chen, Chou, Yu-Chuan Kang, Hwang, T-L. Chen, Y-H. Chen, Wu); College of Medicine, Chang Gung University, Taoyuan, Taiwan (L. Liu, Y-P. Chen, K-J. Chen, Chou, Yu-Chuan Kang, Yeung, Hwang, T-L. Chen, Y-H. Chen, Wu, C.C. Lai); Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, New York (Wang); Department of Ophthalmology, Tucheng Municipal Hospital, New Taipei City, Taiwan (Y-P. Chen); Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan (Yeung, C-C. Lai); Department of Ophthalmology, Cheng Hsin General Hospital, Taipei, Taiwan (J-H. Liu).
Abstract:
An incomplete dislocated intraocular lens (IOL) is often treated with IOL exchange because the IOL subluxates posteriorly during surgery and makes it difficult to fixate the IOL in situ. A trocar blade used for 23-gauge vitrectomy was used to lift and stabilize the IOL-capsular complex. The IOL can then be fixated using a suture loop fixation technique, which was originally limited to patients with decentered IOL. The advantage of this technique is that it allows the remaining zonular fibers and IOL to be preserved. The modified technique using a trocar blade to assist scleral fixation allows the incomplete dislocated IOL to be retrieved and fixated with a simplified surgical procedure.
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