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New minimally invasive technique for repositioning of a subluxated retropupillary iris-claw IOL using needle-assisted
Celso Costa1, Nuno Gouveia2, Pedro Fonseca2,3,4,5
1Department of Ophthalmology, Unidade Local de Saúde de Coimbra (ULS Coimbra), Coimbra, Portugal. celsomiguelcosta@hotmail.com.
Purpose:
This paper presents a modification of the needle-assisted retropupillary fixation technique for iris-claw intraocular lenses (IOLs). We introduce a novel, minimally invasive reenclavation technique for managing subluxated retropupillary iris-claw IOLs.
Methods:
The technique was successfully performed on four patients diagnosed with subluxated retropupillary iris-claw IOLs. This approach involved a novel, minimally invasive reenclavation technique that utilized three needles: one long, straight translimbal needle crossing the anterior chamber and two needles introduced through the pars plana to reposition and securely reenclavate the IOL.
Results:
All patients experienced immediate and significant visual recovery, with their baseline visual acuities reestablished postoperatively. Importantly, no post-operative complications were observed during the six-month follow-up period, highlighting the safety and efficacy of the technique.
Conclusion:
Our novel, minimally invasive technique for reenclavation of iris-claw IOLs, employing just three needles, eliminates the need for trocar insertion, infusion cannulas, or sutures. This approach offers significant advantages, including a shorter operative time and minimal surgical manipulation, leading to faster patient recovery and fewer complications.
