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International Ophthalmology

, Volume 38, Issue 5, pp 2183–2186 | Cite as

Scleral suture fixation technique for dislocated plate haptic toric IOL

  • Remzi Karadag
  • Bahar Gunes
  • Veysel Aykut
  • Halit Oguz
  • Ahmet Demirok
Case Report

Abstract

Purpose We describe a scleral suture fixation technique for dislocated plate haptic toric intraocular lens (IOL) implantation. Materials and methods A double-armed 10-0 straight polypropylene suture was passed into the eye from the sclera (2 mm away from the limbus). A suture needle was passed through the hole on the corner of the IOL and pulled out from the paracentesis with a 27-gauge needle. Afterward, the suture needle was reinserted from the same paracentesis and then removed from the eye with the help of a 27-gauge needle entering the eye from a nearby point to the first scleral entrance. The needle was passed through the end of the loop and pulled slightly to initiate the formation of a cow-hitch knot. The same procedure was applied to the other hole on the plate haptic. Both sutures were adjusted and fixed to the sclera with a Z suture. Results No complications were observed and at the follow-up visits, uncorrected visual acuity was 0.8 with decimal. Conclusion Axial, sagittal, and rotational stability rules are taken into consideration, scleral fixation surgery for a dislocated plate haptic foldable toric IOL is an alternative method to eliminate astigmatic refractive error.

Keywords

Capsular defect IOL dislocation Plate haptic toric IOL Scleral fixation Toric IOL 

Notes

Compliance with ethical standards

Conflict of interest

The authors have no financial interest in any of the products mentioned in the manuscript. None of the authors has any conflicts of interest in this study.

Patient consent

The patient has consented to the submission of the case report for submission to the journal.

References

  1. 1.
    Kessel L, Andresen J, Tendal B et al (2016) Toric intraocular lenses in the correction of astigmatism during cataract surgery: a systematic review and meta-analysis. Ophthalmology 123:275–286CrossRefPubMedCentralGoogle Scholar
  2. 2.
    Lam DK, Chow VW, Ye C et al (2016) Comparative evaluation of aspheric toric intraocular lens implantation and limbal relaxing incisions in eyes with cataracts and ≤3 dioptres of astigmatism. Br J Ophthalmol 100:258–262CrossRefPubMedCentralGoogle Scholar
  3. 3.
    Sagiv O, Sachs D (2015) Rotation stability of a toric intraocular lens with a second capsular tension ring. J Cataract Refract Surg 41:1098–1099CrossRefPubMedCentralGoogle Scholar
  4. 4.
    Arjmand P, Chan TY, Ahmed II (2015) Transscleral suture fixation following recurrent toric intraocular lens rotation. J Cataract Refract Surg 41:912–917CrossRefPubMedCentralGoogle Scholar
  5. 5.
    Li PH, Tseng GL, Wu SC et al (2016) 27-Gauge needle-assisted technique for repositioning a dislocated intraocular lens. Retina 36:1791–1795CrossRefPubMedCentralGoogle Scholar
  6. 6.
    Dajee KP, Abbey AM, Williams GA (2016) Management of dislocated intraocular lenses in eyes with insufficient capsular support. Curr Opin Ophthalmol 27:191–195CrossRefPubMedCentralGoogle Scholar
  7. 7.
    Karadag R, Celik HU, Bayramlar H et al (2016) Sutureless intrascleral fixated intraocular lens implantation. J Refract Surg 32:586–597CrossRefPubMedCentralGoogle Scholar
  8. 8.
    Totan Y, Karadag R (2013) Two techniques for sutureless intrascleral posterior chamber IOL fixation. J Refract Surg 29:90–94CrossRefPubMedCentralGoogle Scholar
  9. 9.
    Emanuel ME, Randleman JB, Masket S (2013) Scleral fixation of a one-piece toric intraocular lens. J Refract Surg 29:140–142CrossRefPubMedCentralGoogle Scholar
  10. 10.
    Kelkar A, Shah R, Kelkar J et al (2015) Sutureless, glueless, scleral fixation of single-piece and toric intraocular lens: a novel technique. Case Rep Ophthalmol 6:239–245CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Remzi Karadag
    • 1
  • Bahar Gunes
    • 1
  • Veysel Aykut
    • 1
  • Halit Oguz
    • 1
  • Ahmet Demirok
    • 1
  1. 1.Department of Ophthalmology, School of MedicineIstanbul Medeniyet UniversityGoztepe, IstanbulTurkey

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