Abstract
Purpose
To report a technique for fixating posterior chamber intraocular lenses (PCIOLs) to the sclera by passing sutures through the lens material.
Methods
Cases in which PCIOLs were fixated to the sclera using trans-optic sutures were included in this series. Intra and post-operative complications were recorded, and lens position was assessed using slit-lamp examination.
Results
Fourteen cases were included in this series. In nine cases, the procedure was performed using 9–0 polypropylene in pseudophakic eyes to correct subluxation, centration, tilt or to replace a broken haptic. In five cases, this technique was used for primary PCIOL fixation using a flanged 6–0 polypropylene suture in aphakic eyes. In all cases, the lenses remained centered and stable at the end of follow-up, and no post-operative complications occurred.
Conclusion
Trans-optic suturing is a safe and effective alternative method for fixation of IOLs in a variety of pseudophakic and aphakic clinical scenarios.
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Data availability
The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
Avner Belkin: IOPtima, Veronika Yehezkeli, MD: None, Ehud I Assia, MD: Hanita Lenses, Biotechnology General, Vision Care Technologies, APX Ophthalmology, IOPtima, VisiDome, CorNeat
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A 92-year-old female first presented with total anridia following penetrating trauma to the cornea and primary suturing of the wound was performed. Two months later, subluxation of the hydrophilic acrylic intraocular lens was noticed: the lens was suspended in the anterior segment of the eye by a small adhesion of fibrotic tissue to the cornea. Trans-optic suturing of the lens to the sclera using a 9-0 polypropylene suture on a straight needle was performed. A double pass through each optic-haptic junction was made to ensure stability and to minimize post-operative tilt. The patient declined anridia repair and was extremely happy with her post-operative vision.
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Belkin, A., Yehezkeli, V. & Assia, E.I. Trans-optic suture fixation of malpositioned intraocular lenses. Int Ophthalmol 42, 2819–2827 (2022). https://doi.org/10.1007/s10792-022-02272-y
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DOI: https://doi.org/10.1007/s10792-022-02272-y