Avner Belkin1,2, Veronika Yehezkeli3, Ehud I Assia3,4,5. 1. Department of Ophthalmology, Meir Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 59 Tshernichovsky Str., 44281, Kfar Saba, Israel. avner.belkin@gmail.com. 2. Ein-Tal Eye Center, Tel-Aviv, Israel. avner.belkin@gmail.com. 3. Department of Ophthalmology, Meir Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 59 Tshernichovsky Str., 44281, Kfar Saba, Israel. 4. Ein-Tal Eye Center, Tel-Aviv, Israel. 5. Center for Applied Eye Research, Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.
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.
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.