Modified balanced two-string technique of internal scleral fixation of posteriorly dislocated intraocular lens

Posterior dislocation of the intraocular lens (IOL) is a rare but potentially dangerous complication encountered by a cataract surgeon. We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequa...

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Detalles Bibliográficos
Autores principales: Kumar, R Madhu, Konana, Vinaya Kumar, Kanakamedla, Ashok, Gudimetla, Jayamadhury, Poluri, Swarnalatha, Potti, Sudhakar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7942082/
https://www.ncbi.nlm.nih.gov/pubmed/33595521
http://dx.doi.org/10.4103/ijo.IJO_922_20
Descripción
Sumario:Posterior dislocation of the intraocular lens (IOL) is a rare but potentially dangerous complication encountered by a cataract surgeon. We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequate capsular support. Five eyes of five patients underwent the procedure. All eyes had successful IOL refixation. One eye had mild temporal decentration. BCVA improved in all patients. Our technique is an alternate method of scleral fixation of posteriorly dislocated IOL with advantages of minimal postoperative astigmatism, minimal anterior segment manipulation, and good IOL centration.

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