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Technique for Sutured Scleral Fixation of One-Piece Hydrophobic Acrylic Intraocular Lenses Dislocated Into the Vitreous
Linköping University, Department of Biomedical and Clinical Sciences, Division of Sensory Organs and Communication. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Ophthalmology in Linköping.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Sensory Organs and Communication. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Ophthalmology in Linköping.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Sensory Organs and Communication. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Ophthalmology in Linköping.ORCID iD: 0000-0003-4666-3339
2023 (English)In: Retina, ISSN 0275-004X, E-ISSN 1539-2864, Vol. 43, no 8, p. 1413-1416Article in journal (Refereed) Published
Abstract [en]

Purpose:To present a suturing technique for safe refixation of posteriorly dislocated one-piece hydrophobic acrylic intraocular lenses (IOLs).Method:Retrospective data analysis of a series of 12 cases operated with vitrectomy, followed by IOL relocation to the retropupillary area, after which polypropylene sutures are passed through the optic-haptic junctions of the dislocated IOL and subsequently secured to the sclera.Results:In all cases, the IOL remained centered throughout the follow-up period (mean 10.5 months, range 3 weeks-36 months). One case was complicated by vitreous hemorrhage the first postoperative day and later cystoid macular edema. Visual acuity was not compromised at the end of follow-up.Conclusion:The presented technique is safe and provides long-term stable refixation in cases of late posterior dislocation of a one-piece hydrophobic acrylic IOL. The risk that sutures looped around haptics will slip off the haptic is thereby avoided.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS , 2023. Vol. 43, no 8, p. 1413-1416
Keywords [en]
dislocation; PCIOL; scleral fixation; vitrectomy
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:liu:diva-196616DOI: 10.1097/IAE.0000000000003008ISI: 001035429500026PubMedID: 33149099OAI: oai:DiVA.org:liu-196616DiVA, id: diva2:1788512
Note

Funding Agencies|Johnson amp; Johnson; Carl Zeiss Meditec; Bausch amp; Lomb

Available from: 2023-08-16 Created: 2023-08-16 Last updated: 2023-08-16

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Czajka, Marcin P.Frajdenberg, AgataJohansson, Björn
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Division of Sensory Organs and CommunicationFaculty of Medicine and Health SciencesDepartment of Ophthalmology in Linköping
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