J Korean Ophthalmol Soc.  2007 Jan;48(1):167-171.

Scleral Fixation of Foldable Intraocular Lenses Using Injector

• Roh KH
• Park MJ
• Choi KS
• Lee SJ

Abstract

PURPOSE: To introduce the method of scleral fixation, using Mport(TM) (Bausch & Lomb) injector and silicone three-piece foldable IOL (Silens 6, Bausch & Lomb).
METHODS
The study was conducted for five cases of aphakia requiring secondary implantation of IOL. The partial-thickness scleral flaps were made on 2 and 8 o' clock site. A double-armed 10-0 polypropylene suture and 26G needle were inserted through each sclera. Surgical and 26G needle were conjoined and passed out through 2 o' clock site sclera. The clear corneal incision was made on 10 o' clock site through which a suture was pulled out and cut. The end of suture which originated from 8 o' clock site was passed through the injector and tied to the leading haptic of IOL, then inserted. The other end of suture was tied to the following haptic and complete the insertion of IOL with forceps.
RESULTS
Time taken for the above procedure was within 20 minutes and postoperatively induced astigmatism was less than 1.5 diopters. No specific complication was noticed.
CONCLUSIONS
This technique may be an effective and substitute procedure for that have been used for reasons of less astigmatism, and stable chamber maintenance during procedure.

Keyword

Foldable intraocular lens; Injector; Scleral fixation

MeSH Terms

Aphakia
Astigmatism
Lenses, Intraocular*
Needles
Polypropylenes
Sclera
Silicones
Surgical Instruments
Sutures
Polypropylenes
Silicones