Ann Optom Contact Lens.  2022 Jun;21(2):79-82. 10.52725/aocl.2022.21.2.79.

Intraocular Lens Scleral Fixation by Flanged Fixation Using 5-0 Polyprophylene

• Choi SY
• Kim NY
• Kwon YH

• KMID: 2532517
• DOI: http://doi.org/10.52725/aocl.2022.21.2.79

Abstract

Purpose
In patient with intraocular lens dislocation, surgery was performed to fix the existing intraocular lens to the sclera by flanged fixation using 5-0 polypropylene without replacing the existing intraocular lens, and this is to be introduced.
Case summary
One mm incisions were made in the cornea at 11 and 2 o'clock and the prolapsed vitreous was removed. Through the incised cornea, the 5-0 polypropylene is inserted through one hole of the intraocular lens and drawn out of the eye, and the other end of the 5-0 polypropylene is also drawn out of the eye through the vitreous. The ends of the 5-0 polypropylene were melted with a Low-Temperature Cautery to form a flanged shape and fixed to the sclera. No significant complications occurred after the operation.
Conclusions
It can be seen that the flanged type of scleral fixation using 5-0 polypropylene is a useful alternative to the conventional classic scleral fixation.

Keyword

Flanged fixation; Intraocular lens dislocation; Polypropylenes; Scleral fixation