J Korean Ophthalmol Soc.
2024 May;65(5):348-353. 10.3341/jkos.2024.65.5.348.
In situ Scleral Suture Fixation of an Injector-delivered Intraocular Lens
- Affiliations
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- 1Department of Ophthalmology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
- KMID: 2555487
- DOI: http://doi.org/10.3341/jkos.2024.65.5.348
Abstract
- Purpose
We evaluated a novel surgical technique for managing the intraocular lens (IOL) through in situ scleral fixation and its outcomes.
Case summary
This retrospective case series included three eyes of three patients treated with the in situ scleral fixation technique for IOL. Our method involves suturing the haptics of an already intraocularly injected IOL in situ using a Siepser sliding knot suture, while the other haptic is tied externally. Notably, no intraoperative or postoperative complications, such as cystoid macula edema, were observed.
Conclusions
This novel technique is a user-friendly and effective approach to improve IOL-capsular bag stability, requiring minimal intraocular intervention or preoperative preparation compared to conventional IOL scleral fixation methods. Furthermore, it is particularly effective for addressing concerns related to IOL-capsular bag stability following IOL insertion, as it eliminates the possibility of performing the typical IOL scleral fixation due to the absence of preoperative preparation and evaluation.
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