AI Article Synopsis
- - This study presents a new method for securely repositioning dislocated intraocular lenses (IOLs) made of polymethylmethacrylate (PMMA) that are attached to the sclera using eyelets, employing a three-port pars plana vitrectomy technique.
- - The procedure involves using a 30-gauge needle and an 8-0 polypropylene suture to reattach the IOL by threading the suture through the eyelet and anchoring it in place with a special knotting technique beneath the sclera.
- - Results from six patients show significant improvement in vision and stable IOL placement without major complications, highlighting the technique's effectiveness and minimal invasiveness for treating dislocated IOLs.
Article Abstract
The aim of this study is to describe a modified technique for internal refixation of dislocated scleral-sutured polymethylmethacrylate (PMMA) intraocular lenses (IOLs) with eyelets. Three-port pars plana vitrectomy was performed. Through the scleral fixation site, a 30-gauge needle loaded with an 8-0 polypropylene suture was inserted into the vitreous cavity. The suture end was passed through the eyelet of IOL with 25-gauge forceps. Next, it was guided out of the eye through the original scleral fixation point. The end of the exterior suture was buried with a flapless intrascleral knotting technique. Six eyes of six patients were successfully treated with this technique and followed up for 6-12 months postsurgery. In all cases, there was significant improvement in uncorrected visual acuity. IOLs were stable with proper centration and no major complications. This modified technique offers an effective and minimally invasive surgical alternative for refixation of dislocated scleral-sutured PMMA IOLs with eyelets.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11329821 | PMC |
| http://dx.doi.org/10.4103/IJO.IJO_2809_23 | DOI Listing |
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