Treatment options for symptomatic subluxated or dislocated IOLs include observation; and repositioning, removal, or exchange of the IOL. We describe a surgical technique of trans-scleral suture fixation for subluxated bag-IOL complex. A 29 year old male; known case of bilateral recurrent tubercular panuveitis underwent left eye phacoemulsification with three piece hydrophobic acrylic IOL implan...

Scleral fixation of intraocular lenses (IOLs) and adjunctive capsular devices can be performed under the protection of a scleral flap. A modification of this technique uses a scleral pocket initiated through a peripheral clear corneal incision. Full-thickness passage of a double-armed suture through the scleral pocket and conjunctiva, with subsequent retrieval of the suture ends through the ext...

Purpose: To compare and investigate the short-term clinical outcomes between 10-0 polypropylene sutured intraocular lens (IOL) scleral fixation modified Yamane sutureless IOL in patients with or crystalline les dislocation aphakic state.Methods: From August 2012 to May 2022, medical records were retrospectively analyzed for 43 40 fixation. Uncorrected visual acuity (UCVA), best corrected (BCVA)...

BACKGROUND To report two cases of Descemet Membrane Endothelial Keratoplasty (DMEK) in patients with existing scleral-fixated and iris-fixated intraocular lenses (sf-IOL and if-IOL, respectively). CASE PRESENTATION DMEK procedures were performed on a 49-year-old woman with a pre-existing sf-IOL (case 1) and a 69-year-old woman with a pre-existing if-IOL (case 2) in order to treat secondary co...

Subluxated cataracts secondary to blunt injury are a challenge to treat from the construction of rhexis to IOL insertion. For that reason, we designed a new glued endocapsular ring (ECR)/ segment (ECS) for subluxated cataracts and IOLs for sutureless fibrin glue assisted trans-scleral fixation of the capsular bag. The glued ECR/segment stabilizes the capsular bag intra and post-operatively, all...

OBJECTIVE To determine the changes in visual acuity in patients undergoing Trans-Scleral Sutured Posterior Chamber Intra-Ocular Lens (TSSPCIOL) implantation at a tertiary care hospital in Karachi, Pakistan. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY LRBT Tertiary Eye Hospital, Karachi, from January 2006 to December 2010. METHODOLOGY Records of all patients undergoing implantati...

After tenotomy adjoining 3 o'clock and 9 o'clock limbus, 3-mm-wide partial-thickness scleral tunnels are created at these two diametrically opposite points 3 mm from the limbus such that they reach up to a distance of 1.5 mm from the limbus. Two ab externo sclerotomies are created using 26-G needles on the bed of these partial-thickness scleral tunnels. Precaution is taken to ensure that the po...

A 55-years-old woman presented with profound sudden loss of vision in left eye (LE) after an injury a road side accident. She had normal right eye. Left perception light (PL) accurate projection (PR) all quadrants, total hyphema, chemosis supero-nasal conjunctiva and intraocular pressure (IOP). B-scan LE showed extrusion the lens into subconjunctival space called phacocele, vitreous hemorrhage....

JULY 2014 CATARACT & REFRACTIVE SURGERY TODAY 55 M any techniques have been described for correcting aphakia with inadequate capsular support. The most common IOLs that are used include anterior chamber, posterior chamber, iris-fixated, and scleral-sutured IOLs; however, there is no current agreement on the ideal technique or technology. The Artisan aphakia lens (Ophtec; marketed as the Verisys...