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...

INTRODUCTION Ocular trauma can cause serious complications in eyes operated for cataract. CASE A 70-year- old lady had sustained blunt trauma to the left lower lid which resulted in a sub-conjunctival dislocation of the posterior chamber intraocular lens (PCIOL). The patient had undergone an uneventful manual, small-incision, sutureless cataract surgery with implantation of a PCIOL for senile...

BACKGROUND Facial fractures may lead to sequelae due to the trauma but also as a result of surgery. Complications to lower eyelid incisions include ectropion, scleral show, entropion, canthal malposition, and lid edema. The aim of this study was to compare the occurrence of such complications depending on whether a subciliary or transconjunctival incision was used for surgical access. METHODS...

INTRODUCTION In manual, tunnel-incision cataract surgery, nucleus extraction has remained a crucial issue and a challenge. It is also the period when serious complications easily occur, especially for beginners and when the nucleus is large and dense. OBJECTIVES To report a modified vectis technique for nucleus extraction in sutureless, manual, small-incision cataract surgery (MSICS) to impro...

Single loop fixation of posterior chamber intraocular lens in the presence of partial capsular support is usually performed by creation of additional scleral flap or tunnel. This extra port may expose the suture holding the intraocular lens or the tucked-in lens haptics to the outside environment thereby increasing the risk of endophthalmitis. We describe a technique of single loop fixation whe...

PURPOSE To report the technique and astigmatic results of the blue line cataract incision. SETTING The Buzzard Eye Institute, Las Vegas, Nevada, USA. METHODS This prospective study included 411 eyes of 271 patients who had cataract extraction by phacoemulsification with a self-sealing 3.0 mm blue line cataract incision. The blue line incision is performed with a diamond knife transconjuncti...

We report our experience in the surgical technique of sutureless intrascleral posterior chamber intraocular lens (PC IOL) fixation patients with insufficient capsular support using a uniquely designed, foldable, acrylic Carlevale IOL. It is specifically designed for scleral and equipped small plug attached to each two haptics anchor sclera self-retaining mechanism. This surgery does not require...