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Management of dislocated transscleral fixated intraocular lens with one-side broken polypropylene suture.


ABSTRACT: This video demonstrates the successful surgical technique for refixation of the same intraocular lens (IOL) by tying the same IOL to the sclera with the help of 9-0 polypropylene suture. A 62-year-old male patient presented with sudden loss of vision in the left eye. He had a history of undergoing transscleral fixation of intraocular lens (TSFIOL) using 10-0 polypropylene suture 13 years back for posttraumatic-dislocated nucleus. On examination, we noticed that he had IOL dislocation due to spontaneous breakage of suture of one of the haptic. The other haptic suture was intact. The long-term complication associated with TSFIOL procedure is breakage of the polypropylene suture leading to subluxation or dislocation of the IOL. We used closed-globe approach to successfully fixate the involved haptic of the same IOL. No intraoperative or postoperative complication was encountered in three such cases.

SUBMITTER: Tigari B 

PROVIDER: S-EPMC7508067 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Management of dislocated transscleral fixated intraocular lens with one-side broken polypropylene suture.

Tigari Basavaraj B   Moharana Bruttendu B   Dogra Mohit M   Singh Simar Rajan SR   Singh Ankur A   Ravikumar Bhukya B   Singh Ramandeep R  

Indian journal of ophthalmology 20200601 6


This video demonstrates the successful surgical technique for refixation of the same intraocular lens (IOL) by tying the same IOL to the sclera with the help of 9-0 polypropylene suture. A 62-year-old male patient presented with sudden loss of vision in the left eye. He had a history of undergoing transscleral fixation of intraocular lens (TSFIOL) using 10-0 polypropylene suture 13 years back for posttraumatic-dislocated nucleus. On examination, we noticed that he had IOL dislocation due to spon  ...[more]

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