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Modified balanced two-string technique of internal scleral fixation of posteriorly dislocated intraocular lens.

ABSTRACT: Posterior dislocation of the intraocular lens (IOL) is a rare but potentially dangerous complication encountered by a cataract surgeon. We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequate capsular support. Five eyes of five patients underwent the procedure. All eyes had successful IOL refixation. One eye had mild temporal decentration. BCVA improved in all patients. Our technique is an alternate method of scleral fixation of posteriorly dislocated IOL with advantages of minimal postoperative astigmatism, minimal anterior segment manipulation, and good IOL centration.

SUBMITTER: Kumar RM

PROVIDER: S-EPMC7942082 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Modified balanced two-string technique of internal scleral fixation of posteriorly dislocated intraocular lens.

Kumar R Madhu RM Konana Vinaya Kumar VK Kanakamedla Ashok A Gudimetla Jayamadhury J Poluri Swarnalatha S Potti Sudhakar S

Indian journal of ophthalmology 20210301 3

Posterior dislocation of the intraocular lens (IOL) is a rare but potentially dangerous complication encountered by a cataract surgeon. We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequate capsular support. Five eyes of five patients underwent the procedure. All eyes had successful IOL refixation. One eye had mild temporal decentration. BCVA improved in all patients. Our technique is ...[more]

PMID: 33595521

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