Posters

Solving the case of an inappropriate lens in an inappropriate place

Poster Details

First Author: C. Tataru ROMANIA

Co Author(s):    M. Burcea   A. Dogaroiu   A. Gheorghe   I. Cristescu   F. Mrini        

Abstract Details

Purpose:

Presentation of a surgical technique for centration of a subluxated posterior chamber intraocular lens (IOL) caused by its small total diameter and sulcus implantation.

Setting:

Female patient of 79 years old with a polymethyl methacrylate (PMMA) IOL having a total diameter of 12mm, placed in the sulcus and inferiorly decentrated, associated with a modified vitreous (sinchizis scintilans) herniation in the anterior chamber.

Methods:

During the surgery, we found a centered anterior capsulorhexis, a posterior capsule breach and a normal capsular bag. These findings changed the initial surgical plan of IOL anchoring to the sclera. The vitreous was removed through vitrectomy from the anterior chamber and the breach of the posterior capsule was transformed into a capsulorhexis in order to capture the IOL optic in the ring formed by both rhexes. We enlarged the small rhexes to allow the IOL optic passage. Afterwards we stabilised the IOL optic behind the posterior capsulorhexis and the haptics were placed in front of the anterior capsulorhexis.

Results:

Using this technique we managed to perfectly center the IOL creating in this way a clear optic axis.

Conclusions:

We presented a simple and efficient surgical solution in a subluxated IOL case associated with an anterior and posterior capsulorhexis and a stabile capsular bag, consisting of IOL centration through its optic capture in the margins of both rhexes and the anterior placement of the haptics.

Financial Disclosure:

NONE