A new suture technique for preventing pupillary capture after suture-fixated intraocular lens implantation

Poster Details

First Author: T.Sakurai JAPAN

Co Author(s):    R. Tano   T. Kinoshita   S. Fukuoka   T. Mano     

Abstract Details

Purpose:

Pupillary capture is one of the complications after suture-fixated intraocular lens (IOL) implantation with pars plana vitrectomy (PPV). We have tried to prevent IOL moving forward to cause pupillary capture with suturing 10-0 polyplopylene between iris and IOL.

Setting:

case report

Methods:

A 50-year-old male was referred to our hospital because of rhegmatogenous retinal detachment in his left eye. He was performed PPV, phacoemulsification and aspiration with IOL implantation in the bag. Four years after the surgery, IOL spontaneously dislocated. We performed suture-fixated IOL implantation (CZ70-BD, Alcon). Best corrected visual acuity (BCVA) was 1.0 x S -2.75 D = C -1.25 D Ax 65?OS. One year after second operation, pupillary capture developed. A needle with 10-0 polypropylene was introduced through a scleral flap incision at the 9-o’clock position, and guided by the 27-gauge needle through iris and fixed IOL from the 5-o’clock position 2.0 mm posterior from the limbus. The 10-0 polypropylene was pulled so that the suture could be placed between iris and IOL.

Results:

Six months after the operation, there was no severe complications and pupillary capture did not recur. BCVA was 1.0 x S -2.25 D = C -0.5 D Ax 80?OS.

Conclusions:

Although larger numbers with longer follow-up are required, this technique enables to prevent pupillary capture after suture-fixated IOL implantation. FINANCIAL DISCLOSURE?: No