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Flanged sutureless scleral fixation technique for dislocated sulcus IOL in patient with high myopia

Poster Details

First Author: N.Bromand TURKEY

Co Author(s):    R. Karadag   O. Cakici   S. Karaca   A. Demirok           

Abstract Details

Purpose:

We describe a flanged sutureless scleral fixation technique for dislocated sulcus intraocular lens (IOL) in patient with high myopia.

Setting:

Istanbul Medeniyet University School of Medicine

Methods:

We formed a 2 mm scleral tunnel 2 mm from and parallel to the limbus with 27-gauge needle entering sclera transconjunctivally at an approximately 20 degree angle. The leading haptic was threaded into the canula of the needle using a 23-gauge forceps. This haptic was externalized onto the conjunctiva and a transconjunctival safety suture is placed at the tunnel entry side with a 10-0 nylon suture. These steps are repeated for the other haptic. The ends of the haptics were cauterized to make a flange. The flanges of the haptics were pushed back and fixed into the scleral tunnels.

Results:

The safety suture is removed at postoperative first week. No complications were seen intraoperatively or postoperatively.

Conclusions:

Using flanged sutureless intrascleral IOL fixation method in patient with high myopia is an alternative scleral fixation surgery.

Financial Disclosure:

None

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