Two-string technique to manage dislocated posterior chamber plate-haptic intraocular lens
Accepted 26 August 2005.
We describe a technique for repositioning and transscleral fixation of a dislocated plate-haptic foldable collamer posterior chamber intraocular lens (PC IOL). The displaced IOL was positioned in the anterior chamber, and a double-armed suture on a curved needle was fixed to the sclera at 10:30 o'clock. The needle then entered the globe and passed through the superior haptic eyelet of the IOL. Both were withdrawn through the scleral wound on the opposite side. The inferior haptic was fixed at 4:30 and 7:30 o'clock and provided the mirror reflection of the suture path of the upper fixed haptic. This technique may be a useful alternative to lens removal or exchange.
From the Department of Cataract and Implant Surgery, S. Fyodorov Eye Microsurgery Complex Federal State Institution, Moscow, Russia
Reprint requests to Mohammad Fayez Rahim, MD, PhD, S. Fyodorov Eye Microsurgery Complex Federal State Institution, Beskudnikovsky blr–59a, 127486 Moscow, Russia.
Presented at the VIIIth International Congress of the Pan Arab African Council of Ophthalmology, Dubai, United Arab Emirates, April 2005.
Neither author has a financial or proprietary interest in any material or method mentioned.