TechniqueSutureless intrascleral fixation of intraocular lens through self-sealing sclerotomy wounds using haptic externalization and reinternalization technique
Section snippets
Surgical technique
A standard three-port 23-gauge or 25-gauge pars plana vitrectomy is performed with careful depressed vitrectomy to trim the vitreous base.
Discussion
An eye with insufficient or no capsule support might do well with an anterior chamber IOL, an iris-sutured or iris-fixed anterior chamber IOL, or a scleral-fixated posterior chamber IOL (PC IOL). A scleral-fixated PC IOL might be anatomically preferable because the IOL is closer to the native lens position, away from angle structures and the corneal endothelium. Suturing a PC IOL to the sclera is effective, although the suture might cause inflammation and suture erosion can occur. Suture
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Presented at the Canadian Ophthalmological Society Annual Meeting, Victoria, British Columbia, Canada, June 2015.
Disclaimer: The views expressed in this manuscript are the authors, and not an official position of McGill University.