Open AccessRepositioning a posteriorly dislocated silicone plate-haptic toric intraocular lens
Author(s) -
Alexandra J. van Brummen,
Eric L. Crowell,
Layla Ghergherehchi,
Nan Wang
Publication year - 2019
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1016/j.jcrs.2018.11.013
Subject(s) - intraocular lens , silicone , fixation (population genetics) , medicine , vitrectomy , ophthalmology , surgery , materials science , visual acuity , population , environmental health , composite material
We describe a technique for repositioning an encapsulated, posteriorly dislocated silicone plate-haptic toric intraocular lens (IOL) while preventing further dislocation into the vitreous cavity. Sutures of 10-0 polypropylene were used to ensure safe retrieval of the dislocated IOL. An anterior vitrectomy was then performed to remove the contracted capsular bag around the IOL. The IOL fixation hole was temporarily externalized to allow quick and secure IOL fixation, eliminating the risk for losing the slippery silicone IOL into the vitreous cavity. Using this technique, the IOL was successfully placed in the proper position and resulted in good vision for the patient while avoiding the trauma of lens exchange.