Open AccessSutureless technique for repositioning and scleral fixation of the capsular bag–intraocular lens complex with permanent use of iris retractors
Author(s) -
Karolina Krix-Jachym,
Natalia Błagun,
Aleksandra K. Kicińska,
Wojciech Dyda,
Marek Rękas
Publication year - 2022
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1097/j.jcrs.0000000000000838
Subject(s) - sclera , medicine , iris (biosensor) , fixation (population genetics) , ophthalmology , intraocular lens , intraocular lenses , capsule , subluxation , centration , lens (geology) , surgery , optics , computer science , biology , population , botany , alternative medicine , computer security , environmental health , pathology , biometrics , physics
A new sutureless technique used for repositioning and scleral fixation of the capsular bag-intraocular lens (IOL) complex in the surgical treatment of subluxated lenses is described. Iris retractors were used not only to induce a tent effect on the capsule but also to permanently fix the capsular bag to the sclera in this method, without the need to prepare scleral or conjunctival flaps. Surgery with the use of a capsular tension ring (CTR) and iris retractors, the ends of which were brought out through the sclera and cauterized, was performed in 7 eyes of 7 patients with moderate or severe subluxation of the crystalline lens. In all cases, simultaneous use of a CTR and iris retractors ensured good centration of the capsular bag-IOL complex. The method was safe and effective in fixing the capsule to the sclera in the case of significant damage to the ligamentous apparatus of the lens.