Open AccessManagement of dislocated transscleral fixated intraocular lens with one-side broken polypropylene suture
Author(s) -
Basavaraj Tigari,
Bruttendu Moharana,
Mohit Dogra,
Simar Rajan Singh,
Amarjit Singh,
Bhukya Ravikumar,
Ramandeep Singh
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1512_19
Subject(s) - medicine , sclera , fibrous joint , surgery , intraocular lens , fixation (population genetics) , subluxation , ophthalmology , population , alternative medicine , environmental health , pathology
This video demonstrates the successful surgical technique for refixation of the same intraocular lens (IOL) by tying the same IOL to the sclera with the help of 9-0 polypropylene suture. A 62-year-old male patient presented with sudden loss of vision in the left eye. He had a history of undergoing transscleral fixation of intraocular lens (TSFIOL) using 10-0 polypropylene suture 13 years back for posttraumatic-dislocated nucleus. On examination, we noticed that he had IOL dislocation due to spontaneous breakage of suture of one of the haptic. The other haptic suture was intact. The long-term complication associated with TSFIOL procedure is breakage of the polypropylene suture leading to subluxation or dislocation of the IOL. We used closed-globe approach to successfully fixate the involved haptic of the same IOL. No intraoperative or postoperative complication was encountered in three such cases.