Open AccessModified balanced two-string technique of internal scleral fixation of posteriorly dislocated intraocular lens
Author(s) -
Rashmi Kumar,
Vinaya Kumar Konana,
Ashok Kanakamedla,
Jayamadhury Gudimetla,
Swarnalatha Poluri,
Sudhakar Potti
Publication year - 2021
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_922_20
Subject(s) - medicine , intraocular lens , centration , fixation (population genetics) , pars plana , ophthalmology , capsulorhexis , surgery , intraocular lenses , visual acuity , vitrectomy , phacoemulsification , population , environmental health
Posterior dislocation of the intraocular lens (IOL) is a rare but potentially dangerous complication encountered by a cataract surgeon. We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequate capsular support. Five eyes of five patients underwent the procedure. All eyes had successful IOL refixation. One eye had mild temporal decentration. BCVA improved in all patients. Our technique is an alternate method of scleral fixation of posteriorly dislocated IOL with advantages of minimal postoperative astigmatism, minimal anterior segment manipulation, and good IOL centration.