Sutureless Intrascleral Pocket Technique of Transscleral Fixation of Intraocular Lens in Previous Vitrectomized Eyes.
10.3341/kjo.2014.28.2.181
- Author:
Yong Wun CHO
1
;
In Young CHUNG
;
Ji Myong YOO
;
Seong Jae KIM
Author Information
1. Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. maya12kim@naver.com
- Publication Type:Case Reports
- Keywords:
Aphakia;
Intraocular lens implantation;
Intrascleral pocket;
Transscleral fixation
- MeSH:
Aged;
Aged, 80 and over;
Aphakia/*surgery;
Female;
Humans;
Lens Implantation, Intraocular/*methods;
*Lenses, Intraocular;
Male;
Middle Aged;
Sclera/*surgery;
Sutures;
Treatment Outcome;
*Vitrectomy
- From:Korean Journal of Ophthalmology
2014;28(2):181-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
In this case series, we assessed a new technique, the intrascleral pocket procedure of transscleral fixation (TF) of the intraocular lens (IOL) in post-vitrectomized eyes. We performed the transscleral fixation of IOL in four aphakic patients who underwent pars plana vitrectomy. Two points 180degrees apart were marked at the limbus. A 2-mm-sized intrascleral pocket was created by lamellar dissection using a crescent blade without conjunctival dissection. A 2.8-mm clear corneal incision (CCI) was made using a keratome. Prolene sutures were exteriorized through the CCI pocket and a three-piece foldable acrylic IOL was injected via CCI and the ends of the haptics were exteriorized through the CCI. The prolene sutures for each haptic in the intrascleral pocket bed were then tied and knots were buried under scleral flaps. No patient had complaints such as conjunctival irritation, and visual acuity was almost identical to preoperative best-corrected visual acuity at day 1 postoperatively. IOLs were well placed without tilting or subluxation. They had no wound dehiscence or endophthalmitis postoperatively. The intrascleral pocket procedure of TF without the need for conjunctival dissection is a successful method for sulcus fixation in post-vitrectomized eyes predisposed to developing glaucoma.
