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. 2022 May 1;16(3):379-381.
doi: 10.1097/ICB.0000000000000988. Epub 2020 Feb 28.

A NOVEL APPROACH TO SCLERAL FIXATION OF POSTERIOR CHAMBER INTRAOCULAR LENSES AND CAPSULAR TENSION RINGS AND SEGMENTS IN DEEP-SET EYES

Charles G Miller  1 , Caroline Minkus  2 , Alice T Lyon  2 , Surendra Basti  2 , Ilya Leskov  1
Affiliations

A NOVEL APPROACH TO SCLERAL FIXATION OF POSTERIOR CHAMBER INTRAOCULAR LENSES AND CAPSULAR TENSION RINGS AND SEGMENTS IN DEEP-SET EYES

Charles G Miller et al. Retin Cases Brief Rep. .

Abstract

Purpose: To demonstrate a novel approach to scleral fixation of posterior chamber intraocular lenses and capsular tension rings and segments in deep-set eyes using the Finesse FlexLoop (Alcon Laboratories).

Methods: The technique described herein, based on previous approaches to scleral fixation of posterior chamber intraocular lenses, uniquely employs the FlexLoop to "lasso" Gore-Tex sutures that have already been threaded through the eyelets of a CZ70BD (Alcon Laboratories) IOL and externalize them.

Results: All patients who underwent surgery with this technique experienced visual improvement. The only complication was of mild hyphema in the patient who had a capsular tension segment placed, which resolved with medical therapy.

Conclusion: The advantages of this procedure include a smaller diameter instrument (FlexLoop) as compared to the 25-gauge forceps typically employed, an easier to perform surgical maneuver that alleviates the need for both precise placement and constant tension to be exerted by the surgeon to grasp the sutures, as well as an instrument that can function when bent up to 45° to help accommodate deep-set eyes requiring this procedure.

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References

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    1. Slade DS, Hater MA, Cionni RJ, Crandall AS. Ab externo scleral fixation of intraocular lens. J Cataract Refract Surg 2012;38:1316–1321.
    1. Khan MA, Gerstenblith AT, Dollin ML, et al. Scleral fixation of posterior chamber intraocular lenses using Gore-Tex suture with concurrent 23-gauge pars plana vitrectomy. Retina 2014;34:1477–1480.
    1. Cutler NE, Sridhar J, Khan MA, et al. Transconjunctival approach to scleral fixation of posterior chamber intraocular lenses using Gore-Tex suture. Retina 2017;37:1003–1005.
    1. Mantopoulos D, Vloka CN, Halperin SJ, et al. Novel surgical approach for fixation of a posterior chamber intraocular lens using Gore-Tex suture. Retina 2017;37:2362–2364.

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