Dislocated Posterior Chamber Intraocular Lens

Implantation of scleral fixated sutured posterior chamber lenses: a retrospective analysis of 119 cases

“…Only a few studies have been published to date regarding the combined surgery of sutured lens implantation and pars plana vitrectomy [9][10][11][12][13][14]. Other publications describe simultaneous keratoplasty or refixation [15][16][17].…”

Implantation of scleral fixated sutured posterior chamber lenses: a retrospective analysis of 119 cases

“…Only a few studies have been published to date regarding the combined surgery of sutured lens implantation and pars plana vitrectomy [9][10][11][12][13][14]. Other publications describe simultaneous keratoplasty or refixation [15][16][17].…”

Intraocular lens choices for patients with glaucoma

“…Iris-suturing retains the benefits of a posterior chamber IOL and avoids the risks of trans-scleral suturing. This technique requires suturing to the fragile iris, which can lead to iris erosion, neovascularization, chaffing, iridodialysis, pigment dispersion syndrome, peripheral anterior synechiae, glaucoma and suture migration [129,130]. Scleral-sutured posterior chamber IOLs avoid some of the angle-related complications of anterior chamber IOLs as well as the difficulties with sizing and produce good visual outcomes with good anatomic and functional results.…”

Ab externo scleral suture loop fixation for posterior chamber intraocular lens decentration: Clinical results

“…Other methods of looping the suture around the IOL haptic include using a 25-gauge IOL forceps lasso that requires visualization of the haptic tip, 16,17 using a suture loop created with a threaded needle, [9][10][11] using a specially designed 9-0 polypropylene suture snare, 19 backing an unguided large needle into the eye to introduce a suture loop that requires awkward intraocular needle manipulation and multiple sclerotomies, 6,7 or passing a suture through optic positioning holes. 15 Other variations include sewing the suture to the internal lip of the sclerotomy, looping the haptic in the same suture used to close the sclerotomy, and 3-point and 4-point optic fixation.…”

“…29 Along with the anterior location of the IOL, this may lead to various complications such as iritis, iris erosion, iris neovascularization, iridodialysis, iris chafing, pigment dispersion, glaucoma, and suture migration. 6,8 None of these complications was encountered in our series. Scleral fixation of the IOL at the ciliary sulcus allows anchoring of the haptics to secure and stable structures.…”

“…They commonly involve anchoring the PC IOL to the sclera or to the iris. 29 Many of the scleral fixation techniques, however, involve multiple sclerotomies, 6,7 require multiple complicated intraocular needle manipulations, [9][10][11] use haptic externalization methods, [12][13][14] or require the passage of a suture through optic positioning holes. 15 Others also require special materials such as a vitreoretinal forceps, [16][17][18] lasso-type suture snares, 19 or perfluorocarbon liquids.…”

Implantation of scleral fixated sutured posterior chamber lenses: a retrospective analysis of 119 cases

“…Only a few studies have been published to date regarding the combined surgery of sutured lens implantation and pars plana vitrectomy [9][10][11][12][13][14]. Other publications describe simultaneous keratoplasty or refixation [15][16][17].…”

Intraocular lens choices for patients with glaucoma

“…Iris-suturing retains the benefits of a posterior chamber IOL and avoids the risks of trans-scleral suturing. This technique requires suturing to the fragile iris, which can lead to iris erosion, neovascularization, chaffing, iridodialysis, pigment dispersion syndrome, peripheral anterior synechiae, glaucoma and suture migration [129,130]. Scleral-sutured posterior chamber IOLs avoid some of the angle-related complications of anterior chamber IOLs as well as the difficulties with sizing and produce good visual outcomes with good anatomic and functional results.…”

Ab externo scleral suture loop fixation for posterior chamber intraocular lens decentration: Clinical results

“…Other methods of looping the suture around the IOL haptic include using a 25-gauge IOL forceps lasso that requires visualization of the haptic tip, 16,17 using a suture loop created with a threaded needle, [9][10][11] using a specially designed 9-0 polypropylene suture snare, 19 backing an unguided large needle into the eye to introduce a suture loop that requires awkward intraocular needle manipulation and multiple sclerotomies, 6,7 or passing a suture through optic positioning holes. 15 Other variations include sewing the suture to the internal lip of the sclerotomy, looping the haptic in the same suture used to close the sclerotomy, and 3-point and 4-point optic fixation.…”

“…29 Along with the anterior location of the IOL, this may lead to various complications such as iritis, iris erosion, iris neovascularization, iridodialysis, iris chafing, pigment dispersion, glaucoma, and suture migration. 6,8 None of these complications was encountered in our series. Scleral fixation of the IOL at the ciliary sulcus allows anchoring of the haptics to secure and stable structures.…”

“…They commonly involve anchoring the PC IOL to the sclera or to the iris. 29 Many of the scleral fixation techniques, however, involve multiple sclerotomies, 6,7 require multiple complicated intraocular needle manipulations, [9][10][11] use haptic externalization methods, [12][13][14] or require the passage of a suture through optic positioning holes. 15 Others also require special materials such as a vitreoretinal forceps, [16][17][18] lasso-type suture snares, 19 or perfluorocarbon liquids.…”

Implantation of scleral fixated sutured posterior chamber lenses: a retrospective analysis of 119 cases

“…Only a few studies have been published to date regarding the combined surgery of sutured lens implantation and pars plana vitrectomy [9][10][11][12][13][14]. Other publications describe simultaneous keratoplasty or refixation [15][16][17].…”

Intraocular lens choices for patients with glaucoma

“…Iris-suturing retains the benefits of a posterior chamber IOL and avoids the risks of trans-scleral suturing. This technique requires suturing to the fragile iris, which can lead to iris erosion, neovascularization, chaffing, iridodialysis, pigment dispersion syndrome, peripheral anterior synechiae, glaucoma and suture migration [129,130]. Scleral-sutured posterior chamber IOLs avoid some of the angle-related complications of anterior chamber IOLs as well as the difficulties with sizing and produce good visual outcomes with good anatomic and functional results.…”

Ab externo scleral suture loop fixation for posterior chamber intraocular lens decentration: Clinical results

“…Other methods of looping the suture around the IOL haptic include using a 25-gauge IOL forceps lasso that requires visualization of the haptic tip, 16,17 using a suture loop created with a threaded needle, [9][10][11] using a specially designed 9-0 polypropylene suture snare, 19 backing an unguided large needle into the eye to introduce a suture loop that requires awkward intraocular needle manipulation and multiple sclerotomies, 6,7 or passing a suture through optic positioning holes. 15 Other variations include sewing the suture to the internal lip of the sclerotomy, looping the haptic in the same suture used to close the sclerotomy, and 3-point and 4-point optic fixation.…”

“…29 Along with the anterior location of the IOL, this may lead to various complications such as iritis, iris erosion, iris neovascularization, iridodialysis, iris chafing, pigment dispersion, glaucoma, and suture migration. 6,8 None of these complications was encountered in our series. Scleral fixation of the IOL at the ciliary sulcus allows anchoring of the haptics to secure and stable structures.…”

“…They commonly involve anchoring the PC IOL to the sclera or to the iris. 29 Many of the scleral fixation techniques, however, involve multiple sclerotomies, 6,7 require multiple complicated intraocular needle manipulations, [9][10][11] use haptic externalization methods, [12][13][14] or require the passage of a suture through optic positioning holes. 15 Others also require special materials such as a vitreoretinal forceps, [16][17][18] lasso-type suture snares, 19 or perfluorocarbon liquids.…”