Scleral Fixation of Standard Capsular Tension Ring and In-the-Bag Intraocular Lens Implantation in Patients With Severe Lens Subluxation

Abstract

The authors introduce a new technique for scleral fixation using a standard capsular tension ring for in-the-bag use in patients with a lens dislocated by more than 180°. Three patients with zonulysis and phacodonesis underwent surgery with this technique, and all of the patients showed stable maintenance in visual acuity after an average of 22.7 months (range: 14 to 30 months) of follow-up. None of them showed any serious postoperative complications. This technique appears to be safe and effective in terms of lens stability and visual rehabilitation.

Retropupillary fixation of subluxated flexible intraocular lens by suturing through the optical part of the lens and iris

“…The most frequent reasons for posterior capsule damage are trauma and complications in cataract surgery 11,12 and for rupturing of zonular fibers, the pseudoexfoliative syndrome. 12,13 Alternative fixation of an implanted IOL is applied in such cases, and various methods have been developed.…”

Scleral fixation of Ahmed glaucoma valve tube tip for adjustment of cornea-touching malposition

“…The rest of the procedure for sclera fixation is the same as in previously described surgical techniques. 7 In conclusion, we believe that our method is a simple and minimally invasive surgical method for treating AGV tube touching of the corneal endothelium. However, considering the limited number of cases studied and the short follow-up period, a larger group with a longer follow-up period is necessary.…”