Transscleral suture fixation following recurrent toric intraocular lens rotation

Abstract

We describe a surgical technique of transscleral suture fixation for recurrent rotation of a double-loop hydrophilic acrylic toric intraocular lens (IOL) in the capsular bag. Two 9-0 polypropylene sutures are placed in the proximal and distal angulations of 1 of the IOL haptics through the capsular bag. The clockwise and counterclockwise traction provided by these sutures prevents rotation of the IOL in either direction. This technique can be used in cases of spontaneous postoperative IOL rotation to achieve stabilization. In the case we describe, the IOL remained stable 11 months following transscleral suture fixation at the desired axis.

Scleral Fixation of a Single-Piece AcrySof Toric Intraocular Lens: A Case Report

“…There are several reports of transscleral fixation using different types of toric IOLs in diverse situations. [6][7][8][9] They all suggested that good stabilization and visual rehabilitation can be achieved through transscleral fixation of the IOLs. In this case, the haptic was temporarily externalized through a small clear corneal incision.…”

Toric trans-scleral plugs IOL to correct aphakia with significant corneal astigmatism

“…Sutured sulcus scleral fixation of Toric IOLs are already reported as treatment for dislocated in-the-capsular-beg lens [7][8][9] as well as for recurrent intraocular lens rotation 10 ; however, the long-term stability of this technique remains unknown.…”

Suturing technique for scleral fixation of toric intraocular lens in the traumatic aphakic eye with corneal astigmatism

“…A straight and curved needle with 10-0 polypropylene suture (Ethicon, Inc.) was passed through a paracentesis into the barrel of the 26-gauge needle using a docking technique. 5 The needle was then retracted out of the eye. If necessary, one limbal conjunctival incision was created for perfusion of the balanced salt solution into the anterior chamber (AC).…”