Flanged Sutureless Scleral Fixation Technique for Dislocated Sulcus IOL in Patient with High Myopia

Remzi Karadag, Nadim Bromound and Ozgur Cakici

Department of Ophthalmology, Istanbul Medeniyet University, Turkey

^*Correspondance to: Remzi Karadag 

 PDF  Full Text DOI: 10.25107/2474-1647.2632

Abstract

We describe a flanged Sutureless Scleral Fixation (FSSF) technique for dislocated sulcus Intraocular Lens (IOL) in patient with high myopia. We formed a 2 mm scleral tunnel 2 mm from and parallel to the limbus with 27-gauge needle entering sclera transconjunctivally. The leading haptic was threaded into the lumen of the needle using a 23-gauge forceps. This haptic was externalized onto the conjunctiva and a transconjunctival safety suture is placed at the tunnel entry side around the haptic with a 10-0 nylon suture. These steps are repeated for the other haptic. The ends of the haptics were cauterized to make a flange. The flanges of the haptics were pushed back and fixed into the scleral tunnels. The safety suture is removed at postoperative first week. No complications were seen intraoperatively or postoperatively. Using FSSF of IOL method in patient with high myopia is an alternative scleral fixation surgery.

Keywords

Dislocated sulcus IOL; Flanged, High myopia; Intrascleral; Haptic

Cite the article

Karadag R, Bromound N, Cakici O. Flanged Sutureless Scleral Fixation Technique for Dislocated Sulcus IOL in Patient with High Myopia. Clin Surg. 2019; 4: 2632.