Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique
The occurrence of intraocular lens (IOL) implantation failure in phacoemulsification is relatively uncommon. However, because cataract surgery is the most prevalent surgical procedure worldwide, the aggregate instances of post-surgical aphakic status are significant. Though several alternatives, inc...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_2888_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849425396239433728 |
|---|---|
| author | Vellam R Vivekanandan Sivagami Nachiappan Annamalai Odayappan Naveen N Gangapatnam Merlin Benzy Rengaraj Venkatesh |
| author_facet | Vellam R Vivekanandan Sivagami Nachiappan Annamalai Odayappan Naveen N Gangapatnam Merlin Benzy Rengaraj Venkatesh |
| author_sort | Vellam R Vivekanandan |
| collection | DOAJ |
| description | The occurrence of intraocular lens (IOL) implantation failure in phacoemulsification is relatively uncommon. However, because cataract surgery is the most prevalent surgical procedure worldwide, the aggregate instances of post-surgical aphakic status are significant. Though several alternatives, including anterior chamber IOL, iris-fixated IOL, and scleral-fixated IOL (SFIOL), exist for secondary IOL implantation, recent trends favor SFIOL implantation. In the realm of SFIOLs, all sutureless variants necessitate the exteriorization of the haptic through the sclera, implying a larger sclerotomy. Sutured SFIOL requires special lenses and typically involve rigid ones, which necessitate a larger incision. We describe a technique that involves utilizing a straight-needled 7-0 polypropylene suture for the 4-flanged intrascleral fixation of any foldable IOL that can be manually loaded onto a cartridge. This method combines the advantages of a reduced incision size and a smaller sclerotomy, addressing concerns associated with both sutureless and rigid SFIOL implantation. |
| format | Article |
| id | doaj-art-3e99b1ad5c6a408d83f0503d644b025f |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-3e99b1ad5c6a408d83f0503d644b025f2025-08-20T03:29:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-07-017371072107410.4103/IJO.IJO_2888_24Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical techniqueVellam R VivekanandanSivagami NachiappanAnnamalai OdayappanNaveen N GangapatnamMerlin BenzyRengaraj VenkateshThe occurrence of intraocular lens (IOL) implantation failure in phacoemulsification is relatively uncommon. However, because cataract surgery is the most prevalent surgical procedure worldwide, the aggregate instances of post-surgical aphakic status are significant. Though several alternatives, including anterior chamber IOL, iris-fixated IOL, and scleral-fixated IOL (SFIOL), exist for secondary IOL implantation, recent trends favor SFIOL implantation. In the realm of SFIOLs, all sutureless variants necessitate the exteriorization of the haptic through the sclera, implying a larger sclerotomy. Sutured SFIOL requires special lenses and typically involve rigid ones, which necessitate a larger incision. We describe a technique that involves utilizing a straight-needled 7-0 polypropylene suture for the 4-flanged intrascleral fixation of any foldable IOL that can be manually loaded onto a cartridge. This method combines the advantages of a reduced incision size and a smaller sclerotomy, addressing concerns associated with both sutureless and rigid SFIOL implantation.https://journals.lww.com/10.4103/IJO.IJO_2888_247-0 polypropylene sutureaphakiaflangephacoemulsificationsutured scleral fixation foldable intraocular lens |
| spellingShingle | Vellam R Vivekanandan Sivagami Nachiappan Annamalai Odayappan Naveen N Gangapatnam Merlin Benzy Rengaraj Venkatesh Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique Indian Journal of Ophthalmology 7-0 polypropylene suture aphakia flange phacoemulsification sutured scleral fixation foldable intraocular lens |
| title | Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique |
| title_full | Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique |
| title_fullStr | Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique |
| title_full_unstemmed | Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique |
| title_short | Four-flanged, intrascleral fixation of foldable intraocular lens using straight-needled 7-0 polypropylene suture – A surgical technique |
| title_sort | four flanged intrascleral fixation of foldable intraocular lens using straight needled 7 0 polypropylene suture a surgical technique |
| topic | 7-0 polypropylene suture aphakia flange phacoemulsification sutured scleral fixation foldable intraocular lens |
| url | https://journals.lww.com/10.4103/IJO.IJO_2888_24 |
| work_keys_str_mv | AT vellamrvivekanandan fourflangedintrascleralfixationoffoldableintraocularlensusingstraightneedled70polypropylenesutureasurgicaltechnique AT sivagaminachiappan fourflangedintrascleralfixationoffoldableintraocularlensusingstraightneedled70polypropylenesutureasurgicaltechnique AT annamalaiodayappan fourflangedintrascleralfixationoffoldableintraocularlensusingstraightneedled70polypropylenesutureasurgicaltechnique AT naveenngangapatnam fourflangedintrascleralfixationoffoldableintraocularlensusingstraightneedled70polypropylenesutureasurgicaltechnique AT merlinbenzy fourflangedintrascleralfixationoffoldableintraocularlensusingstraightneedled70polypropylenesutureasurgicaltechnique AT rengarajvenkatesh fourflangedintrascleralfixationoffoldableintraocularlensusingstraightneedled70polypropylenesutureasurgicaltechnique |