The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets
Abstract Background Rescuing dislocated intraocular lenses (IOLs) with eyelets after scleral suture fixation presents technical challenges and risks of ocular tissue damage. We propose a novel in-situ rescue technique for repositioning dislocated IOLs with fixation eyelets. This approach avoids larg...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-05-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-025-04105-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850133192668872704 |
|---|---|
| author | XiaoJia Huang Zhou Zhou ShanShan Huang Wenjing He Qi Chen Chaolan Shen Haibin Zhong Ke Yang Ling Cui Fan Xu Gang Yao |
| author_facet | XiaoJia Huang Zhou Zhou ShanShan Huang Wenjing He Qi Chen Chaolan Shen Haibin Zhong Ke Yang Ling Cui Fan Xu Gang Yao |
| author_sort | XiaoJia Huang |
| collection | DOAJ |
| description | Abstract Background Rescuing dislocated intraocular lenses (IOLs) with eyelets after scleral suture fixation presents technical challenges and risks of ocular tissue damage. We propose a novel in-situ rescue technique for repositioning dislocated IOLs with fixation eyelets. This approach avoids large incisions, accommodates dislocations in any direction, and offers a safer, more efficient alternative to traditional methods. Methods The technique was performed on four patients with dislocated IOLs following scleral suture fixation. Under retrobulbar anesthesia, a retrograde suture-guided approach was employed. A double-armed polypropylene suture was introduced retrogradely into the eye via a puncture site. The suture arms were threaded through the fixation eyelet of the IOL haptic. One arm was then cut and hooked out through the eyelet. The broken ends of the two sutures were tied together. The IOL was adjusted to its proper position, and the suture was tightened to secure it to the sclera. Results All four patients underwent successful in-situ IOL refixation without intraoperative complications. Postoperative examinations confirmed well-centered IOLs in all cases. Postoperative vision has significantly improved compared to preoperative vision. Over a follow-up period of 11–36 months, no redislocation or major complications were observed. Conclusion This in-situ rescue technique provides a safe, effective, and straightforward solution for fixing dislocated perforated IOLs. Its simplicity and positive outcomes position it as a promising option for managing these complex cases. |
| format | Article |
| id | doaj-art-d3ba5f3a71564eb2b47f07ba4aed9060 |
| institution | OA Journals |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-d3ba5f3a71564eb2b47f07ba4aed90602025-08-20T02:32:00ZengBMCBMC Ophthalmology1471-24152025-05-012511510.1186/s12886-025-04105-9The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyeletsXiaoJia Huang0Zhou Zhou1ShanShan Huang2Wenjing He3Qi Chen4Chaolan Shen5Haibin Zhong6Ke Yang7Ling Cui8Fan Xu9Gang Yao10Department of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesDepartment of Ophthalmology, Guangxi Key Laboratory of Eye Health & Guangxi Health Commission Key Laboratory of Ophthalmology and Related Systemic Diseases Artificial Intelligence Screening Technology, the People′s Hospital of Guangxi Zhuang Autonomous Region & Institute of Ophthalmic Diseases, Guangxi Academy of Medical SciencesAbstract Background Rescuing dislocated intraocular lenses (IOLs) with eyelets after scleral suture fixation presents technical challenges and risks of ocular tissue damage. We propose a novel in-situ rescue technique for repositioning dislocated IOLs with fixation eyelets. This approach avoids large incisions, accommodates dislocations in any direction, and offers a safer, more efficient alternative to traditional methods. Methods The technique was performed on four patients with dislocated IOLs following scleral suture fixation. Under retrobulbar anesthesia, a retrograde suture-guided approach was employed. A double-armed polypropylene suture was introduced retrogradely into the eye via a puncture site. The suture arms were threaded through the fixation eyelet of the IOL haptic. One arm was then cut and hooked out through the eyelet. The broken ends of the two sutures were tied together. The IOL was adjusted to its proper position, and the suture was tightened to secure it to the sclera. Results All four patients underwent successful in-situ IOL refixation without intraoperative complications. Postoperative examinations confirmed well-centered IOLs in all cases. Postoperative vision has significantly improved compared to preoperative vision. Over a follow-up period of 11–36 months, no redislocation or major complications were observed. Conclusion This in-situ rescue technique provides a safe, effective, and straightforward solution for fixing dislocated perforated IOLs. Its simplicity and positive outcomes position it as a promising option for managing these complex cases.https://doi.org/10.1186/s12886-025-04105-9Scleral fixationDislocatedSubluxedIntraocular lensOphthalmology |
| spellingShingle | XiaoJia Huang Zhou Zhou ShanShan Huang Wenjing He Qi Chen Chaolan Shen Haibin Zhong Ke Yang Ling Cui Fan Xu Gang Yao The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets BMC Ophthalmology Scleral fixation Dislocated Subluxed Intraocular lens Ophthalmology |
| title | The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets |
| title_full | The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets |
| title_fullStr | The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets |
| title_full_unstemmed | The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets |
| title_short | The retrograde suture needle threading technique for in-situ repositioning of dislocated intraocular lenses with eyelets |
| title_sort | retrograde suture needle threading technique for in situ repositioning of dislocated intraocular lenses with eyelets |
| topic | Scleral fixation Dislocated Subluxed Intraocular lens Ophthalmology |
| url | https://doi.org/10.1186/s12886-025-04105-9 |
| work_keys_str_mv | AT xiaojiahuang theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT zhouzhou theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT shanshanhuang theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT wenjinghe theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT qichen theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT chaolanshen theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT haibinzhong theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT keyang theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT lingcui theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT fanxu theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT gangyao theretrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT xiaojiahuang retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT zhouzhou retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT shanshanhuang retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT wenjinghe retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT qichen retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT chaolanshen retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT haibinzhong retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT keyang retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT lingcui retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT fanxu retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets AT gangyao retrogradesutureneedlethreadingtechniqueforinsiturepositioningofdislocatedintraocularlenseswitheyelets |