Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens
The commonest complication of trans-scleral fixation of posterior chamber intraocular lens (PCIOL) is suture erosion. The sutures though crucial for lens stability, if exposed cause discomfort and are a potential source of endophthalmitis. We describe a technique in which the IOL is suspended in the...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-07-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/0972-0200.376564 |
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| Summary: | The commonest complication of trans-scleral fixation of posterior chamber intraocular lens (PCIOL) is suture erosion. The sutures though crucial for lens stability, if exposed cause discomfort and are a potential source of endophthalmitis. We describe a technique in which the IOL is suspended in the ciliary sulcus using 9-0 polypropylene by an ab externo approach at 2 and 8 o'clock positions through the scleral bed under 3×3 mm partial thickness scleral flaps. The 9-0 polypropylene suture, holding the PCIOL is then secured by an anchoring knot and the entire mesh of sutures are buried under the scleral flap by a simple modification in suturing technique wherein a bite through the undersurface of scleral flap pulls the flap snugly on the suture knot preventing suture erosion. |
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| ISSN: | 0972-0200 2454-2784 |