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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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-07-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/0972-0200.376564 |
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| author | Ruchi Goel KPS Malik |
| author_facet | Ruchi Goel KPS Malik |
| author_sort | Ruchi Goel |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-dcc6878d9d9e4a11b6ed1cc741b5c888 |
| institution | DOAJ |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2011-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-dcc6878d9d9e4a11b6ed1cc741b5c8882025-08-20T03:09:31ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842011-07-01221374010.4103/0972-0200.376564Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular LensRuchi GoelKPS MalikThe 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.https://journals.lww.com/10.4103/0972-0200.376564iolscleral fixationsutured posterior chamber iol |
| spellingShingle | Ruchi Goel KPS Malik Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens Delhi Journal of Ophthalmology iol scleral fixation sutured posterior chamber iol |
| title | Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens |
| title_full | Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens |
| title_fullStr | Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens |
| title_full_unstemmed | Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens |
| title_short | Safe Suture Burial in Trans-scleral Fixation of Posterior Chamber Intraocular Lens |
| title_sort | safe suture burial in trans scleral fixation of posterior chamber intraocular lens |
| topic | iol scleral fixation sutured posterior chamber iol |
| url | https://journals.lww.com/10.4103/0972-0200.376564 |
| work_keys_str_mv | AT ruchigoel safesutureburialintransscleralfixationofposteriorchamberintraocularlens AT kpsmalik safesutureburialintransscleralfixationofposteriorchamberintraocularlens |