Saratov JOURNAL of Medical and Scientific Research

Method for intraocular lens reposition with suture fixation in the ciliary sulcus (clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 599-602
Heading: Ophtalmology Article type: Case report
Authors: Kislitsyna N.M., Sultanova D.M., Dibirova S.M., Kurakina E.S.
Organization: S. Fyodorov Eye Microsurgery Federal State Institution

The purpose of the study is to provide a method for repositioning intraocular lens (IOL) with suture fixation to the sclera in the projection of the ciliary furrow based on the example of a clinical case. The article presents the method for suture fixation of IOL dislocation (T-26 model). It describes a method of IOL reposition with suture fixation into the ciliary sulcus. Procedure stages: this method of IOL suture fixation is performed using two needles connected by a thread of polypropylene 10-0 (MANI sutures polypropylene 10-0). Using a guide needle 30G through the paracentesis, the needles are inserted above and below the IOL haptic element at the 6 o'clock position. The formed thread loop fixes the IOL in the projection of the ciliary sulcus to the sclera. Visual acuity on the first day after surgery was established at 0.7; IOP 19.0 mm Hg. At the control check-up after 7 days, visual acuity is 0.9 without additional correction; IOP 18 mm Hg. The proposed method of IOL reposition with suture fixation in the ciliary sulcus is associated with atraumatic, simple implementation and allows to achieve good functional and anatomical results in the treatment of patients.

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