Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical TechniqueJagat Ram*, Rishiraj Singh, Varshitha Hemanth, Parul Chawla Gupta, Rohit Gupta and Simar Rajan Singh
Post Graduate Institute of Medical Education and Research, Chandigarh, India
- *Corresponding Author:
- Jagat Ram
Advanced Eye Centre
Post Graduate Institute of Medical Education and Research
Sector 12, Chandigarh 160012, India,
E-mail: [email protected]
Received Date: December 27, 2016; Accepted Date: February 06, 2017; Published Date: February 08, 2017
Citation: Ram J, Singh R, Hemanth V, Gupta PC, Gupta R, et al. (2017) Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique. J Clin Exp Ophthalmol 8:633. doi:10.4172/2155-9570.1000633
Copyright: © 2017 Ram J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,distribution, and reproduction in any medium, provided the original author and source are credited.
Treatment options for symptomatic subluxated or dislocated IOLs include observation; and repositioning, removal, or exchange of the IOL. We describe a surgical technique of trans-scleral suture fixation for subluxated bag-IOL complex. A 29 year old male; known case of bilateral recurrent tubercular panuveitis underwent left eye phacoemulsification with three piece hydrophobic acrylic IOL implantation a decade ago. He presented with decreased vision and monocular diplopia since one week. A diagnosis of subluxated bag-IOL complex was made. A 9-0 polypropylene suture was passed beneath the opposite scleral flaps and was taken out through superior stab incision. After exteriorizing both the haptics, they were sutured with prolene. Bag-IOL complex was centered and was fixated trans-sclerally under the scleral flaps. The bag-IOL complex remained stable and well centered 12 months following trans-scleral suture fixation with good visual outcome. This technique can be used in any case of postoperative bag-IOL complex subluxation or dislocation to achieve stabilization.