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SURGICAL TECHNIQUE
Year : 2020  |  Volume : 68  |  Issue : 4  |  Page : 632-635

Intraocular lens-sling technique: A safe approach for lens implantation in complicated cataract surgery and secondary intraocular lens implantation


1 Consultant, Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
2 Vitreo-Retina Fellow, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
3 Consultant, Glaucoma Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
4 Consultant, Cornea Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India
5 Resident, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India

Correspondence Address:
Dr. Manas Nath
Aravind Eye Hospital, Thavalakuppam, Pondicherry 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1112_19

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Among 20 million cataract surgeries being performed worldwide every year, approximately 5% are being complicated by posterior capsule rent or zonular dialysis. Intraocular lens (IOL) implantation in such cases with intraoperative complications is quite challenging. Our next course of action is to place the IOL in the ciliary sulcus, however, there is a risk of IOL drop into the vitreous in cases of inadequate support. We have described a novel idea of using a suture material through the dialling hole of a three-piece rigid IOL which can be used as a leash to reduce the risk of IOL drop during implantation in such cases. This technique could also be used during sutureless scleral fixated IOL and retro-pupillary iris claw lens implantation. We found that in 90 consecutive patients where this technique was used, there was no incidence of IOL drop or retinal detachment.


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