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SURGICAL TECHNIQUE
Year : 2020  |  Volume : 68  |  Issue : 6  |  Page : 1148-1149

Management of dislocated transscleral fixated intraocular lens with one-side broken polypropylene suture


Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Ramandeep Singh
Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1512_19

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This video demonstrates the successful surgical technique for refixation of the same intraocular lens (IOL) by tying the same IOL to the sclera with the help of 9-0 polypropylene suture. A 62-year-old male patient presented with sudden loss of vision in the left eye. He had a history of undergoing transscleral fixation of intraocular lens (TSFIOL) using 10-0 polypropylene suture 13 years back for posttraumatic-dislocated nucleus. On examination, we noticed that he had IOL dislocation due to spontaneous breakage of suture of one of the haptic. The other haptic suture was intact. The long-term complication associated with TSFIOL procedure is breakage of the polypropylene suture leading to subluxation or dislocation of the IOL. We used closed-globe approach to successfully fixate the involved haptic of the same IOL. No intraoperative or postoperative complication was encountered in three such cases.


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