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SURGICAL TECHNIQUE
Year : 2021  |  Volume : 69  |  Issue : 3  |  Page : 762-764

Modified balanced two-string technique of internal scleral fixation of posteriorly dislocated intraocular lens


Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Correspondence Address:
Dr. R Madhu Kumar
Sankara Eye Hospital, Guntur Vijayawada Express Highway, Pedakakani, Guntur - 522 509, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_922_20

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Posterior dislocation of the intraocular lens (IOL) is a rare but potentially dangerous complication encountered by a cataract surgeon. We describe a modified balanced two-string technique of internally fixing a posteriorly dislocated rigid IOL using the pars plana approach in eyes which lack adequate capsular support. Five eyes of five patients underwent the procedure. All eyes had successful IOL refixation. One eye had mild temporal decentration. BCVA improved in all patients. Our technique is an alternate method of scleral fixation of posteriorly dislocated IOL with advantages of minimal postoperative astigmatism, minimal anterior segment manipulation, and good IOL centration.


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