Scleral loop fixation for posteriorly dislocated intraocular lenses. Operative technique and long-term results
A. M. Maguire, M. S. Blumenkranz, T. G. Ward and J. Z. Winkelman
Beaumont Research Institute, William Beaumont Hospital, Royal Oak, MI.
Surgical management of a posteriorly dislocated intraocular lens requires
vitrectomy techniques to remove adherent vitreous and prevent traction on
the retina. The lens implant may be repositioned in the posterior chamber
by ciliary sulcus fixation or by transscleral or iris suture fixation.
Previous suture fixation techniques require multiple needle penetrations
through the sclera, cornea, or both. We described a simplified technique
for repositioning a posteriorly dislocated intraocular lens in which
sclerotomy incisions are utilized for fixation. Six patients are described,
with long-term follow-up demonstrating stable anatomic status and favorable
visual outcome.
