Sutureless technique for repositioning and scleral fixation of the capsular bag–intraocular lens complex with permanent use of iris retractors

Autor: Natalia Błagun, Wojciech Dyda, Marek Rękas, Karolina Krix-Jachym, Aleksandra K Kicińska
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cataract and Refractive Surgery. 48:118-124
ISSN: 1873-4502
0886-3350
DOI: 10.1097/j.jcrs.0000000000000838
Popis: A new sutureless technique used for repositioning and scleral fixation of the capsular bag-intraocular lens (IOL) complex in the surgical treatment of subluxated lenses is described. Iris retractors were used not only to induce a tent effect on the capsule but also to permanently fix the capsular bag to the sclera in this method, without the need to prepare scleral or conjunctival flaps. Surgery with the use of a capsular tension ring (CTR) and iris retractors, the ends of which were brought out through the sclera and cauterized, was performed in 7 eyes of 7 patients with moderate or severe subluxation of the crystalline lens. In all cases, simultaneous use of a CTR and iris retractors ensured good centration of the capsular bag-IOL complex. The method was safe and effective in fixing the capsule to the sclera in the case of significant damage to the ligamentous apparatus of the lens.
Databáze: OpenAIRE