Surgical technique for repositioning subluxated previously scleral-fixated intraocular lenses.

Abstract

To describe a repositioning technique of a subluxated scleral-fixated rigid intraocular lens (IOL) with haptic holes in eyes with complete or anterior vitrectomy. Interventional case series. Using a two-port pars plana vitrectomy, a 10-0 polypropylene suture with the free end fixated to a haptic hole cut from another artificial IOL is passed through a paracentesis, then through the hole of the haptic luxated in the vitreous cavity. It is then reanchored at the sclera, repositioning the IOL. In the two eyes, visual acuity was restored to pre-subluxation levels. During 6-month follow-up, anatomic and functional results were stable, and there were no complications. This technique enables repositioning of a subluxated, previously sutured rigid IOL without externalization of the lens or haptics and with good results.