Microforceps-Assisted Transscleral Fixation of Intraocular Lens.

Li, Wei; Tsai, Ching-Yao; Tsai, I-Lun; Su, Yu-Ting; Chen, Yen-Ta; Fang, I-Mo; Tzu-Yi Chen, Zoe; Woung, Lin-Chung et al. · Retina · 2025

case_series · Level IV

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Abstract

This study presents a novel technique for intraocular lens (IOL) fixation. The technique can be used on single-piece acrylic IOLs and can manage patients who are either with aphakia or with a dislocated IOL. One end of the Gore-Tex suture is tied into the optic-haptic junction of the IOL. Another end is fixated on the scleral wall. The single-sclerotomy and double-sclerotomy settings can be applied to different situations. Twelve eyes received this procedure. After a follow-up period of up to 20 months, the IOLs were well centered. The technique is a reliable method for scleral fixation of IOLs, which can be applied to the widely used single-piece acrylic IOLs. In the authors' experience, it is reproducible and rarely causes complications.

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