Abstract
We describe a new technique for retrieval, sulcus relocation and trans-scleral fixation of posteriorly dislocated (posterior chamber intraocular lenses (PC-IOLs) in a closed eye using a 9/0 polypropylene snare instrument adapted specifically for this purpose. Our experience is described of the first 5 consecutive cases in which the snare was used. The posteriorly dislocated PC-IOL was successfully relocated in 4 of these cases but per-operative fracture of a lens haptic necessitated removal of the IOL in the fifth. A number of surgical techniques have already been described in the management of this problem but we consider the polypropylene snare to offer the advantages of a simpler technique that obviates the need for either manipulation of needles within the eye or complex suturing procedures.
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Stark WJ, Brimer WE, Martin NF . Management of dislocated subluxed posterior chamber intraocular lenses. Ophthalmic Surg 1982;13:130–3.
Brod RD, Flyhn HW Jr, Clarkson JG, et al Management options for retinal detachment in the presence of a posteriorly dislocated intraocular lens. Retina 1990;10:50–6.
Sternberg P, Michels RG . Treatment of dislocated posterior chamber intraocular lenses. Arch Ophthalmol 1986;104:1391–3.
Insler MS, Mani H, Peyman GA . A new surgical technique for dislocated posterior chamber intraocular lenses. Ophthalmic Surg 1988;19:480–1.
Smiddy WE . Dislocated posterior chamber intraocular lens: a new technique of management. Arch Ophthalmol 1989;107:1678–80.
Bloom SM, Wyszynski RE, Brucker AJ . scleral fixation suture for dislocated posterior chamber intraocular lens. Ophthalmic Surg 1990;21:851–4.
Campo RV, Chang KD, Oyakawa RT . Pars plana vitrectomy in the management of dislocated posterior chamber intraocular lenses. Am J Ophthalmol 1989;108:529–3.4.
Duffy RJ, Holland EJ, Agapitos PJ, Lindstrom RL . Anatomic study of trans-sclerally sutured intraocular lens implantation. Am J Ophthalmol 1989;108:300–9.
Smiddy WE, Flynn HW Jr. Management of retained lens nuclear fragments and dislocated posterior chamber intraocular lenses after cataract surgery. Semin Ophthalmol 1993;8:96–103.
Heilskov T, Joondeph BC, Olsen KR, Blankenship GW . Late endophthalmitis after trans-scleral fixation of a posterior chamber intraocular lens. Arch Ophthalmol 1989;107:1427.
Stark WJ, Goodman G, Goodman B, Gottsch J . Posterior chamber intraocular lens implantation in the absence of posterior capsule support. Ophthalmic Surg 1988;19:240.
Hu BV, Shin DH, Gibbs KA YJ . Implantation of posterior chamber lens in the absence of zonular and capsular support. Arch Ophthalmol 1988;106:416.
Girard L . PC-IOL implantation in the absence of posterior capsular support. Ophthalmic Surg 1988;19:680.
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Little, B., Rosen, P., Orr, G. et al. Trans-scleral fixation of dislocated posterior chamber intraocular lenses using a 9/0 microsurgical polypropylene snare. Eye 7, 740–743 (1993). https://doi.org/10.1038/eye.1993.172
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DOI: https://doi.org/10.1038/eye.1993.172
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