Sutureless scleral fixation of dislocated rayner type C-flex broad haptic intraocular lenses using fibrin glue - Possibility & limitations

Session Details

Session Title: Free Paper Session 5: Anterior/Posterior Segment Surgery

Session Date/Time: Thursday 07/09/2017 | 11:00-12:30

Paper Time: 11:48

Venue: Room 117

First Author: : S.Mittal INDIA

Co Author(s): :                                 

Abstract Details

Purpose:

To evaluate the possibility & limitations of management of dislocated Rayner type C-flex broad haptic Intra-Ocular Lens (IOL) by sutureless scleral fixation using fibrin glue

Setting:

Thind Eye Hospital, Jalandhar

Methods:

Retrospective review of 6 eyes that underwent repositioning of the dislocated Rayner type C-flex broad haptic IOL using glue assisted sclera fixation. None of the above eyes had any capsular support. Standard 3 port pars plan Vitrectomy was performed in all eyes. PVD was induced when needed and IOL was separated of all vitreous adhesions. Vitreous was also removed from anterior chamber and the pars plana region. Partial thickness sclera flaps were made 180 degrees apart at the limbus. Small sclera pockets were dissected at the edge of the flaps. A sclerotomy was done under the flap 1.5 mm behind the limbus on both sides. Vitreous was removed at the sclerotomy site using vitrectomy cutter. Using a 23G forceps the haptics of the IOL were brought out on both sides. The IOL was adjusted on both sides to make it central. The inner arm of the haptic of the IOL was cut and replaced inside whereas the outer arm was buried in the previously made scleral pockets. Glue was applied in the flap region to close the pockets, sclerotomy and the flap.

Results:

The follow up was done at 1 day, 1 week, 2 weeks, 6 weeks and 3 months postoperatively. All IOLs were adequately positioned. None of the patients had intra-operative/postoperative surgical complications.

Conclusions:

Glue assisted sclera fixation of Rayner type C-flex Broad haptic Lens is a safe and effective way of repositioning of dislocated IOLs. This technique is combined with sutureless vitrectomies for faster rehabilitation of patients

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