Management of posteriorly dislocated lenses: Outcomes of combined posterior vitrectomy and modified transscleral suture fixation technique

Session Details

Session Title: Free Paper Session 28: Vitreoretinal Surgery VII

Session Date/Time: Sunday 10/09/2017 | 12:00-13:30

Paper Time: 12:42

Venue: Room 116

First Author: : A.Mete TURKEY

Co Author(s): :    S. Kimyon   O. Saygili   K. Gungor                       

Abstract Details


To evaluate visual outcomes and complications of combined posterior vitrectomy and scleral fixated intraocular lens (SFIOL) implantation using a modified transscleral suture fixation technique in eyes with posteriorly dislocated lenses and inadequate capsular support.


Gaziantep University Hospital, Ophthalmology Department, Gaziantep, Turkey


We analyzed retrospectively 42 patients who underwent combined posteior vitrectomy and SFIOL implantation using a modified suture fixation technique. This scleral fixation technique didn’t require to create a scleral flep or tunnel. We buried the knot directly into the scleral opening which was formed by curved-needle of the PC-9 closed loop suture and slightly enlarged by the tip of a 20-gauge blade. Visual outcomes and complications were evaluated. A video will be demonstrated during the presentation.


Forty-two eyes of 42 patients were enrolled for analyzes. Mean duration of follow-up was 23.8 months (range 18-33 months). Best corrected visual acuity (BCVA) improved in 35 (83.3%) eyes, 5 (11.9%) eyes showed no change, and 2 (4,7%) eyes had worsening of BCVA. Mean BCVA increased significiantly after surgical procedure (p<0.001). Four (%9.5) eyes developed postoperative complications.


This combined modified scleral fixation technique and posterior vitrectomy surgery appears to display a comparable effectiveness and safety compared to existing combined techniques.

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