Visual outcome and complications of cow hitch. New technique for suturing intraocular lens to sclera

Poster Details

First Author: E.Infantes Molina SPAIN

Co Author(s):    A. Arias Palomero   A. Nunez Sanchez   M. Dominguez Fernandez   M. Pradas Gonzalez   T. Infante Leon   F. Gonzalez del Valle              

Abstract Details


In the absence of capsular support, sutured scleral fixated intraocular lens implantation have been performed for many years. We want to report the outcomes and complications of Cow Hitch.


Ophthalmology department of La Mancha Centro Hospital, Spain


Retrospective interventional case series. Medical records of consecutive patients who had scleral-fixated IOL surgery from January 1, 2013, to December 31, 2015, with more than 1 year of follow-up were retrospectively analyzed. Patients with sub-luxated and dislocated intraocular lens (IOL) were enrolled. The patients with leucoma, non-dilating pupil, macular scar, were not enrolled.


We enrolled the eyes who completed one year follow-up. There was a significant improvement in uncorrected distance visual acuity after surgery. The complications were corneal edema, hypotony, and uveitis, glaucoma and hyphema síndrome, transient cystoid macular edema were seen.


The Cow Hitch showed good visual outcome and It is an alternative technique for suturing IOL to the sclera, in eyes with sub-luxated and dislocated IOL.

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