First Author: J. F. Davila Villarreal MEXICO
Co Author(s): C.D. Azuara Azuara M. A. De Alba Castilla E. F. Gutierrez Enriquez J. A. Ruiz Gonzalez H. A. Trevino Rodriguez J. H. Gonzalez Cortes
Back to previous
We presente a surgical variant of scleral fixation of intraocular lens 3 pices, without suture or glue and monitoring the stability, tilt, complications, feasibility of the technique intermediate and long term results.
Servicios Médicos Quirúrgicos de Monterrey, Monterrey, Nuevo Leon, México.
We retrospectively was evaluated between March 2012 to December 2016. The medical records of 21 patients with this technique. A placement of 25 gauge infusión canula was performed, we made a 23 gauge microvitreo retinal knife was used to perform the sclerotomies at 2.5 mm of the limbus, introduce the IOL by clear cornea, extraction of the haptics with 25 gauge endgrasping forcepS, a scleral tunnel was made with 27 needle parallel to the limbus and introduce the haptic to the lumen of the needle and we extract the needle and the haptic was placed in the tunnel.
The study evaluate 21 consecutive patients with the same surgeon (JFDV). The mean follow-up was 12 months. We observe one patient a recurrent vítreos hemorrage (2.1%), well centered in 100% of the cases, no conjunctival erosion, cystoid macular edema, hipotony or retinal detachment was observed.
Scleral fixation of 3 pieces IOL provide an adequate visual acuity in most cases. This technique is easy, reproducible, feasibility, cheap and provide an excelent centration, axial stability, it limits the complications of other techniques like rupture of the suture, destabilization of the optic zone by loss of tensile strength of the suture over the time.