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Flanged sutureless scleral fixation technique for dislocated sulcus IOL in patient with high myopia

Poster Details

First Author: N.Bromand TURKEY

Co Author(s):    R. Karadag   O. Cakici   S. Karaca   A. Demirok           

Abstract Details


We describe a flanged sutureless scleral fixation technique for dislocated sulcus intraocular lens (IOL) in patient with high myopia.


Istanbul Medeniyet University School of Medicine


We formed a 2 mm scleral tunnel 2 mm from and parallel to the limbus with 27-gauge needle entering sclera transconjunctivally at an approximately 20 degree angle. The leading haptic was threaded into the canula of the needle using a 23-gauge forceps. This haptic was externalized onto the conjunctiva and a transconjunctival safety suture is placed at the tunnel entry side with a 10-0 nylon suture. These steps are repeated for the other haptic. The ends of the haptics were cauterized to make a flange. The flanges of the haptics were pushed back and fixed into the scleral tunnels.


The safety suture is removed at postoperative first week. No complications were seen intraoperatively or postoperatively.


Using flanged sutureless intrascleral IOL fixation method in patient with high myopia is an alternative scleral fixation surgery.

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