23G MIVS to Re-suture a Transsceral IOL
Seenu Hariprasad, MD, presents a case of a 23-gauge microincisional vitrectomy surgery to manage a dislocated transsceral IOL in the presence of a posterior capsular tear. The technique involved a combination of three-port MIVS with a limbalbased partial thickness scleral flap to refixate the subluxed lens haptic.
For more pearls about this procedure, read the article from the December 2009 Retina Today .
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Comments (9)
Dear Dr.Seenu
Hi Hosam and Scohen: Excellent insights. I don't rotate the knots as I have found this difficult to do and may cause the lens to move or cause the suture to break. However, if this can be done easily, I see no harm...
Do you try to rotate the knot into the eye? I find that about half the time I can. In this case, where the path of the suture is clean, I imagine the knot would rotate most of the time. Nice video.
thanks for this excellent surgery.
Hi Seenu, no I was referring to the sutereless intrascleral fixation technique, here is the link to the eyetube video http://www.eyetube.net/videos/default.asp?lilese
Hi ZMario: Is 'partial thickness scleral flap' described in this case the same as 'intraescleral fixation' that you refer to?
great case but I would have done an intraescleral fixation, a most definite solution
Great case. Now we can wait a few more years and do it again when the suture breaks. Also I agree with the above comment.
im all confused...