Penetrating Keratoplasty and Scleral Fixation IOL

Ayman Shouman, MD, FRCS, and Dalia Galal, MD, FRCS, present a case of a combined PK and scleral fixation IOL. The patient is a 65-year-old psuedophakic male with an anterior chamber iris-captured IOL and bullous keratopathy. Scleral fixation of the IOL is accomplished through a reversed scleral pockets without conjunctival opening.

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Comments (5)

any risk of suture exposure with this technique. it will be difficult to rotate the sutures with this tech of SF IOL

Dr B Khare (3 months ago)

VERY GOOD TECHNIQUE

yehiam (16 months ago)

Beautiful surgery Ayman. Well done!

asallam (16 months ago)

Also we can fixate it with 9/0 prolene as its biodegradability takes longer time than 10/0 but it is not available in Egypt

Shouman (16 months ago)

Great technique Dr. Shouman, but I think the intrascleral fixation is better in the long term as to avoid possible IOL luxation in the future 5-10 years

ZMario (17 months ago)