Channels: Cataract Surgery | Posted 11/12/2010
The purpose of this video is to elaborate simplified innovative techniques of scleral fixation of posterior chamber (PC) IOLs. The following four techniques are described in this video:
1) Ab-externo scleral fixation of PCIOL using
10/Nylon/Prolene with 27-30 g needle on 1cc syringe
2) Transscleral suture passage using 10/0 prolene suture with straight needles
3) Mazhry’s pre-tied foldable IOL scleral fixation under topical infilteration
4) Mazhry’s In-situ loop fixation of subluxated PC IOL. The author has been using and refining these techniques for more than last one and a half decade. Post op results are quite good and comparable to other kinds of implantations. Scleral fixation of a PC IOL is an effective but surgically demanding technique. Most of these complications can be avoided or minimized by proper selections of materials used and adopting the proper technique.