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Single Suture Iris to Capsulorhexis Fixation for Late In-The-Bag Lens Subluxation

  Channels: Cataract Surgery, General | Posted 6/4/2015

Michael J. Siegel, MD, and Garry P. Condon, MD, present a simplified modification for mild in-the-bag subluxation that avoids conjunctival and scleral incisions while minimizing intraocular manipulation in five patients. While grasping the capsulorhexis edge with an intraocular forceps to stabilize the capsular bag and IOL complex, a 10-0 polypropylene suture on a long curved needle is used to secure the fibrotic superior capsulorhexis edge to mid-peripheral iris at 12 o’clock using a combination of a modified McCannel suture and Siepser sliding knot.

Capsulotomy/Capsulorrhexis • Cataract • Cataract Complications • Cataract Surgery • Dislocated IOL, subluxed IOL • IOL Fixation • Siepser Sliding Knot

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