Search

Double Belt Loop Scleral Fixation of a Subluxated IOL and Goniotomy for Pseudoexfoliation Glaucoma

Edward Yung, MD

Show Description +

In this video, a patient presented with elevated IOP and spontaneous complete inferior subluxation of his IOL due to pseudoexfoliation. His vision decreased to count fingers due to IOL malpositioning. Examination revealed an in-the-bag IOL with a capsular tension ring placed at the time of cataract surgery. To avoid difficult removal of this IOL and capsule, Edward Yung, MD, decided to preserve the in-the-bag IOL and scleral fixate it using a double belt loop procedure. Pars plana vitrectomy was carried out to clear any prolapsed vitreous to facilitate proper centration of the IOL. A KDB Glide (New World Medical) was then used to perform an excisional goniotomy to address his elevated IOP at the same time.

Financial Disclosure: Consultant (New World Medical)

Posted: 7/28/2025

Keywords:

Belt Loop Refixation

•

Dislocated IOL, subluxed IOL

•

Goniotomy

•

Pseudoexfoliation Syndrome, PXF

•

MIGS

Up Next

FLACS With Toric and iStent inject

FLACS With Toric and iStent inject

Blake Williamson, MD, MPH, MS

Targeted Placement of iStent Trabecular Micro-Bypass Stent (Glaukos)

Targeted Placement of iStent Trabecular Micro-Bypass Stent (Glaukos)

Eric Rosenberg, MD

Cataract Surgery Combined with Canaloplasty

Cataract Surgery Combined with Canaloplasty

Mahmoud A. Khaimi, MD

Needle Viscocanalostomy

Needle Viscocanalostomy

Eslam Ramadan, MD

Ahmed M4 Placement

Ahmed M4 Placement

Nathan Radcliffe MD

Hydrogel Sealant to Prevent Chamber Shallowing During Combined Phaco and Tube Shunt Insertion

Hydrogel Sealant to Prevent Chamber Shallowing During Combined Phaco and Tube Shunt Insertion

Ian Conner, MD

Supra-Tenons Baerveldt Glaucoma Drainage Device

Supra-Tenons Baerveldt Glaucoma Drainage Device

George Tanaka, MD

iStent Trabecular Microbypass Implantation Technique

iStent Trabecular Microbypass Implantation Technique

Ike K. Ahmed MD

Trabectome 180

Trabectome 180

Constance Okeke, MD, MSCE

New Directions for GT

New Directions for GT

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC

Double Belt Loop Scleral Fixation of a Subluxated IOL and Goniotomy for Pseudoexfoliation Glaucoma

Edward Yung, MD

In this video, a patient presented with elevated IOP and spontaneous complete inferior subluxation of his IOL due to pseudoexfoliation. His vision decreased to count fingers due to IOL malpositioning. Examination revealed an in-the-bag IOL with a capsular tension ring placed at the time of cataract surgery. To avoid difficult removal of this IOL and capsule, Edward Yung, MD, decided to preserve the in-the-bag IOL and scleral fixate it using a double belt loop procedure. Pars plana vitrectomy was carried out to clear any prolapsed vitreous to facilitate proper centration of the IOL. A KDB Glide (New World Medical) was then used to perform an excisional goniotomy to address his elevated IOP at the same time.

Financial Disclosure: Consultant (New World Medical)

Posted: 7/28/2025

Keywords:

Belt Loop Refixation

•

Dislocated IOL, subluxed IOL

•

Goniotomy

•

Pseudoexfoliation Syndrome, PXF

•

MIGS

Please log in to leave a comment.

More in Glaucoma

Innovations in Drug Delivery: A Drug Delivering IOL

Innovations in Drug Delivery: A Drug Delivering IOL

I. Paul Singh, MD; and Douglas McGraw, DO

A Minimally Invasive Approach to Subconjunctival Filtration

A Minimally Invasive Approach to Subconjunctival Filtration

Arsham Sheybani, MD; Christine M. Funke, MD; and Shan C. Lin, MD

Treatment Considerations for a Patient With Cataracts and Normal-Tension Glaucoma

Treatment Considerations for a Patient With Cataracts and Normal-Tension Glaucoma

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO

Uveitis With Glaucoma

Uveitis With Glaucoma

Evripidis Sykakis, MD