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This patient with megalocornea (WTW 16.0 mm) underwent cataract surgery more than 10 years prior. His surgeon elected to scleral suture fixate an Alcon CZ70BD IOL using 10-0 Prolene. The IOL remained well centered and stable for many years but eventually one suture failed and the lens decentered. Options considered included IOL exchange or re-fixation of the in-situ IOL. Given that there is not an FDA-approved IOL that will fit properly in this oversized anterior segment, I elected to pass new sutures to fixate and stabilize this lens.
Posted: 8/24/2015
This patient with megalocornea (WTW 16.0 mm) underwent cataract surgery more than 10 years prior. His surgeon elected to scleral suture fixate an Alcon CZ70BD IOL using 10-0 Prolene. The IOL remained well centered and stable for many years but eventually one suture failed and the lens decentered. Options considered included IOL exchange or re-fixation of the in-situ IOL. Given that there is not an FDA-approved IOL that will fit properly in this oversized anterior segment, I elected to pass new sutures to fixate and stabilize this lens.
Posted: 8/24/2015
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