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Megalocornea Suture Re-suspension of Decentered IOL

Jason Jones MD

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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

Keywords:

Cataract

•

Cataract Complications

•

Dislocated IOL, subluxed IOL

•

Intraocular lens, IOL, IOLs

•

IOL Fixation

•

Megalocornea

•

Scleral-fixated IOL

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Megalocornea Suture Re-suspension of Decentered IOL

Jason Jones MD

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

Keywords:

Cataract

•

Cataract Complications

•

Dislocated IOL, subluxed IOL

•

Intraocular lens, IOL, IOLs

•

IOL Fixation

•

Megalocornea

•

Scleral-fixated IOL

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