Channels: Cataract Surgery | Posted 5/24/2016
Michael Patterson, DO, presents a case with repeat IOL dislocations despite a previous scleral fixation. The IOL had dislocated twice in the anterior chamber and now in the posterior chamber. 23G stab incisions are made 180 degrees apart, approximately 1-1.5mm away from the limbus. Sclerotomies farther away from the limbus force the IOL haptics to stretch which makes the lens more susceptible to dislocation.
Ahmed Micro-Graspers • Cataract Complications • Cataract Surgery • Dislocated IOL, subluxed IOL • Fibrin glue • Glued IOL • Intraocular lens, IOL, IOLs • IOL Fixation • Scleral-fixated IOL • TISSEEL Fibrin Sealant, glue • Wound sealant