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Megalocornea Suture Re-suspension of Decentered IOL

  Channels: Cataract Surgery | 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.

Cataract • Cataract Complications • Dislocated IOL, subluxed IOL • Intraocular lens, IOL, IOLs • IOL Fixation • Megalocornea • Scleral-fixated IOL

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