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Jonathan L. Prenner, MD
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Jonathan Prenner, MD, presents a sutureless scleral fixation technique in an IOL rescue case. The surgeon begins the case by making two ciliary sulcus-based sclerotomies and 3-mm intrascleral tunnels exactly 180 degrees apart. The IOL haptics are then tucked into the tunnels.
Posted: 4/21/2012
Jonathan L. Prenner, MD
Jonathan Prenner, MD, presents a sutureless scleral fixation technique in an IOL rescue case. The surgeon begins the case by making two ciliary sulcus-based sclerotomies and 3-mm intrascleral tunnels exactly 180 degrees apart. The IOL haptics are then tucked into the tunnels.
Posted: 4/21/2012
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Mary Katherine Francia, MD
13 years ago
Dr Prenner, thank you very much for sharing this! I look forward to trying out this technique when the opportunity arises. I just have a few questions for you and Dr Prasad: 1. Would this also work for a one-piece acrylic lens? 2. Would you do this as a primary procedure for patients without adequate capsular support? All the best to you both.
Som Prasad
13 years ago
Dr Prenner, Congratulations on very elegant surgery and demonstration of the technique originally described by Dr Scharioth (published in JCRS). As you note the placement of the haptic in the tunnel can be fidly using 25G forceps as once you are in the forceps do not want to let go!. DORC now has special forceps (23G) which greatly facilitate this step. Best Wishes
Jonathan Prenner
13 years ago
Dr. Prasad...that is great news about the DORC forceps...do you know the model number? Is it available in 25g as well? Thanks! jp
Som Prasad
13 years ago
Jonathan, I don't have the part number, but Frank Ruesler at DORC will bea ble to source it for you - fr@dorc.nl - ask for the Scharioth intrascleral forceps. It would be nice to meet up at some point - ASRS or AAO? I have been using this technique since 2008 - and with Gabor Scharioth and a couple of other European surgeons we published very good intermediate term follow up results in JCRS 2010. I think we should really be trying to popularise this technique - since it avoids issues with late suture breakage, which is an inherent problem with all haptic suturing techniques. There is also extensive discussion about this in the recent Ocular Surgery News (Europe). Best Wishes
Jonathan Prenner
13 years ago
Meeting would be great. Your paper is excellent and was the inspiration for the vitreoretinal approach that our group has described in RETINA. Let's touch base before the AAO. Best Wishes, jp