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Aleksandra Rachitskaya, MD
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Aleksandra Rachitskaya, MD, demonstrates the scleral fixation of a secondary IOL using an MX60 enVista lens (Bausch + Lomb) and GORE-TEX sutures.
Posted: 3/09/2020
Aleksandra Rachitskaya, MD
Aleksandra Rachitskaya, MD, demonstrates the scleral fixation of a secondary IOL using an MX60 enVista lens (Bausch + Lomb) and GORE-TEX sutures.
Posted: 3/09/2020
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Rishi Gupta
5 years ago
Very nice video of an elegant surgery! All secondary IOL's have their advantages and disadvantages. Dr. Rachitskaya rightly points out that it is critical not to tie the Gore-tex suture too tight, as there are increasing reports of MX60 haptic fracture secondary to tension from Gore-tex suture (see below.)<br /><br />Chen K, Sun C, Sun M. Unilateral triangular eyelet disruption of scleral-fixed enVista lens. Ophthalmol Retina 2019;3:680<br /><br />Lippincott J, Tieu B. Three cases of scleral sutured enVista intraocular lens dislocation and determination of the enVista eyelet tensile strength under two different suturing methods. Invest Ophthalmol Vis Sci 2019; 60:485<br /><br />Gupta et al. Dislocation of a Scleral-Fixated, Hydrophobic, Single-Piece Acrylic Intraocular Lens Secondary to Eyelet Fracture From Gore-Tex Suture. Journal of VitreoRetinal Disease. 2019; 3 (5): 395-398 <br /><br />Pollmann et al. Structural Integrity of Intraocular Lenses With Eyelets in a Model of Transscleral Fixation With the Gore-Tex Suture. J Cataract Refract Surg. 2020 Apr;46(4):617-621. doi: 10.1097/j.jcrs.0000000000000129.