A Modified Girth-Hitch Suture Technique to Rescue Single-Haptic Dislocation of Scleral-Fixated Intraocular Lenses
Retina, cilt.44, sa.11, ss.2026-2029, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 11
- Basım Tarihi: 2024
- Doi Numarası: 10.1097/iae.0000000000004076
- Dergi Adı: Retina
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts
- Sayfa Sayıları: ss.2026-2029
- Anahtar Kelimeler: intraocular lens implantation, lens dislocation, lens repositioning, lens subluxation, scleral fixation, suture technique
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Purpose:To describe the technique of modified girth-hitch suture for one-side transscleral fixation to rescue a single-haptic dislocation.Methods:In this surgical technique report, dislocated scleral-fixated posterior-chamber intraocular lenses (IOLs) were secured to the sclera using a 10-0 polypropylene suture looped around the IOL haptic. Three types of IOL were secured in this study (four cases of one-piece polymethyl methacrylate (PMMA) IOL, one case of three-piece acrylic IOL with PMMA loop, and one case of acrylic foldable IOL with a two-plate loop design).Results:Six patients, who had subluxation of the scleral-fixated posterior-chamber IOL due to single-knot dehiscence, underwent refixation of scleral-fixated IOL surgery using this technique. In all cases, successful repositioning with stable and central fixation of the IOLs was achieved. No intraoperative or postoperative complications were noted.Conclusion:Internal refixation with a girth-hitch suture is a relatively quick and convenient method for the management of a dislocated IOL haptic on one side.