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  • Title: Surgical technique for repositioning subluxated previously scleral-fixated intraocular lenses.
    Author: Balta FN.
    Journal: Am J Ophthalmol; 2004 Oct; 138(4):676-7. PubMed ID: 15488811.
    Abstract:
    PURPOSE: To describe a repositioning technique of a subluxated scleral-fixated rigid intraocular lens (IOL) with haptic holes in eyes with complete or anterior vitrectomy. DESIGN: Interventional case series. METHODS: Using a two-port pars plana vitrectomy, a 10-0 polypropylene suture with the free end fixated to a haptic hole cut from another artificial IOL is passed through a paracentesis, then through the hole of the haptic luxated in the vitreous cavity. It is then reanchored at the sclera, repositioning the IOL. RESULTS: In the two eyes, visual acuity was restored to pre-subluxation levels. During 6-month follow-up, anatomic and functional results were stable, and there were no complications. CONCLUSIONS: This technique enables repositioning of a subluxated, previously sutured rigid IOL without externalization of the lens or haptics and with good results.
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