Scleral Fixation of Foldable Intraocular Lenses Using Injector.

Roh, Kyu Hwa; Park, Myung Jin; Choi, Kyung Seek; Lee, Sung Jin

Case Report

Journal of the Korean Ophthalmological Society 2007;48(1):167-171.
Published online January 31, 2007.

Scleral Fixation of Foldable Intraocular Lenses Using Injector.

Kyu Hwa Roh, Myung Jin Park, Kyung Seek Choi, Sung Jin Lee

¹Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea. wismile@unitel.co.kr
²Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.

인젝터를 이용한 접형인공수정체 공막고정술

노규화¹,박명진²,최경식¹,이성진¹

Department of Ophthalmology, Soonchunhyang University College of Medicine¹, Seoul, Korea Department of Ophthalmology, Seoul National University Bundang Hospital², Seongnam, Korea

Correspondence: Kyu Hwa Roh, M.D.¹

Abstract

PURPOSE
To introduce the method of scleral fixation, using Mport(TM) (Bausch & Lomb) injector and silicone three-piece foldable IOL (Silens 6, Bausch & Lomb). METHODS: The study was conducted for five cases of aphakia requiring secondary implantation of IOL. The partial-thickness scleral flaps were made on 2 and 8 o' clock site. A double-armed 10-0 polypropylene suture and 26G needle were inserted through each sclera. Surgical and 26G needle were conjoined and passed out through 2 o' clock site sclera. The clear corneal incision was made on 10 o' clock site through which a suture was pulled out and cut. The end of suture which originated from 8 o' clock site was passed through the injector and tied to the leading haptic of IOL, then inserted. The other end of suture was tied to the following haptic and complete the insertion of IOL with forceps. RESULTS: Time taken for the above procedure was within 20 minutes and postoperatively induced astigmatism was less than 1.5 diopters. No specific complication was noticed. CONCLUSIONS: This technique may be an effective and substitute procedure for that have been used for reasons of less astigmatism, and stable chamber maintenance during procedure.

Key Words: Foldable intraocular lens;Injector;Scleral fixation