Intraocular Lens Complication
Conditions
Keywords
Intraocular lens dislocation, Scleral re-fixation, scleral fixation
Brief summary
To minimize multiple manipulations and to decrease the economical burden; here, we describe how to utilize the patient's own dislocated intraocular lens to re-fixate with the sclera.
Detailed description
When a scleral fixated intraocular lens (IOL) is displaced; routinely it is extracted and exchanged with another IOL and re-fixated to the sclera or another modality can be used. Both can carry many complications due to multiple manipulations. Nevertheless, suture and/or haptic end exposure is another expected future complication, which can range from foreign body sensation to endophthalmitis. Here, the investigators utilized the same participant's IOL with minimum manipulations and the haptic ends buried inside scleral pockets to prevent future exposure and complications. The pocket entry is sutured with 8/0 vicryl, which is absorbable, to overcome complications.
Interventions
The participant's primary IOL is re-fixed without utilizing any new material.
Sponsors
Study design
Eligibility
Inclusion criteria
* Dislocated primary scleral fixed IOL
Exclusion criteria
* Iris claw IOL * Anterior chamber IOL
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The slit-lamp examination. | The fourth week post-operatively. | To assess the intra-ocular pressure mmHg, the re-fixated intraocular lens position ( central, tilted or displaced),and leakage from the incisions, and the hemorrhage ( whether in the anterior segment or in the posterior segment). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The visual acuity. | The fourth week post-operatively. | To assess both the uncorrected and the best corrected visual acuity ( with glasses). |
Countries
Iraq