Bioptics in sutureless intrascleral multifocal posterior chamber intraocular lens fixation

J Refract Surg. 2011 May;27(5):386-8. doi: 10.3928/1081597X-20110106-02. Epub 2011 Jan 17.

Abstract

Purpose: To present a technique for sutureless fixation of a three-piece, multifocal, posterior chamber intraocular lens (IOL) in the ciliary sulcus.

Methods: A 24-year-old woman presented with bilateral subluxation of the crystalline lens. Two straight sclerotomies were prepared with a 24-gauge cannula 2.0 mm from the limbus 180° apart from each other. The cannula was used to create a 2.0- to 3.0-mm tunnel parallel to the limbus starting from the sclerotomies. The leading haptic of the multifocal IOL was grasped at its tip with end-gripping, 25-gauge forceps and pulled through the sclerotomy. The forceps was used to introduce the IOL haptic into the scleral tunnel parallel to the limbus.

Results: Multifocal posterior chamber IOLs were stable and well centered. No postoperative complications occurred in the 16-month follow-up period. Preoperative astigmatism was corrected after IOL implantation with corneal wavefront-guided laser epithelial keratomileusis.

Conclusions: Sutureless fixation of multifocal posterior chamber IOL haptics in a scleral tunnel parallel to the limbus can be successful, resulting in long-term centration and three-dimensional axial stability for optimal refractive results. If necessary, postoperative wavefront-guided refractive correction can be performed to optimize final refraction.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Foreign-Body Migration / surgery*
  • Humans
  • Lens Implantation, Intraocular / methods*
  • Lenses, Intraocular*
  • Prosthesis Failure
  • Reoperation
  • Sclera / surgery
  • Suture Techniques*
  • Visual Acuity
  • Young Adult