ISTANBUL escrs

A Hammock technique for sulcus fixation of posterior chamber intraocular lens

Session Details

Session Title: Cataract 2
Session Date/Time: Saturday 21/02/2015 | 08:30-11:00
Paper Time: 10:24
Venue: Hall 1
First Author: : N.Labauri
Co Author(s): :                  

Abstract Details

Purpose:

We describe a new technique that is an use of two parallel trans-sulcus sutures (made by vanadium steel material) creating so called “Hammock” to support a posterior chamber intraocular lens (PCIOL), while capturing the optic part within it.

Setting:

'Akhali Mzera' Eye Clinic LTD

Methods:

The mentioned technique has been used in 27 cases with different pathologies, where posterior capsule was absent or insufficient for PCIOL fixation. Eight cases where performed as a planned procedure to implant an PCIOL after intracapsular cataract extraction for traumatic cataract with severe phacodonesis, in twelve cases this technique was used to manage during complicated phaco procedure, where the capsular bag was damaged intraoperatively and the rest seven cases were performed in combination with pars plana vitrectomy (PPV) to correct an aphakia. Follow up period was lasting from 3 to 38 months (mean 21 months).

Results:

Preoperative Uncorrected Visual Acuity (UCVA) varied from 1.6 to 1.18 (mean 1.3 in LogMar) and have been improved in all cases postoperatively which varied from 0.7 to 0.1 (mean 0.3 in LogMar). PCIOLs were well centered and had no evidence of pseudophakodonesis. No serious complications have been observed, but only vitreous hemorrhage in one case which required PPV three weeks postoperatively to clear the optical media.

Conclusions:

The Hammock technique has shown the perfect PCIOL centration and stability in all cases, also it is easy and fast to be performed. Due to its atraumatic nature, good structural and functional outcomes are achieved in a long run.

Financial Disclosure:

NONE

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