ESCRS - PO312 - Surgical Management Of Iris Optic Capture Of Sutureless Scleral-Fixated Intraocular Lenses

Surgical Management Of Iris Optic Capture Of Sutureless Scleral-Fixated Intraocular Lenses

Published 2024 - 42nd Congress of the ESCRS

Reference: PO312 | Type: Poster | DOI: 10.82333/n6fy-tz73

Authors: Yasmine Houmane* 1 , Meriem Ouederni 1 , Rym Maamouri 1 , Slim Selmi 1 , Monia Cheour 1

1Ophthalmology Department,Habib Thameur University Hospital ,Tunis,Tunisia

Purpose

To report the surgical management of a case of bilateral iris optic capture of a sutureless scleral-fixated intraocular lens (IOL).

Setting

Ophthalmology department of Habib Thameur University Hospital, Tunis, Tunisia.

Methods

The medical records of a 12-year-old child, diagnosed with homocystinuria, who underwent surgery for bilateral ectopia lentis, with secondary implantation of a sutureless scleral-fixated IOL were retrospectively reviewed. Complete ophthalmological examination was performed.

 

Results

The patient presented with optic capture of the IOL two and six weeks postoperatively in the left and right eye, respectively. Visual acuity was 0.4 in the right eye and 0.6 in the left eye. Bilateral ocular hypertension due to a pupillary block was initially managed with hypotensive eyedrops and laser iridotomy with no improvement. Surgical management was decided to prevent secondary glaucoma and uveitis-glaucoma-hyphema syndrome. A rectangular-shaped double-loop 8-0 prolene suture was used as a barrier between the iris and the IOL optic. Sutures were externalized through the sclera 2 mm posterior to the limbus and 3 to 4 mm from each other using a 24-gauge catheter needle as a guide. No recurrence was observed after a six-month follow-up.

Conclusions

Iris capture of the IOL optic is an early complication of scleral-fixated IOLs. It can resolve spontaneously, or require surgical or nonsurgical intervention. The double-looped rectangular suture appears to be a safe approach for the correction of optic capture.