Belt Loop Lasso Scleral Suture Fixation Of Subluxated/Dislocated In-The-Bag Iol's; A Retrospective Review Of 71 Consecutive Cases
Published 2025 - 43rd Congress of the ESCRS
Reference: FP25.10 | Type: Free paper | DOI: 10.82333/54xz-4581
Authors: Or Ben-Shaul* 1 , Maria Mousa 2 , Shada Hadid 3 , Adi-Chen Segal 4
1Ophthalmology,Lady Davis Carmel Medical Center,Haifa,Israel;Technion - Israel Institute of Technology,Haifa,Israel, 2Ophthalmology,Lady Davis Carmel Medical Center,Haifa,Israel, 3Technion - Israel Institute of Technology,Haifa,Israel, 4Ophthalmology,Lady Davis Carmel Medical Center,Haifa,Israel;Ophthalmology,Technion - Israel Institute of Technology,Haifa,Israel
Purpose
To review consecutive cases of dislocated in the bag IOLs managed by the belt loop lasso scleral suture fixation technique
Setting
Government funded, hospital based surgical practise.
Methods
Retrospective review of 71 consecutive cases managed using the belt loop lasso suture scleral fixation technique.
Results
71 consecutive cases were identified since 2021; 58% involved a single piece IOL. There were 71 eyes of 61 patients. The age at presentation was 81.46 +/-8.68 years of age (range 51 - 95). These cases presented 11.23 +/- 7.03 years after surgery (range 1 week - 29 years). These cases were followed for 11.04 +/- 16.19 months (range 1.0 day -120 months). Logmar vision improved from 0.69 +/- 0.32 (range 0.2 –1.0 ) to 0.34 +/-0.27 (range 0 -1.0). Post-op findings of transient vitreous hemorrhage in 4 eyes, CME in 8 eyes and one eye had prolonged corneal edema. Only one eye had recurrent dislocation of the iol following significant blunt trauma to the eye.
Conclusions
The belt loop lasso scleral suture fixation using 9-0 prolene is an effective and safe method of managing dislocated in the bag IOLs.