"Belt Loop" Lasso Suture Technique For Subluxated/Dislocated In-The-Bag Iols
Published 2025 - 43rd Congress of the ESCRS
Reference: PO353 | Type: Free paper | DOI: 10.82333/e9nj-t980
Authors: Jascha Wendelstein* 1 , Achim Langenbucher 2 , Damien Gatinel 3 , David Atchison 4 , David Cooke 5
1Department of Ophthalmology,Ludwig Maximilian University Munich,Munich,Germany, 2Department of Experimental Ophthalmology,Saarland University,Homburg,Germany, 3Department of Ophthalmology,Fondation Rothschild,Paris,France, 4Centre for Vision and Eye Research,Queensland University of Technology,Queensland,Australia, 5Ophthalmology,Great Lakes Eye Care Center,St. Joseph,United States
Purpose
To present a technique for repositoning and stabilizing subluxated and dislocated in-the-bag IOL's
Setting
Government funded, hospital based surgical practise.
Methods
The technique involves using 9-0 polene to create a loose loop or belt loop, to encircle the haptics at the haptic optic junction. These loops are sutured to the scleral in two locations, 180 degrees apart so as to centre the optic on the pupil. The sutures are not tightened but left loose. The technique will be demonstrated using photos and video.
Results
This technique has been used for one piece and 3 piece IOLs for the past 3 years in 71 consecutive cases, with success. Only one lens has had recurrent dislocation, following direct blunt trauma to the eye
Conclusions
The belt loop lasso technique for scleral suture fixation of dislocated in the bag IOLs is a viable alternative for managing these rare cases