LATE "IN-THE-BAG" INTRAOCULAR LENS DISLOCATION TREATED WITH SUTURELESS CAPSULOSCLERAL FIXATION

To illustrate novel method of sutureless technique of capsular bag fixation based on clinical case of late intraocular lens (IOL) dislocation.

We presented new technique sutureless technique of capsular bag fixation. Since 2024 we used both for prophylaxis and treatment of "in-the-bag" IOL dislocation. The method requires the creation of two opposite anterior capsule C-shaped flaps that are passed through the ciliary sulcus and fixated in sclera with temporary vicryl 8.0 sutures. It enables to avoid the use of any permanent suture, knots, flanges, additional devices or implants, suture brakeage or exposure, scleral flaps or pockets

A 73-year-old female presented with progressively decreasing vision that had worsened over the past 3 months. Sixteen years ago, she had undergone right eye cataract surgery at another center. In the right eye, the uncorrected distance visual acuity (UDVA) was 20/100, the corrected distance visual acuity(CDVA) was 20/50, and the intraocular pressure was normal. Slit-lamp examination revealed severe inferior-temporal dislocation of the IOL–capsular bag complex. Posterior segment examination results were unremarkable. In this case we used novel sutureless technique  of capsular bag fixation. After 3 month the UDVA was 20/32, and the CDVA was 20/25, and there were no postoperative complications such as infection, iritis, uveitis, vitreous hemorrhage, or retinal detachment. Anterior segment examination revealed stable central IOL position without tilt.

Sutureless capsular scleral fixation technique proved to be a reliable method for treatment late "in-the-bag" IOL dislocation.