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Scleral suture fixation technique for dislocated plate haptic toric IOL

Poster Details

First Author: B.Gunes TURKEY

Co Author(s):    R. Karadag   V. Aykut   H. Oguz   A. Demirok           

Abstract Details


We report reposition of dislocated plate haptic toric iol with a new scleral fixation technique.


Istanbul Medeniyet University School of Medicine, Goztepe, Istanbul, Turkey


After marking toric IOL axis conjunctival incisions were done. Sclera was marked at two opposite points of 2 mm away from limbus on an imaginary line passing through the holes on the IOL. A double-armed 10-0 polypropylene suture was entered from the marked point, passed through the hole on IOL and removed from the paracentesis on the opposite side with a 27-gauge needle. It was reentered form the same paracentesis and removed from the eye with a 27-gauge needle. Same procedure applied to the other hole. Sutures were adjusted and fixated to the sclera with Z suture. Conjunctiva was sutured.


No complications were seen intraoperatively or postoperatively. At the follow up visits (first day, first week, second week) uncorrected visual acuity was 0.8 snellen. Postoperative autorefractometry showed 0.5 dioptric astigmatism


In conclusion, scleral fixation surgery is a possible solution for plate haptic toric IOL decentralization with appropriate measurements.

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