This is an unusual case of prior trauma. A 13 year old boy was playing with fireworks and sustained a severe ocular injury which resulted in a retinal detachment and dislocation of the crystalline lens. He underwent pars plana vitrectomy and lensectomy and has done well. He was using a contact lens to treat his aphakic but has become intolerant to it and he and his family now seek a surgical solution.
We are suturing a single-piece acrylic IOL to the sclera using GoreTex material, which is anticipated to last his lifetime. The IOL is foldable and is able to go through a 3-mm incision. The case went well and the patient recovered good vision. We aimed for a post-op goal of about -1 in order to match the refractive status of the opposite eye.
Click below to learn this technique of scleral IOL fixation: