3052: scleral fixation of a dislocated IOL
Rescuing a dislocated single-piece IOL requires creative maneuvers, and this clever technique offers an elegant solution for scleral fixation using Gore-Tex. Of particular note is the surgeon’s strategic use of a more rigid polypropylene suture loop to lasso and shuttle the soft, non-absorbable Gore-Tex suture directly through the scleral wall. Executing this entire maneuver transconjunctivally eliminates the need for a conjunctival peritomy, minimizing tissue trauma, reducing postoperative inflammation, and preserving the conjunctiva for future potential filtering procedures. Watch the video to analyze how this suture-shuttling technique simplifies intraocular retrieval and achieves stable, long-term scleral centration of the dislocated lens. What are your preferred suture-shuttling instruments or techniques when fixating a dislocated IOL without a conjunctival peritomy? Please comment your thoughts below.
