Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 4 Issue 6

Catcher Pole Scleral Fixation for Repositioning of Dislocated IOL in Vitreous Chamber

A Scupola1,3, Maria Ludovica Ruggeri1*, A Savastano2,3, MA Blasi1,3 and S Rizzo2,3

1UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

2UOC Oculistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

3Sezione di Oculistica, Università Cattolica del Sacro Cuore, Rome, Italy

*Corresponding Author: Maria Ludovica Ruggeri, UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Received: February 26, 2021; Published: May 31, 2021

Abstract

Purpose: To describe a new surgical instrument for IOL repositioning in scleral fixation procedures designed to help the surgeon to catch the haptics of the dislocated IOL and then handle them to scleral fixation.

Methodology: Twenty-one eyes of 21 patients who underwent IOL repositioning procedure through the handling of this new surgical tool were enrolled in this observational study. The instrument is a flute needle with several side slits that allow the passage of a looped suture (10-0 polypropylene ethicon Prolene EH7896) in order to obtain a tool similar to a catcher pole to engage the haptics and ease the handling during scleral fixation procedure.

Results: This procedure has shown to be effective in terms of optic rehabilitation and surgical outcomes.

Conclusion: The use of this tool simplifies IOL repositioning during sutured scleral fixation technique representing a valuable help for the surgeon in obtaining satisfying anatomical and visual outcomes.

Keywords: Intraocular Lens Dislocation; Intraocular Lens Repositioning; Personalized Medicine; Innovative Biotechnologies; Scleral Fixation; Vitrectomy

References

  1. Besek NK., et al. “Comparative evaluation of re-use or replacement of dislocated 3-piece intraocular lenses with a scleral fixation technique”. Journal Français D'Ophtalmologie 2 (2020): 139-144.
  2. Smiddy WE and Flynn Jr HW. “Management of dislocated posterior chamber intraocular lenses”. Ophthalmology6 (1991): 889-894.
  3. Yamane S., et al. “Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique”. Ophthalmology 8 (2017): 1136-1142.
  4. Wagoner MD., et al. “Intraocular lens implantation in the absence of Capsular Support. Ophthalmic technology assessment” (2003): 840-859.
  5. Rodrigo BJ., et al. “Intraocular Lens Subluxation in Marfan Syndrome”. The Open Ophthalmology Journal is an Open 8 (2014): 48-50.
  6. Yang S., et al. “Surgical management of intraocular lens dislocation: A meta-analysis” 14.2 (2019).
  7. Caporossi T., et al. “IOL repositioning using iris sutures: a safe and effective technique”. International Journal of Ophthalmology 12 (2019): 1972-1977.
  8. Sella S., et al. “Pars plana vitrectomy for posteriorly dislocated intraocular lenses: risk factors and surgical approach”. International Ophthalmology 1 (2021): 221-229.
  9. Chan CK., et al. “Management of dislocated intraocular implants”. Ophthalmology Clinics of North America 4 (2001): 681-693.
  10. Maguire AM., et al. “Scleral loop fixation for posteriorly dislocated intraocular lenses. Operative technique and long-term results”. Archives of Ophthalmology 12 (1991): 1754-1758.
  11. Brendan J Vote., et al. “Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation”. American Journal of Ophthalmology 2 (2006): 308-312.
  12. Scharioth GB., et al. “Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation”. Journal of Cataract and Refractive Surgery - LWW Journals 36 (2010): 254-259.
  13. Do JR., et al. “A 1-year Prospective Comparative Study of Sutureless Flanged Intraocular Lens Fixation and Conventional Sutured Scleral Fixation in Intraocular Lens Dislocation”. Ophthalmologica (2020).
  14. Tamburrelli C and Tamburrelli AC. “Sutureless Scleral Fixated IOL: The "Catcher Pole" Technique”. Clinical Ophthalmology 15 (2021): 121-128.
  15. Stem MS., et al. “Scleral- Fixated Intraocular Lenses: Past and Present”. Journal of VitreoRetinal Diseases 2 (2017): 144-152.

Citation

Citation: Maria Ludovica Ruggeri. “Catcher Pole Scleral Fixation for Repositioning of Dislocated IOL in Vitreous Chamber".Acta Scientific Ophthalmology 4.6 (2021): 101-104.

Copyright

Copyright: © 2021 Maria Ludovica Ruggeri. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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